Calcium Prevalence

ROTAPRO™ Rotational Atherectomy Systems

Calcium is More Common Than You Think

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Over 30% of all patients treated for PCI present with some degree of calcium.1 This represents a 31% increase over the last two decades alone.

Patient complexity is increasing; risk factors such as an aging population, renal failure, hypertension, and an increasing prevalance of Type C lesions indicate that calcific lesions will continue to be present.1

Calcium Prevalence
Calcium Divider

Calcium Can Present Complications

A range of complications can arise during a procedure, including: dissection during balloon angioplasty or pre-dilatation2​, difficulty with complete dilation3​, inhibition of adequate stent expansion4​, prevention of stent delivery to the desired location5​, stent under expansion or malapposition6​, insufficient drug penetration and subsequent restenosis7​, perforation from pushing calcium spicule through vessel wall during inflation.
Incomplete dilation
Incomplete dilation3
Inadequate stent expansion
Inadequate stent expansion4
Stent malapposition
Stent malapposition6
Calcium Divider

Calcium is a Predictor of Worse Outcomes

Calcium can also have a major impact on long-term outcomes.
Moderate to sever calcium creates a significantly higher chance of complications like MI, TLR, MACE and death.1
Moderate to severe calcification in the coronary artery is associated with increased rates of MI, TLR, MACE and death.8
64 Percent Increase in TVF
TVF is higher in patients with severe calcification. At two years, TVF was 16.4% for those with severe calcification vs. 9.8% than those without severe calcification.9,14


Calcific CAD Treatment Options

When it comes to identifying and treating calcific lesions, using the right tools makes all the difference. But many go-to strategies fall short, and can lead to compounding challenges. ​
Calcium

Treat with Rotational Atherectomy

Identification is not the only area in which the status quo has failed to keep pace with your needs. POBA, a commonly used solution for addressing these lesions, can lead to dissections or perforations, leading to longer case time and limiting options for completing the case.15

Rotational Atherectomy is the gold standard for addressing lesions with any level of calcification. Rotational Atherectomy is known to deliver exceptional outcomes, with multiple studies indicating that Rotational atherectomy results in high procedural success rates with acceptable short- and longer-term MACE rates considering the severity of patient and lesion characteristics.16-18

Calcium is being severely undertreated:

Atherectomy is only used in 1-2% of PCI cases
An estimated 88% of identified calcium is left untreated.
Rotational Atherectomy is the most effective treatment for calcified CAD

Atherectomy:
Gold standard treatment for Calcium

• Properly prepares the vessel for stenting11
• Helps prevent complications and adverse events11
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Diagnose with IVUS

 

You can't treat what you can't see. Angiography is only effective at identifying the most severe cases of calcific CAD. In fact, only 38% of cases show visible calcium via angiography.12 Since low to moderately calcified lesions can still act as a considerable barrier to an optimal outcome, you'll need to use IVUS for every procedure.

Angiography, for example, is successful at identifying calcium in only 38% of cases – essentially only effective in the most severe cases.

 

IVUS is the preferred option for effectively visualizing and identifying calcium, no matter the severity, allowing you to make better treatment decisions with confidence. In fact, the use of IVUS has been shown to change treatment decisions 74% of the time.13

In fact, the use of IVUS has been shown to change treatment decisions 74% of the time. ​
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IVUS is necessary for every procedure

IVUS is necessary for every procedure

• Enables better identification of the lesion type
• Allows for better treatment decisions
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The Right Tools for All CALCIUM.

The Right Tools for
All CALCIUM.

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