Directional Atherectomy of Complex Coronary Disease: Lesion Specific Outcomes and Treatment Strategies

Complex coronary disease may be defined as a disease in which one or more morphological features are present that are known to be associated with an increased risk of complications during angioplasty. Directional coronary atherectomy may be useful in treating such complex lesions. We review our experiences with complex coronary lesions treated with directional coronary atherectomy. Outcome data are presented within the context of the reported literature, and strategies for approaching complex disease with directional atherectomy are suggested. (J Interven Cardiol 1996;9:135–144)

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