Reviews in Cardiovascular Medicine (RCM) is published by IMR Press from Volume 19 Issue 1 (2018). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with MedReviews, LLC.
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Lesion preparation before stent implantation remains an essential component of the contemporary practice of coronary stent implantation in patients with long lesions, ostial lesions, chronic total occlusions, bifurcations, and calcified or nondilatable lesions. The goal of lesion preparation in these patients is to facilitate stent delivery, reduce plaque shift, and allow optimal stent expansion. Several procedures and second-generation devices have been proposed to achieve this goal, such as directional coronary atherectomy, rotational atherectomy, the cutting balloon, and the FX miniRAILTM catheter. Even with the advent of drug-eluting stents, theoretically there are several reasons that aggressive lesion preparation would still be beneficial in selected patient subsets.
FX miniRAIL catheter