Introduction
Coronary artery calcification (CAC) poses serious obstacles to routine percutaneous coronary interventions (PCI). Calcified lesions are difficult to cross, expand and carry increased risks of inadequate stent placement, angiographic complications, and poor clinical outcomes.[1] CAC is often secondary to old age, diabetes mellitus and chronic renal failure (CRF).
Various methods exist to improve procedural outcomes. Rotablation is widely available in most countries, however expertise for it in difficult cases and cost are major limitations hampering its usage. The aim of this report is to examine procedural success and long-term mortality outcomes.