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Dall’Ara et al. Vessel Plus 2023;7:26 Vessel Plus
DOI: 10.20517/2574-1209.2023.107

Original Article Open Access

Sheathless radial approach in contemporary

coronary rotational atherectomy: data from two
high-volume centers

1
2
1
1
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Gianni Dall’Ara , Giulia Alagna , Daniela Spartà , Miriam Compagnone , Simone Grotti , Giuseppe
2
1
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Guerrieri 3 , Francesca Campanella , Giovanni Taverna , Marcello Galvani 1,4,5 , Fabio Tarantino ,
Giuseppe Andò 2
1
Cardiology Unit, Morgagni-Pierantoni Hospital, Forlì 47121, Italy.
2
Department of Clinical and Experimental Medicine, University of Messina, Messina 98124, Italy.
3
Cardiology Unit, Bufalini Hospital, Cesena 47521, Italy.
4
Department of Medical and Surgical Sciences (DIMEC), University of Bologna, Bologna 40138, Italy.
5
Cardiovascular Research Unit, Myriam Zito Sacco Heart Foundation, Forlì 47121, Italy.
Correspondence to: Gianni Dall'Ara, MD, PhD, Cardiology Unit, Morgagni-Pierantoni Hospital, AUSL Romagna via Forlanini 34,
Forlì 47121, Italy. E-mail: dallara.gianni@gmail.com
How to cite this article: Dall’Ara G, Alagna G, Spartà D, Compagnone M, Grotti S, Guerrieri G, Campanella F, Taverna G, Galvani
M, Tarantino F, Andò G. Sheathless radial approach in contemporary coronary rotational atherectomy: data from two high-
volume centers. Vessel Plus 2023;7:26. https://dx.doi.org/10.20517/2574-1209.2023.107
Received: 12 Aug 2023 First Decision: 27 Oct 2023 Revised: 3 Nov 2023 Accepte: 10 Nov 2023 Published: 15 Nov 2023
Academic Editors: Giuseppe Andò Copy Editor: Fangyuan Liu Production Editor: Fangyuan Liu
Abstract
Aim: To analyze the feasibility and procedural outcome of percutaneous coronary intervention (PCI) using
rotational atherectomy (RA), performed via transradial sheathless guiding catheter, as compared to a standard
radial and femoral vascular approach.

Methods: All consecutive patients undergoing RA at two high-volume PCI centers from May 2011 to May 2023
were included. Comparisons were made between the two transradial approaches and between the three types of
vascular access.

Results: Two hundred twenty-three patients were enrolled. Baseline characteristics were similar, with the
exception of gender. We observed, in percentages, fewer cases of failure for sheathless than standard transradial
attempts (7.5% vs. 11.5%, respectively), whereas all trans-femoral attempts were successful. Transfemoral
procedures were longer and more frequently performed under mechanical circulatory support. There was no
difference in procedural success between the three vascular approaches. A trend towards a higher rate of vascular

© The Author(s) 2023. Open Access This article is licensed under a Creative Commons Attribution 4.0
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