Directional coronary atherectomy revisited

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<jats:title>Key Points</jats:title><jats:p><jats:list list-type="bullet"> <jats:list-item><jats:p>Historically, DCA was able to achieve large lumen diameter and reduction in restenosis but at a cost of higher peri‐procedural MI.</jats:p></jats:list-item> <jats:list-item><jats:p>Use of a new DCA device in a Japanese registry demonstrated superior acute success and similar in‐hospital complications to PCI without DCA.</jats:p></jats:list-item> <jats:list-item><jats:p>DCA may be useful as a niche application in some coronary lesions, but the exact role will need to be defined by additional studies.</jats:p></jats:list-item> </jats:list></jats:p>

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