Disparities in the Use of Atherectomy and Intravascular Lithotripsy for Percutaneous Coronary Intervention.

ABSTRACT:

Background

Atherectomy and intravascular lithotripsy (IVL) facilitate percutaneous coronary intervention (PCI) in calcified coronary disease, and use of these technologies is associated with greater luminal gain and superior intervention success. As atherectomy/IVL gain more widespread acceptance, it is important to understand whether their use differs across levels of social deprivation.

Methods

Within the National Cardiovascular Data Registry CathPCI Registry, we identified 310,124 patients who had a PCI for severely calcified lesions between 2018 and 2023. For each patient, we determined their social deprivation index (SDI) based on residential zip codes. The SDI is a composite measure of area-level social deprivation, with higher values correlating to greater deprivation

SUBMITTER: Lee K 

PROVIDER: S-EPMC12418460 | biostudies-literature | 2025 Jul

REPOSITORIES: biostudies-literature