Coronary Rotational ATherectomy Elective Versus Bailout in Patients With Severely Calcified Lesions and Chronic Renal Failure: Long-Term Outcomes of CRATER Trial.

Jon Zubiaur^1,2, Guillermo Galeote^1,2, Alfonso Jurado-Román^1,2,3, Javier Fernández-Portales⁴, Sebastián Romani⁵, Pablo Salinas⁶, Julio García-Tejada⁶, Asier Subinas⁷, Marcos Rodríguez⁸, Jorge Palazuelos-Molinero⁹, Xacobe Flores¹⁰, Manuel López¹¹, Ana Planas¹², Eduardo Arroyo¹³, Guillermo Bastos¹⁴, Silvio Vera-Vera¹, Santiago Jiménez-Valero^1,2, Borja Rivero Santana^1,2, Daniel Tebar^1,2, Mattia Basile^1,2, Ariana Gonzálvez^1,2, Raúl Moreno^1,2,3

¹Cardiology Department, La Paz University Hospital, Madrid, Spain.

²Fundación de Investigación IDIPAZ, Madrid, Spain.

³Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBERCV), España, Spain.

⁴Cardiology Department, San Pedro de Alcantara Hospital, Cáceres, Spain.

⁵Cardiology Department, Clínico San Carlos University Hospital, Madrid, Spain.

⁶Cardiology Department, October Twelve University Hospital, Madrid, Spain.

⁷Cardiology Department, Galdakao-Usansolo University Hospital, Basque country, Spain.

⁸Cardiology Department, Nuestra Señora de Candelaria University Hospital, Canary Islands, Spain.

⁹Cardiology Department, La Luz University Hospital, Madrid, Spain.

¹⁰Cardiology Department, University Hospital Complex of A Coruña, Galicia, Spain.

¹¹Cardiology Department, Clínico San Cecilio University Hospital, Granada, Spain.

¹²Cardiology Department, General University Hospital of Castellón, Castellón, Spain.

¹³Cardiology Department, Hospital Universitario de Torrevieja, Alicante, Spain.

¹⁴Cardiology Department, University Hospital Complex of Vigo, Galicia, Spain.

PubMed DOI

Abstract

BACKGROUND: Although rotational atherectomy (RA) has been proven to be a useful tool for severely calcified lesions in patients with chronic kidney disease (CKD), there is a paucity of data comparing an elective RA (E-RA) versus a bailout RA (B-RA) strategy. AIMS: To compare the long-term outcomes between E-RA versus B-RA in patients with CKD. METHODS: This prospective, multicentre, randomized s…

Create a free account to keep reading

Free members get 10 full research views every month across publications, clinical trials, FDA clearances, adverse events, and NIH grants. No credit card required.

Create Free Account Sign In

Want unlimited research access? See Pro plans

Mentioned Companies

Twelve
affiliation

Other Funding

The CRATER trial was supported by a non-restricted grant from Boston Scientific. The Spanish Society of Cardiology was the promoter of the study.

MeSH Terms

Humans0Male0Female0Atherectomy, Coronary*Aged0Time Factors0Vascular Calcification*Coronary Artery Disease*Prospective Studies0Treatment Outcome0Severity of Illness Index0Risk Factors0Aged, 80 and over0Kidney Failure, Chronic*Percutaneous Coronary Intervention*Elective Surgical Procedures0

Keywords

chronic kidney diseasepercutaneous coronary interventionrotational atherectomyseverely calcified coronary lesions

Article Info

PMID: 41277381
DOI: 10.1002/ccd.70353
Received: September 1, 2025
Accepted: November 11, 2025

How to Cite

Zubiaur J et al. Coronary Rotational ATherectomy Elective Versus Bailout in Patients With Severely Calcified Lesions and Chronic Renal Failure: Long-Term Outcomes of CRATER Trial. Catheter Cardiovasc Interv2026;107(1):431-438. doi:10.1002/ccd.70353

Data Accuracy Notice: Research intelligence on Health AI Central is aggregated from public sources (PubMed, ClinicalTrials.gov, FDA, NIH, CMS, and others) and refreshed nightly. Classifications and derived metrics are produced by automated methods described in our Methodology. We recommend verifying critical data points against the primary sources before making decisions.