Rotational atherectomy or balloon angioplasty in the treatment of intra-stent restenosis: BARASTER multicenter registry

Steven L. Goldberg, Peter Berger, David J. Cohen, Fayaz Shawl, Maurice Buchbinder, Richard Fortuna, William O'Neill, Martin Leon, Gregory A. Braden, Paul S. Teirstein, Mark Reisman, Steven R. Bailey, Harold L. Dauerman, Terry Bowers, Roxanna Mehran, Antonio Colombo

Research output: Contribution to journalArticlepeer-review

32 Scopus citations


The BARASTER registry was formed to evaluate the initial success and long-term results of rotational atherectomy in the management of in-stent restenosis. Rotational atherectomy was used in 197 cases of in-stent restenosis: 46 with stand-alone rotational atherectomy or at most I atmosphere of balloon inflation (Rota strategy), and 151 with rotational atherectomy and adjunctive balloon angioplasty <1 atmosphere (Combination strategy). These were compared with 107 episodes of in-stent restenosis treated with balloon angioplasty alone. In this observational study, the use of Combination therapy was associated with a slightly higher initial success rate (95% vs. 87% with the Rota strategy and 89% with Balloons, P = 0.08). There was a reduction in one year clinical outcomes (death, myocardial infarction or target lesion revascularization) in the combination group (38% vs. 60% with Rota and 52% with balloons, P = 0.02). These data support a benefit of the strategy of debulking with rotational atherectomy followed by adjunctive balloon angioplasty, in the management of in-stent restenosis. (C) 2000 Wiley-Liss, Inc.

Original languageEnglish (US)
Pages (from-to)407-413
Number of pages7
JournalCatheterization and Cardiovascular Interventions
Issue number4
StatePublished - 2000


  • In-stent restenosis
  • Rotational atherectomy
  • Stents

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine


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