Boston Scientific ROTAPRO Rotational Atherectomy System

Boston Scientific ROTAPRO™ Rotational Atherectomy System

Overview
The ROTAPRO™ Rotational Atherectomy System is a catheter-based interventional tool designed to modify calcified coronary lesions with precision and ease, enabling optimal lumen gain and stent success in moderate to severe plaque burdens—even in the most complex PCIs and challenging anatomies.

Key Benefits

Proven Mechanism & Reliability
A trusted, front-cutting concentric diamond-coated burr enables predictable plaque modification, backed by over 30 years of clinical safety and performance.

Better Access & Procedural Control
ROTAPRO provides clinicians with smoother access to complex lesions and enhances procedural control—minimizing bleeding risk while ensuring high angiographic success .

Optimized Lesion Preparation
Demonstrated to deliver favorable outcomes in lumen gain, plaque modification, and stent expansion in severely calcified lesions when compared with orbital atherectomy .

User-Friendly Platform
The system features intuitive setup components such as a vibrant digital display, streamlined connections, an IV pole clamp, an ergonomic Dynaglide™-enabled advancer, and hybrid cable harness design—reducing setup and procedural time.

Clinical Highlights

DIRO Study Results
In a randomized, OCT-guided comparison, the rotational atherectomy approach with ROTAPRO outperformed orbital atherectomy, delivering significantly greater plaque modification area (1.24 mm² vs. 0.89 mm²) and higher stent expansion (99.5% vs. 90.6%) .

Accessories & Compatibility

ROTAGLIDE™ Lubricant
A lipid-based emulsion that reduces friction, diminishes heat build-up around the burr, and stabilizes RPMs during lesion feedback—though contraindicated in patients with egg or olive oil allergies.

ROTAWIRE™ Drive Guidewire
Features include enhanced 1:1 torque transmission, improved kink and wear resistance, a highly visible .014″ platinum safety tip, and ASAHI one-piece core-wire technology—streamlining access and reducing the need for wire exchanges.

Ideal Use Cases

Heavily calcified coronary lesions, including bifurcations, small distal vessels, tight or tortuous anatomy, sub-CTOs, and ostial lesions—situations where precision and lumen preparation are critical.

Conclusion

The Boston Scientific ROTAPRO™ Rotational Atherectomy System represents the gold standard for rotational atherectomy—combining proven clinical performance, superior lesion modification, and an intuitive platform designed for complex coronary interventions. When precision, safety, and efficiency matter most, ROTAPRO delivers.