Is atherectomy better than stent?

Different : Atherectomy is not better than stenting, it usually is reserved for cases when a balloon angioplasty combined with stenting, or direct stenting can not be accomplished due to the plaque burden. In those cases atherectomy is used to debulk the plaque and the best result would be if this can then be supplemented with a stenting to prevent plaque regrowth or near-term closure of the vessel.