Rotational atherectomy

Tips and Tricks for Rotational Atherectomy

11/25/2019

Gianmarco Iannopollo, MD^1*; Francesco Gallo, MD^2,3*; Antonio Mangieri, MD²; Alessandra Laricchia, MD²; Andrea Erriquez, MD³; Georgios Tzanis, MD, PhD⁴; Antonio Colombo, MD²; Francesco Giannini, MD²

Gianmarco Iannopollo, MD1*; Francesc...

The aim of this review is to analyze the components and the use of the Rotablator System (Boston Scientific) and to better understand helpful tips and tricks in order to face the most common complications occurring during the procedure.

The aim of this review is to...

11/25/2019

Journal of Invasive Cardiology

The Diagonal Branch to the Accompanying Vein Fistula After Rotational Atherectomy

10/29/2019

Guiwen Yi, MD¹; Daoqun Jin, MBBS²; Zhenlong Li, MBBS²; Xiaobo Mao, MD¹

Guiwen Yi, MD1; Daoqun Jin, MBBS2; ...

We report a case of RA-induced fistula between the diagonal branch and the accompanying vein. Thus far, the patient has had no relevant symptoms; thus, no intervention has been undertaken. We will closely monitor the patient to determine...

We report a case of RA-induced...

10/29/2019

Journal of Invasive Cardiology

Case Report

“Stuck Between a Rock and a Hard Place”: Rotational Atherectomy in STEMI

10/03/2017

William A. Crosland¹, MD, Gautam Kumar^1,2, MD
¹Emory University, Atlanta, Georgia; ²Atlanta VA Medical Center, Decatur, Georgia

William A. Crosland1, MD, Gautam Kuma...

We present the case of a man who presented with an inferior STEMI that required RA for successful intervention of a heavily calcified right coronary artery (RCA).

We present the case of a man who...

10/03/2017

Cath Lab Digest

Case Report

Rota Rescue: Avoiding Regret

04/30/2017

Zaheed Tai, DO, FACC, FSCAI, Winter Haven Hospital, Winter Haven, Florida, and Heart of Florida, Davenport, Florida, Orlando Marrero, RCIS, MBA, Tampa, Florida

Zaheed Tai, DO, FACC, FSCAI, Winter H...

The Rotablator preferentially ablates hard, inelastic material, such as calcified plaque, that is less able to stretch away from the advancing burr than is healthy arterial wall (differential cutting).

The Rotablator preferentially...

04/30/2017

Cath Lab Digest

Ask the Expert

Coronary Atherectomy and Transradial Access Part II of III: Rotational Atherectomy

09/05/2016

Zaheed Tai, DO, FACC, FSCAI, Winter Haven Hospital, Winter Haven, Florida

Zaheed Tai, DO, FACC, FSCAI, Winter H...

In this second article in the series, we will present cases illustrating the clinical applications of each device followed by a brief discussion.

In this second article in the...

09/05/2016

Cath Lab Digest

Clinical Images

Rotational Atherectomy of Three Overlapping Stent Layers

08/31/2016

Tiberio M. Frisoli, MD¹; Harold Friedman²; William W. O‚ÄôNeill³

Tiberio M. Frisoli, MD1; Harold Frie...

A patient was found to have in-stent restenosis within three layers of underexpanded stents implanted in 2004, 2011, and 2014. Rotational atherectomy safely yielded stent strut ablation (reduced to one layer), lesion expansion, and very good...

A patient was found to have...

08/31/2016

Journal of Invasive Cardiology

Original Contribution

Alternative Rota-Flush Solution for Patients With Severe Coronary Artery Calcification who Undergo Rotational Atherectomy

06/15/2016

Michael S. Lee, MD¬π; Moo-Hyun Kim, MD¬≤; Seung-Woon Rha, MD¬≥

Michael S. Lee, MD¬π; Moo-Hyun Kim, ...

We assessed the feasibility and safety of a rota-flush solution with 10,000 U of unfractionated heparin in 1 L of normal saline in rotational atherectomy patients as an alternative to the routinely used solution, which includes the RotaGlide...

We assessed the feasibility and...

06/15/2016

Journal of Invasive Cardiology

Original Contribution

Novel Technique of Advancing the Rotational Atherectomy Device: "Single-Operator" Technique

04/30/2016

Michael S. Lee, MD¹; Philipp Wiesner, MD¹; Seung Woon Rha, MD, PhD²

Michael S. Lee, MD1; Philipp Wiesner...

The “single-operator” technique allows successful RA without a skilled assistant to maintain wire position during advancement of the burr; the absence of an assistant should therefore not eliminate the performance of RA.

The “single-operator” technique...

04/30/2016

Journal of Invasive Cardiology

Case Management

An Innovative Retrieval Technique for an Entrapped Rotational Atherectomy Device: A Case Discussion From the 2015 SCAI Fellows Course

03/03/2016

Kusum Lata, MD, Cindy L. Grines, MD, FSCAI, DMC Cardiovascular Institute - Heart Hospital, Detroit Medical Center, Detroit, Michigan

This case presentation and discussion took place at the Society for Cardiovascular Angiography and Interventions (SCAI) Fall Fellows Course, which took place December 6-9, 2015 in
Las Vegas, Nevada.

Kusum Lata, MD, Cindy L. Grines, MD, ...

An entrapped rotational atherectomy burr is uncommon, but one of the nightmare complications in the cardiac cath lab, warranting the need for familiarity with various retrieval techniques and skilled application.

An entrapped rotational...

03/03/2016

Cath Lab Digest

Rotational Atherectomy: If You Do Not Do It Before, You Can Do It After Stenting

09/08/2014

Joel Hernandez, MD; Guillermo Galeote, MD; Raul Moreno, MD, PhD

Joel Hernandez, MD; Guillermo Galeot...

A case is presented that shows rotational atherectomy can be a useful tool in a compromising situation, such as severely underexpanded implanted stents.

A case is presented that shows...

09/08/2014

Journal of Invasive Cardiology