ROTABLATION (ROTATIONAL ATHERECTOMY) MUST KNOW PROCEDURAL ASPECTS

Authors

  • Asim Javed Rawalpindi Institute of Cardiology
  • Hamid Sharif Rawalpindi Institute of Cardiology
  • Muhammad Abdus Salam Azad Rawalpindi Institute of Cardiology
  • Sana Ahmed Rawalpindi Institute of Cardiology
  • Hamza Azhar Ghauri Rawalpindi Institute of Cardiology
  • Muhammad Mohsin Rawalpindi Institute of Cardiology

DOI:

https://doi.org/10.47144/phj.v53i2.1931

Abstract

ABSTRACT

Rotational atherectomy is a time tested, useful and effective technology when it comes to calcific coronary lesions. This tool has been a part of interventional cardiologists arsenal for a long time but now there is an increase in its demand. With increasing age and presence of comorbidities like diabetes, hypertension and renal failure the incidence of calcific lesions in coronary artery disease is increasing. This article is meant to review the basic procedural setup, principles for safety and tips and tricks. The core elements for successful and safe technique being the use of the smallest size burr needed to achieve plaque modification with burr to artery ratio of 0.6, gradual advancement in a pecking motion, rotational speed of around 140,000-180,000 RPM, decelerations of less than 5000 RPM, short ablation runs of 15-20 seconds with continuous saline, nitrate, heparin and verapamil irrigation throughout ablation and finished with a polishing run.

Keywords: Rotational atherectomy, Rotablation, calcific coronary lesions, Complex percutaneous coronary intervention (PCI)

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Author Biographies

Asim Javed, Rawalpindi Institute of Cardiology

Consultant Interventional Cardiologist

Assistant Professor

Hamid Sharif, Rawalpindi Institute of Cardiology

Assistant Professor

Muhammad Abdus Salam Azad, Rawalpindi Institute of Cardiology

Assistant Professor

Sana Ahmed, Rawalpindi Institute of Cardiology

Assistant Professor

Hamza Azhar Ghauri, Rawalpindi Institute of Cardiology

Senior Registrar

Muhammad Mohsin, Rawalpindi Institute of Cardiology

Assistant Professor

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Published

2020-07-16

How to Cite

1.
Javed A, Sharif H, Azad MAS, Ahmed S, Ghauri HA, Mohsin M. ROTABLATION (ROTATIONAL ATHERECTOMY) MUST KNOW PROCEDURAL ASPECTS. Pak Heart J [Internet]. 2020Jul.16 [cited 2024Nov.24];53(2). Available from: https://pakheartjournal1.pcs.org.pk/index.php/pk/article/view/1931

Issue

Vol. 53 No. 2 (2020): Pakistan Heart Journal

Section

Review Article

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