919-15 Rotational Atherectomy in Chronic Total Occlusions

The Application of Rotational Atherectomy in PCI of Coronary Chronic Total Occlusions

Objective: The aim of the study is to investigate the effi cacy, complication rate and predictors of rotational atherectomy (RA) usage after successful guidewire crossing during percutaneous coronary intervention (PCI) of coronary chronic total occlusion (CTO). Methods: A single center experience of 525 consecutive patients from October 2010 to June 2014. A total of 587 CTO lesions were treated...

Debulking Of Chronic Total Occlusions With Rotational Atherectomy Before Stenting (DOCTORS): A Prospective Multicenter Pilot Study

Rotational atherectomy: an Update

As we known, drug-eluting stents (DES) reduce the risk of restenosis and represent an important advance in coronary intervention. Newer-generation DES with thin struts releasing limus-family drugs from durable or biodegradable polymers have further improved clinical outcomes, as compared with early-generation DES releasing sirolimus or paclitaxel. The risk of stent thrombosis has become exceedi...

Coronary perforation during balloon anchoring after rotational atherectomy of chronic total occlusion of coronary vessel

An 87-year-old Asian male experienced progressive shortness of breath for two days. He presented symptoms and signs of decompens-ated heart failure and was diagnosed as non ST-segment elevation myocardial infarction, killip III. Coronary intervention was performed for chronic total occlusion of left anterior descend-ing artery. Unfortunately, coronary perforation happened during balloon anchori...

Rotational atherectomy: Technical update.

Percutaneous coronary intervention is currently the most common form of revascularization for symptomatic coronary artery disease. In elderly, diabetic and renal patients, there is an increased prevalence of calcified coronary disease. Rotational atherectomy (RA) can be useful in the treatment of these lesions. Plaque removal was initially proposed as an alternative to balloon angioplasty, henc...