Rotational atherectomy

K. E. Saland, J. E. Cigarroa, R. A. Lange, L. D. Hillis

    Research output: Contribution to journalReview article

    4 Scopus citations

    Abstract

    Rotational atherectomy is used most often to treat stenoses that are calcified, located at an arterial ostium or at the site of a bifurcation, or resulting from in-stent restenosis. The atherectomy device debulks soft and calcified plaque while minimizing injury to adjacent normal arterial segments. In a randomized comparison with excimer laser and balloon angioplasty, rotational atherectomy achieved a statistically higher procedural success rate without an increased incidence of major complications. Patients with lesions that were more complex derived the greatest benefit from rotational atherectomy. To date, rotational atherectomy usually is performed in conjunction with a) the intracoronary infusion of a 'cocktail' containing verapamil, heparin, and nitroglycerin; b) the intravenous infusion of a glycoprotein IIb/IIIa receptor antagonist, such as abciximab; c) a stepped burr approach, leading to a burr:artery ratio of 0.8; d) burr rotations < 30 seconds in duration; e) avoidance of burr deceleration; and f) low-pressure balloon angioplasty. Under these circum- stances, it has a procedural success rate of 98% and a major complication rate of < 2%.

    Original languageEnglish (US)
    Pages (from-to)174-179
    Number of pages6
    JournalCardiology in Review
    Volume8
    Issue number3
    DOIs
    StatePublished - Jan 1 2000

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    Keywords

    • Calcified lesions
    • In-stent restenosis
    • Rotablator
    • Rotational atherectomy

    ASJC Scopus subject areas

    • Cardiology and Cardiovascular Medicine

    Cite this

    Saland, K. E., Cigarroa, J. E., Lange, R. A., & Hillis, L. D. (2000). Rotational atherectomy. Cardiology in Review, 8(3), 174-179. https://doi.org/10.1097/00045415-200008030-00008