Rotational Atherectomy: A Contemporary Appraisal

Rotational atherectomy (RA) is an atheroablative technology that enables percutaneous coronary intervention for complex, calcified coronary lesions. RA works on the principle of ‘differential cutting’ and preferentially ablates hard, inelastic, calcified plaque. The objective of RA use has evolved f...

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Autores principales:	Tanush Gupta, Michael Weinreich, Mark Greenberg, Antonio Colombo, Azeem Latib
Formato:	article
Lenguaje:	EN
Publicado:	Radcliffe Medical Media 2019
Materias:	Surgery RD1-811 Diseases of the circulatory (Cardiovascular) system RC666-701
Acceso en línea:	https://doaj.org/article/e86af9ab245549548c18cee2ac1b1eec
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spelling	oai:doaj.org-article:e86af9ab245549548c18cee2ac1b1eec2021-12-04T16:02:10ZRotational Atherectomy: A Contemporary Appraisal10.15420/icr.2019.17.R11756-14851756-1477https://doaj.org/article/e86af9ab245549548c18cee2ac1b1eec2019-11-01T00:00:00Zhttps://www.icrjournal.com/articles/rotational-atherectomyhttps://doaj.org/toc/1756-1477https://doaj.org/toc/1756-1485Rotational atherectomy (RA) is an atheroablative technology that enables percutaneous coronary intervention for complex, calcified coronary lesions. RA works on the principle of ‘differential cutting’ and preferentially ablates hard, inelastic, calcified plaque. The objective of RA use has evolved from plaque debulking to plaque modification to enable balloon angioplasty and optimal stent expansion. The clinical experience over the past 30 years has informed the current best practices for RA with use of smaller burr sizes, short ablation runs a ‘pecking’ motion, and avoidance of sudden decelerations. This has led to significant improvements in procedural safety and a reduced rate of associated complications. This article reviews the principles, clinical indications, contemporary evidence, technical considerations and complications associated with the use of RA.Tanush GuptaMichael WeinreichMark GreenbergAntonio ColomboAzeem LatibRadcliffe Medical MediaarticleSurgeryRD1-811Diseases of the circulatory (Cardiovascular) systemRC666-701ENInterventional Cardiology: Reviews, Research, Resources, Vol 14, Iss 3, Pp 182-189 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Surgery RD1-811 Diseases of the circulatory (Cardiovascular) system RC666-701
spellingShingle	Surgery RD1-811 Diseases of the circulatory (Cardiovascular) system RC666-701 Tanush Gupta Michael Weinreich Mark Greenberg Antonio Colombo Azeem Latib Rotational Atherectomy: A Contemporary Appraisal
description	Rotational atherectomy (RA) is an atheroablative technology that enables percutaneous coronary intervention for complex, calcified coronary lesions. RA works on the principle of ‘differential cutting’ and preferentially ablates hard, inelastic, calcified plaque. The objective of RA use has evolved from plaque debulking to plaque modification to enable balloon angioplasty and optimal stent expansion. The clinical experience over the past 30 years has informed the current best practices for RA with use of smaller burr sizes, short ablation runs a ‘pecking’ motion, and avoidance of sudden decelerations. This has led to significant improvements in procedural safety and a reduced rate of associated complications. This article reviews the principles, clinical indications, contemporary evidence, technical considerations and complications associated with the use of RA.
format	article
author	Tanush Gupta Michael Weinreich Mark Greenberg Antonio Colombo Azeem Latib
author_facet	Tanush Gupta Michael Weinreich Mark Greenberg Antonio Colombo Azeem Latib
author_sort	Tanush Gupta
title	Rotational Atherectomy: A Contemporary Appraisal
title_short	Rotational Atherectomy: A Contemporary Appraisal
title_full	Rotational Atherectomy: A Contemporary Appraisal
title_fullStr	Rotational Atherectomy: A Contemporary Appraisal
title_full_unstemmed	Rotational Atherectomy: A Contemporary Appraisal
title_sort	rotational atherectomy: a contemporary appraisal
publisher	Radcliffe Medical Media
publishDate	2019
url	https://doaj.org/article/e86af9ab245549548c18cee2ac1b1eec
work_keys_str_mv	AT tanushgupta rotationalatherectomyacontemporaryappraisal AT michaelweinreich rotationalatherectomyacontemporaryappraisal AT markgreenberg rotationalatherectomyacontemporaryappraisal AT antoniocolombo rotationalatherectomyacontemporaryappraisal AT azeemlatib rotationalatherectomyacontemporaryappraisal
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Rotational Atherectomy: A Contemporary Appraisal

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