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Chapters (7)
Description
Shooting date : 2016-12-15
Last update : 2017-06-26
Language(s) : English
This 20-minute case concerns an 83-year-old man with stable angina, good LV function, and permanent atrial fibrillation on long-term a...
This 20-minute case concerns an 83-year-old man with stable angina, good LV function, and permanent atrial fibrillation on long-term anticoagulation. 
This patient was first treated with a 1.75 millimeter burr on the RCA followed by DES.

Step-by-Step Procedure

  • Description of the challenge of the day 
  • Placement of the Rotawire 
  • Rotablation technique and rotablation cocktail 
  • Rotablation of left main and left descending artery 
  • Post dilatation and post IVUS evaluation 
  • LAD and left main stenting, IVUS evaluation 

Learning points

  • The use of the Rotablator on RCA 
  • The placement of the Rotablator guidewire using a micro-catheter to exchange GW
  • The Rotablation cocktail and the Rotablation technique
  • IVUS evaluation after Burr debulking

Bibliography

Linked playlists (4)

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Learn more about Rotational Atherectomy System for plaque modification in complex patients with heavily calcified lesions.

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Comments(9)
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See previous comments (5)
  • Alexander P. The best!

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    • Mohamed sabry M. what about the mid segment of LAD? i think it is significant calcific and stenosed.

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      • Mohamed sabry M. very good..

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        • islam O. Can rotablator be used in case of ISR or contraindicated,when to start with ballon preparation befor shift to rotablator

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          • Max A. Rotablator have been used in case of ISR , but has an extremely limited role for several reasons.
            Rotablator could be used carefully after balloon dilatation in case of undilatable lesion.

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            • narayana reddy B. Good result

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              • Babu E. Whether floppy or extra support rota wire used in this case for LAD?

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                • Babu E. What was the size of burr used in LAD? How to choose among 2.25mm , 2.5mm or 2.75mm burrs for a given vessel with lesion?

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                  • bajarang B. want to see the full picture sir

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                    November 2016
                    Honolulu : Friday, November 18th 2016 from 12am to 01:30am (GMT-10)
                    San Francisco : Friday, November 18th 2016 from 02am to 03:30am (GMT-8)
                    New York : Friday, November 18th 2016 from 05am to 06:30am (GMT-5)
                    Buenos Aires : Friday, November 18th 2016 from 07am to 08:30am (GMT-3)
                    London / Dublin : Friday, November 18th 2016 from 10am to 11:30am (GMT)
                    Paris / Berlin : Friday, November 18th 2016 from 11am to 12:30pm (GMT+1)
                    Istanbul : Friday, November 18th 2016 from 12pm to 01:30pm (GMT+2)
                    Moscou / Dubaï : Friday, November 18th 2016 from 02pm to 03:30pm (GMT+4)
                    Bangkok : Friday, November 18th 2016 from 05pm to 06:30pm (GMT+7)
                    Shanghai : Friday, November 18th 2016 from 06pm to 07:30pm (GMT+8)
                    Tokyo : Friday, November 18th 2016 from 07pm to 08:30pm (GMT+9)
                    Sydney : Friday, November 18th 2016 from 08pm to 09:30pm (GMT+10)
                    Wellington : Friday, November 18th 2016 from 10pm to 11:30pm (GMT+12)

                    Utilidad de la Rotablación en la Modificación de Placa en Pacientes Complejos

                    Rotablator paso a paso: desde la instalación hasta el uso práctico

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                    December 2016
                    Honolulu : Thursday, December 15th 2016 from 01am to 02:30am (GMT-10)
                    San Francisco : Thursday, December 15th 2016 from 03am to 04:30am (GMT-8)
                    New York : Thursday, December 15th 2016 from 06am to 07:30am (GMT-5)
                    Buenos Aires : Thursday, December 15th 2016 from 08am to 09:30am (GMT-3)
                    London / Dublin : Thursday, December 15th 2016 from 11am to 12:30pm (GMT)
                    Paris / Berlin : Thursday, December 15th 2016 from 12pm to 01:30pm (GMT+1)
                    Istanbul : Thursday, December 15th 2016 from 01pm to 02:30pm (GMT+2)
                    Moscou / Dubaï : Thursday, December 15th 2016 from 03pm to 04:30pm (GMT+4)
                    Bangkok : Thursday, December 15th 2016 from 06pm to 07:30pm (GMT+7)
                    Shanghai : Thursday, December 15th 2016 from 07pm to 08:30pm (GMT+8)
                    Tokyo : Thursday, December 15th 2016 from 08pm to 09:30pm (GMT+9)
                    Sydney : Thursday, December 15th 2016 from 09pm to 10:30pm (GMT+10)
                    Wellington : Thursday, December 15th 2016 from 11pm to 12:30am (GMT+12)

                    Demystifying the Rotablator Procedure

                    From a quick set-up to a safe plaque modification

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                    Highly calcified LAD

                    Rotablation followed by Cutting balloon

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