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Chapters (7)
Description
Shooting date : 2016-12-15
Last update : 2018-05-04
Language(s) : English
Views : 32258
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)

Focus on Rotablation

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

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Our Cases of the Month

The case of the month is a new way for our users to watch, learn, and share with incathlab. They can watch a video that highlights an innovative case and uses excellent pedagogical techniques, lear...

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Comments(10)
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See previous comments (6)
  • 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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                    • venkatesa reddy D. very well explained use of rota

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                      Complex Right Coronary Artery CTO Procedure: Step-by-Step antegrade dissection reentry technique

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                      Highly calcified LAD

                      Rotablation followed by Cutting balloon - Dr Serra, Dr Jimenez, Dr Bajo & Dr Delgado

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