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https://www.readbyqxmd.com/read/28209930/successful-removal-of-entrapped-burr-with-sheathless-guiding-during-stent-rotablation
#1
Zoltán Ruzsa, Árpád Lux, István Ferenc Édes, Levente Molnár, Béla Merkely
No abstract text is available yet for this article.
February 2017: Anatolian Journal of Cardiology
https://www.readbyqxmd.com/read/28116778/percutaneous-coronary-intervention-of-complex-calcified-lesions-with-drug-coated-balloon-after-rotational-atherectomy
#2
Tuomas T Rissanen, Sanna Uskela, Antti Siljander, Jussi M Kärkkäinen, Pirjo Mäntylä, Juha Mustonen, Jaakko Eränen
OBJECTIVES: We investigated the safety and efficacy of PCI using drug-coated balloon (DCB) after rotational atherectomy (rotablation) in a retrospective single center study in patients with calcified de novo coronary lesions. The majority of patients had an increased risk for bleeding. BACKGROUND: DCB has been effective in the treatment of in-stent restenosis, small vessels, and bifurcations. DCB enables short one month dual antiplatelet treatment. No published data exist on the use of DCB after rotablation...
January 23, 2017: Journal of Interventional Cardiology
https://www.readbyqxmd.com/read/28115813/successful-retrieval-of-an-entrapped-rotablator-burr-by-using-a-guideliner-guiding-catheter-and-a-snare
#3
Chun-Hsien Chiang, Shih-Chi Liu
Although burr entrapment is a rare complication of rotablation, it is extremely difficult to retrieve a stuck entrapped burr without surgical intervention. There are several techniques typically employed to retrieve an entrapped burr, using bailout endovascular approaches. Herein we have presented a new retrieval method involving a Guideliner child-in-mother catheter combined with a snare, which was used to successfully rescue a stuck rotablator burr.
January 2017: Acta Cardiologica Sinica
https://www.readbyqxmd.com/read/28105996/coronary-artery-pseudoaneurysm-formed-after-stuck-rotablator-ivus-and-mdct-findings
#4
Umihiko Kaneko, Yoshifumi Kashima, Daitaro Kanno, Tsutomu Fujita
No abstract text is available yet for this article.
January 20, 2017: EuroIntervention
https://www.readbyqxmd.com/read/27970414/tct-239-effect-of-cutting-balloon-after-rotablator-in-severely-calcified-coronary-artery-lesions-assessed-by-optical-frequency-domain%C3%A2-imaging
#5
Kisaki Amemiya, Myong Hwa Yamamoto, Akiko Maehara, Yuji Oyama, Wataru Igawa, Morio Ono, Takehiko Kido, Seitarou Ebara, Toshitaka Okabe, Kennosuke Yamashita, Shigeo Saito, Koichi Hoshimoto, Tadayuki Yakushiji, Naoei Isomura, Hiroshi Araki, Gary Mintz, Masahiko Ochiai
No abstract text is available yet for this article.
November 1, 2016: Journal of the American College of Cardiology
https://www.readbyqxmd.com/read/27970408/tct-234-rotablation-in-centres-with-a-default-radial-approach-for-angioplasty-does-a-burr-necessitate-femoral-access
#6
Antoinette Neylon, Leticia Fernandez-Lopez, Andrew Roy, Bernard Chevalier, Thierry Lefevre, Philippe Garot
No abstract text is available yet for this article.
November 1, 2016: Journal of the American College of Cardiology
https://www.readbyqxmd.com/read/27970406/tct-231-the-glasgow-trans-radial-rotablation-registry-a-retrospective-analysis-of-high-speed-rotational-atherectomy
#7
Alice Jackson, Kieran Docherty, Jim Christie, Mitchell Lindsay, Keith Oldroyd, Stuart Watkins, Aadil Shaukat, Colin Berry, Keith Robertson, Richard Good, Mark Petrie, Stuart Hood, Andrew Davie, Hany Eteiba, Margaret McEntegart, John Paul Rocchiccioli
No abstract text is available yet for this article.
November 1, 2016: Journal of the American College of Cardiology
https://www.readbyqxmd.com/read/27886455/provisional-rotablator-for-calcified-lesions-the-russian-roulette-of-pci
#8
EDITORIAL
Robert D Safian
No abstract text is available yet for this article.
November 15, 2016: Catheterization and Cardiovascular Interventions
https://www.readbyqxmd.com/read/27875729/-seesaw-balloon-wire-cutting-technique-is-superior-to-tornus-catheter-in-balloon-uncrossable-chronic-total-occlusions
#9
Jingyi Xue, Jianqiang Li, Hongjun Wang, Li Sheng, Yongtai Gong, Danghui Sun, Shuang Li, Weimin Li, Dingyu Wang, Yue Li
BACKGROUND: Inability to advance a balloon is a well-recognized cause leading to a failure in recanalization of chronic total occlusions (CTOs) despite successfully passing a guidewire. A few techniques and devices have been introduced to facilitate balloon passage, especially the use of Tornus catheter. However, complex manipulation, expensive cost, and availability limit the application of these methods. This study was to evaluate the efficiency and safety of "seesaw balloon-wire cutting" technique in comparison with Tornus catheter for balloon uncrossable CTOs...
February 1, 2017: International Journal of Cardiology
https://www.readbyqxmd.com/read/27581157/a-rare-case-of-rotablator-%C3%A2-driveshaft-fracture-and-successful-percutaneous-retrieval-of-a-trapped-burr-using-a-balloon-and-guideliner-%C3%A2
#10
Shunichi Imamura, Koji Nishida, Kazuya Kawai, Naohisa Hamashige, Hiroaki Kitaoka
A 75-year-old man with a severe calcified atheromatous plaque of the right coronary artery underwent percutaneous coronary intervention using a Rotablator(®). During the procedure, the 1.5-mm burr became entrapped, and the driveshaft fractured. While various techniques for retrieving the burr were attempted, a new technique was created. The entrapped burr was sandwiched between an inflated balloon and the GuideLiner(®), and a strong back-up force was obtained. Finally, the system was pulled back safely, and the entrapped burr was retrieved without complications...
August 31, 2016: Cardiovascular Intervention and Therapeutics
https://www.readbyqxmd.com/read/27484728/long-term-results-of-transradial-rotational-atherectomy-for-heavily-calcified-coronary-artery-lesions
#11
Mantian Chen, Linqing Shang, Qing Zhou, Shu Meng, Yacheng Zhang, Yi Feng, Chengxing Shen, Genshan Ma
OBJECTIVE: Percutaneous coronary intervention (PCI) for the heavily calcified coronary lesions remains a challenge, and the periprocedural complication rates of the transfemoral approach are high. This study was conducted to investigate the feasibility and long-term results of the transradial approach for rotational atherectomy (RA) prior to stent implantation via the transradial approach in patients with heavily calcified coronary artery lesions. METHODS: RA followed by stent implantation via the transradial approach was performed in 47 patients with severely calcified coronary artery lesions in this retrospectively case-control study...
September 2016: Anatolian Journal of Cardiology
https://www.readbyqxmd.com/read/27350416/catheter-tip-erosion-due-to-rotablator-burr-an-unusual-complication
#12
Christopher Hurt, Guillaume Schurtz, Gilles Lemesle, Arnaud Sudre, Eric Van Belle, Cédric Delhaye
We report the occurrence of catheter tip erosion during use of a Rotablator, a rare but serious complication. A heavily calcified lesion of the right coronary artery ostium required use of a Rotablator, and the need for strong push led to the choice of an Amplatz Left guiding catheter. The traction of the catheter toward the ostium and the subsequent angle generated led to friction of the burr against the catheter and the erosion of its tip. If judged essential to get strong support, the Amplatz catheter should be used with caution in this setting...
July 2016: Cardiovascular Revascularization Medicine: Including Molecular Interventions
https://www.readbyqxmd.com/read/27315576/alternative-rota-flush-solution-for-patients-with-severe-coronary-artery-calcification-who-undergo-rotational-atherectomy
#13
Michael S Lee, Moo-Hyun Kim, Seung-Woon Rha
: We assessed the feasibility and safety of a rota-flush solution with 10,000 U of unfractionated heparin in 1 L of normal saline in patients who underwent rotational atherectomy. BACKGROUND: Rotational atherectomy with the Rotablator (Boston Scientific) rotational atherectomy system is an effective way to modify severely calcified plaque. Potential complications include coronary spasm and slow-flow/no-flow. A pressured rota-flush solution is infused into the device to lubricate the drive shaft to minimize the risk of these complications as well as facilitate delivery of the device...
January 2017: Journal of Invasive Cardiology
https://www.readbyqxmd.com/read/27314678/endovascular-treatment-of-below-the-elbow-arteries-in-critical-hand-ischemia
#14
Roberto Gandini, Sebastiano Fabiano, Daniele Morosetti, Stefano Merolla, Giovanni Mauri, Roberto Ferraresi
Although uncommon, critical hand ischemia (CHI) represents a cause of significant disability because of its effect on hand function. Percutaneous transluminal angioplasty (PTA) is now considered a first-line therapy for above-the-elbow artery disease while there are few data regarding the treatment of below-the-elbow (BTE) arteries. The aim of this study is to review the current literature on BTE vessel PTA and to describe the technical approach. In case of favorable anatomy (absence of inflow arteries disease, standard humeral artery bifurcation), a 4-F antegrade trans-brachial approach is usually the preferred option...
December 2016: Minerva Cardioangiologica
https://www.readbyqxmd.com/read/27269413/incidence-and-predictors-of-bleeding-complications-after-percutaneous-coronary-intervention
#15
Yohei Numasawa, Shun Kohsaka, Ikuko Ueda, Hiroaki Miyata, Mitsuaki Sawano, Akio Kawamura, Shigetaka Noma, Masahiro Suzuki, Susumu Nakagawa, Yukihiko Momiyama, Keiichi Fukuda
BACKGROUND: Bleeding complications remain one of the most important challenges in percutaneous coronary intervention (PCI), particularly in Asians who are known to be vulnerable to the use of antiplatelets or anticoagulants. However, the incidence and predictors of bleeding complications after PCI have not been thoroughly investigated in Japan. METHODS: We studied 13,075 consecutive patients in a Japanese multicenter PCI registry (Japan Cardiovascular Database - Keio interhospital Cardiovascular Study: JCD-KiCS) from September 2008 to March 2014...
January 2017: Journal of Cardiology
https://www.readbyqxmd.com/read/26888460/open-heart-surgery-for-a-stuck-rotablator
#16
Olivier Fouquet, Mathurin Gomez, Wissam Abi-Khalil, Patrice Binuani
No abstract text is available yet for this article.
May 2016: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/26811266/regional-calcified-plaque-score-evaluated-by-multidetector-computed-tomography-for-predicting-the-addition-of-rotational-atherectomy-during-percutaneous-coronary-intervention
#17
Teruo Sekimoto, Yasushi Akutsu, Yuji Hamazaki, Koshiro Sakai, Ryota Kosaki, Hiroyuki Yokota, Hiroaki Tsujita, Shigeto Tsukamoto, Kyoichi Kaneko, Masayuki Sakurai, Yusuke Kodama, Hui-Ling Li, Takehiko Sambe, Katsuji Oguchi, Naoki Uchida, Shinichi Kobayashi, Atsushi Aoki, Takehiko Gokan, Youichi Kobayashi
BACKGROUND: Rotational atherectomy (rotablation) has been proposed as a potentially superior strategy for percutaneous coronary intervention (PCI) in complex and severely calcified lesions. OBJECTIVES: We hypothesized that a per-lesion coronary artery calcium score determined by multidetector computed tomography (MDCT) would be useful for predicting the requriement for rotablation during PCI. METHODS: MDCT was performed in patients with stable angina pectoris who were scheduled for first PCI...
May 2016: Journal of Cardiovascular Computed Tomography
https://www.readbyqxmd.com/read/26651133/successful-retrieval-of-a-firmly-stuck-rotablator-burr-by-using-a-modified-star-technique
#18
Yutaka Tanaka, Shigeru Saito
Rotablator burr entrapment occurring during rotational atherectomy is a rare but serious complication that can lead to coronary occlusion and require emergency cardiac surgery. Although several bailout techniques for stuck burrs have been proposed, no definitive methods for removal have been established. We report here a difficult case of a stuck rotablator burr, in which various techniques failed to retrieve the burr. It was ultimately removed using the subintimal tracking and reentry (STAR) technique with a 3-g tapered tip hydrophilic wire...
March 2016: Catheterization and Cardiovascular Interventions
https://www.readbyqxmd.com/read/26512239/transradial-versus-transfemoral-rotablation-for-heavily-calcified-coronary-lesions-in-contemporary-drug-eluting-stent-era
#19
Wei-Hsian Yin, Chin-Kun Tseng, Tien-Ping Tsao, Hsu-Lung Jen, Wen-Pin Huang, Chien-Lung Huang, Jiann-Jong Wang, Mason Shing Young
BACKGROUND: Although radial access for drug-eluting stent (DES) combined with rotational atherectomy (RA) in patients with calcified coronary lesions may be associated with a lower risk of major bleeding complications and obtain favorable clinical results compared with femoral access, the long-term outcome data of this approach were limited in contemporary DES era. METHODS & RESULTS: This retrospective study sought to compare in-hospital and long-term outcomes for patients undergoing RA via the transradial (TR) and transfemoral (TF) route in 126 consecutive patients (59 radial, 67 femoral) from 2009 to 2014...
September 2015: Journal of Geriatric Cardiology: JGC
https://www.readbyqxmd.com/read/26449482/successful-interventional-revascularization-utilizing-hybrid-procedural-steps-of-rotational-atherectomy-and-retrograde-approach-via-an-ipsilateral-collateral
#20
Masaki Tanabe, Atsuyuki Wada, Osamu Doi
Here, we report a case of successful interventional revascularization of the left anterior descending artery (LAD) in two heavy calcified chronic total occlusion (CTO) lesions, which were uncrossable utilizing hybrid procedural steps of local rotational atherectomy and a retrograde approach by reverse controlled antegrade and retrograde tracking (CART) technique via an ipsilateral intraseptal collateral. A-76-year-old man that had undergone previous coronary artery bypass surgery was admitted for ischemic heart failure...
October 2016: Cardiovascular Intervention and Therapeutics
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