RotaTripsy, not only a bail-out strategy for heavily calcified coronary lesions

Author(s):  
Ariana Gonzálvez-Garcíaa ◽  
Santiago Jiménez-Valerob ◽  
Guillermo Galeoteb ◽  
Raúl Morenob ◽  
Alfonso Jurado-Románb
2013 ◽  
Vol 34 (suppl 1) ◽  
pp. P3052-P3052
Author(s):  
M. Ferenc ◽  
H. J. Buettner ◽  
M. Gick ◽  
F.- J. Neumann

2019 ◽  
Vol 3 (4) ◽  
pp. 1-5 ◽  
Author(s):  
Gabriele Tumminello ◽  
Chiara Cavallino ◽  
Andrea Demarchi ◽  
Francesco Rametta

Abstract Background The percutaneous treatment of heavily calcified coronary lesions is challenging and presents high rate of complications. Unexpandable stent is one of the most serious complication. Both of these conditions may benefit from the intracoronary lithotripsy (ICL-Shockwave®), a new coronary percutaneous technique. Case summary This case report describes a man treated with percutaneous coronary intervention (PCI) for a left main (LM) severe calcified lesion. The PCI was complicated by a huge dissection of LM in a not completely expandable lesion. A bail-out stent implantation was performed with residual unexpansion. The ICL permitted to expand acutely the stent and obtain an optimal final result. Discussion Familiarity with dedicated techniques and devices to treat calcified coronary lesions is fundamental to perform high-risk complex PCI. This case emphasizes the potential usefulness of the new ICL technique to treat calcified lesions or related complications like unexpandable stent.


Author(s):  
Mohamed A.A. Mousa ◽  
Brian O. Bingen ◽  
Ibtihal Al Amri ◽  
Simonluca Digiacomo ◽  
Ioannis Karalis ◽  
...  

2016 ◽  
Vol 11 (1) ◽  
pp. 33
Author(s):  
Yohei Sotomi ◽  
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...  

Despite advances in technology, percutaneous coronary intervention (PCI) of severely calcified coronary lesions remains challenging. Rotational atherectomy is one of the current therapeutic options to manage calcified lesions, but has a limited role in facilitating the dilation or stenting of lesions that cannot be crossed or expanded with other PCI techniques due to unfavourable clinical outcome in long-term follow-up. However the results of orbital atherectomy presented in the ORBIT I and ORBIT II trials were encouraging. In addition to these encouraging data, necessity for sufficient lesion preparation before implantation of bioresorbable scaffolds lead to resurgence in the use of atherectomy. This article summarises currently available publications on orbital atherectomy (Cardiovascular Systems Inc.) and compares them with rotational atherectomy.


2016 ◽  
Vol 88 (6) ◽  
pp. 881-889 ◽  
Author(s):  
Hiroyoshi Kawamoto ◽  
Azeem Latib ◽  
Neil Ruparelia ◽  
Giacomo G. Boccuzzi ◽  
Mauro Pennacchi ◽  
...  

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