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Rotational Atherectomy

Abstract

Recommended Article

Pivotal trial to evaluate the safety and efficacy of the orbital atherectomy system in treating de novo, severely calcified coronary lesions (ORBIT II) Trends in Utilization of, and Comparative Safety and Effectiveness of Orbital and Rotational Atherectomy Orbital atherectomy for treating de novo, severely calcified coronary lesions: 3-year results of the pivotal ORBIT II trial Long-term clinical outcomes of permanent polymer everolimus-eluting stent implantation following rotational atherectomy for severely calcified de novo coronary lesions: Results of a 22-center study (Tokyo-MD PCI Study) Utilizing intravascular ultrasound imaging prior to treatment of severely calcified coronary lesions with orbital atherectomy: An ORBIT II sub-analysis

Review Article2018 Oct 22;20(12):141.

JOURNAL:Curr Cardiol Rep. Article Link

Chronic Total Occlusion Interventions: Update on Current Tips and Tricks

Tajti P, Xenogiannis I, Brilakis ES et al. Keywords: Chronic total occlusion; Complex coronary interventions; PCI ; Techniques

ABSTRACT

PURPOSE OF REVIEW - To summarize novel techniques and developments in chronic total occlusion (CTO) percutaneous coronary intervention (PCI).

 

RECENT FINDINGS - Using an algorithmic, step-by-step approach can help overcome several complex CTO lesions subsets, such as proximal cap ambiguity, ostial location, in-stent occlusion, bifurcations, balloon uncrossable and undilatable lesions. Similarly, an algorithmic approach can help prevent and optimally treat CTO PCI-related complication, such as perforation, radiation, and contrast-induced nephropathy. Continual update and reassessment of each operator's algorithm for performing CTO PCI can lead to improved outcomes.