×
It looks like you're using an obsolete version of internet explorer. Internet explorer is no longer supported by Microsoft since the end of 2015. We invite you to use a newer browser such as Firefox, Google Chrome or Microsoft Edge.
My Player placeholder
Become an Incathlab member and receive full access to its content!
You must be an Incathlab member to access videos without any restrictions. Register for free in one minute and access all services provided by Incathlab.You will also be able to log into Incathlab from your Facebook or twitter account by clicking on login on the top-right corner of Incathlab website.
Registration Login
Registration Login
36510 views
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
- https://www.ncbi.nlm.nih.gov/pubmed/25870151
- https://www.ncbi.nlm.nih.gov/pubmed/19736163
- https://www.ncbi.nlm.nih.gov/pubmed/20459456
- https://www.ncbi.nlm.nih.gov/pubmed/21793173
- https://www.ncbi.nlm.nih.gov/pubmed/22431433
Shooting date : 2016-12-15
Last update : 2021-05-11
Last update : 2021-05-11
Focus on Rotablation
Learn more about Rotational Atherectomy System for plaque modification in complex patients with heavily calcified lesions.
Share
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...
Share
Join the Discussion
Suggestions
Discover your Monthly Case
Honolulu : Sunday, September 17th 2023 from 10:07pm to 10:07pm (GMT+2)
San Francisco : Monday, September 18th 2023 from 01:07am to 01:07am (GMT+2)
New York : Monday, September 18th 2023 from 04:07am to 04:07am (GMT+2)
Buenos Aires : Monday, September 18th 2023 from 05:07am to 05:07am (GMT+2)
Reykjavik : Monday, September 18th 2023 from 08:07am to 08:07am (GMT+2)
London / Dublin : Monday, September 18th 2023 from 09:07am to 09:07am (GMT+2)
Paris / Berlin : Monday, September 18th 2023 from 10:07am to 10:07am (GMT+2)
Istanbul : Monday, September 18th 2023 from 11:07am to 11:07am (GMT+2)
Moscou / Dubaï : Monday, September 18th 2023 from 12:07pm to 12:07pm (GMT+2)
Bangkok : Monday, September 18th 2023 from 03:07pm to 03:07pm (GMT+2)
Shanghai : Monday, September 18th 2023 from 04:07pm to 04:07pm (GMT+2)
Tokyo : Monday, September 18th 2023 from 05:07pm to 05:07pm (GMT+2)
Sydney : Monday, September 18th 2023 from 07:07pm to 07:07pm (GMT+2)
Wellington : Monday, September 18th 2023 from 09:07pm to 09:07pm (GMT+2)
San Francisco : Monday, September 18th 2023 from 01:07am to 01:07am (GMT+2)
New York : Monday, September 18th 2023 from 04:07am to 04:07am (GMT+2)
Buenos Aires : Monday, September 18th 2023 from 05:07am to 05:07am (GMT+2)
Reykjavik : Monday, September 18th 2023 from 08:07am to 08:07am (GMT+2)
London / Dublin : Monday, September 18th 2023 from 09:07am to 09:07am (GMT+2)
Paris / Berlin : Monday, September 18th 2023 from 10:07am to 10:07am (GMT+2)
Istanbul : Monday, September 18th 2023 from 11:07am to 11:07am (GMT+2)
Moscou / Dubaï : Monday, September 18th 2023 from 12:07pm to 12:07pm (GMT+2)
Bangkok : Monday, September 18th 2023 from 03:07pm to 03:07pm (GMT+2)
Shanghai : Monday, September 18th 2023 from 04:07pm to 04:07pm (GMT+2)
Tokyo : Monday, September 18th 2023 from 05:07pm to 05:07pm (GMT+2)
Sydney : Monday, September 18th 2023 from 07:07pm to 07:07pm (GMT+2)
Wellington : Monday, September 18th 2023 from 09:07pm to 09:07pm (GMT+2)
Complex multivascular patient with occluded brachiocephalic trunk
Case of the month: September 2023
Share
Nothing Left behind Strategy: Long SFA lesion, Directional atherectomy & DCB
Case of the month: December 2018
Share
Very complex Mid RCA occlusion
Retrograde in 1st intention and Antegrade approach for recanalization
Share
Occluded instent left SFA stenosis | Fractured stents treated - Eluvia stenting
Case of the month: June 2022
Share
IMAC 2019 : Fenestrated EVAR for chronic dissection thoracoabdominal aortic aneurysm
Case of the month: October 2021
Share
Alexander P. The best!
Mohamed sabry M. what about the mid segment of LAD? i think it is significant calcific and stenosed.
Mohamed sabry M. very good..
islam O. Can rotablator be used in case of ISR or contraindicated,when to start with ballon preparation befor shift to rotablator
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.
narayana reddy B. Good result
Babu E. Whether floppy or extra support rota wire used in this case for LAD?
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?
bajarang B. want to see the full picture sir
venkatesa reddy D. very well explained use of rota