Video : Calcified distal Left Main and LAD stenoses - Rotablation treatment and IVUS evalutation

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.

Cardiology / Coronary / Pci / Case in the box

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

Worldwide schedules comment Share

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

Shooting date : 2016-12-15
Last update : 2021-05-11

IVUS / Philips

Rotablator Rotational Atherectomy System / Boston Scientific

10 comments

Join the Discussion

See previous comments (6)

Alexander P. The best!

2017-01-26, 14h48
Join files

Please, select your files, click upload button, write your comment and click the send button. (allowed formats : images jpeg, gif, png, and PDF)

Your browser doesn't have Flash, Silverlight or HTML5 support.

1 - Add file(s) upload
Mohamed sabry M. what about the mid segment of LAD? i think it is significant calcific and stenosed.

2017-03-04, 9h25
Join files

Please, select your files, click upload button, write your comment and click the send button. (allowed formats : images jpeg, gif, png, and PDF)

Your browser doesn't have Flash, Silverlight or HTML5 support.

1 - Add file(s) upload
Mohamed sabry M. very good..

2017-03-04, 10h39
Join files

Please, select your files, click upload button, write your comment and click the send button. (allowed formats : images jpeg, gif, png, and PDF)

Your browser doesn't have Flash, Silverlight or HTML5 support.

1 - Add file(s) upload
islam O. Can rotablator be used in case of ISR or contraindicated,when to start with ballon preparation befor shift to rotablator

2017-06-03, 18h50
Join files

Please, select your files, click upload button, write your comment and click the send button. (allowed formats : images jpeg, gif, png, and PDF)

Your browser doesn't have Flash, Silverlight or HTML5 support.

1 - Add file(s) upload
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.

2017-06-04, 16h47
Join files

Please, select your files, click upload button, write your comment and click the send button. (allowed formats : images jpeg, gif, png, and PDF)

Your browser doesn't have Flash, Silverlight or HTML5 support.

1 - Add file(s) upload
narayana reddy B. Good result

2017-06-06, 4h04
Join files

Please, select your files, click upload button, write your comment and click the send button. (allowed formats : images jpeg, gif, png, and PDF)

Your browser doesn't have Flash, Silverlight or HTML5 support.

1 - Add file(s) upload
Babu E. Whether floppy or extra support rota wire used in this case for LAD?

2017-06-09, 17h55
Join files

Please, select your files, click upload button, write your comment and click the send button. (allowed formats : images jpeg, gif, png, and PDF)

Your browser doesn't have Flash, Silverlight or HTML5 support.

1 - Add file(s) upload
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?

2017-06-09, 18h00
Join files

Please, select your files, click upload button, write your comment and click the send button. (allowed formats : images jpeg, gif, png, and PDF)

Your browser doesn't have Flash, Silverlight or HTML5 support.

1 - Add file(s) upload
bajarang B. want to see the full picture sir

2017-06-24, 17h05
Join files

Please, select your files, click upload button, write your comment and click the send button. (allowed formats : images jpeg, gif, png, and PDF)

Your browser doesn't have Flash, Silverlight or HTML5 support.

1 - Add file(s) upload
venkatesa reddy D. very well explained use of rota

2017-09-29, 3h01
Join files

Please, select your files, click upload button, write your comment and click the send button. (allowed formats : images jpeg, gif, png, and PDF)

Your browser doesn't have Flash, Silverlight or HTML5 support.

1 - Add file(s) upload

Calcified distal Left Main and LAD stenoses - Rotablation treatment and IVUS evalutation

Case of the month: June 2017

Become an Incathlab member and receive full access to its content!