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- Extensive case-based compendium on Coronary Rotational Atherectomy
- Showcases the management of complex and high-risk cases
- Useful reference for all cathlabs starting with the procedure
- Assists in mastering the procedure’s learning curve
This concise practical guide is designed to facilitate the clinical decision-making process in the management of rotational atherectomy procedures by reviewing a number of cases and defining the various diagnostic and management decisions open to clinicians. It will be well illustrated but concise, enabling the reader to obtain relevant information regarding both standard and unusual cases in a rapid, easy to digest format. Each case will also include a narrative description and patient management tips. Rotational atherectomy (‘rotablator’) is used to treat heavily calcified lesions within coronary arteries at the time of percutaneous coronary intervention (PCI). Lesions that are inadequately treated may not be dilatable by balloons; and stents that are implanted in such lesions are at high risk for acute stent thrombosis and stent failure. However, rotablator therapy is high risk and present unique challenges to the interventionalists. Complications are generally uncommon. However, when they do occur, they tend to be disastrous. In this case book, we present a series of rotablator cases: basic, complex cases, difficult cases, complications and unusual situations. Although PCI operators all have some degree of experience with this therapy, each operator is unlikely to have significant experience given the cost of the device and the risk involved. Therefore, this book will provide interventionalists with a valuable compendium of cases which can help them in the management of patients whom they plan to treat with rotational atherectomy. Table of Contents- Overview of Equipment and Procedure
Jonathan Yap, Khung Keong Yeo, Tina Teo, Reginald Low - Straightforward LAD case
Bradley D. Stauber, Reginald I. Low, Gagan D. Singh - Basic LCX Case
Arie Steinvil, Lowell Satler - Straightforward LAD Case
Bradley D. Stauber, Reginald I. Low, Gagan D. Singh - Ostial RCA
Khaled Hammad, Khung Keong Yeo - Downsizing Burr as a Strategy for Severe Calcific Stenosis
Richard J. Jabbour, Mauro Carlino, Antonio Colombo - Complex LAD
Arie Steinvil, Lowell Satler - Complex Case: Rotational Atherectomy in Preparation for TAVR
Bradley D. Stauber, Reginald I. Low, Jason H. Rogers, Gagan D. Singh - Complex Case: Rotational Atherectomy Involving the Left Main Coronary Artery
Bradley D. Stauber, Reginald I. Low, Gagan D. Singh - Complex Case: LM and LAD
Jiang Ming Fam, Soo Teik Lim - Complex Case: LM and LCX
Arie Steinvil, Lowell Satler - Complex Case: Saphenous Vein Graft
Bradley D. Stauber, Reginald I. Low, Jeffrey A. Southard, Gagan D. Singh - Complex Case: In-Stent Restenosis
Bradley D. Stauber, Reginald I. Low, Jeffrey A. Southard, Gagan D. Singh - Complex Case: High-Risk Acute Coronary Syndrome
Timothy Watson, Hee Hwa Ho, Paul Jau Lueng Ong - Complex Case: Rotational Atherectomy in Myocardial Infarction
Jonathan Yap, Jack Wei Chieh Tan - Complex Case: Rota Gutter in RCA
Bradley D. Stauber, Reginald I. Low, Gagan D. Singh - Complex Case: Rotablation in Distal RCA
Khung Keong Yeo - Complex Case: Rotablation in Cardiogenic Shock
Bradley D. Stauber, Reginald I. Low, Gagan D. Singh - Complex Case: Rotablation in Cardiogenic Shock #2
Timothy Watson, Paul Jau Lueng Ong - Complex Case: Severe Diffuse LAD Disease
Jiang Ming Fam, Khung Keong Yeo - Complication: No Reflow
Jiang Ming Fam, Khung Keong Yeo - Complication: Trapped Burr
Lucky R. Cuenza, Aaron Wong, Kay Woon Ho - Complication: Sheared Wire
Jonathan Yap, Jack Wei Chieh Tan - Complication: Dislodged Burr
Jonathan Yap, Khung Keong Yeo - Specials: Rotablation Through Stent Accordion
Khung Keong Yeo, Garrett Wong, Reginald Low - Specials: Rotablation Through Jailed LAD
Himanshu Gupta, Khung Keong Yeo - Specials: Rotablation Through LM In-Stent Restenosis
Khaled Hammad, Khung Keong Yeo - Specials: Rotablation of LIMA into LAD
Aaron Wong, Khung Keong Yeo
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