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Rotational Coronary Atherectomy

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Atlas of Interventional Cardiology

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Abstract

Rotational atherectomy uses the principle of high-speed abrasive differential cutting to ablate atheromatous plaque. This system, developed by David Auth, was approved for coronary use in 1993. Rotational atherectomy and other newer devices were designed principally to aid in the procedural success of percutaneous coronary intervention and potentially to reduce the occurrence of restenosis compared with that achieved with balloon angioplasty. Obviously, none of the newer devices (except for stents) have reduced the rates of restenosis, but rotational atherectomy may indeed be useful in certain lesion subsets in clinical practice. This chapter discusses the principles of operation, system and design characteristics, relevant clinical data, technical and procedural issues, and management of complications associated with rotational atherectomy.

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References

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Authors
  1. Verghese Mathew
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  2. Kirk N. Garratt
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Editor information

Editors and Affiliations

  1. Cardiac Catheterization Laboratory, Division of Cardiovascular Diseases, Mayo Clinic, Mayo Medical School, Rochester, Minnesota, USA

    David R. Holmes Jr. MD (Professor of Medicine, Director, Consultant) (Professor of Medicine, Director, Consultant)

  2. Division of Cardiovascular Diseases and Internal Medicine, Mayo Clinic, Mayo Medical School, Rochester, Minnesota, USA

    Verghese Mathew MD (Assistant Professor of Medicine, Consultant) (Assistant Professor of Medicine, Consultant)

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© 2003 Springer Science+Business Media New York

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Mathew, V., Garratt, K.N. (2003). Rotational Coronary Atherectomy. In: Holmes, D.R., Mathew, V. (eds) Atlas of Interventional Cardiology. Current Medicine Group, London. https://doi.org/10.1007/978-1-4613-1091-4_8

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  • DOI: https://doi.org/10.1007/978-1-4613-1091-4_8

  • Publisher Name: Current Medicine Group, London

  • Print ISBN: 978-1-4757-0808-0

  • Online ISBN: 978-1-4613-1091-4

  • eBook Packages: Springer Book Archive

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