Advertisement

Rotational Coronary Atherectomy

  • Verghese Mathew
  • Kirk N. Garratt
Chapter

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.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Reisman M: Guide to Rotational Atherectomy. Royal Oak, MI: Physicians’ Press; 1997.Google Scholar
  2. 2.
    Eccleston DS, Horrigan MC, Cowley MJ, et al.: Is there a role for strip chart recording to guide rotational atherectomy? Initial findings from STRATAS (abstract). J Am Coll Cardiol 1996, 27:292A.Google Scholar
  3. 3.
    Horrigan MC, Eccleston DS, Williams DO, et al.: Technique dependence of CKMB elevation after rotational atherectomy (abstract). Circulation 1996, 94:1–560.CrossRefGoogle Scholar
  4. 4.
    Reisman M, Buchbinder M, Sharma SK, et al.: Dilation vs. Ablation Revascularization Trial (DART). Circulation 1997, 96(suppl A):I-467.Google Scholar
  5. 5.
    Safian RD, Feldman T, Muller DWM, et al.: Coronary Angioplasty and Rotablator Atherectomy Trial (CARAT). Catheter Cardiovasc Interv 2001, 53:213–220.PubMedCrossRefGoogle Scholar
  6. 6.
    Buchbinder M: Paper presented at the American Heart Association Scientific Session 2000.Google Scholar
  7. 7.
    Sharma SK, Kini A, King T, et al.: Randomized trial of rotational atherectomy versus balloon angioplasty for diffuse in-stent restenosis. (ROSTER): final results (abstract). Circulation 2000, 102:11–730.CrossRefGoogle Scholar
  8. 8.
    Ferguson JJ: Meeting highlights of the 22nd Congress of the European Society of Cardiology. Circulation 2001, 103:E41-E45.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2003

Authors and Affiliations

  • Verghese Mathew
  • Kirk N. Garratt

There are no affiliations available

Personalised recommendations