Rotational atherectomy in everyday clinical practice. Association of Cardiovascular Interventions of the Polish Society of Cardiology (Asocjacja Interwencji Sercowo-Naczyniowych Polskiego Towarzystwa Kardiologicznego — AISN PTK): Expert opinion
Year: 2018
Type: article
Abstract: The common use of stents, including antiproliferative drug-eluting stents, has been a major breakthrough in invasive cardiology. Nowadays, a change in the clinical presentation of patients treated with percutaneous coronary intervention (PCI) is observed. The typical clinical characteristics now include advanced age, diabetes, chronic kidney disease, heart failure, and multilevel atherosclerosis. Age, diabetes, and chronic kidney disease are the main predictors of coronary artery calcifications. Severe coronary artery calcifications are the main factor limiting the efficacy of PCI. Successful stent implantation is challenging in the presence of calcifications, because it is difficult to achieve full stent expansion and proper stent apposition. Therefore, it is necessary to adequately prepare the lesion before stent implantation. This document presents the technique of rotational atherectomy (rotablation) as well as indications for and contraindications to the procedure, along with its possible complications and their prevention. Training in rotablation for operators as well as reimbursement policy for the procedure in Poland are also discussed.
Source: Kardiologia Polska
DOI: 10.5603/kp.2018.0225
Authors: Sławomir Dobrzycki, Krzysztof Reczuch, Jacek Legutko, Tomasz Pawłowski, Marek Grygier, Andrzej Ochała, Jarosław Wójcik, Paweł Buszman, Dariusz Dudek, Mariusz Gąsior, Robert Gil, Maciej Lesiak, Krzysztof Kukuła, Adam Witkowski, Wojciech Zajdel, Paweł Kralisz, Wojciech Wojakowski, Stanisław Bartuś
Language: Polish
Subfield: Cardiology and Cardiovascular Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
OpenAlex ID: W2900529556