Clinical Cases in Coronary Rotational Atherectomy Complex Cases and Complications 1st Edition by Reginald Low, Khung Keong Yeo ISBN 3319604902 9783319604909

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ISBN 10: 3319604902 
ISBN 13: 9783319604909
Author: Reginald Low, Khung Keong Yeo

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.

Clinical Cases in Coronary Rotational Atherectomy Complex Cases and Complications 1st Table of contents:

Chapter 1: Overview of Equipment and Procedure
Equipment
RotaWire Guidewire and WireClip Torquer
Rotaburr
Foot Pedal
Rotablator Console
Rotablator Advancer
Procedure
Vascular Access, Guide and Burr Selection and Pacing
Pre-ablation Setup
Burr Positioning
Rotablation Procedure
Removal of Burr
Exchange of RotaWire
Chapter 2: Straightforward LAD case
Case Summary
Discussion and Learning Points
Chapter 3: Basic LCX Case
Case Summary
Discussion and Learning Points
Chapter 4: Straightforward LAD Case
Case Summary
Discussion and Learning Points
Chapter 5: Ostial RCA
Case Summary
Discussion and Learning Points
Chapter 6: Downsizing Burr as a Strategy for Severe Calcific Stenosis
Case Summary
Discussion and Learning Points
Chapter 7: Complex LAD
Case Summary
Discussion and Learning Points
Chapter 8: Complex Case: Rotational Atherectomy in Preparation for TAVR
Case Summary
Discussion and Learning Points
Chapter 9: Complex Case: Rotational Atherectomy Involving the Left Main Coronary Artery
Case Summary
Discussion and Learning Points
Chapter 10: Complex Case: LM and LAD
Case Summary
Discussion and Learning Points
Chapter 11: Complex Case: LM and LCX
Case Summary
Discussion and Learning Points
Chapter 12: Complex Case: Saphenous Vein Graft
Case Summary
Discussion and Learning Points
Chapter 13: Complex Case: In-Stent Restenosis
Case Summary
Discussion and Learning Points
Chapter 14: Complex Case: High-Risk Acute Coronary Syndrome
Case Summary
Discussion and Learning Points
Reference
Chapter 15: Complex Case: Rotational Atherectomy in Myocardial Infarction
Case Summary
Discussion and Learning Points
References
Chapter 16: Complex Case: Rota Gutter in RCA
Case Summary
Discussion and Learning Points
Reference
Chapter 17: Complex Case: Rotablation in Distal RCA
Case Summary
Discussion and Learning Points
Chapter 18: Complex Case: Rotablation in Cardiogenic Shock
Case Summary
Discussion and Learning Points
Chapter 19: Complex Case: Rotablation in Cardiogenic Shock #2
Case Summary
Discussion and Learning Points
Chapter 20: Complex Case: Severe Diffuse LAD Disease
Case Summary
Discussion and Learning Points
Chapter 21: Complication: No Reflow
Case Summary
Discussion and Learning Points
Chapter 22: Complication: Trapped Burr
Case Summary
Discussion and Learning Points
References
Chapter 23: Complication: Sheared Wire
Case Summary
Discussion and Learning Points
References
Chapter 24: Complication: Dislodged Burr
Case Summary
Discussion and Learning Points
Chapter 25: Specials: Rotablation Through Stent Accordion
Case Summary
Discussion and Learning Points
Chapter 26: Specials: Rotablation Through Jailed LAD
Case Summary
Discussion and Learning Points
References
Chapter 27: Specials: Rotablation Through LM In-Stent Restenosis
Case Summary
Discussion and Learning Points
Chapter 28: Specials: Rotablation of LIMA into LAD
Case Summary
Discussion and Learning Points

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