Clinical Cases in Coronary Rotational Atherectomy: Complex Cases and Complications (Clinical Cases in Interventional Cardiology) 1st ed. 2018 Edition PDF ebook Free
By Reginald Low (Editor), Khung Keong Yeo (Editor)
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.
- Series:Clinical Cases in Interventional Cardiology
- Paperback:200 pages
- Publisher:Springer; 1st ed. 2018 edition (November 8, 2017)
We believe that rotational atherectomy is an essential tool in the treatment of complex coronary artery disease. With the advent of second-generation drug-eluting stents, coronary artery disease is ever more amenable to percutaneous coro- nary intervention. However, severe calcification, seen com- monly in elderly patients, especially those with diabetes mellitus and renal failure remains a major challenge to a successful and safe procedure. Our changing population demographics also mean that, increasingly, cardiologists have to treat these complex patients and their difficult coronary lesions. Rotational atherectomy has been around for more than 25 years. Despite new technology such as cutting balloons, scoring balloons, and laser atherectomy, it remains a mainstay for the treatment of severe calcific disease. However, not every operator or every laboratory has this tool – for it is technically demanding, has significant risks, and requires sub- stantial experience for both the interventional cardiologist and the supporting team in the cardiac catheterization labo- ratory. In this book, we have collected a series of basic and complex cases showcasing the range and spectrum of rota- tional atherectomy. Some of the cases show beautiful results, and a few highlight complications no one wants to have. They all share in having tremendous educational value. We believe that cases in this book will help current and potential users of this device in achieving the best results for their patients.