Management of coronary artery disease (CAD) patients with heavily calcified lesions require a more focused approach than routine angioplasty. In recent times, rotablation has shown positive results in the treatment of high-risk patients with heavily calcified coronary lesions. Rotablation is an adjunct therapy used in CAD patients with moderate to severe calcified lesions. In this technique, calcified deposits are drilled with the help of a diamond coated burr. The common indications for rotablation are calcified vessels, long diffuse disease, undilatable coronary lesions, and in-stent restenosis.
In this video, Dr. Gaurav Choudhary discusses the management of undilatable lesions through rotablation. He further explains the principle, function and procedure involved in rotational atherectomy. He also emphasizes the stepped-up burr and the single burr approach in the…
