Rotational atherectomy (Rotablator®) : complementary technique in management of undilatable coronary lesions

• Published in: Revue médicale de Liège Vol. 74; no. S1; p. S39
• Main Authors: Gach, O, Lempereur, M, Marechal, P, Lancellotti, P
• Format: Journal Article
• Language: French
• Published: Belgium 2019
• Subjects: Calcifications – Stent; Coronary artery angioplasty; Rotational atherectomy
• ISSN: 0370-629X

In 40 years of existence, interventional cardiology has witnessed the introduction of numerous tools and techniques that have contributed to the important application's broadening of percutaneous techniques, particulary in anatomical situations previously unfavourable, and which were, at that time, subject to surgical revascularization. Among these hostiles situations, one of the principal consists in failure to adequately dilate the lesions and/or to the inability to deliver and implant a stent appropriately, situations frequently associated with a high rate of procedural complications and poor long-term clinical outcomes. Thanks to the development of complementary dedicated techniques such atherectomy device, the treatment of most fibrotic and heavily calcified lesions has become feasible and safe. The present article describes the rotational atherectomy procedure, its indications and its clinical results.