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Alternative Rota-Flush Solution for Patients With Severe Coronary Artery Calcification who Undergo Rotational Atherectomy.
J Invasive Cardiol
January 2017
100 Medical Plaza Suite 630, Los Angeles, CA 90095 USA.
Unlabelled: We assessed the feasibility and safety of a rota-flush solution with 10,000 U of unfractionated heparin in 1 L of normal saline in patients who underwent rotational atherectomy.
Background: Rotational atherectomy with the Rotablator (Boston Scientific) rotational atherectomy system is an effective way to modify severely calcified plaque. Potential complications include coronary spasm and slow-flow/no-flow.
Facilitated stent delivery using applied topical lubrication.
Catheter Cardiovasc Interv
February 2007
Division of Cardiology, Department of Medicine, Thomas Jefferson University Hospital, Philadelphia, PA 19107, USA.
Objectives: The goal of this study was to assess the utility of topical lubrication to aid stent delivery in challenging anatomy and its effects on long-term clinical outcome.
Background: Failed stent delivery is encountered in up to 5% of percutaneous coronary interventions (PCI).
Methods: The effectiveness of topically applied lubrication to facilitate stent delivery after failed stent placement was evaluated in 20 (2.
Injecting lubricant into the guiding catheter enables stent deployment.
J Invasive Cardiol
May 2006
Genesis Regional Medical Center, Regional Cardiology Associates, Grand Blanc, Michigan, USA.
The majority of percutaneous artery interventional failures is due to the inability to deploy stents in patients with tortuous arteries, fibrotic lesions and/or calcified plaque. Recent reports of lubricant-facilitated stent delivery have described the use of either dipping the stent into solution or applying the solution to the stent surface prior to insertion into the guiding catheter. This report demonstrates that injection of undiluted RotaGlide into the guiding catheter can better facilitate stent delivery into patients.
View Article and Find Full Text PDFRotaglide-facilitated stent delivery: mission accomplished.
Catheter Cardiovasc Interv
August 2003
Department of Cardiology, Ochsner Clinic Foundation, New Orleans, Louisiana 70121, USA.
Percutaneous coronary interventions are performed with a high success rate, though failures still occur. Inability to deliver stents to the target lesion is the most common cause for failures. We present two cases using Rotaglide applied on the stents to enable delivery, showing that Rotaglide is effective in improving stent delivery.
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