Orbital-Tripsy: Novel Combination of Orbital-Atherectomy and Intravascular-Lithotripsy, in Calcified Coronaries After Failed Intravascular-Lithotripsy

Chiang, Chi Shing Michael; Chan, KM; Lee, Michael; Chan, K.T.

doi:10.1016/j.jaccas.2020.10.027

Cited by 8 publications

(4 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There is limited data on the combination of orbital atherectomy with lithotripsy. A case report presenting a heavily calcified, left main lesion with significant stenosis described the "orbital-tripsy" technique, orbital atherectomy after failed IVL (15). A recently published case series presented eight patients who underwent combined coronary orbital atherectomy and IVL within a single PCI procedure with severely calcified lesions.…”

Section: Discussionmentioning

confidence: 99%

Orbital Atherectomy Combined with Lithotripsy in a Right Coronary Artery Chronic Total Occlusion

Karácsonyi¹,

Şimşek²,

Kostantinis³

et al. 2023

Cardiologia Hungarica

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Orbital Atherectomy Combined with Lithotripsy in a Right Coronary Artery Chronic Total Occlusion

Karácsonyi¹,

Şimşek²,

Kostantinis³

et al. 2023

Cardiologia Hungarica

View full text Add to dashboard Cite

show abstract

“…The upfront use of atherectomy to debulk thick calcium ring followed by lithoplasty to fracture the calcium has been described in case report and small series. 63) 64) 65) 66) After initial lesion preparation with either rotational or orbital atherectomy, delivery of lithoplasty balloon is enhanced and calcium fracture can be achieved at low inflation pressure with intravascular lithotripsy. Both Rota-Shock (rotational atherectomy followed by lithoplasty) and Orbital-Tripsy (orbital atherectomy followed by lithoplasty) appear to be feasible and safe with the limited current evidence, and more high-quality data from large-scale clinical trials is warranted.…”

Section: Specific Strategies In Calcium Modificationmentioning

confidence: 99%

Contemporary Interventional Approach to Calcified Coronary Artery Disease

Sung

Lam

2023

Korean Circ J

View full text Add to dashboard Cite

Author's summary This paper comprehensively reviews the latest evidence regarding interventional approach to highly calcified coronary lesions in the catheterization laboratory. It covers the epidemiology, diagnostic tools and interventional strategies for calcified coronary artery disease. The introduction of various new diagnostic and interventional tools have completely changed the landscape of approach to coronary calcium in the past 2 decades. However, the optimal approach to this therapeutically challenging entity remains controversial. This review paper proposes a management algorithm based on latest evidence on diagnosis and intervention to calcified coronary artery disease.

show abstract

“…However, the methods can be combined. The suboptimal effect of one method usually leads to using two of them together, for example, in the case of a failed IVL, an orbitaltripsy (OA and IVL) can be performed [19]. New combinations are also applicable to severely calcified in-stent restenosis.…”

Section: Introductionmentioning

confidence: 99%

Rotational Atherectomy, Orbital Atherectomy, and Intravascular Lithotripsy Comparison for Calcified Coronary Lesions

Florek,

Bartoszewska,

Biegała

et al. 2023

JCM

View full text Add to dashboard Cite

In order to improve the percutaneous treatment of coronary artery calcifications (CAC) before stent implantation, methods such as rotational atherectomy (RA), orbital atherectomy (OA), and coronary intravascular lithotripsy (IVL) were invented. These techniques use different mechanisms of action and therefore have various short- and long-term outcomes. IVL employs sonic waves to modify CAC, whereas RA and OA use a rapidly rotating burr or crown. These methods have specific advantages and limitations, regarding their cost-efficiency, the movement of the device, their usefulness given the individual anatomy of both the lesion and the vessel, and the risk of specified complications. This study reviews the key findings of peer-reviewed articles available on Google Scholar with the keywords RA, OA, and IVL. Based on the collected data, successful stent delivery was assessed as 97.7% for OA, 92.4% for IVL, and 92.5% for RA, and 30-day prevalence of MACE (Major Adverse Cardiac Events) in OA—10.4%, IVL—7.2%, and RA—5%. There were no significant differences in the 1-year MACE. Compared to RA, OA and IVL are cost-effective approaches, but this is substantially dependent on the reimbursement system of the particular country. There is no standard method of CAC modification; therefore, a tailor-made approach is required.

show abstract

Orbital-Tripsy: Novel Combination of Orbital-Atherectomy and Intravascular-Lithotripsy, in Calcified Coronaries After Failed Intravascular-Lithotripsy

Cited by 8 publications

References 11 publications

Orbital Atherectomy Combined with Lithotripsy in a Right Coronary Artery Chronic Total Occlusion

Orbital Atherectomy Combined with Lithotripsy in a Right Coronary Artery Chronic Total Occlusion

Contemporary Interventional Approach to Calcified Coronary Artery Disease

Rotational Atherectomy, Orbital Atherectomy, and Intravascular Lithotripsy Comparison for Calcified Coronary Lesions

Contact Info

Product

Resources

About