Results of the study to determine rotablator and transluminal angioplasty strategy (STRATAS)

Whitlow, Patrick L.; Bass, Theodore A.; Kipperman, Robert; Sharaf, Barry L.; Ho, Kalon K.L.; Cutlip, Donald E.; Zhang, Yan; Kuntz, Richard E.; Williams, David O.; Lasorda, David; Moses, Jeffrey W.; Cowley, Michael J.; Eccleston, D.; Horrigan, M.; Bersin, Robert M.; Ramee, Stephen R.; Feldman, Ted

doi:10.1016/s0002-9149(00)01486-7

Cited by 179 publications

(121 citation statements)

References 20 publications

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“…Rotablation was performed using the "Rotablator" system (Boston Scientific-Scimed Corporation, Natick, MA, USA) after obtaining informed consent from the patient. The size of a drill was chosen so that the drill/artery size ratio was < 0.7 [8]. Rotational speed of the drill was kept within the limits of 140 000-180 000 rotations per minute.…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Coronary rotational atherectomy in patients with unsuccessful classical angioplasty – in-hospital and six-month follow-up

Wojtczak¹,

Kübler²,

Ferenc³

et al. 2012

pwki

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Rotablacja tętnic wieńcowych u pacjentów po nieskutecznej klasycznej angioplastyceobserwacja wewnątrzszpitalna i sześciomiesięczna M Ma ar rc ci in n W Wo oj jt tc cz za ak k 1 1 , , P Pi io ot tr r K Ku ub bl le er r 1 1 , , M Mi ir ro os sł ła aw w F Fe er re en nc c A b s t r a c t B Ba ac ck kg gr ro ou un nd d: : The data regarding follow-up of high-risk patients after coronary rotational atherectomy (RA) are poor. A Ai im m: : The aim of this study was to evaluate the in-hospital and 6-month outcome of patients with uncrossable or undilatable lesions who were treated with RA.M Ma at te er ri ia al l a an nd d m me et th ho od ds s: : The RA was performed in 62 consecutive patients (mean EuroSCORE: 6.8 ±4) and all of them were enrolled. Major adverse cardiac events (MACE) were defined as all-cause death, cardiac death, stroke, myocardial infarction (MI), target lesion revascularization (TLR), and target vessel revascularization (TVR).R Re es su ul lt ts s: : The procedural success rate was 94%. The incidence of MACE was 9.7% in hospital (6 MIs, 3 of them with signs of ischemia) and 9.7% at 6-month follow-up (2 deaths, 3 MIs, 1 TLR). Death occurred in 2 patients (3%): due to definite stent thrombosis, and because of acute heart failure in a patient with low ejection fraction (EF).C Co on nc cl lu us si io on ns s: : In this very high risk population RA provides good outcomes with relatively low risk of MACE.K Ke ey y w wo or rd ds s: : percutaneous coronary interventions, highly calcified coronary lesions, rotational atherectomy S t r e s z c z e n i e W Ws st tę ęp p: : Dane dotyczące obserwacji pacjentów z wysokim ryzykiem poddawanych rotablacji tętnic wieńcowych są skąpe. C Ce el l: : Ocena bezpośrednia i półroczna pacjentów ze zmianami, na które nie można wprowadzić cewnika balonowego lub nie moż-na go w pełni rozprężyć, leczonych za pomocą rotablacji.M Ma at te er ri ia ał ł i i m me et to od dy y: : Rotablację wykonano u kolejnych 62 pacjentów (średni EuroScore 6,8 ±4) i wszyscy zostali włączeni do obserwacji. Złożony punkt końcowy zdefiniowano jako wystąpienie każdego zgonu, zgonu sercowego, udaru mózgu, zawału mięś-nia serca, konieczności ponownej rewaskularyzacji zmiany oraz rewaskularyzacji tętnicy.W Wy yn ni ik ki i: : Skuteczność procedury wyniosła 94%. Złożony punkt końcowy wystąpił w 9,7% przypadków w obserwacji wewnątrzszpi-talnej (6 zawałów mięśnia serca, 3 z nich z objawami niedokrwienia) i w 9,7% przypadków w obserwacji 6-miesięcznej (2 zgony, 3 zawały mięśnia serca, 1 konieczność ponownej rewaskularyzacji zmiany). Odnotowano 2 zgony (3%) -z powodu pewnej zakrzepicy w stencie oraz ostrej niewydolności serca u pacjenta z obniżoną funkcją skurczową.W Wn ni io os sk ki i: : W grupie osób z bardzo dużym ryzykiem rotablacja zapewnia dobre wyniki przy relatywnie niskim prawdopodobień -stwie wystąpienia złożonego punktu końcowego. S Sł ło ow wa a k kl lu uc cz zo ow we e: : przezskórne interwencje wieńcowe, zwapnienia tętnic wieńcowych, aterektomia rotacyjna

show abstract

Section: Methodsmentioning

confidence: 99%

“…Rotational speed of the drill was kept within the limits of 140 000-180 000 rotations per minute. Passage of the drill lasted up to 20 s [8]. During the procedure a continuous flow of unfractionated heparin (5000 U in 500 ml of isotonic saline), verapamil and nitroglycerin was used.…”

Section: Methodsmentioning

confidence: 99%

Coronary rotational atherectomy in patients with unsuccessful classical angioplasty – in-hospital and six-month follow-up

Wojtczak¹,

Kübler²,

Ferenc³

et al. 2012

pwki

View full text Add to dashboard Cite

show abstract

“…In the present case, the operator following personal experience applied lower speeds with tight control of drill rotation. Studies with bare metal stents proved in fact that decreases in drilling speed during the passage exceeding 5000 rotations per minute are associated with an increased risk of restenosis [12]. No significant drops in rotational speed of the drill were noted during the presented procedure.…”

Section: Stan Po Implantacji 3 Stentów Des Widoczna Dysekcja Ostmentioning

confidence: 86%

Rotational atherectomy of right coronary artery complicated with stent dislodgment and ostial dissection –

Zimoch¹,

Gaul²,

Wojtczak³

et al. 2012

pwki

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“…The diamond particles are 20um in size. The burr comes in various sizes ranging from 1.25um to 2.5um and the burr size to be used is determined on the size of the vessel being treated [6,7]. It is recommended to keep the burr to artery ration of 0.5-0.6.…”

Section: Procedures Descriptionsmentioning

confidence: 99%

“…Short pecking movements are recommended as excessive decelerations (> 14,000-18,000) [7,8] with increased heat generation and thermal injury can increase the risk of peri-procedural myocardial infarctions and restenosis [7].…”

Section: Procedures Descriptionsmentioning

confidence: 99%

Role of Rotational Atherectomy in Percutaneous Coronary Interventions in Elderly

2018

JCCR

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Results of the study to determine rotablator and transluminal angioplasty strategy (STRATAS)

Cited by 179 publications

References 20 publications

Coronary rotational atherectomy in patients with unsuccessful classical angioplasty – in-hospital and six-month follow-up

Coronary rotational atherectomy in patients with unsuccessful classical angioplasty – in-hospital and six-month follow-up

Rotational atherectomy of right coronary artery complicated with stent dislodgment and ostial dissection –

Role of Rotational Atherectomy in Percutaneous Coronary Interventions in Elderly

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