, rotablation, rotoablation (rōt″ŏ-blā′shŏn, rōt″ă-, rōt″ō-a-blā′) [ rot(ate) + ablation]
Drilling through the core of a plaque obstructing a blood vessel to improve blood flow to the organ supplied by the vessel; rotational atherectomy.
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A first attempt to get a balloon and stent through was unsuccessful so rotablation became the only option.
On Sunday February 26h, there will be live cases from the Cardiac Cath Lab to demonstrate IVUS and rotablation which will be followed by lectures on DES in STEMI and Role of IVUS in Cath Lab.
It has modern Cath lab facilities where procedures like angiographies, angioplasties, stenting of the coronary arteries, valvotomies correction of birth heart defects and closure of holes of the heart, electrophysiological studies, radio frequency ablation, rotablation, intra-vascular ultrasound, pacemaker and internal defibrillator implantation are carried out.
Because of the age of the coronary thrombus, fibrinolytic deficit, and the presence of other factors resisting thrombolysis, other options--such as PTCA, rotablation, and stenting--must be used.
Options other than rotablation, like the cutting wire technique or the high pressure dilation, are usually ineffective and they have an inherent risk of dissection expansion.
The procedure is called coronary rotablation and is an advanced technique for treating very resistant, hardened, calci-fied narrowings in blood vessels that can be unresponsive to methods where a balloon is inserted into the artery to open it open.