Rota-Cut Technique: A Simple Technique for Calcified Coronary Lesion
DOI:
https://doi.org/10.5281/zenodo.14571114Keywords:
calcified coronary lesion, cutting balloon, rota-cut concept, rotational atherectomyAbstract
Background: Performing successful percutaneous coronary interventions (PCI) is extremely difficult when dealing with severely calcified coronary lesions. Among the alternatives for treating calcified lesions is the Rota-Cut technique. This technique combines using a rotablator and cutting balloon as one treatment.
Discussion: Coronary calcification may interfere with the placement of stents, leading to inadequate expansion and positioning, as well as causing direct harm to the stents. Performing PCI on calcified coronary artery disease (CAD) is linked to lower procedural success rates and increased risk of early and late complications. An ideal plaque modification equipment should be user-friendly, safe, efficient, and provide positive short- and long-term results. We can now safely and easily treat calcified lesions thanks to the development of the Rotablator and the cutting balloon, also known as the Rota-Cut technique. When combined, rotational atherectomy made a tunnel through calcium plaque which the cutting balloon can pass to complete the plaque modification after it has been inserted. Rota-Cut technique is a safe and efficient approach for calcified lesions.
Conclusion: The operator's skill in choosing a calcium-modification approach to reduce complexity before stent implantation is essential for diagnosing these lesions. Rotational atherectomy made a tunnel through calcium plaque that the cutting balloon can pass through to finish the plaque modification once it is in place.
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