Rotational atherectomy: advanced techniques with videos + Orbital atherectomy tips- Elias Hanna
Elias Hanna Elias Hanna
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 Published On Dec 2, 2022

0:00 Basics of the burr, advancer, buttons, wire, D-R-A-W
13:01 1-Understand the wire brake mechanism
16:33 2-Exchange initial wire for Rotawire: what to do if standard wire crosses lesion but microcatheter cannot cross
18:04 3-How to advance Rotablator system over the wire into the guide catheter (over-the-wire system) Two Single operator techniques
20:41 4-How to remove Rotablator from the guide over the long wire (over-the-wire system)
25:20 5-Once you get close to the tip of the guide, how to get it to the ostial coronary?
26:45 6-Once in the coronary: how to release tension?
29:24 7-Once in the coronary: How to get to a mid-vessel lesion?
31:43 8- How to burr across the lesion?
39:22 If Rotawire needs repositioning and you are not able to move it by just push and pull: next step?
40:03 9-How to rotablate aorto-ostial lesions?
41:12 10-How to advance system to a distal lesion?
45:24 11-How to treat ostial LCx at a 90 degrees angle?
47:48 12-How to treat burr entrapment?
51:36 13-Orbital atherectomy CSI vs rotational atherectomy. Design, techniques, pros and cons
1:01:48 How to do orbital atherectomy of aorto-ostial lesions

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