Lesion Preparation with Orbital Atherectomy

Despite significant improvements in stent design, severe coronary calcification continues to impede adequate stent expansion and is associated with worse clinical outcomes. Angiography is limited in its ability to detect and comprehensively characterise calcified plaque. Intravascular imaging provid...

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Main Authors: Evan Shlofmitz, Allen Jeremias, Richard Shlofmitz, Ziad A Ali
Format: Article
Language:English
Published: Radcliffe Medical Media 2019-11-01
Series:Interventional Cardiology: Reviews, Research, Resources
Online Access:https://www.icrjournal.com/articles/lesion-preparation-with-orbital-atherectomy
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author Evan Shlofmitz
Allen Jeremias
Richard Shlofmitz
Ziad A Ali
author_facet Evan Shlofmitz
Allen Jeremias
Richard Shlofmitz
Ziad A Ali
author_sort Evan Shlofmitz
collection DOAJ
description Despite significant improvements in stent design, severe coronary calcification continues to impede adequate stent expansion and is associated with worse clinical outcomes. Angiography is limited in its ability to detect and comprehensively characterise calcified plaque. Intravascular imaging provides information on lesion morphology guiding appropriate treatment strategies. Orbital atherectomy allows for lesion preparation of severely calcified plaque prior to stent implantation. Utilising a unique mechanism of action incorporating centrifugal forces, a standard 1.25 mm eccentrically mounted and diamond-coated burr orbits bi-directionally to ablate calcified plaque. Lesion preparation with orbital atherectomy allows for modification of calcified plaque to facilitate stent expansion.
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language English
publishDate 2019-11-01
publisher Radcliffe Medical Media
record_format Article
series Interventional Cardiology: Reviews, Research, Resources
spelling doaj-art-f0d5685755934eac87f05539a8ec20232024-12-14T16:01:35ZengRadcliffe Medical MediaInterventional Cardiology: Reviews, Research, Resources1756-14771756-14852019-11-0114316917310.15420/icr.2019.20.R1Lesion Preparation with Orbital AtherectomyEvan Shlofmitz0Allen Jeremias1Richard Shlofmitz2Ziad A Ali3MedStar Washington Hospital Center, Washington, DC, USSt Francis Hospital, Roslyn, New York, NY, US; Cardiovascular Research Foundation, New York, NY, USSt Francis Hospital, Roslyn, New York, NY, USSt Francis Hospital, Roslyn, New York, NY, US; Cardiovascular Research Foundation, New York, NY, US; Columbia University Medical Center, New York, NY, USDespite significant improvements in stent design, severe coronary calcification continues to impede adequate stent expansion and is associated with worse clinical outcomes. Angiography is limited in its ability to detect and comprehensively characterise calcified plaque. Intravascular imaging provides information on lesion morphology guiding appropriate treatment strategies. Orbital atherectomy allows for lesion preparation of severely calcified plaque prior to stent implantation. Utilising a unique mechanism of action incorporating centrifugal forces, a standard 1.25 mm eccentrically mounted and diamond-coated burr orbits bi-directionally to ablate calcified plaque. Lesion preparation with orbital atherectomy allows for modification of calcified plaque to facilitate stent expansion.https://www.icrjournal.com/articles/lesion-preparation-with-orbital-atherectomy
spellingShingle Evan Shlofmitz
Allen Jeremias
Richard Shlofmitz
Ziad A Ali
Lesion Preparation with Orbital Atherectomy
Interventional Cardiology: Reviews, Research, Resources
title Lesion Preparation with Orbital Atherectomy
title_full Lesion Preparation with Orbital Atherectomy
title_fullStr Lesion Preparation with Orbital Atherectomy
title_full_unstemmed Lesion Preparation with Orbital Atherectomy
title_short Lesion Preparation with Orbital Atherectomy
title_sort lesion preparation with orbital atherectomy
url https://www.icrjournal.com/articles/lesion-preparation-with-orbital-atherectomy
work_keys_str_mv AT evanshlofmitz lesionpreparationwithorbitalatherectomy
AT allenjeremias lesionpreparationwithorbitalatherectomy
AT richardshlofmitz lesionpreparationwithorbitalatherectomy
AT ziadaali lesionpreparationwithorbitalatherectomy