Rotational atherectomy: Difference between revisions
Jump to navigation
Jump to search
No edit summary |
|||
| Line 5: | Line 5: | ||
{{EJ}} | {{EJ}} | ||
==Strategies to reduce no reflow during the procedure== | via the ==Strategies to reduce no reflow during the procedure== | ||
#Liberal administration of calcium channel blockers such as diltiazem (200 micrograms intracoronary) | # Liberal administration of [[calcium channel blockers]] such as [[diltiazem]] (200 micrograms administered via the [[intracoronary route]]) | ||
#Multiple short runs of rotablation | # Multiple short runs of rotablation | ||
#A slower initial speed of rotablation such as 140,000 to 160,000 rotations per minute (RPM) | # A slower initial speed of rotablation such as 140,000 to 160,000 rotations per minute (RPM) | ||
#Minimal deceleration during the bur runs | # Minimal deceleration during the bur runs | ||
# Allowing a period of recovery between bur runs | # Allowing a period of recovery between bur runs | ||
# Avoid over-sizing the bur to minimize downstream embolization | # Avoid over-sizing the bur to minimize downstream embolization | ||
Revision as of 23:33, 17 April 2009
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Please Join in Editing This Page and Apply to be an Editor-In-Chief for this topic: There can be one or more than one Editor-In-Chief. You may also apply to be an Associate Editor-In-Chief of one of the subtopics below. Please mail us [2] to indicate your interest in serving either as an Editor-In-Chief of the entire topic or as an Associate Editor-In-Chief for a subtopic. Please be sure to attach your CV and or biographical sketch.
via the ==Strategies to reduce no reflow during the procedure==
- Liberal administration of calcium channel blockers such as diltiazem (200 micrograms administered via the intracoronary route)
- Multiple short runs of rotablation
- A slower initial speed of rotablation such as 140,000 to 160,000 rotations per minute (RPM)
- Minimal deceleration during the bur runs
- Allowing a period of recovery between bur runs
- Avoid over-sizing the bur to minimize downstream embolization