Rotational atherectomy: Difference between revisions
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==Strategies to reduce no reflow during the procedure== | |||
# Liberal administration of [[calcium channel blockers]] such as [[diltiazem]] (200 micrograms administered via the [[intracoronary route]]) | # 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 | ||
Revision as of 23:35, 17 April 2009
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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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