Analysis of coronary rotational atherectomy related complications and prevention

VernacularTitle:冠状动脉内旋磨术并发症分析、预防及处理技巧
Author: Shang-Yu WEN ¹ ; Rui-Ping SHANG ; Hong-Ying YU ; Bai-Ying WANG ; Zhi-Qi SUN ; Man-Qing WANG ; Hui LI
Author Information

1. 大庆油田总医院心内科
Keywords: Rotational atherectomy; Complications; Percutaneous coronary infervention; Calcified lesions
From: Chinese Journal of Interventional Cardiology 2017;25(12):677-681
CountryChina
Language:Chinese
Abstract: Objective To analyze the complications of coronary rotational atherectomy and to evaluate the safety of the procedure. Methods We evaluated the procedural and angiographic outcomes of 248 consecutive procedures to rotational atherectomy between January 2000 and October 2016. Results 27 cases(10.9％)were found to have rotational atherectomy related complications. Among these 27 cases,coronary spasm occurred in 2 cases(0.8％),no reflow in 8 cases(3.2％), coronary dissection in 5 cases(2.0％),burr entrapment in 6 cases(2.4％),wire breakage in 3 cases(1.2％), and coronary perforation in 3 cases(1.2％). There were no death,acute myocardial infarction and emergent coronary bypass graft.14 case(5.6％)had PCI-related myocardial infarction during hospital stay.In-hospital major adverse cardiaccerebral event(MACCE)rate was 5.6％. Conclusions Coronary rotational atherectomy can be performed with high success rates and procedure-related complications are rare.