First case of endovascular surgery with rotablation
- VernacularTitle:Судсан дотуурх мэс заслын аргаар титэм судас өрөмдөх (атерэктоми) эмчилгээ хийсэн анхны тохиолдол
- Author:
Lhagvasuren Z
1
;
Baasanjav N
2
;
Batmyagmar Kh
3
;
Narantuya D
4
;
Erdembileg D
1
;
Batzaya Ts
1
;
Gereltuya Ch
1
Author Information
1. Third State Central Hospital
2. Medical Research Institute
3. First State Central Hospital
4. National Center for Public Health
- Publication Type:Other Types
- Keywords:
rotational atherectomy;
calcification;
complex lesions
- From:Mongolian Medical Sciences
2020;191(1):96-99
- CountryMongolia
- Language:Mongolian
-
Abstract:
Introduction:In 1987 Jerome Ritchie, David Auth and colleagues first introduced rotational atherectomy (rotablation)
as a technique for the endovascular treatment of obstructive atherosclerotic disease. Rotational
atherectomy covers 3-5% of all procedures in big PCI centers, while <1% in smaller centers. By
study of Warth DC et al. in 1994, at early period when it was first introduced, procedure complication
of rotablation was about 40%, those with coronary dissection 29%, coronary artery occlusion 11.2%,
side branch occlusion 1.8%, distal occlusion 0.9%, no relow phenomenon 6.1%, severe vasospasm
13.8% and vascular perforation 1-2%.
By advanced techniques and technologies that kind of complications reduced significantly, it occurs
as same as other PCI procedures.
In our country PCI procedure was first introduced in Third State Central Hospital in 2000, since then
20 years has passed. During this period coronary intravascular diagnosis and treatment developed
progressively performing 14751 PTCA procedures, of those 8355(56,6%) PCI cases. By statistics
of 2017, myocardial infarction occurred 1145.6 in 10000 population, showing sharp increase, and
cardiovascular mortality became number one cause and has tendency to increase further.
To inform first outcome of rotational atherectomy of atherosclerosis that is severely calcified and
unavailable to introduce balloon catheter or stent. To conduct atherectomy treatment methods,
accustoming professionals, order and get ready the treatment materials for necessity.
We successfully performed rotablation in severely calcified mLAD of 56 years of male patient by
staged PCI, whose infarct related artery Lcx was revascularized 3 months previously. As a result the
patient was fully revascularized, the balloon catheter passed through the narrowing and stent was
implanted successfully.
- Full text:2020-191(1)-96-99.pdf
