Case 176: Manual of PCI - Heavily calcified ostial RCA

[@tom11298]

Excellent tips!!. Orbital Atherectomy (OA) is increasingly being utilized for ostial lesions and balloon-uncrossable lesions with very good results. As a result, Rotational Atherectomy (RA) has become a strong competitor. It would be interesting to see studies comparing RA and OA specifically in the context of ostial lesions and balloon-uncrossable stenosis. In this presentation, the retrograde sanding was really smart and thoughtful. Well done!

[@salahuddinsalahuddin3210]

thanks a lot for sharing this case and your experience with us!

[@shangz0216]

Thanks for the excellent case presentation.

[@ВалерийАлмаев-у7л]

Thank You very much, Professor Emmanouil Brilakis for the great case presentation. Can i ask one question? Why the choice of type of atherectomy in this case is orbital? This question is for me to know how to make this choice.

[@manosbrilakis]

Either orbital or rotational can be used depending on local availability and expertise. Orbital might give bigger lumen with the same crown whereas upsizing rotablator burr might be needed with rotational atherectomy.

[@ВалерийАлмаев-у7л]

@manosbrilakis Thank You.

[@wojciechrubin9992]

Ostial flare inflation with NC or SC?

[@manosbrilakis]

NC or Ostial Flash