Rotational Atherectomy via Radial Artery Access

1.8F Microcatheter for wire exchange, Floppy Rota Wire, 1.5 mm burr, 180000-200000 rpm, Pilot 50 wire, DES 3.0x24 mm, NC Trek balloon 3.5x12 mm

[@miftalutfiatul2367]

Nice work

[@user-nr1ls3le8t]

Good results

[@rogeriomoura6557]

GREAT, BUT HAVE A DISSECTION AFTER STENT.

[@suryadharmamdphd9744]

Caudal view angio shows no dissection

[@Docsammy]

Not very impressive technique sir. Your guide is not coaxial. Burr coming out that way can dissect your LM. Also you start burr at the lesion. Too fast of movements rather than nice pecking. Stent is under expanded. Also stenting the ostium, good idea to protect the circ.

[@Docsammy]

Also watch the movement of your rota wire as you burr and then the distal location of the wire after burr. It's in a small branch around the apex.

[@suryadharmamdphd9744]

During rotational the guide was well enganged, the rota was done before the lesion with a standard speed for rota, post dilation was well performed. And I think no need to protect the LCX

[@suryadharmamdphd9744]

@@Docsammy During rota it is advisable to put the wire distally and the operator should control it during the procedure.