What does the Dynaglide button do?

The Dyna mode button is located on the back of the advancer; it can toggle the system between full speed and Dynaglide, which is confirmed by a green advancer LED and console indicator. The new console consists of a digital display that relays information about the burr speed and deceleration indicator.

What is a RotaLink?

ATHERECTOMY SYSTEM The Peripheral RotaLink Plus has been designed to allow the catheter to be separated from the advancer to allow multiple catheters with various burr sizes to be attached to a single advancer during a procedure. The catheter is connected to the advancer to provide an integral system.

What is a rotablator procedure?

During a coronary atherectomy procedure, the cardiologist uses a catheter with a precision, rotating blade or burr at its tip to shave the plaque accumulation and open the blockage.

What is rotablator atherectomy?

Rotational atherectomy (RA) is an endovascular procedure to ablate atherosclerotic plaque by forward advancement of a rotating abrasive burr. The Rotablator Rotational Atherectomy System (Figure 1; Boston Scientific, Natick, MA) has been commercially available for use in the coronary arteries for the past 3 decades.

What is Rotaglide?

Rotaglide (Boston Scientific Scimed, Maple Grove, MN) is a lubricant approved for intravascular applications that was initially designed for use with the ROTABLATOR Rotational Atherectomy System and later adopted for facilitating intracoronary stent placement.

What is the difference between angioplasty and atherectomy?

Angioplasty — A balloon is inflated to open the vessel. Angioplasty and stent placement — After the balloon is used, a mesh frame called a stent will be placed in the vessel to support the walls. Atherectomy — The plaque is removed using a rotating shaver or laser.

What are the risks with Rotablation in the heart?

Acute no flow, severe vessel dissection with impending acute closure, atheroembolism and transient profound hypotension are the most frequently encountered risks in rotablation. Most of these are also difficult to deal with in the middle of intervening complex lesions in high risk patients.

How safe is rotational atherectomy?

Conclusions: Rotational atherectomy is a safe and sufficient technique for the endovascular treatment of heavily calcified coronary artery lesions. Individuals at a higher risk as assessed by the EuroSCORE II before RA and those with longer stent(s) implanted after RA are predisposed to MACCE in the follow-up.