Clinical expert consensus document on rotational atherectomy from the Japanese association of cardiovascular intervention and therapeutics

被引:74
作者
Sakakura, Kenichi [1 ]
Ito, Yoshiaki [2 ]
Shibata, Yoshisato [3 ]
Okamura, Atsunori [4 ]
Kashima, Yoshifumi [5 ]
Nakamura, Shigeru [6 ]
Hamazaki, Yuji [7 ]
Ako, Junya [8 ]
Yokoi, Hiroyoshi [9 ]
Kobayashi, Yoshio [10 ]
Ikari, Yuji [11 ]
机构
[1] Jichi Med Univ, Saitama Med Ctr, Div Cardiovasc Med, 1-847 Amanuma, Omiya, Saitama 3308503, Japan
[2] Saiseikai Yokohama City Eastern Hosp, Dept Cardiol, Yokohama, Kanagawa, Japan
[3] Miyazaki Med Assoc Hosp, Dept Cardiol, Miyazaki, Japan
[4] Sakurabashi Watanabe Hosp, Div Cardiol, Osaka, Japan
[5] Sapporo Heart Ctr, Sapporo Cardio Vasc Clin, Div Intervent Cardiol, Cardiovasc Med, Sapporo, Hokkaido, Japan
[6] Kyoto Katsura Hosp, Cardiovasc Ctr, Kyoto, Japan
[7] Ootakanomori Hosp, Div Cardiol, Kashiwa, Chiba, Japan
[8] Kitasato Univ, Sch Med, Dept Cardiovasc Med, Sagamihara, Kanagawa, Japan
[9] Fukuoka Sanno Hosp, Dept Cardiol, Fukuoka, Japan
[10] Chiba Univ, Grad Sch Med, Dept Cardiovasc Med, Chiba, Japan
[11] Tokai Univ, Sch Med, Dept Cardiol, Isehara, Kanagawa, Japan
关键词
Rotational atherectomy; Calcification; Percutaneous coronary intervention; Intravascular ultrasound; Optical coherence tomography; ELUTING STENT IMPLANTATION; CORONARY-ARTERY-BYPASS; STUCK ROTABLATOR BURR; SUCCESSFUL RETRIEVAL; SUCCESSFUL REMOVAL; FLOW PHENOMENON; SLOW FLOW; BALLOON; LESIONS; OUTCOMES;
D O I
10.1007/s12928-020-00715-w
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Rotational atherectomy (RA) has been widely used for percutaneous coronary intervention (PCI) to severely calcified lesions. As compared to other countries, RA in Japan has uniquely developed with the aid of greater usage of intravascular imaging devices such as intravascular ultrasound (IVUS) or optical coherence tomography (OCT). IVUS has been used to understand the guidewire bias and to decide appropriate burr sizes during RA, whereas OCT can also provide the thickness of calcification. Owing to such abundant experiences, Japanese RA operators modified RA techniques and reported unique evidences regarding RA. The Task Force on Rotational Atherectomy of the J apanese Association of Cardiovascular Intervention and Therapeutics (CVIT) has now proposed the expert consensus document to summarize the contemporary techniques and evidences regarding RA.
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页码:1 / 18
页数:18
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