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Percutaneous Transluminal Coronary Rotary Ablation with Rotablator: European Experience

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Restenosis after Intervention with New Mechanical Devices

Abstract

Over the past decade, it has been recognized that percutaneous transluminal coronary angioplasty [1] is a very effective method of myocardial revascularization. Nevertheless, in spite of real advances in technique and equipment, there are still several limitations: These include the treatment of ostial lesions, diffuse disease and complex lesions with surface irregularity or marked eccentricity etc. Lastly, restenosis of the dilated segment can occur in 30 to 35% [2] particularly when multiangioplasties are performed [3]. These problems have driven engineers and interventional cardiologists to develop and to explore new methods of recanalization including laser angioplasty, implantation of endovascular prostheses and atherectomy.This term, now applied to any catheter-based mechanical device removing atherosclerotic material from the vessel wall in situ, includes directional or excisional atherectomy (J. Simpson), transluminal extraction atherectomy (R.Stack)[4] and rotary ablation (RA) with the Rotablator (D. Auth)[7–17].

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© 1992 Springer Science+Business Media Dordrecht

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Bertrand, M.E. et al. (1992). Percutaneous Transluminal Coronary Rotary Ablation with Rotablator: European Experience. In: Serruys, P.W., Strauss, B.H., King, S.B. (eds) Restenosis after Intervention with New Mechanical Devices. Developments in Cardiovascular Medicine, vol 131. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-2650-2_18

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  • DOI: https://doi.org/10.1007/978-94-011-2650-2_18

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-5171-2

  • Online ISBN: 978-94-011-2650-2

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