Successful rotational atherectomy over RG3 guidewire after failure of various techniques to deliver RotaWire
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Robotic Ablation of Atrial Fibrillation
Published on: May 29, 2015
Umihiko Kaneko1, Yoshifumi Kashima2, Daitaro Kanno2
1Cardiovascular Medicine, Sapporo Cardio Vascular Clinic, Sapporo Heart Center, North 49, East 16, 8-1, Higashi-Ward, Sapporo, 007-0849, Japan. uk434471@yahoo.co.jp.
Abstract:
Although performing rotational atherectomy (RA) requires guidewire exchange for the dedicated guidewire, RotaWire guidewire (Boston Scientific) exhibits much lower performance than conventional guidewire. Consequently, there are times when RotaWire cannot be advanced past the lesion independently or using a microcatheter exchange technique, rendering RA impossible. We present a case of a heavily calcified, device-uncrossable, and non-expansible chronic total occlusion lesion successfully revascularized with RA over RG3 guidewire (Asahi Intecc), which has a length of 330 cm, hydrophilic coating, and a 0.010-inch-long shaft. RG3 provided excellent cross-ability and RA could also be performed over RG3 without guidewire exchange for the RotaWire.
