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Intravascular Plaque Modification With Rotational Atherectomy Technique for Recanalization of Heavily Calcified
Qing Qin1, You Zhou2, Rende Xu1
1Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Disease, Shanghai, China; National Clinical Research Center for Interventional Medicine, Shanghai, China.
JACC. Case Reports
|July 29, 2026
Summary
The intravascular plaque modification with rotational atherectomy (IMAC) technique effectively modifies heavily calcified chronic total occlusion lesions. This method aids guidewire crossing when other techniques fail, improving treatment options for complex arterial blockages.
Area of Science:
- Cardiovascular Interventions
- Interventional Cardiology
- Vascular Surgery
Background:
- Heavily calcified chronic total occlusion (CTO) lesions pose significant challenges in percutaneous coronary intervention.
- Conventional balloon angioplasty and microcatheter techniques often fail in these complex lesions, necessitating advanced strategies.
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