Safety and Feasibility of the Coronary Orbital Atherectomy System via the Transradial Approach

Michael Ruisi; Jips Zachariah; Justin Ratcliffe; Moinakhtar Lala; Phillip Ruisi; Yili Huang; Ravi Diwan; Ramesh Daggubati; Tejas Patel; Tak W. Kwan

Safety and Feasibility of the Coronary Orbital Atherectomy System via the Transradial Approach

Michael Ruisi, Jips Zachariah, Justin Ratcliffe, Moinakhtar Lala, Phillip Ruisi, Yili Huang, Ravi Diwan, Ramesh Daggubati, Tejas Patel, Tak W. Kwan

Research output: Contribution to journal › Article › peer-review

6 Scopus citations

Abstract

Technological innovations have enabled higher success rates with percutaneous coronary intervention (PCI) of complex coronary lesions via the transradial approach. The orbital atherectomy system (OAS; Cardiovascular Systems, Inc) is the most recent innovation that abrades plaque using a rotation device for the facilitation of stent placement in heavily calcified lesions. Fifty patients with classic anginal symptoms and an abnormal stress test demonstrating ischemia underwent PCI using the coronary OAS. In all, 46 out of 50 patients received stents in the target lesion after orbital atherectomy. At follow-up, there were no major adverse cardiovascular events, including cardiac death, myocardial infarction, and need for target-vessel revascularization. Radial artery occlusion rate was 6% at 30 days. The use of the OAS via the radial approach may be a safe and feasible option to assist in the treatment of heavily calcified coronary lesions.

Original language	English
Pages (from-to)	E252-E255
Journal	Journal of Invasive Cardiology
Volume	27
Issue number	11
State	Published - Nov 2015
Externally published	Yes

Keywords

New technique
Orbital atherectomy
Transradial intervention

Cite this

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title = "Safety and Feasibility of the Coronary Orbital Atherectomy System via the Transradial Approach",

abstract = "Technological innovations have enabled higher success rates with percutaneous coronary intervention (PCI) of complex coronary lesions via the transradial approach. The orbital atherectomy system (OAS; Cardiovascular Systems, Inc) is the most recent innovation that abrades plaque using a rotation device for the facilitation of stent placement in heavily calcified lesions. Fifty patients with classic anginal symptoms and an abnormal stress test demonstrating ischemia underwent PCI using the coronary OAS. In all, 46 out of 50 patients received stents in the target lesion after orbital atherectomy. At follow-up, there were no major adverse cardiovascular events, including cardiac death, myocardial infarction, and need for target-vessel revascularization. Radial artery occlusion rate was 6\% at 30 days. The use of the OAS via the radial approach may be a safe and feasible option to assist in the treatment of heavily calcified coronary lesions.",

keywords = "New technique, Orbital atherectomy, Transradial intervention",

author = "Michael Ruisi and Jips Zachariah and Justin Ratcliffe and Moinakhtar Lala and Phillip Ruisi and Yili Huang and Ravi Diwan and Ramesh Daggubati and Tejas Patel and Kwan, \{Tak W.\}",

year = "2015",

month = nov,

language = "English",

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TY - JOUR

T1 - Safety and Feasibility of the Coronary Orbital Atherectomy System via the Transradial Approach

AU - Ruisi, Michael

AU - Zachariah, Jips

AU - Ratcliffe, Justin

AU - Lala, Moinakhtar

AU - Ruisi, Phillip

AU - Huang, Yili

AU - Diwan, Ravi

AU - Daggubati, Ramesh

AU - Patel, Tejas

AU - Kwan, Tak W.

PY - 2015/11

Y1 - 2015/11

N2 - Technological innovations have enabled higher success rates with percutaneous coronary intervention (PCI) of complex coronary lesions via the transradial approach. The orbital atherectomy system (OAS; Cardiovascular Systems, Inc) is the most recent innovation that abrades plaque using a rotation device for the facilitation of stent placement in heavily calcified lesions. Fifty patients with classic anginal symptoms and an abnormal stress test demonstrating ischemia underwent PCI using the coronary OAS. In all, 46 out of 50 patients received stents in the target lesion after orbital atherectomy. At follow-up, there were no major adverse cardiovascular events, including cardiac death, myocardial infarction, and need for target-vessel revascularization. Radial artery occlusion rate was 6% at 30 days. The use of the OAS via the radial approach may be a safe and feasible option to assist in the treatment of heavily calcified coronary lesions.

AB - Technological innovations have enabled higher success rates with percutaneous coronary intervention (PCI) of complex coronary lesions via the transradial approach. The orbital atherectomy system (OAS; Cardiovascular Systems, Inc) is the most recent innovation that abrades plaque using a rotation device for the facilitation of stent placement in heavily calcified lesions. Fifty patients with classic anginal symptoms and an abnormal stress test demonstrating ischemia underwent PCI using the coronary OAS. In all, 46 out of 50 patients received stents in the target lesion after orbital atherectomy. At follow-up, there were no major adverse cardiovascular events, including cardiac death, myocardial infarction, and need for target-vessel revascularization. Radial artery occlusion rate was 6% at 30 days. The use of the OAS via the radial approach may be a safe and feasible option to assist in the treatment of heavily calcified coronary lesions.

KW - New technique

KW - Orbital atherectomy

KW - Transradial intervention

UR - https://www.scopus.com/pages/publications/84946753240

M3 - Article

C2 - 26524211

AN - SCOPUS:84946753240

SN - 1042-3931

VL - 27

SP - E252-E255

JO - Journal of Invasive Cardiology

JF - Journal of Invasive Cardiology

IS - 11

ER -

Safety and Feasibility of the Coronary Orbital Atherectomy System via the Transradial Approach

Abstract

Keywords

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