Table 2.
Guidance for selection of RotaWires
| Characteristics or specific situations | RotaWire floppy or extra-support |
|---|---|
| Ability to ablate the severely calcified plaques (ablation efficiency) | Extra-support > floppy |
| Ability to straighten the tortuous coronary artery | Extra-support > floppy |
| Ability to strengthen the back-up force in the system | Extra-support > floppy |
| When pre-intravascular imaging devices cross the lesion and provide sufficient information regarding the guidewire bias | Select either Extra-support or floppy according to the information from imaging devices and angiography |
| When operators cannot judge the guidewire bias from angiography and/or intravascular imaging | Floppy first |
| When junior RA operators cannot understand which RotaWires are more suitable to the lesion | Floppy first |
| When the burr cannot cross the lesion, the exchange from floppy to extra-support | May work well, because of the change of the contact point. However, the strong guidewire bias may cause deep ablation |
| When the burr cannot cross the lesion, the exchange from extra-support to floppy | May work well, because of the change of the contact point |