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The Texas Heart Institute Journal logoLink to The Texas Heart Institute Journal
. 1995;22(3):237–242.

Rotational ablation of discrete lesions in the coronary arteries is safe. A nonrandomized comparison with percutaneous transluminal coronary angioplasty.

J Cheirif 1, R Wray 1, J Heibig 1, S Harris 1, R Staudacher 1, M Bucay 1, N Zacca 1
PMCID: PMC325259  PMID: 7580361

Abstract

Rotational ablation is receiving increasing attention as a new therapeutic intervention for coronary artery disease. In a nonrandomized study, we compared echocardiographic regional wall-motion scores of patients treated with rotational ablation with those of patients treated with percutaneous transluminal coronary angioplasty. We found that rotational ablation achieved angiographic results comparable to those of percutaneous transluminal coronary angioplasty, and was in fact associated with less myocardial ischemia. The reduction in ischemia observed in the ablation group might arise from shorter treatment times in those patients, from the use of nitroglycerin infusion in the ablation group, or from both factors.

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Selected References

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  1. Ahn S. S., Auth D., Marcus D. R., Moore W. S. Removal of focal atheromatous lesions by angioscopically guided high-speed rotary atherectomy. Preliminary experimental observations. J Vasc Surg. 1988 Feb;7(2):292–300. doi: 10.1067/mva.1988.avs0070292. [DOI] [PubMed] [Google Scholar]
  2. Cheirif J., Zoghbi W. A., Bolli R., O'Neill P. G., Hoyt B. D., Quinones M. A. Assessment of regional myocardial perfusion by contrast echocardiography. II. Detection of changes in transmural and subendocardial perfusion during dipyridamole-induced hyperemia in a model of critical coronary stenosis. J Am Coll Cardiol. 1989 Nov 15;14(6):1555–1565. doi: 10.1016/0735-1097(89)90398-7. [DOI] [PubMed] [Google Scholar]
  3. Cheirif J., Zoghbi W. A., Raizner A. E., Minor S. T., Winters W. L., Jr, Klein M. S., De Bauche T. L., Lewis J. M., Roberts R., Quinones M. A. Assessment of myocardial perfusion in humans by contrast echocardiography. I. Evaluation of regional coronary reserve by peak contrast intensity. J Am Coll Cardiol. 1988 Apr;11(4):735–743. doi: 10.1016/0735-1097(88)90205-7. [DOI] [PubMed] [Google Scholar]
  4. Choy D. S., Stertzer S. H., Myler R. K., Marco J., Fournial G. Human coronary laser recanalization. Clin Cardiol. 1984 Jul;7(7):377–381. doi: 10.1002/clc.4960070701. [DOI] [PubMed] [Google Scholar]
  5. Cowley M. J., Dorros G., Kelsey S. F., Van Raden M., Detre K. M. Acute coronary events associated with percutaneous transluminal coronary angioplasty. Am J Cardiol. 1984 Jun 15;53(12):12C–16C. doi: 10.1016/0002-9149(84)90738-0. [DOI] [PubMed] [Google Scholar]
  6. Crea F., Davies G., McKenna W., Pashazade M., Taylor K., Maseri A. Percutaneous laser recanalisation of coronary arteries. Lancet. 1986 Jul 26;2(8500):214–215. doi: 10.1016/s0140-6736(86)92507-9. [DOI] [PubMed] [Google Scholar]
  7. Cumberland D. C., Starkey I. R., Oakley G. D., Fleming J. S., Smith G. H., Goiti J. J., Tayler D. I., Davis J. Percutaneous laser-assisted coronary angioplasty. Lancet. 1986 Jul 26;2(8500):214–214. doi: 10.1016/s0140-6736(86)92506-7. [DOI] [PubMed] [Google Scholar]
  8. Fourrier J. L., Bertrand M. E., Auth D. C., Lablanche J. M., Gommeaux A., Brunetaud J. M. Percutaneous coronary rotational angioplasty in humans: preliminary report. J Am Coll Cardiol. 1989 Nov 1;14(5):1278–1282. doi: 10.1016/0735-1097(89)90428-2. [DOI] [PubMed] [Google Scholar]
  9. Hansen D. D., Auth D. C., Hall M., Ritchie J. L. Rotational endarterectomy in normal canine coronary arteries: preliminary report. J Am Coll Cardiol. 1988 May;11(5):1073–1077. doi: 10.1016/s0735-1097(98)90067-5. [DOI] [PubMed] [Google Scholar]
  10. Heibig J., Harris S. Distal coronary hemoperfusion and prolonged balloon inflation for acute occlusion: occurring during percutaneous transluminal coronary angioplasty. Tex Heart Inst J. 1990;17(1):65–68. [PMC free article] [PubMed] [Google Scholar]
  11. Serruys P. W., Wijns W., van den Brand M., Meij S., Slager C., Schuurbiers J. C., Hugenholtz P. G., Brower R. W. Left ventricular performance, regional blood flow, wall motion, and lactate metabolism during transluminal angioplasty. Circulation. 1984 Jul;70(1):25–36. doi: 10.1161/01.cir.70.1.25. [DOI] [PubMed] [Google Scholar]
  12. Visser C. A., David G. K., Kan G., Romijn K. H., Meltzer R. S., Koolen J. J., Dunning A. J. Two-dimensional echocardiography during percutaneous transluminal coronary angioplasty. Am Heart J. 1986 Jun;111(6):1035–1041. doi: 10.1016/0002-8703(86)90003-7. [DOI] [PubMed] [Google Scholar]
  13. Zacca N. M., Raizner A. E., Noon G. P., Short D., 3rd, Weilbaecher D., Gotto A., Jr, Roberts R. Treatment of symptomatic peripheral atherosclerotic disease with a rotational atherectomy device. Am J Cardiol. 1989 Jan 1;63(1):77–80. doi: 10.1016/0002-9149(89)91079-5. [DOI] [PubMed] [Google Scholar]
  14. Zotz R., Stähr P., Erbel R., Auth D., Meyer J. Analysis of high-frequency rotational angioplasty-induced echo contrast. Cathet Cardiovasc Diagn. 1991 Feb;22(2):137–144. doi: 10.1002/ccd.1810220215. [DOI] [PubMed] [Google Scholar]

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