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Cardiovascular Intervention and Therapeutics

Published in:

01-10-2017 | Case Report

Successful rotational atherectomy over RG3 guidewire after failure of various techniques to deliver RotaWire

Authors: Umihiko Kaneko, Yoshifumi Kashima, Daitaro Kanno, Takuro Sugie, Ken Kobayashi, Tsutomu Fujita

Published in: Cardiovascular Intervention and Therapeutics | Issue 4/2017

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.

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Title: Successful rotational atherectomy over RG3 guidewire after failure of various techniques to deliver RotaWire
Authors: Umihiko Kaneko
Yoshifumi Kashima
Daitaro Kanno
Takuro Sugie
Ken Kobayashi
Tsutomu Fujita
Publication date: 01-10-2017
Publisher: Springer Japan
Published in: Cardiovascular Intervention and Therapeutics / Issue 4/2017
Print ISSN: 1868-4300
Electronic ISSN: 1868-4297
DOI: https://doi.org/10.1007/s12928-016-0432-y

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