Bulut Mustafa, Deniz Acar Rezzan, Boztosun Bilal
Department of Cardiology, Kartal Koşuyolu Yüksek İhtisas Training and Research Hospital, İstanbul, Turkey.
Turk Kardiyol Dern Ars. 2014 Apr;42(3):302-10. doi: 10.5543/tkda.2014.29050.
Atherectomy is a procedure that clears blockages in the coronary arteries in order to improve blood flow to the heart and relieve symptoms of coronary artery disease. The procedure may be performed instead of or in addition to other procedures and can improve both the immediate and long-term success of balloon angioplasty and stenting. Although it is no longer a common procedure, it does play an important role in interventional cardiology. When the challenging atherosclerotic coronary artery lesions cannot be crossed by a balloon or cannot be adequately dilated even with non-compliant balloon, such lesions may be better treated by rota-ablation, which is carried out by operators who are experienced in rotational atherectomy.
旋切术是一种清除冠状动脉堵塞物的手术，目的是改善心脏的血液流动并缓解冠状动脉疾病的症状。该手术可以替代其他手术或作为其他手术的补充，并且可以提高球囊血管成形术和支架置入术的近期和长期成功率。虽然它已不再是常见的手术，但在介入心脏病学中仍发挥着重要作用。当具有挑战性的动脉粥样硬化性冠状动脉病变无法被球囊穿过，或者即使使用非顺应性球囊也无法充分扩张时，这种病变可能通过旋磨术进行更好的治疗，旋磨术由有旋切术经验的操作者进行。
