1st Department of Cardiology, Hippokration Hospital, 114 Vas. Sofias Avenue, 11527 Athens, Greece.
J Invasive Cardiol. 2020 Jun;32(6):E175. doi: 10.25270/jic/19.00491.
In balloon-uncrossable calcified lesions, rotational atherectomy (RA) is the first-line modality to enable operators to advance balloons and stents over the stenosis. If the lesion is undilatable after RA, a hybrid approach with additional intracoronary lithotripsy (rotatripsy) can be an effective approach that further modifies the calcified plaque and enables stent delivery.
在球囊无法通过的钙化病变中,旋磨术(RA)是使术者能够在狭窄部位推进球囊和支架的一线治疗方式。如果 RA 后病变仍无法扩张,可采用联合腔内碎石术(旋切术)的杂交治疗方法,进一步修饰钙化斑块,从而使支架能够输送到位。