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Experience in High Speed Rotational Coronary Atherectomy

Shin EK, Ahn TH, Choi JW, Choi IS

BACKGROUND: Balloon PTCA for the distal, long, eccentric coronary artery stenosis will be at high risk for severe dissection or acute occlusion during or after procedure. METHODS AND RESULTS: High...
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Directional Coronary Atherectomy (Simpson AtheroCath) : Reasons for Device Selection, Angiographic and Histologic Findings, and Its Mechanisms

Park SJ, Park SW, Kim JJ, Song JK, Doo YC, Lee SJ, Yu ES, Gong GY, Lee IC

BACKGROUND: Despite improved operator technique and advanced equipment designs, acute closure and restenosis remain as serious limitations to both the short and long-term success of balloon angioplasty. Atherectomy is a...
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Rotational Atherectomy through Inner Guiding Catheter System for 1.25 mm Rotational Burr Non-Crossable Heavily Calcified Coronary Stenosis

In DH, Lee NH, Cho YH, Suh J, Seo HS, Choi HO

Among the various kinds of percutaneous coronary intervention techniques for balloon non-crossable severe calcified coronary stenosis, rotational atherectomy (RA) is known to be a therapy of choice. We describe a...
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One case of left anterior descending artery fistula-right ventricle complicating rotablator atherectomy with spontaneous occlusion in a following coronary angiogram

Choi RK, Kim IW, Jung SM, Han CH, Goh CW, Lim DS, Park HS, Hong SK, Hwang HK

No abstract available.
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Early and Late Clinical Outcomes after Directional Coronary Atherectomy

Lee SG, Park SW, Lee CW, Cheong SS, Hong MK, Kim JJ, Park SJ

BACKGROUND: Restenosis is a major limitation of balloon angioplasty. Recently, new angioplasty devices have been used in an attempt to reduce the restenosis compared with coronary balloon angioplasty. Directional coronary...
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Initial Experience of Rotational Atherectomy in Coronary Artery Disease

Kim MH, Cha KS, Kim HJ, Kim SG, Lee SH, Park JW, Kim YD, Kim JS

BACKGROUND:Rotational atherectomy has been developed for several years. It is a useful tool in complex coronary lesion morphologies such as diffuse, calcific, ostial and angulated lesion. We report initial experience...
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Treatment of Diffuse In-stent Restenosis with Rotational Atherectomy Followed by Radiation Therapy with a 188Re-MAG3-Filled Balloon

Park SW, Kim JH, Choi S, Hong MK, Moon DH, Oh SJ, Lee CW, Kim JJ, Park SJ

BACKGROUND: Rotational atherectomy has been shown to be safe and efficient for the treatment of ISR, but the recurrence rate is still high. Intracoronary-irradiation after rotational atherectomy may be a...
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Below the Knee Intervention Using Multidisciplinary Methods Including an Antegrade, Retrograde Approach Without the Use of a Sheath but With a Plaque Excision Device

An HM, Kang WY, Kim YH, Lim CH, Hwang SH, Kim W, Kim W

Below the knee (BTK) interventions are increasing in patients with rest pain or critical limb ischemia, and these interventions are frequently successful in facilitating limb salvage. New intervention techniques and...
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Coronary Artery Proliferation and Remodeling after Coronary Artery Stenting and Directional Coronary Atherectomy

Lee DC, Jeong MH, Park OY, Kim W, Kim KH, Cho JG, Park JC, Ahn BH, Kim SH, Kang JC, Schwartz R

  • KMID: 2116752
  • Chonnam Med J.
  • 2002 Jun;38(2):89-92.
Coronary restenosis is a major concern in the field of interventional cardiology. Clinical trials for the prevention and treatment of coronary restenosis are focusing on atherectomy and stent, but the...
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Transradial Interventions in Coronary Artery Disease: Comparison with Transfemoral Interventions

Kim MH, Cha KS, Kim JS

BACKGROUND: Transradial coronary intervention was introduced recently. It has less bleeding and vascular complications and advantage of early ambulation. METHODS: We compared 142 transradial coronary interventions (101 stents, 56 balloon...
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Successful Retrieval of Intravascular Stent Remnants With a Combination of Rotational Atherectomy and a Gooseneck Snare

Kim JH, Jang WJ, Ahn KJ, Song YB, Hahn JY, Choi JH, Choi SH, Lee SH, Gwon HC

Stent migration from the delivery balloon catheter is a rare but serious complication during percutaneous coronary intervention, particularly when a part of the stent stretches into the aorta. We report...
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Duplex Surveillance after Primary Balloon Angioplasty or Directional Atherectomy for Treating Infrainguinal Arterial Disease

Hong KP, Cho S, Joh JH

PURPOSE: Percutaneous transluminal angioplasty (PTA) shows an attractive outcome for treating infrainguinal arterial occlusive disease (IAOD). However, this procedure requires repeated revascularization and additional stenting. Directional atherectomy (DA) has been...
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Long-Term Clinical Follow-up after Rotational Atherectomy and Plain Old Balloon Angioplasty for the Treatment of Coronary Stent Restenosis

Lee SH, Jeong MH, Yang BR, Lim SY, Kim W, Kim JH, Park OY, Park WS, Ahn YK, Cho JG, Park JC, Kang JC

BACKGROUND AND OBJECTIVES: Since 1987, coronary stents have changed the pattern of practice of interventional cardiology, by reducing the complications and improving the clinical outcomes. However, coronary stent restenosis still...
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Intravascular Ultrasonic Comparison of the Arterial Remodeling after Directional Coronary Atherectomy and Mechanical Rotational Atherectomy

Park KS, Yoh KG, Cho YK, Yoon JH, Choe KH, Mintz GS, Kent KM, Pichard AD, Leon MB

BACKGROUND: Directional coronary atherectomy(DCA) and mechanical rotational atherectomy(ROTA) were desinged to remove part of the obstructive tissue of atherosclerotic lesion. But, two devices have th different mechanisms of improving stenotic...
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Safety of Percutaneous Right Coronary Intervention without Temporary Pacemaker: Prospective Study

Lee SY, Gwon HC, Kim HJ, Jeong JO, Ahn KJ, Lee SC, Cho WH, Park SW, Kim JS, Kim DK, Lee SH, Hong KP, Park JE, Seo JD, Lee WR

BACKGROUND: The prophylactic use of temporary pacemaker during coronary intervention has been markedly decreased since 1980's. There is, however, few systematic report focusing on right coronary intervention in which temporary...
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Coronary Stent Implantation for Restenosis after PTCA

Shim WH, Yoon JH, Hong TJ, Lee WK

We report the implantation of a balloon-expandable intravascular stent at proximal left anterior decending artery in a patients suffered from Canakian functional class III angina for 8 years. The patient...
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Long-Term Outcomes after Treatment of Diffuse In-Stent Restenosis with Rotational Atherectomy Followed by Beta-Radiation Therapy with a 188Re-MAG3-Filled Balloon

Oh SJ, Park SW, Hong MK, Kim YH, Lee SW, Kim MK, Lee BK, Moon DH, Oh SJ, Lee CW, Kim JJ, Park SJ

BACKGROUND AND OBJECTIVES: Intracoronary radiation therapy for in-stent restenosis has been demonstrated to reduce restenosis and major adverse cardiac events. However, the long-term angiographic and clinical outcomes after beta radiation...
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Calcification Remodeling Index Characterized by Cardiac CT as a Novel Parameter to Predict the Use of Rotational Atherectomy for Coronary Intervention of Lesions with Moderate to Severe Calcification

Yu M, Li Y, Li W, Lu Z, Wei M, Zhang J

OBJECTIVE: To assess the feasibility of calcification characterization by coronary computed tomography angiography (CCTA) to predict the use of rotational atherectomy (RA) for coronary intervention of lesions with moderate to...
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The impact of preprocedural aminophylline administration on the development of bradyarrhythmias and hemodynamic changes during rotational atherectomy

Cha KS, Kim MH, Kim YD, Kim JW, Kim SJ, Kim JS

  • KMID: 2424610
  • Korean J Med.
  • 2003 Jun;64(6):647-654.
BACKGROUND: Rotational atherectomy or rotablation in right coronary artery (RCA) or dominant left circumflex artery (LCX) can cause bradyarrhythmias and requires the placement of prophylactic pacemaker. Adenosine is released endogenously...
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Usefulness of intraopertive ultrasonography during directional atherectomy using SilverHawk/TurboHawk system

Park YS, Heo SH, Hyun DH, Do YS, Park HS, Park KB, Kim YW, Park YJ, Lee CH, Kim DI

PURPOSE: Directional atherectomy (DA) was introduced for the management of infrainguinal arterial stenosis or occlusive lesions. The procedure success rate in the DEFINITIVE LE study was determined using radiologic imaging....
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