Rotablação
Rotablation
PCI (also known as percutaneous coronary intervention) also known as angioplasty is an interventional procedure which is used to improve the blood flow through the narrowed coronary arteries with balloon dilatation and/or stent implantation.
A Rotablator, is a miniature diamond studded drill which is used to treat calcified lesions prior to an Angioplasty. Also known as Rotational Atherectomy, the plaque is ground into tiny particles, which are safe to be released into the blood stream. The Rotablator machine makes a noise similar to a dentist drill. The procedure is very similar to the coronary angiogram (catheterisation) used to determine these narrowings.
What should I expect?
The procedure is very similar to the cardiac angiogram. A sedative can be given if you would like it. Access will be gained usually to the right radial artery located in the wrist, or the right femoral artery, located in the groin. A local anaesthetic injection will be given into the area prior to this. X-rays help guide the catheter to your heart. As previously, a dye (contrast) is injected to visualise the arteries. You will not experience the warm flush felt during the angiogram. When the catheter and wire are in the correct position, the Consultant will use the Rotablator to grind down the plaque prior to inflating a balloon and stent within this area. The noise is similar to a dentist’s drill. A stent is a small mesh like tube used to keep the vessel open. During this time you may experience some discomfort similar to your angina. Analgesia can be given if required.
Risk:
The risk of this procedure is similar to normal angioplasty procedure. To find out more click here.