First rotational atherectomy interventions were performed

"Such interventions are prescribed to people who have coronary heart disease (CHD) and whose vessels are seriously affected by calcific atherosclerotic plaques. Calcium reduces arterial wall elasticity thus, standard procedures such as angioplasty and stenting in this very case are almost impossible to perform. In order to avoid infarct, patients have to be directed to the hardest, "open" surgery-coronary artery bypass grafting"- mentioned Stanislav Sapozhnikov, an interventional cardiologist of Department of X-ray and Surgery Methods of Diagnostics and Treatment №1.

The rotational atherectomy surgery is carried out using a special drill with a diamond coating. The drill, making from 180 to 220 thousand revolutions per minute, bores out a solid plaque. When a vessel lumen is open, surgeons can immediately install a stent in the artery. It allows consolidating the result and avoiding re-narrowing of the vessel.

As all endovascular procedures the surgery is performed under x-ray control. All tools are transported to coronary arteries through the vessels by special catheters. Duration of rotablation is about two hours.

The first surgeries went in advising of Vsevolod Mironov, MD, PhD, from Moscow. One of the first patients was a woman from Ishim. Professionals of Tyumen Cardiology Research Center tried to help her several times but it did not yield any results because she had serious lesions of her arteries. Using the new method, surgeons were able to solve this problem. The procedure refers to high-tech treatment methods. It is financed by regional and federal budgets.

Video of rotablation: https://www.youtube.com/watch?v=ZwUjVSbUDG8