Rotational atherectomy: advanced techniques with videos + Orbital atherectomy tips- Elias Hanna

0:00 Basics of the burr, advancer, buttons, wire, D-R-A-W
13:01 1-Understand the wire brake mechanism
16:33 2-Exchange initial wire for Rotawire: what to do if standard wire crosses lesion but microcatheter cannot cross
18:04 3-How to advance Rotablator system over the wire into the guide catheter (over-the-wire system) Two Single operator techniques
20:41 4-How to remove Rotablator from the guide over the long wire (over-the-wire system)
25:20 5-Once you get close to the tip of the guide, how to get it to the ostial coronary?
26:45 6-Once in the coronary: how to release tension?
29:24 7-Once in the coronary: How to get to a mid-vessel lesion?
31:43 8- How to burr across the lesion?
39:22 If Rotawire needs repositioning and you are not able to move it by just push and pull: next step?
40:03 9-How to rotablate aorto-ostial lesions?
41:12 10-How to advance system to a distal lesion?
45:24 11-How to treat ostial LCx at a 90 degrees angle?
47:48 12-How to treat burr entrapment?
51:36 13-Orbital atherectomy CSI vs rotational atherectomy. Design, techniques, pros and cons
1:01:48 How to do orbital atherectomy of aorto-ostial lesions

[@vidyasagargosala6522]

Excellent explanation on procedure on coronary artery blocks using Rotobalation

[@MrOberion]

hello, the most informative video on this topic. Thanks to the author. You have advanced my skills

[@gamecock300]

Excellent presentation, as always. Appreciate the detailed tips and tricks!

[@mikemadden4487]

all of your videos are fantastic. Thank you so much for the content.

[@areenal-taie6836]

Very appreciated Dr Hanna
Please continue to teach us on Interventional procedures

[@raghuk5958]

You are an excellent teacher sir👍 your concepts are crystal clear
Very good video for a beginner who wants to do RA
Thanks and keep posting 🎉

[@DRPANKAJMANORIA]

thanks for the wonderful video

[@Nikesnipe]

Excellent

[@djuzar]

Thank you for sharing your expertise on rotational atherectomy procedure in systematic and stepwise manner…

[@urgenceser9918]

Thanks

[@alytohamy4990]

Marvelous

[@k124a]

Different level!

[@aroojzahid3138]

Sir u r simply the great demonstrator
Hats off . U made each and every step crystal clear.
Just one ambiguity to b cleared as what's ROTA PRO? How it's different from conventional rota console system?

[@eliashanna8248]

Thank you for your kind words.
Rota Pro is the Rotablator system used in the US and most of the world, where all the buttons are on the advancer system, next to the burr knob, with no foot pedal. This is the advancer system I am describing in the video; this may very be what you have in your country. In the old system, you would need to press on a foot pedal to activate the burr and another pedal to enable Dynaglide.

[@xx_thor_user_xx6326]

Do you have a video of temp pacing? Please and thank you.

[@86sakthi]

Why there is need for automatic wire brake during rota/dyna mode?
During rotablation at 150k what if we apply the wire brake defeat??

[@eliashanna8248]

Wire brake prevents this wire from moving forward (axial movement) or spinning (rotational movement) as you are advancing the burr. IF you apply the brake defeat during rotablation, the latter wire movements may happen.