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    Rotational Atherectomy (Rotablation)

    Rotational atherectomy (RA), also known as rotablation, is an advanced technique used to treat heavily calcified and atherosclerotic coronary blockages. At Apollo Hospitals in Jubilee Hills, our experienced interventional radiologists perform this procedure using a rotablator device, which is a diamond-tipped, cone-shaped burr.

    How is Rotational Atherectomy Performed?

    • Pre-Procedure Diagnosis: Before undergoing rotational atherectomy, patients typically have diagnostic tests such as coronary angiography to assess the severity and location of coronary artery disease and the extent of calcification.
    • Anaesthesia: Rotational atherectomy is performed under local anaesthesia.
    • Catheter Navigation: A catheter fitted with the rotablator is guided to the blockage site.
    • Plaque Removal: The rotablator device spins at speeds up to 150,000 rpm to gently break down the blockage into tiny particles that pass safely through the bloodstream. The procedure quickly improves blood flow and heart function, typically within about five minutes.
    • Post-Procedure Angioplasty: After plaque removal, angioplasty may be performed to further widen the artery and enhance blood flow.

    Recovery After Rotational Atherectomy

    The recovery time and outcomes from rotational atherectomy can vary based on the patient’s condition, the severity of coronary artery disease, and the procedure’s success. Generally, patients will see a gradual improvement in symptoms and overall heart health over time. Post-operative care typically includes monitoring vital signs and heart function, managing medications, implementing rehabilitation and lifestyle changes, and attending follow-up appointments.

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    FAQ's

    Although all medical procedures involve some risk, rotational atherectomy is a proven technique with a solid safety record. Potential risks include minor bleeding, infection, or damage to the artery.

    Typically, atherectomy is an outpatient procedure, allowing you to return home on the same day.
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