Orbital Atherectomy
Orbital atherectomy (OA) is a technique used to prepare severely calcified coronary artery lesions for percutaneous coronary intervention (PCI) by modifying the plaque, allowing for better stent expansion.
Is safe and effective option for treating severely calcified coronary lesions,particularly in complex cases or high-risk patients where conventional techniques may be challenging or ineffective.
Who Needs ?
- Patients with severely calcified coronary artery lesions
- Candidates for percutaneous coronary intervention (PCI) or stenting
- Those with calcium thickness >0.24 mm or calcium score ≥4
- Patients with complex lesions like left main disease, ostial lesions, chronic total occlusions
- Can be used in high-risk patients with comorbidities like diabetes, hyperlipidemia, chronic kidney disease
Symptoms it can help with
- Chest pain (angina)
- Shortness of breath
- Fatigue
- Other symptoms of coronary artery disease
Advantages post-procedure
- High rate of successful stent delivery (97.7% in ORBIT II trial)
- Low rates of major adverse cardiovascular events (MACE)
- Improves lesion compliance, facilitating stent implantation
- Relies on Reduces procedural complications compared to conventional techniques
- Can be used safely in patients with impaired left ventricular function
- Effective for complex, severely calcified lesions that are challenging to treat otherwise
- Allows treatment of coronary disease in high-risk patients
Key features
- Uses a diamond-coated crown that orbits to sand down calcified plaque
- FDA-approved for treating severely calcified coronary lesions
- Can adjust ablation diameter for different clinical scenarios
- Produces smaller particulates compared to other atherectomy devices
- Bidirectional motion reduces thermal injury
Atherectomy and Drug-Coated Balloon Angioplasty
What PATIENTS SAYS !!
Vishal Saxena
Heart Patient
I am grateful to Dr Gautam Swaroop for the medical treatment provided to me during my stay at Sahara hospital,when we lost all hopes ...We believe our prayers was answered by competent,composed and caring Dr Gautam swaroop...
Ram Dev Maurya
Heart Patient
I am really happy to quote that generally doctors after doing surgery and operations...immediately after the operation there is poor accessibility of doctors but Dr gautam swaroop is always available for his patient 24*7
Bechan prasad mishra
Heart Patient
30 minutes after my heart attack I was rushed to Sahara hospital Dr. gautam swaroop put a Life saving stent immediately....and i am alive ....whenever I go and meet Dr. Gautam Swaroop for regular checkup I always feel I am in safe hands
Ranjan Kumar singh
Heart Patient
My patient was on ventilator because of heart attack. We were refused from all hospitals in Lucknow including LARI cardiology. We had lost hope. We admitted under Dr Gautam Swaroop. He did Angioplasty on ventilator and he saved my Father’s life. He has got miraculous hand.My whole family is thankful to him. He is next to God for us.
