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Safety of coronary rotablation in patients with significant left ventricular systolic dysfunction
Received:August 07, 2020  Revised:October 12, 2020  Click here to download the full text
Citation of this paper:YANG Hong-bo,HUANG Zhe-yong,QIAN Ju-ying,ZHANG Feng,MA Jian-ying,YAO Kang,LI Chen-guang,DAI Yu-xiang,LU Hao,GE Lei,ZHANG Shu-ning,XU Shi-kun,SHEN Li,HUANG Dong,GE Jun-bo.Safety of coronary rotablation in patients with significant left ventricular systolic dysfunction[J].Chinese Journal of Clinical Medicine,2020,27(6):945-949
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Author NameAffiliationE-mail
YANG Hong-bo Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, Shanghai 200032, China  
HUANG Zhe-yong Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, Shanghai 200032, China  
QIAN Ju-ying Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, Shanghai 200032, China qian.juying@zs-hospital.sh.cn 
ZHANG Feng Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, Shanghai 200032, China  
MA Jian-ying Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, Shanghai 200032, China  
YAO Kang Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, Shanghai 200032, China  
LI Chen-guang Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, Shanghai 200032, China  
DAI Yu-xiang Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, Shanghai 200032, China  
LU Hao Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, Shanghai 200032, China  
GE Lei Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, Shanghai 200032, China  
ZHANG Shu-ning Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, Shanghai 200032, China  
XU Shi-kun Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, Shanghai 200032, China  
SHEN Li Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, Shanghai 200032, China  
HUANG Dong Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, Shanghai 200032, China  
GE Jun-bo Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, Shanghai 200032, China  
Abstract:Objective:To explore the safety of coronary rotablation in patients with severe left ventricular systolic dysfunction. Methods:From January 2016 to December 2019, 14 patients undergoing coronary rotablation in Zhongshan Hospital were retrospectively enrolled in this study. Results:Average age of patients were (68.5±8.6) years old, and mean LVEF was (31.4±2.6)%. It took (4.9 ±2.4) times to pass through the lesion, and the average maximal speed was (18.2±1.8)×104 r/min. Drug eluting stents were successfully implanted in all patients, with an average of (2.9±1.2) stents per patient. One case (7.1%) developed slow blood flow, 2 cases (14.3%) developed coronary artery dissection, and 2 cases (14.3%) developed coronary spasm. All of them were diffuse calcified lesions, which were resolved by drug treatment or stent implantation. No coronary perforation, pericardial tamponade, emergency surgery or death occurred. No major adverse cardiac events occurred during hospitalization. Conclusions:Coronary rotablation in patients with severe left ventricular systolic dysfunction was safe.
keywords:coronary heart disease  rotablation  left ventricular dysfunction
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