About Rotational Atherectomy
Key Highlights
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Effectively treats heavily calcified coronary arteries that are difficult to manage with standard angioplasty.Minimally invasive procedure, typically performed through a small incision in the wrist or groin.Facilitates optimal stent placement and expansion by modifying plaque compliance.Can improve long-term outcomes for complex coronary artery disease.Often reduces the need for more invasive surgical procedures like coronary artery bypass grafting (CABG).
Who is this surgery for?
- Severe coronary artery calcification that prevents adequate balloon inflation during angioplasty.
- In-stent restenosis (re-narrowing) within a previously placed stent, especially if calcified.
- Long, calcified coronary lesions.
- Ostial lesions (at the opening of an artery).
- As a preparatory step to enable successful stent deployment in complex percutaneous coronary interventions (PCI).
How to prepare
- Comprehensive cardiac evaluation, including angiography to confirm lesion severity and calcification.
- Review of current medications; patients may need to adjust or stop antiplatelet drugs like aspirin or clopidogrel as directed.
- Fasting for several hours (typically 6-8) before the procedure.
- Informed consent process detailing the procedure, risks, and benefits.
- Establishment of intravenous (IV) access for sedation and medications.
Risks & possible complications
- Coronary artery dissection or perforation.
- Slow or no-reflow phenomenon (impaired blood flow after the procedure).
- Heart attack (myocardial infarction).
- Arrhythmias (irregular heartbeats), often temporary.
- Contrast-induced kidney injury.
- Bleeding or hematoma at the catheter insertion site.
- Risk of stroke or need for emergency bypass surgery (rare).
Recovery & hospital stay
- Initial recovery in a monitored unit for several hours to watch for complications.
- Pressure is applied to the catheter insertion site to prevent bleeding; bed rest is required for a few hours.
- Patients are typically discharged the same day or after an overnight observation.
- Resumption of prescribed medications, especially dual antiplatelet therapy (e.g., aspirin and clopidogrel) to prevent stent thrombosis.
- Avoidance of strenuous activity and heavy lifting for about a week. Follow-up appointments are crucial to monitor recovery and stent function.
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Typical hospital stay: 1-2 days
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Expected recovery time: 1-2 weeks
Frequently Asked Questions
If you are considering rotational atherectomy in India, these questions and answers can help you make a confident, informed decision.
Popular choices for rotational atherectomy in India include Miot Hospital Chennai, Kamineni Hospital, King Koti, Kamineni Hospital, Tadigadapa, Manipal Hospital Old Airport Road, Manipal Hospital Bhubaneswar, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform rotational atherectomy. MediFyr helps you compare cardiac surgeons and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for rotational atherectomy compare across other countries where we have data.
Top hospitals for Rotational Atherectomy in India
These partner hospitals in India have dedicated cardiac surgery teams and experience managing patients undergoing rotational atherectomy.
Aarav Mehta, a 58-year-old restaurant owner,...
Aarav Mehta, a 58-year-old restaurant owner, had always been the energetic heart of his family business. For months, he dismissed his worsening chest tightness and breathlessness while lifting stock as 'just getting older.' When a simple walk to the market left him gasping, his wife insisted on a check-up. An angiogram revealed severe, rock-hard calcification in his left anterior descending artery, a 'concrete pipe' that standard angioplasty couldn't treat. His cardiologist, Dr. Kapoor, explained that rotational atherectomy was the only way to safely drill through the calcium to place a life-saving stent. Terrified of heart surgery, Aarav feared losing his livelihood. The procedure itself was painless under sedation; he only recalls the whirring sound of the diamond-tipped burr. After a night in the ICU for observation, he was walking the next day. Within three weeks, he was back at the restaurant, pain-free. The emotional shift from fearing a forced retirement to feeling a renewed lease on life was profound. He now calls his stent his 'little diamond drill bit' and attends cardiac rehab with gratitude.
Cardiac surgeons for Rotational Atherectomy
Explore experienced cardiac surgeons who regularly perform rotational atherectomy and provide pre- and post-operative care in India.
- 31 Years Experience
- Pediatric Cardiac surgeon
Miot Hospital Chennai, Chennai
- 37 Years Experience
- Cardiac surgeon
Miot Hospital Chennai, Chennai
- 30 Years Experience
- Cardiac surgeon
Manipal Hospital Sarjapur Road, Bangalore
- 21 Years Experience
- Cardiac surgeon
Manipal Hospital Sarjapur Road, Bangalore
- 11 Years Experience
- Cardiac surgeon
Manipal Hospital Sarjapur Road, Bangalore
- 13 Years Experience
- Cardiac surgeon
- 31 Years Experience
- Cardiac surgeon
Manipal Hospital Whitefield, Bangalore
- 13 Years Experience
- Cardiac surgeon
Manipal Hospital Whitefield, Bangalore
- 15 Years Experience
- Cardiac surgeon
Manipal Hospital Old Airport Road, Bangalore
- 30 Years Experience
- Cardiac surgeon
Manipal Hospital Old Airport Road, Bangalore
- 16 Years Experience
- Cardiac surgeon
Manipal Hospital Old Airport Road, Bangalore
- 23 Years Experience
- Cardiac surgeon
Manipal Hospital Mysore, Mysore
- 13 Years Experience
- Cardiac surgeon
Manipal Hospital Vijayawada, vijayawada
- 23 Years Experience
- Cardiac surgeon
Manipal Hospital Malleshwaram, Bangalore
- 37 Years Experience
- Cardiac surgeon
SIMS Hospital Vadapalani, Chennai
- 8 Years Experience
- Cardiac surgeon
SIMS Hospital Vadapalani, Chennai
- 11 Years Experience
- Cardiac surgeon
SIMS Hospital Vadapalani, Chennai
- 17 Years Experience
- Cardiac surgeon
SIMS Hospital Vadapalani, Chennai
- 11 Years Experience
- Cardiac surgeon
Manipal Hospital Hebbal, Bangalore
- 15 Years Experience
- Cardiac surgeon
Manipal Hospital Hebbal, Bangalore