Very effective. Rotational atherectomy is a niche tool. Some kinds of coronary blockages are not amenable to stenting, particularly those which contain a large amount of calcium. These blockages are very hard and the stent cannot easily expand. Rotational atherectomy is very effective in opening heavily calcified arteries. Rotational atherectomy is not required in the majority of angioplasties.
Similar to stenting. The risks of rotational atherectomy include a 1% combined risk of stroke, heart attack, death, perforation of the coronary, and emergency heart surgery. These are average risks for a large population of patients. Risks in an individual patient may be higher.
Uncommon situation. Atherectomy means removal of the atheroma, that is, of the plaque that is causing the blockage of the artery. This particular procedure is rarely performed during coronary bypass surgery and involves removal of plaque from the right coronary artery.
Effects. It varies person to person and degree of CAD but in general exercise is lots more effective than sitting on your butt. Discuss with your doctor what might be appropriate for you.
Angioplasty. For patients with appropriate indications, coronary angioplasty is an effective treatment. The important words are appropriate indication and this is patient specific. The discussion needs to be had with the cardiologist who knows the patient best.
Quite effective. For appropriate patients.
PTCa. PTCA is highly effective for providing symptom relief in patients who are appropriate candidates for PTCA procedures. It does NOT cure the disease, it helps provide better flow through the diseased vessel, full diet, exercise, not smoking and medical therapy remain necessary for life after the procedures before them.
Stent. When treating an obstructed coronary artery with a stent is the appropriate treatment, the stent if properly placed and without complications is usually 90-95% effective at relieving the symptoms associated with the obstructed artery. Stenting is not necessarily appropriate for all patients and treatment needs to be individualized. Discuss with your cardiologist.
Coronary artery dise. Smoking is extremely effective at making CAD worse. Stopping smoking helps keep it from getting worse in concert with other treatments.
Important part. "Statins" are an important part of treating all types of arteriosclerosis. They help reduce "bad" cholesterol and lower the inflammatory response in arteries even in patietns with relatively normal cholesterol. There are man ytrials that have shown the benefit of :Statins" such as Simvastatin in reducing heart attack, stroke and peripheral vascular symptoms in patients who have had symptoms.