Ep. 9 Coronary Atherectomy: Indications, Techniques & Device Selection with Dr. Wissam Jaber

What coronary device do you reach for when a blockage won’t budge? In this episode of the BackTable Cardiology Podcast, Dr. Wissam Jaber from Emory University Hospital joins host Dr. Hady Lichaa to discuss the intricacies of coronary atherectomy, outlining the differences between rotational and orbital atherectomy, their indications, and their technical nuances.---SYNPOSISDr. Jaber shares his experiences with both rotational and orbital atherectomy, when he uses which for specific lesion subsets, potential complications, and strategies to manage them. This episode provides essential insights for cardiologists seeking to enhance their proficiency in managing calcified coronary lesions.---TIMESTAMPS00:00 - Introduction04:39 - Use of Lasers in Atherectomy07:12 - Determining Guide and Catheter Size14:24 - Laser Contrast Mix17:15 - Perforation Detection and Management25:16 - Treating the Circumflex Ostium 32:17 - Using a Guide Extension Catheter with Atherectomy Devices36:36 - Orbital Versus Rotational Atherectomy47:21 - Navigating Tortuosity in Atherectomies52:45 - Complications (Perforations, Dissections and Distal Embolizations)---RESOURCESDr. Wissam Jaberhttps://providers.emoryhealthcare.org/provider/wissam-a-jaber/777074Dr. Hady Lichaahttps://healthcare.ascension.org/find-care/provider/1336267533/hady-lichaa