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Dr.Umesh kotkar
Rotablation
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Rotablation
Rotablation, also known as rotational atherectomy, is an advanced minimally invasive technique used to treat heavily calcified coronary artery blockages that cannot be opened with standard angioplasty balloons. In such cases, hard calcium deposits act like stone walls inside the arteries, restricting blood flow and causing chest pain, breathlessness, or even heart attacks. Rotablation helps prepare these rigid lesions, allowing stents to be placed safely and effectively. Under the expertise of Dr. Umesh Akkalkotkar, Senior Consultant & Interventional Cardiologist at N.M. At the Wadia Institute of Cardiology, Pune, patients receive precise, high-success rotablation treatment, backed by modern technology and extensive clinical experience.

What is Rotablation?

Rotablation uses a specialised catheter with a tiny diamond-coated rotating burr that gently sands down calcified plaque inside the coronary artery. The debris produced is microscopic and safely washed away by the bloodstream.
  • Procedure Overview: A thin wire is passed across the calcified blockage, and the rotating burr (spinning at nearly 150,000–200,000 rpm) is advanced to modify the plaque. Once the artery is adequately prepared, angioplasty and stent placement follow. The procedure is performed in a cath lab under local anaesthesia.
  • Key Features: Designed for severely calcified, undilatable lesions in patients where standard angioplasty techniques are insufficient.
  • Applications: Essential for achieving optimal stent expansion and long-term success in patients with tough, long-standing calcium buildup.

    • Benefits of Rotablation

  • Enables Safe Stenting: Helps modify hardened calcium, allowing stents to expand properly and reducing the risk of future blockages.
  • Higher Procedural Success: Particularly beneficial for elderly patients, diabetics, and those with chronic total occlusions or long calcified segments.
  • Minimally Invasive: No surgical cuts, rapid recovery, and most patients return home the next day.

    • Why Choose Dr. Umesh Akkalkotkar for Rotablation?

  • Expertise: Extensive experience in performing rotablation for complex, high-calcium lesions with consistently high success rates.
  • Cutting-Edge Facility: N.M. Wadia Institute offers state-of-the-art cath lab imaging, intravascular ultrasound (IVUS), and fractional flow reserve (FFR) support for precision.
  • Patient-Centered Approach: Customised treatment planning, transparent discussions, and compassionate care throughout the process.
  • Proven Results: Excellent procedural outcomes, reduced complications, and strong patient satisfaction.
  • Innovation-Focused: Uses the latest devices and follows international best practices to ensure optimal artery preparation and stent expansion.
    • If severe calcified coronary artery disease is affecting your health, Rotablation with Dr Umesh Akkalkotkar offers a safe, effective, and advanced solution. Book a consultation today for an expert evaluation and personalised treatment plan.