Rotablator Online Preceptor LIVE was held at our hospital (Saiseikai Yokohamashi Tobu Hospital) on the afternoon of October 21st. An educational live demonstration course for teachers who have newly obtained facility certification and are beginning to use the Rotablator.

In the first case, Yoshiaki Ito, the director of the center, acted as the operator, and it was a case with a severe calcified lesion in the proximal part of the LAD and bending of the LAD. Debulking was performed on a regular basis, resulting in an effective vessel preparation.

In the second case, Tsutsumi acted as the operator and performed Rotablation for the LAD mid calcified lesion. Since the lesion length itself is short, it may have been possible to dilate using a cutting balloon, etc., but if ballooning was performed without debulking, the healthy side would be overdilated and there was a risk of perforation, so balloon dilation can be safely performed. It was Rota for lesionmodification. As a result, I think it was very well modified and effectively prepared.

In the third case, Dr. Yoshiaki Ito, the director of the center, performed PCI again for a highly calcified lesion of RCA. Since it was a large vessel, the initial burr size started at 2.15 mm, which may have been a thrilling PCI for a beginner teacher, but this is also a PCI that considers guidewire bias, vessel size, calcium distribution and thickness in imaging. Since it was all sizing, I think I was able to show my skillful judgment and skill. All cases were successful without complications.

Tsutsumi gave the lecture and talked about the basics of Rota such as adaptation of the Rotabalator, determination of burr size, wirebias and short-cut, but the case was progressing smoothly, so I had a little time to spare. , As Tips & Tricks, we also talked about indications and tricks for Rota combined with Guiding extension catheter.

It was an educational live performance and lecture for teachers at facilities that are new to Rota and those who are still inexperienced. I would appreciate it if you had a good experience that will be useful for your PCI in the future.

Complex cases also gather from nearby areas at our hospital, and there are many Rota cases, and many experienced doctors are enrolled. There are many techniques and tips & tricks unique to our hospital, and in the past, we had the opportunity to see and learn from teachers outside the hospital at workshops. Due to the COVID epidemic, we are not able to hold the Rota workshop at the moment, but we look forward to your participation when the day comes when we can revive it.