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Volume 15
Issue 13
10.3390/jcm15134913
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This is an early access version, the complete PDF, HTML, and XML versions will be available soon.
Review

Tips and Tricks of Orbital Atherectomy in Real-World Clinical Practice

by
Takashi Ashikaga
*,
Toshihiro Nozato
,
Yasutoshi Nagata
,
Tetsumin Lee
,
Masakazu Kaneko
,
Toru Misawa
,
Masashi Nagase
,
Mao Matsuyama
,
Daigo Kachi
,
Maki Ohira
and
Kazuki Matsuda
Department of Cardiology, Japanese Red Cross Musashino Hospital, 1-26-1 Kyonan-cho, Musashino City 180-8610, Tokyo, Japan
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2026, 15(13), 4913; https://doi.org/10.3390/jcm15134913 (registering DOI)
Submission received: 7 May 2026 / Revised: 5 June 2026 / Accepted: 11 June 2026 / Published: 24 June 2026
(This article belongs to the Special Issue Advances in Percutaneous Coronary Intervention: Techniques, Tools and Outcomes)
Versions Notes

Abstract

Orbital atherectomy (OA) is a highly effective atherectomy device used to treat heavily calcified coronary arteries. The technique for using OA is critical and depends on appropriate use of the dedicated guidewire. OA employs a centrifugal, differential sanding mechanism with bidirectional movement. When used with proper technique, the device appears to be associated with a low rate of complications, such as bradycardia and slow flow, compared with rotational atherectomy (RA), and results in high procedural success rates. We describe our experience with the OA device and procedural techniques in our catheterization laboratory.
Keywords: orbital atherectomy; percutaneous coronary intervention; coronary artery calcification; IVUS; OCT orbital atherectomy; percutaneous coronary intervention; coronary artery calcification; IVUS; OCT

Share and Cite

MDPI and ACS Style

Ashikaga, T.; Nozato, T.; Nagata, Y.; Lee, T.; Kaneko, M.; Misawa, T.; Nagase, M.; Matsuyama, M.; Kachi, D.; Ohira, M.; et al. Tips and Tricks of Orbital Atherectomy in Real-World Clinical Practice. J. Clin. Med. 2026, 15, 4913. https://doi.org/10.3390/jcm15134913

AMA Style

Ashikaga T, Nozato T, Nagata Y, Lee T, Kaneko M, Misawa T, Nagase M, Matsuyama M, Kachi D, Ohira M, et al. Tips and Tricks of Orbital Atherectomy in Real-World Clinical Practice. Journal of Clinical Medicine. 2026; 15(13):4913. https://doi.org/10.3390/jcm15134913

Chicago/Turabian Style

Ashikaga, Takashi, Toshihiro Nozato, Yasutoshi Nagata, Tetsumin Lee, Masakazu Kaneko, Toru Misawa, Masashi Nagase, Mao Matsuyama, Daigo Kachi, Maki Ohira, and et al. 2026. "Tips and Tricks of Orbital Atherectomy in Real-World Clinical Practice" Journal of Clinical Medicine 15, no. 13: 4913. https://doi.org/10.3390/jcm15134913

APA Style

Ashikaga, T., Nozato, T., Nagata, Y., Lee, T., Kaneko, M., Misawa, T., Nagase, M., Matsuyama, M., Kachi, D., Ohira, M., & Matsuda, K. (2026). Tips and Tricks of Orbital Atherectomy in Real-World Clinical Practice. Journal of Clinical Medicine, 15(13), 4913. https://doi.org/10.3390/jcm15134913

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