BackTable / Cardiology / Podcast / Episode #9

Coronary Atherectomy: Indications, Techniques, and 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.

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Coronary Atherectomy: Indications, Techniques, and Device Selection with Dr. Wissam Jaber on the BackTable Cardiology Podcast

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

00:00 / 01:04

BackTable, LLC (Producer). (2025, October 14). Ep. 9 – Coronary Atherectomy: Indications, Techniques, and Device Selection [Audio podcast]. Retrieved from https://www.backtable.com

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Podcast Contributors

Dr. Wissam Jaber

Dr. Wissam Jaber is the director of the cardiac cath lab at Emory University Hospital in Atlanta, Georgia.

Dr. Hady Lichaa

Dr. Hady Lichaa is an interventional and general cardiologist with Ascension Saint Thomas Heart in Tennessee.

Synopsis

Dr. 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.

Timestamps

00:00 - Introduction
04:39 - Use of Lasers in Atherectomy
07:12 - Determining Guide and Catheter Size
14:24 - Laser Contrast Mix
17:15 - Perforation Detection and Management
25:16 - Treating the Circumflex Ostium
32:17 - Using a Guide Extension Catheter with Atherectomy Devices
36:36 - Orbital Versus Rotational Atherectomy
47:21 - Navigating Tortuosity in Atherectomies
52:45 - Complications (Perforations, Dissections and Distal Embolizations)

Resources

Dr. Wissam Jaber
https://providers.emoryhealthcare.org/provider/wissam-a-jaber/777074

Dr. Hady Lichaa
https://healthcare.ascension.org/find-care/provider/1336267533/hady-lichaa

The Materials available on BackTable are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.

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