Chandra, SharadChoudhary, RajeevChaudhary, GauravSharma, AkhilPradhan, AkshyayaBhandari, MonikaVishwakarma, PraveshSethi, RishiNarain, Varun ShankarDwivedi, Sudhanshu Kumar2023-07-212023-07-212022-02Chandra Sharad, Choudhary Rajeev, Chaudhary Gaurav, Sharma Akhil, Pradhan Akshyaya, Bhandari Monika, Vishwakarma Pravesh, Sethi Rishi, Narain Varun Shankar, Dwivedi Sudhanshu Kumar . Evaluation of only heparin-based rota-flush solution against alternative rota-flush solution in patients with severe coronary artery calcification undergoing rotational atherectomy. Indian Heart Journal. 2022 Feb; 74(1): 22-270019-48322213-3763http://imsear.searo.who.int/handle/123456789/220899Objective: There is limited evidence on feasibility and safety of only heparin rota-flush(OHRF)solution in rotational atherectomy (RA). We compared the safety and efficacy of OHRF solution with alternative rotaflush (ARF) solution in patients who underwent RA. Methods: A total of 48 patients who underwent RA were enrolled in the study. In 25 patients OHRF solution and in 23 patients ARF solution was utilized. The study end points were procedural success rateandrota-related adverse cardiovascular event (RRAE) including slow flow, no reflow, bradycardia, and hemodynamic instability. Results: Procedural success was achieved in all patients in both the OHRF and ARF groups. There was no statistically significant difference in RRAE between the two groups(32.0% vs. 34.7%, p ¼ 0.83). Conclusion: OHRF solution appears a more simplistic solution while performing rotablation as compared to ARF solution. Side effects such as hypotension and bradycardia can be circumvented with OHRF solution during rotablationCalcificationHeparinRotablationJournal ArticleIndiaDepartment of Cardiology, King George's Medical University, Lucknow, Uttar Pradesh, 226003, India