What is an Atherectomy?

An atherectomy is a minimally invasive procedure used to remove hardened plaque from inside the arteries. It helps improve blood flow and is often used when arteries are too narrow or blocked for a balloon or stent to be effective alone.

At Biltmore Cardiology, we use orbital and rotational atherectomy depending on the type and location of plaque buildup.

Why is This Procedure Done?

Your doctor may recommend an atherectomy if you have:

  • Peripheral artery disease (PAD)
  • Blocked coronary arteries
  • Severe calcium buildup in the artery walls
  • Poor blood flow causing chest pain or leg pain

How It Works

  • A small catheter is inserted into the artery, usually through the leg or wrist.
  • A rotating or orbiting device breaks down and removes plaque from the artery walls.
  • The procedure may be followed by balloon angioplasty or stent placement to keep the artery open.

Most patients go home the same day or after a short observation period.

What to Expect After the Procedure

You may feel tired for a day or two. Some patients notice improved symptoms right away. Follow-up care includes regular monitoring and lifestyle recommendations.

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