Be Calculated

Treat with Confidence

Be Calculated with the proven Diamondback 360® Orbital Atherectomy System.

Proven Technology

CSI’s innovative and evidence-based solutions perform in complex calcium so physicians can treat with confidence. More than 75,000 patients have been treated with the Diamondback 360® Orbital Atherectomy System, the one solution with a patented* dual mechanism of action for optimal stent delivery, expansion and apposition. 10, 51, 52

*United States Patent #: 10,299,820

Two Effective Forces, One Simple Device

Take control in the cath lab with a single solution that leverages two key forces to reduce coronary calcium safely and effectively. The Diamondback 360 is one device with a patented dual mechanism of action that sands intimal lesions and fractures medial calcium for optimal stent delivery, expansion and apposition. 51, 61, 10

See How It Works

Orbital Case Studies

Physicians across the country are creating decisive plans for patients using orbital atherectomy over traditional balloon and stent and other methods of atherectomy. See how they’re taking control in the cath lab.

Complex High-Risk PCI:
Left Main and LAD
Michael Kim, MD & Atul Kukar, DO
Orbital Atherectomy was chosen to modify severely calcified lesions in this 76-year-old patient and allowed for successful facilitation of multiple stents. Physicians benefited from the ability to treat multiple vessel sizes with a single crown.

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Complex PCI:
Right Coronary Artery
Emmanouil S. Brilakis, MD
A calculated treatment plan with Orbital Atherectomy was chosen for this 79-year-old patient with previous CABG and PCI. The GlideAssist® feature on Diamondback 360® helped maintain wire position, and enabled easy navigation to and from the lesion.

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Unprotected Left Main
Getu Assefa, MD
Orbital Atherectomy (OA) was the chosen treatment plan for this 76-year-old high-risk PCI patient. The procedure was safely performed alongside hemodynamic support and OA helped optimize stent expansion and PCI outcomes.

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Severely Calcified
Right Coronary Artery
Ramesh Daggubati, MD
Orbital Atherectomy was chosen for this potentially challenging case due to severe calcification in the 62-year-old patient. Using a 6 Fr radial approach, the procedure went smoothly, and no complications occurred.

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Multi-Vessel Disease:
LAD and Ramus
Ramesh Daggubati, MD
A calculated treatment plan with Orbital Atherectomy was safely performed on this 60-year-old patient. The quick and easy setup of the system helped to facilitate a complex multi-vessel PCI.

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Easy-To-Use System

Minimal planning for system setup—the Diamondback 360® Orbital Atherectomy System is designed to setup in under two minutes. The system includes the OAS pump, handle, ViperWire Advance® Coronary Guide Wire (nitinol and stainless steel options), ViperSlide® Lubricant (not pictured), and diamond-coated crown. Use it along with our growing portfolio of exceptional tools, including 1.0mm and 24 RPB NC balloons and the lowest profile torque-able microcatheter in the U.S.

52. Yamamoto M, et al. Effect of orbital atherectomy in calcified coronary artery lesions as assessed by optical coherence tomography. Catheter Cardiovasc Interv. 2018;93(7):1211-1218.
59. Shlofmitz E, et al. Lesion preparation with atherectomy. Interv Cardiol. 2019;14(3):169-173.
60. Lee MS, et al. Real-world multicenter registry of patients with severe coronary artery calcification undergoing orbital atherectomy. J Interv Cardiol. 2016;29(4):357-362.
61. Kini A, et al. Optical coherence tomography assessment of the mechanistic effects of rotational and orbital atherectomy in severely calcified coronary lesions. Catheter Cardiovasc Interv. 2015;86(6):1024-1032.

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