I use a digital level (like
this one) to record the rotation of the camera. For instance, at the moment I am imaging M31 with an APS-C sensor and I have it rotated 12.5 degrees counterclockwise to allow the galaxy to span the widest dimensions of the sensor, from corner to corner. Before I mount the telescope, I sit it on a flat surface, zero the digital level to that surface, and then place it on the flash hotshoe of my DSLR. I rotate the camera until it reads 12.5 degrees on the level, and lock it in that position.
For this to work on a dedicated astronomy camera, you'd need some sort of zero-reference for the level to sit on - perhaps some printing on the back of the camera, or
one of these. But the digital level has been so helpful, and removes the need to platesolve and check.
CS!