Chronic Total Occlusions offers the most comprehensive overview of chronic total occlusions (CTO) on the market, authored by two internationally recognized physician educators. It covers both the diagnostic modalities and treatment methods required to tailor a treatment program to individual cardiological patients with the greatest possible chance of success. Thorough and informed by the latest research and field data, the third edition of this guide is an indispensable resource for interventional cardiologists.
In Chronic Total Occlusions: A Guide to Recanalization, Third Edition, readers will also find: - Full-color images to guide diagnosis of CTOs - Expert tips and tricks for key procedures involved in treating challenging cases - Clinical case studies illustrating specific scenarios and frequently encountered complications
Chronic Total Occlusions: A Guide to Recanalization, Third Edition is a must-have for interventional cardiologists who want to maximize their patient outcomes.
Table of Contents
List of Contributors vii
Foreword x
Preface xii
Part I Pathology, Indications, and Review of Clinical Trials
1 The Pathobiology of CTO 3
Gabby Elbaz-Greener & Bradley H. Strauss
2 Pathology of Chronic Total Occlusions: Implications for Revascularization 10
Takao Konishi, Ji Eun Park, Diljon S. Chahal & Aloke V. Finn
3 Indications and Guidelines of PCI for CTO 19
Ilan Merdler, Gabriel Maluenda & Ron Waksman
Part II Imaging
4 CT Angiography: Application in Chronic Total Occlusions 29
Hidehiko Hara, John R. Lesser, Nicholas Burke & Robert S. Schwartz
5 IVUS-Guided Recanalization of CTO 35
Etsuo Tsuchikane
6 Optical Coherence Tomography to Guide the Treatment of Chronic Total Occlusions 39
Francesca Maria Di Muro, Giulia Nardi, Niccolò Ciardetti, Selcuk Kucukseymen, Alessio Mattesini & Carlo Di Mario
Part III Wires Technology
7 New Coronary Guidewire Technology in Chronic Total Occlusion Percutaneous CoronaryInterventions 49
Salman Allana & Emmanouil S. Brilakis
8 Tornus Catheter 64
Hideaki Kaneda
9 Microcatheters: Characteristics and Use 69
John D. Hung & James C. Spratt
Part IV Wires Technique
10 CTO Wires: Engineering 101 and Principles of Wire Manipulation 83
Rahul Kurup & Luiz Fernando Ybarra
11 Use of Two Wires in the Treatment of CTO 101
Thierry Lefèvre & Thomas Hovasse
12 Parallel-Wire Techniques 109
Sudhir Rathore & Takahiko Suzuki
13 Transradial Approach for CTO Lesions 115
Yutaka Tanaka & Shigeru Saito
14 Subintimal Angioplasty in Coronary CTO 121
Negar Salehi, Philippe Généreux & George D. Dangas
15 Antegrade Dissection and Re-Entry Techniques 129
Anbukarasi Maran, Carson Keck & Matthew C. Evans
16 3D Wiring Methods in CTO PCI 135
Atsunori Okamura
17 Antegrade Fenestration and Re-Entry: An Alternative Approach to Antegrade Dissection and Re-Entry 156
Lorenzo Azzalini & Mauro Carlino
18 Retrograde CTO PCI: Step by Step 166
Michael Megaly & Ashish Pershad
19 Retrograde CTO Intervention via Vein Grafts 172
Pavan Reddy & Nelson L. Bernardo
20 Tips and Tricks of the CART and Reverse CART Technique 177
Arber Kodra, Chad Kliger, Apurva Patel, Craig Basman, Tak Kwan & Michael Kim
21 Debulking of CTO 181
Etsuo Tsuchikane
22 Laser Revascularization in Coronary CTO 186
On Topaz
23 How to Handle Subintimal Dissections 203
Pratik B. Sandesara & William J. Nicholson
24 CTO: How to Minimize Contrast-Associated Acute Kidney Injury 218
Luis Gruberg
25 Mechanical Support for CTO 232
Khaldoon Alaswad, Asaad Nakhle, Ankur Gupta, Katherine J. Kunkel & Mir Babar Basir
26 Stent Grafts to Seal Coronary Perforation 246
Jasleen Tiwana & Kathleen E. Kearney
27 Complications During Retrograde Approach for CTO 250
Yutaka Tanaka & Shigeru Saito
Part V Interesting Cases
28 Interesting Cases I-V 257
Yutaka Tanaka & Shigeru Saito
Index 263
