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Handbook of Chronic Total Occlusions

 

Publication Date July 2007
Publisher Informa Healthcare
Product Type Book
Pages 256
ISBN Number 978-1-84184-624-8
Product Code IFH00101

Price

£90.00
approximately: $136 | €100

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Summary

Chronic total occlusions (CTO) are common, and found in approximately one third of patients with significant coronary artery disease who undergo angiography. CTO constitute one of the main criteria when selecting between angioplasty and bypass surgery.

Angioplasty for CTO is intricate, requires excellent operator skill, but is also plagued by a reduced success rather when compared to non-total occlusions.

The main problem with CTO is not the type of stent to use but rather the possibility to cross the occlusion and advance the wire into the true lumen of the distal vessel. Having accomplished this, the rates of restenosis are prohibitively high. Mehran, Dangas and an internationally team of experienced operators offer the reader sound advice on the evaluation and management of CTO in both the coronary and peripheral vascular systems. Their practical guidance should aid all those working with this difficult subset of patients.

Contents

  • 1. Patient Selection and General Approach to Cto
  • 2. Guidewire Techniques Hydrophilic Versus Stiff Wire Selection
  • 3. Advanced Antegrade Techniques: Parallel Wires, Seesaw Technique, Anchoring Balloon, Ivus Guidance
  • 4. Retrograde and Combination Techniques
  • 5. Subintimal Tracking and Reentry: The Star Technique
  • 6. Technical Options for Uncrossable Lesions
  • 7. Rotational Atherectomy
  • 8. Role of The Crosser Device
  • 9. Role of Fibrinolysis 10a
  • Drug Eluting Stents for Cto: European Experience 10b
  • Drug Eluting Stents for Cto: North American and Asian Experience
  • 11. Prevention of Complications: When to Stop-Retry-Redirect to Other Therapy
  • 12. Complications Related to Radiation and Contrast Exposure
  • 13. Procedural and Technical Complications
  • 14. Peripheral Cto Recanalization and Revascularization Techniques
  • 15. Role of Excimer Laser in Coronary and Peripheral Cto
  • 16. Role of Antegrade Blunt Dissection for Coronary and Peripheral Cto 17a
  • Role of Optical Reflectometry and Radiofrequency Ablation Device: for Coronary Cto 17b
  • Role of Optical Reflectometry and Radiofrequency Ablation Device: for Peripehral Cto
  • 18. Tackling Chronic Total Occlusions: Training Standards and Recommendations