Chronic Total Occlusions: A Guide to Recanalization

Description

Chronic total occlusions (CTO) are common, and found in approximately one third of patients with significant coronary artery disease who undergo angiography. Over the past 20 years, CTO lesions have represented the most difficult anatomy for treatment - with lower success rates and higher complication rates. Chronic Total Occlusions provides interventionalists insight into the world of CTOs with introductory chapters that describe the pathology and indications of CTOs along with a review of clinical trials. Imaging modalities including CT angiography, magnetic navigation wire, and IVUS guided recanalization of CTO are also introduced, together with information on new wires technology and devices for CTOs. With numerous illustrations of these devices, technologies, and strategies to improve the CTO success rate, this clinical guide, headed up by Ron Waksman, will prove to be the ideal companion for interventional cardiologists and cardiac surgeons who are required to perform angioplasty and coronary stenting. Content: Chapter 1 The Pathobiology of CTO (pages 1–7): Ronen Jaffe, Brian Courtney and Bradley H. StraussChapter 2 Indication and Outcome of PCI for CTO (pages 8–13): Ron WaksmanChapter 3 CTO – Review of Trials (pages 14–21): Tina L. Pinto Slottow and Ron WaksmanChapter 4 CT Angiography: Application in Chronic Total Occlusions (pages 23–31): Hidehiko Hara, John R. Lesser, Nicholas Burke and Robert S. SchwartzChapter 5 Magnetic Navigation Wire (pages 32–37): Steve Ramcharitar and Patrick SerruysChapter 6 IVUS?Guided Recanalization of CTO (pages 38–41): Etsuo TsuchikaneChapter 7 Deflecting Tip Wires (pages 43–49): Mirko SchiemannChapter 8 ASAHI Wires (pages 50–56): Shigeru SaitoChapter 9 Tornus Catheter (pages 57–61): Hideaki KanedaChapter 10 Introduction of a New 0.014?Inch CiTop™ Guidewire for CTO: Preclinical Safety and Feasibility Studies (pages 62–69): Mickey ScheinowitzChapter 11 Frontrunner CTO Technology (pages 70–73): Chad Kliger, Steven P. Sedlis and Jeffrey D. LorinChapter 12 Use of Two Wires in the Treatment of CTO (pages 75–82): Thierry Lefevre, Yves Louvard and Marie?Claude MoriceChapter 13 Parallel?Wire Techniques (pages 83–86): Jean?Francois Surmely and Takahiko SuzukiChapter 14 Wire Control Handling Technique (pages 87–92): Shigeru SaitoChapter 15 Subintimal Angioplasty (pages 93–103): Masashi Kimura, Antonio Colombo, Eugenia Nikolsky, Etsuo Tsuchikane and George DangasChapter 16 Re?Entry Technique – Pioneer Catheter (pages 104–106): Nicolaus ReifartChapter 17 Bilateral Approach (pages 107–112): Jean?Francois Surmely and Osamu KatohChapter 18 Tips and Tricks of the CART Technique (pages 113–120): Osamu KatohChapter 19 Radio Frequency (pages 121–135): Richard HeuserChapter 20 High?Frequency Mechanical Revascularization (pages 136–139): Eberhard Grube and Lutz BuellesfeldChapter 21 Debulking of CTO (pages 140–144): Etsuo TsuchikaneChapter 22 Vibrational Angioplasty (pages 145–149): Lampros K. MichalisChapter 23 Drug?Eluting Stents (pages 150–158): David E. KandzariChapter 24 Laser for CTO Recanalization (pages 159–164): On TopazChapter 25 How to Handle Complications (pages 165–177): Axel de Labriolle and Ron WaksmanChapter 26 How to Minimize Contrast Nephropathy (pages 178–185): Robin Mathews and Luis GrubergChapter 27 Interesting Cases I, II (pages 187–193): Takafumi Tsuji and Hideo Tamai