Emmanouil Brilakis

Manual of Coronary Chronic Total Occlusion Interventions

A Step-by-Step Approach

• Broschiertes Buch

Produktbeschreibung

Manual of Coronary Chronic Total Occlusion Interventions: A Step-by-Step Approach is a practical, easy to read reference for coronary chronic total occlusion interventions (CTO). Written by recognized national and international experts in the field, this reference compiles the steps necessary to preform, pitfalls to watch out for, and troubleshooting needed for coronary chronic total occlusion interventions (CTO).

Produktdetails

• Verlag: Academic Press
• Artikelnr. des Verlages: C2013-0-12704-3
• Englisch
• Abmessung: 228mm x 152mm x 229mm
• Gewicht: 570g
• ISBN-13: 9780124201293
• ISBN-10: 0124201296
• Artikelnr.: 39764084

Inhaltsangabe

Dedication

List of Contributors

Foreword

1. CTO Interventions: Definition, Prevalence, Indications, Guidelines

1.1 CTO Definition

1.2 Prevalence of CTOs

1.3 Indications and Potential Clinical Benefits of CTO PCI

1.4 Guidelines for CTO PCI

1.5 Appropriateness Use Criteria in CTO PCI

1.6 Contraindications to CTO PCI

1.7 Summary and Conclusions

References

2. Equipment

2.1 Sheaths

2.2 Guide Catheters

2.3 Microcatheters

2.4 Guidewires

2.5 Dissection/Re-Entry Equipment

2.6 Snares

2.7 "Uncrossable-Undilatable Lesion Equipment

2.8 Intravascular Ultrasound

2.9 Complication Management Equipment

2.10 Radiation Protection

2.11 The "CTO cart

References

3. The Basics: Timing, Dual Injection, Studying the Lesion, Access, Anticoagulation, Guide Support, Trapping

3.1 Timing

3.2 Dual Injection

3.3 Studying the Lesion

3.4 Vascular Access

3.5 Anticoagulation

3.6 Techniques to Increase Guide Catheter Support (Large Bore Guide, Active Guide Support, Guide Catheter Extensions, Anchor Techniques

3.7 Trapping

References

4. Antegrade Wire Escalation: The Foundation of CTO PCI

4.1 Special Situations

References

5. Antegrade Dissection/Re-entry

5.1 Knuckle Wire

5.2 CrossBoss

5.3 Stingray-Based Re-entry

5.4 Wire-Based Re-entry

References

6. The Retrograde Approach

6.1 Historical Perspective

6.2 Advantages of the Retrograde Approach

6.3 Special Equipment

6.4 Step-by-Step Description of the Procedure

6.5 Retrograde True Lumen Puncture

6.6 Retrograde Dissection/Re-entry

6.7 Antegrade Crossing

6.8 Special Retrograde CTO PCI Scenarios

References

7. Putting it all Together: The "Hybrid Approach

7.1 Description of the "Hybrid Algorithm

7.2 Impact of the "Hybrid Approach

References

8. "Balloon Uncrossable CTOs

8.1 Simultaneous Use of Strategies

References

9. "Balloon Undilatable CTOs

9.1 Special Case Scenario: Stented "Balloon Undilatable Lesions

References

10. Radiation Management During CTO PCI

10.1 Why is Radiation Management Important?

10.2 Essentials of Radiation Dose Management

10.3 Conclusions

References

11. Stenting of CTO Lesions

11.1 Stent Type

11.2 Stent Optimization

11.3 Antiplatelet Therapy After CTO Stenting

References

12. Complications

12.1 Acute Complications

12.2 Long-Term Complications

12.3 Conclusion

References

13. How to Build a Successful CTO Program

References

Appendix 1. Equipment Commonly Utilized in CTO Interventions

Appendix 2. Commonly Used Acronyms in CTO Interventions

Index

Rezensionen

"In addition to its comprehensive and up-to-date coverage of all aspects of CTO intervention, this easy-to-read, practical book serves as a valuable manual that helps novices learn CTO intervention techniques, and allows experienced operators to hone their skills." Rating: 5 Stars --Doody.com, April 4, 2014

"Interventional cardiologists explain a new algorithmic approach to chronic total occlusion (CTO) intervention. Rather than reviewing angiograms and deciding whether a patient should get revascularization, the cardiologist will look at the ischemic burden and the patient's symptoms and use the angioram to determine how best to achieve revascularization. Among the topics are equipment, the retrograde approach, "balloon undilatable" CTOs, stenting CTO lesions." --ProtoView.com, January 2014