Title: Chronic total occlusions : a guide to recanalization /
Authors: Saito, Shigeru, 1950 February 15-; Waksman, Ron
Publisher: Wiley-Blackwell,
Year: 2009
Subjects: Coronary Angiography methods; Chronic Disease; Coronary Occlusion; Coronary heart disease; Arterial occlusions
Abstract: 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.
Contents: Pathology and indications: clinical trials -- Pathobiology of CTO -- Indication and outcome of PCI for CTO -- CTO: review of trials -- Imaging -- CT angiography: application in chronic total occlusions -- Magnetic navigation wire -- IVUS-guided recanalization of CTO -- Wires technology -- Deflecting tip wires -- ASAHI wires -- Tornus catheter -- Introduction of a new 0.014-inch CiTop guidewire for CTO: preclinical safety and feasibility studies -- Frontrunner CTO technology -- Wires technique -- Use of two wires in the treatment of CTO -- Parallel-wire techniques -- Wire control handling technique -- Subintimal angioplasty -- Re-entry technique: pioneer catheter -- Bilateral approach -- Tips and tricks of the CART technique -- Devices technology -- Radio frequency -- High-frequency mechanical revascularization -- Debulking of CTO -- Vibrational angioplasty -- Drug-eluting stents -- Laser for CTO recanalization -- Complications -- How to handle complications -- How to minimize contrast nephropathy -- Interesting cases.