9781405157032

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.

Ron Waksman, MD, FACC. Associate Director, Division of Cardiology / Director of Experimental Angioplasty & New Technologies. Washington Hospital Center, 110 Irving Street, NW, Suite 4B-1, Washington, DC 20010.

Dr. Waksman is currently the Editor-in-Chief of Cardiovascular Revascularization Medicine and sits on the editorial boards of six other internationally published journals. He has been Editor/Co-Editor of six books since 1996 and has authored 22 additional book chapters. Dr. Waksman has also authored/co-authored over 250 published manuscripts and over 200 abstracts. He is also a Clinical Professor of Medicine (Cardiology) at Georgetown University, Washington, DC, USA.

Contributors	p. vii
Preface	p. ix
Foreword	p. x
Pathology and Indications: Clinical Trials	p. 1
The Pathobiology of CTO	p. 3
Indication and Outcome of PCI for CTO	p. 8
CTO - Review of Trials	p. 14
Imaging	p. 23
CT Angiography: Application in Chronic Total Occlusions	p. 25
Magnetic Navigation Wire	p. 32
IVUS-Guided Recanalization of CTO	p. 38
Wires Technology	p. 43
Deflecting Tip Wires	p. 45
Asahi Wires	p. 50
Tornus Catheter	p. 57
Introduction of a New 0.014-inch CiTop™ Guidewire for CTO: Preclinical Safety and Feasibility Studies	p. 62
Frontrunner CTO Technology	p. 70
Wires Technique	p. 75
Use of Two Wires in the Treatment of CTO	p. 77
Parallel-Wire Techniques	p. 83
Wire Control Handling Technique	p. 87
Subintimal Angioplasty	p. 93
Re-entry Technique-Pioneer Catheter	p. 104
Bilateral Approach	p. 107
Tips and Tricks of the CART Technique	p. 113
Devices Technology	p. 121
Radio Frequency	p. 123
High-Frequency Mechanical Revascularization	p. 136
Debulking of CTO	p. 140
Vibrational Angioplasty	p. 145
Drug-Eluting Stents	p. 150
Laster for CTO Recanalization	p. 159
Complications	p. 165
How to Handle Complications	p. 167
How to Minimize Contrast Nephropathy	p. 178
Interesting Cases	p. 187
Interesting Cases, I, II	p. 189
Index	p. 195
Colour plates
Table of Contents provided by Ingram. All Rights Reserved.

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Chronic Total Occlusions

Chronic Total Occlusions

1405157038

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