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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.
Table of Contents
Pathology and Indications: Clinical Trials
The Pathobiology of CTO
Indication and Outcome of PCI for CTO
CTO - Review of Trials
CT Angiography: Application in Chronic Total Occlusions
Magnetic Navigation Wire
IVUS-Guided Recanalization of CTO
Deflecting Tip Wires
Introduction of a New 0.014-inch CiTop™ Guidewire for CTO: Preclinical Safety and Feasibility Studies
Frontrunner CTO Technology
Use of Two Wires in the Treatment of CTO
Wire Control Handling Technique
Re-entry Technique-Pioneer Catheter
Tips and Tricks of the CART Technique
High-Frequency Mechanical Revascularization
Debulking of CTO
Laster for CTO Recanalization
How to Handle Complications
How to Minimize Contrast Nephropathy
Interesting Cases, I, II
Table of Contents provided by Ingram. All Rights Reserved.