Percutaneous Coronary Interventions For Chronic Total Occlusion

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.

This book equips readers with the knowledge required in order to successfully treat coronary chronic total occlusion by means of percutaneous coronary interventions. All the essential background knowledge is provided, including with regard to procedurally relevant histopathology, assessment of chronic total occlusion by means of angiography and computed tomography, patient preparation, and selection and use of guidewires. Both basic and advanced techniques employing antegrade and retrograde approaches are then described in detail with the aid of numerous high-quality illustrations that ensure ease of understanding. Helpful tips and tricks are highlighted, and guidance provided on the troubleshooting of problems and the prevention and management of complications. The book will serve as a superb guide for all who are involved in percutaneous coronary interventions for chronic total occlusion, including interventional cardiologists, fellows in training, nurses, and technicians in catheterization laboratories.

This book discusses the clinical indications for chronic total occlusion (CTO) recanalization using percutaneous coronary intervention (PCI) and illustrates the recent academic findings on this constantly developing field of study. In addition to exploring the indications for revascularization and reading angiographies, the authors examine new strategies and techniques using innovative materials and equipment employing the antegrade, retrograde and their hybrid approaches, with a particular focus on the settings and management as well as the prevention of complications. They also describe the future potential of CTO PCI, with emphasis on how the latest advances in clinical science may be integrated into current and future therapies. Current Trend and Techniques of Percutaneous Coronary Intervention for Chronic Total Occlusion is an informative book providing academic insights for interventional cardiologists, vascular surgeons, clinical residents, medical students and scholars in the field of peripheral arterial CTO interventions.

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). BMA Medical Book Awards 2014 - Highly Commended, Cardiology,2014,British Medical Association A practical, case-oriented and easy to read reference with illustrations and step-by-step guidance for coronary chronic total occlusion interventions (CTO). Includes expert guidance reviewed by leaders in the field with both large clinical experience with high success rates and extensive experience proctoring CTOs in multiple clinical centers.

Chronic Total Occlusions Understand and remedy chronic total occlusions with the third edition of this comprehensive guide Chronic Total Occlusions offers the most comprehensive overview of chronic total occlusions (CTO) on the market, authored by two internationally recognized physician educators. It covers both the diagnostic modalities and treatment methods required to tailor a treatment program to individual cardiological patients with the greatest possible chance of success. Thorough and informed by the latest research and field data, the third edition of this guide is an indispensable resource for interventional cardiologists. In Chronic Total Occlusions: A Guide to Recanalization, Third Edition, readers will also find: Full-color images to guide diagnosis of CTOs Expert tips and tricks for key procedures involved in treating challenging cases Clinical case studies illustrating specific scenarios and frequently encountered complications Chronic Total Occlusions: A Guide to Recanalization, Third Edition is a must-have for interventional cardiologists who want to maximize their patient outcomes.

A practical and technical handbook providing operators with a step-by-step description of how to perform some of the techniques involved in the procedures, and how to troubleshoot some of the problems along the way. Examples with pictures will be provided, along with live angiographies. At the end of each chapter, the author will be provided with 3 questions to answer. Those questions will be developed by the editor and the contributors. The idea is to provide a quick reference to the most current problems encountered with a specific issue developed in the chapter. Nowadays, the busy clinician is unlikely to exclusively rely on lengthy textbooks to learn specific complex techniques. That is one of the reasons for the popularity of CTO courses, live demonstrations, and conferences and, there are consequently many courses offered around the world to help new operators in the field. CTO PCI has emerged as a very effective procedure to help patients with CTOs, with very high success and low complications rates. It is however a very challenging procedure with multiple pitfalls along the way to success, both in specific cases, but also in the learning process. There are currently no single reference or "one-stop shop" for the operator who wants to learn a given technique that he or she may has seen performed live in a dedicated proctorship event, or in a live demonstration, or to even troubleshoot a problem encountered in daily CTO PCI practice. This will be the first handbook formatted for the busy interventional cardiologist. This book will become a “must have” for operators who are practicing CTO PCI and who want a quick reference. However, it will also provide tips and tricks currently used in the field.

The second edition of this essential text provides readers with a detailed guide to performing various percutaneous coronary intervention (PCI) techniques for treating coronary chronic total occlusion (CTO). PCI continues to be an effective procedure to help patients with this pathology, with high success and low complications rates. Chapters feature a step-by-step approach to relevant techniques and describe their potential pitfalls, enabling the reader to develop a thorough understanding of how to perform those procedures successfully. Details of the latest methods for angiography analysis and the management of ostial CTOs, plus heavily revised chapters on topics such as contemporary device-based antegrade dissection and the retrograde approach through septal and non-septal collateral channels ensure that this Work remains the most up-to-date reference on the subject. Percutaneous Intervention for Coronary Chronic Total Occlusion: The Hybrid Approach represents a vital reference to assist practicing and trainee interventional cardiologist in learning these techniques. Various examples are provided, with a vast selection of still images and angiographic video loops to enable the reader become confident in applying these methodologies into their day-to day clinical practice.

Manual of Chronic Total Occlusion Percutaneous Coronary Interventions: A Step-by-Step Approach, Third Edition is a practical reference for coronary chronic total occlusion (CTO) percutaneous coronary interventions (PCI). Written by recognized national and international experts in the field, this reference compiles the steps necessary to preform, what pitfalls to watch out for, and how to troubleshoot tactics. Written to bring a practical approach, this book is perfect for interventional cardiologists, interventional and general cardiology fellows, cardiology researchers, physicians, cardiac catheterization laboratory personnel, technical staff, industry professionals and everyone else interested in understanding the cutting-edge and rapidly evolving field of CTO PCI. In this new edition, new figures, images and algorithms have been developed to reflect the updates in CTO PCI during the past few years. In addition, this update links to approximately 200 CTO PCI cases that are accessible for free and hosted by the author on YouTube, with monthly updates on new cases. The structure of the book is completely revised to align it with the recently published Manual of Percutaneous Coronary Interventions (published in Oct 2020, also by Dr. Brilakis under the same imprint Academic Press). Provides step-by-step guidance on every technique used in coronary chronic total occlusion interventions using color figures and diagrams Presents expert guidance by leaders in the field with both large clinical experience and extensive experience proctoring CTOs in multiple clinical centers Contains links to approximately 200 YouTube videos that illustrate the concepts and techniques presented in the text Includes the latest clinical experience, equipment, techniques and publications