Percutaneous Intervention for Coronary Chronic Total Occlusion

1. Front Matter

   Pages i-xiv

   PDF

2. How to Justify CTO Revascularization

   • Dominique Joyal, Samer Mansour

   Pages 1-11

3. How to Set Up a Chronic Total Occlusion Angioplasty Program

   • John J. Graham, Christopher E. Buller

   Pages 13-18

4. What Equipment Should Be Available?

   • Emmanouil S. Brilakis

   Pages 19-31

5. Specific Basic Techniques to Master in CTO PCI

   • William J. Nicholson

   Pages 33-41

6. When and How to Perform an Antegrade Approach Using a Wire Escalation Technique

   • James C. Spratt

   Pages 43-52

7. When and How to Perform an Antegrade Dissection/Re-entry Approach using the CrossBoss and Stingray Catheters

   • Simon Walsh

   Pages 53-63

8. How to Deal with Difficult Antegrade Issues

   • R. Michael Wyman

   Pages 65-80

9. Intra-occlusion Microinjection of Contrast: When, Why and How

   • Mauro Carlino

   Pages 81-85

10. How and When to Perform the Retrograde Approach

    • Stéphane Rinfret, Dimitri Karmpaliotis

    Pages 87-131

11. How to Recanalize In-Stent Chronic Total Occlusions

    • Benjamin Faurie, Stéphane Rinfret

    Pages 133-140

12. How to Fix Common Problems Encountered in CTO PCI: The Expanded Hybrid Approach

    • James Sapontis, Steven P. Marso, William L. Lombardi, J. Aaron Grantham

    Pages 141-159

13. How to Improve Catheter Support During CTO PCI

    • Mohamad Lazkani, Ashish Pershad

    Pages 161-166

14. When and How to Perform a Transradial Approach for CTO PCI

    • Khaldoon Alaswad, Stéphane Rinfret

    Pages 167-178

15. How to Manage Radiation and Contrast During Chronic Total Occlusion Percutaneous Coronary Intervention

    • Antonis N. Pavlidis, Elliot J. Smith

    Pages 179-192

16. Complications of Chronic Total Occlusion Percutaneous Coronary Intervention

    • Rolf Graning, Tony DeMartini

    Pages 193-206

17. How to Prevent Perforation During CTO PCI

    • Parag Doshi

    Pages 207-210

18. How to Prevent and Manage Ischemic Complications During CTO PCI

    • Minh N. Vo

    Pages 211-215

19. Managing Entrapped Gear During Chronic Total Occlusion Interventions

    • Creighton W. Don, William L. Lombardi

    Pages 217-222

20. How to Start and Build Your CTO Practice and Maintain Referrals in a Competitive Environment

    • M. Nicholas Burke, Stéphane Rinfret

    Pages 223-226

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.

• Antegrade
• CTO PCI
• Catheter
• Chronic Total Occlusion
• Femoral
• Percutaneous Coronary Intervention
• Diagnostic Radiology

“It is intended as a reference for the revascularization of chronic total occlusions (CTO). The audience includes physicians in training, practicing cardiologists, and researchers who wish to advance their understanding of percutaneous interventions for coronary CTOs. … this is a comprehensive and detailed reference essential for the arsenal for anyone looking to build a CTO program.” (Alban De Schutter, Doody's Book Reviews, February, 2016)

• Multidisciplinary Cardiology Department, Quebec Heart and Lung Institute, Quebec, Canada

  Stéphane Rinfret

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