基本説明
CTO, 2e, is divided into four sections offering comprehensive coverage of indications and recent clinical trials; imaging for CTO; wire technologies; device therapies; possible complications; plus a final section of challenging CTO cases.
Full Description
"Chronic total occlusions continue to represent one of the greatest challenges to interventional cardiologists." - Cardiovascular Research Foundation -
Chronic Total Occlusions or CTOs can be found in 30% of patients with coronary artery disease.
Despite advances, CTOs remain one of the most frequently identified lesions in interventional cardiology yet least likely to be successfully treated.
The prevalence of the disorder is vexing. The threat to your patients is significant. The condition is complex. And, treatment remains a challenge.
Learn how to approach CTOs from internationally-recognized physician-educators
Turn to Chronic Total Occlusions: A Guide to Recanalization, 2e for expert insight into the world of CTOs and clear, practical guidance you can apply directly and immediately in your cath lab.
Offering the most comprehensive information available, this completely updated second edition provides you wih:
Full-color images from the diagnostic modalities that are essential in identifying CTOs
Data on indications and efficacy from the most recent clinical trials
Practical guidance on the selection and use of the latest wires and devices
Even more tips and tricks from leading operators from the world's busiest centers
Clinical cases to illustrate some of the more complex scenarios and common complications
And more!
Chronic Total Occlusions: A Guide to Recanalization, 2e is the guide you can count on to improve the CTO success rate at your facility. Order your copy today!
Contents
List of Contributors vii Foreword xi
Preface xii
Part I Pathology, Indications, and Review of Clinical Trials
1 The pathobiology of CTO 3
Sergey Yalonetsky, Azriel B. Osherov & Bradley H. Strauss
2 Collateral circulation in CTO 9
Alfredo R. Galassi, S.D. Tomasello & Hazem Khamis
3 CTO: review of trials 18
Tina L. Pinto Slottow & Ron Waksman
4 CTO-percutaneous coronary intervention: what is the evidence? 26
Gabriel Maluenda, Tina L. Pinto Slottow & Ron Waksman
5 Case selection and long-term benefits 33
Imran N. Ahmad, Kamran I. Muhammad & Patrick L. Whitlow
Part II Imaging
6 CT angiography: application in chronic total occlusions 45
Hidehiko Hara, John R. Lesser, Nicholas Burke & Robert S. Schwartz
7 Co-registration CTO and CT angiography 51
Gary M. Idelchik & Ariel Roguin
8 Optical coherence tomography to guide the treatment of chronic total occlusions 60
Nicola Viceconte, Rodrigo Teijeiro-Mestre, Nicolas Foin, Alistair C. Lindsay and Carlo Di Mario.
9 IVUS-guided CTO-PCI 67
Masashi Kimura & Yasushi Asakura
10 IVUS evaluation of CTO 78
Akiko Maehara, Masahiko Ochiai & Gary S. Mintz
11 Magnetic navigation wire 85
Steve Ramcharitar & Patrick Serruys
Part III Wires Technology
12 Deflecting wire systems 93
Mirko Schiemann
13 Asahi wires 97
Shigeru Saito
14 IVUS-guided recanalization of CTO 105
Etsuo Tsuchikane
15 Frontrunner CTO technology 109
Chad Kliger, Steven P. Sedlis & Jeffrey D. Lorin
16 Channel dilator: Corsair 113
Masashi Kimura
Part IV Wires Technique
17 Tornus catheter 121
Hideaki Kaneda
18 Antegrade approach: step by step 126
Nicolaus Reifart
19 Use of two wires in the treatment of CTO 134
Yves Louvard, Thierry Lefèvre & Marie-Claude Morice
20 Parallel-wire techniques 143
Sudhir Rathore & Takahiko Suzuki
21 Guidewire handling techniques for CTO lesions 147
Shigeru Saito
22 Subintimal angioplasty in coronary CTO 155
Philippe Généreux & George D. Dangas
23 Antegrade device assisted re-entry techniques 162
Nicolaus Reifart
24 The microchannel technique 166
Mauro Carlino, Gill L. Buchanan & Cosmo Godino
25 The STAR technique 172
Cosmo Godino, Mauro Carlino & Antonio Colombo
26 Attempting CTO after first failed attempt 178
Sudhir Rathore & Takahiko Suzuki
27 Transradial approach for CTO lesions and tapered-tip guidewires 184
Shigeru Saito
28 Bilateral approach 191
Osamu Katoh
29 Tips and tricks of the CART technique 198
Osamu Katoh
Part V Devices Technology
30 Recanalizing total occlusion in the periphery: utilization of radio frequency and other technology 209
Shishir Murarka & Richard Heuser
31 High-frequency mechanical revascularization 226
Eberhard Grube & Lutz Buellesfeld
32 Debulking of CTO 230
Etsuo Tsuchikane
33 Vibrational angioplasty 235
Lampros K. Michalis
34 Treatment of chronic total coronary occlusions with drug-eluting stents: overview of angiographic and clinical outcomes 240
David E. Kandzari
35 Laser for CTO recanalization 251
On Topaz
36 The ENABLER-P: a novel CTO crossing cystem 257
Maurice Buchbinder
37 Collagenase plaque digestion for facilitating guidewire crossing 262
Azriel B. Osherov & Bradley H. Strauss
38 The BridgePoint re-entry system 268
Imran N. Ahmad, Kamran I. Muhammad & Patrick L. Whitlow
Part VI Complications
39 Complications during the retrograde approach for CTO 275
Shigeru Saito
40 CTO: how to minimize contrast nephropathy 279
Travis J. Bench & Luis Gruberg
Part VII Interesting Cases
41 Interesting cases I-VI 291
Shigeru Saito
Index 301
