Angioplasty for chronic total occlusions (CTO) is intricate and¿requires excellent operator skills, but even when performed under the best circumstances, it is¿plagued by lower success rates when compared to non-total occlusions. In this volume, an international team of experienced operators offer readers sound advice on the evaluation and manag
Angioplasty for chronic total occlusions (CTO) is intricate and¿requires excellent operator skills, but even when performed under the best circumstances, it is¿plagued by lower success rates when compared to non-total occlusions. In this volume, an international team of experienced operators offer readers sound advice on the evaluation and manag
George D Dangas MD PhD Associate Professor of Medicine Director of Postgraduate Training Columbia University Medical Center Cardiovascular Research Foundation New York, NY USA Roxana Mehran MD Associate Professor of Medicine Director, Outcomes Research Data Coordination and Analysis Center for Interventional Vascular Therapy Columbia University Medical Center Cardiovascular Research Foundation New York, NY USA Jeffrey W Moses MD Professor of Medicine Director of the Center for Interventional Vascular Therapy Columbia University Medical Center Cardiovascular Research Foundation New York, NY USA
Inhaltsangabe
List of Contributors Foreword Martin B Leon Preface 1 Patient selection and general approach to CTO revascularization 2 Guidewire techniques and technologies: hydrophilic versus stiff wire selection 3 Advanced techniques for antegrade advancement of wires 4 Retrograde and bilateral techniques 5 Subintimal tracking and reentry: the STAR technique 6 Technical options for uncrossable lesions 7 Rotational atherectomy 8 Role of the CROSSER Catheter 9 The role of fibrinolytic therapy in the management of chronic total occlusions 10 Drug-eluting stents for chronic total occlusions: the European experience 11 Drug-eluting stents for chronic total occlusions: the North American and Asian experience 12 Prevention of complications: when to stop-retry-redirect to other therapy 13 Complications related to radiation and contrast media exposure 14 Procedural and technical complications 15 Peripheral CTO recanalization and revascularization techniques 16 Role of excimer laser 17 Role of antegrade blunt dissection for coronary and peripheral chronic total occlusions 18 Role of an optical reflectometry and radiofrequency ablation device: coronary chronic total occlusions 19 Role of an optical reflectometry and radiofrequency ablation device: peripheral chronic total occlusions 20 Tackling chronic total occlusions: training standards and recommendations Index
List of Contributors Foreword Martin B Leon Preface 1 Patient selection and general approach to CTO revascularization 2 Guidewire techniques and technologies: hydrophilic versus stiff wire selection 3 Advanced techniques for antegrade advancement of wires 4 Retrograde and bilateral techniques 5 Subintimal tracking and reentry: the STAR technique 6 Technical options for uncrossable lesions 7 Rotational atherectomy 8 Role of the CROSSER Catheter 9 The role of fibrinolytic therapy in the management of chronic total occlusions 10 Drug-eluting stents for chronic total occlusions: the European experience 11 Drug-eluting stents for chronic total occlusions: the North American and Asian experience 12 Prevention of complications: when to stop-retry-redirect to other therapy 13 Complications related to radiation and contrast media exposure 14 Procedural and technical complications 15 Peripheral CTO recanalization and revascularization techniques 16 Role of excimer laser 17 Role of antegrade blunt dissection for coronary and peripheral chronic total occlusions 18 Role of an optical reflectometry and radiofrequency ablation device: coronary chronic total occlusions 19 Role of an optical reflectometry and radiofrequency ablation device: peripheral chronic total occlusions 20 Tackling chronic total occlusions: training standards and recommendations Index
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