Chronic Total Occlusion, An Issue of Interventional Cardiology Clinics

1st Edition, Volume 10-1 - November 23, 2020
Editors: Kathleen E. Kearney, William L. Lombardi
Language: English
Hardback ISBN:
9 7 8 - 0 - 3 2 3 - 7 9 7 0 1 - 6
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 7 9 7 0 8 - 5

This issue of Interventional Cardiology Clinics, guest edited by Drs. William L. Lombardi and Kathleen E. Kearney, will focus on Chronic Total Occlusion. Topics discussed in this… Read more

Chronic Total Occlusion, An Issue of Interventional Cardiology Clinics

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This issue of Interventional Cardiology Clinics, guest edited by Drs. William L. Lombardi and Kathleen E. Kearney, will focus on Chronic Total Occlusion. Topics discussed in this issue include, but are not limited to: Indications for percutaneous coronary intervention of CTO; Pre-procedure planning for CTO PCI; Toolbox for CTO PCI; Antegrade Wire Escalation Case Selection and Strategies; Step by Step Antegrade Dissection and Reentry and Case Selection; Retrograde Dissection and Reentry Strategies; STAR and SPM; The role of imaging in Chronic Total Occlusions; Hybrid 2.0; Perforation mechanisms, risk stratification and management in the non-post CABG patient; Perforation mechanisms, risk stratification and management in the post-CABG patient; Access selection and complications; Patient selection for hemodynamic support in High Risk PCI; Other Complications in CTO PCI; and Managing the CTO Operator.

Cover image
Title page
Table of Contents
Copyright
Contributors
Forthcoming Issues
Foreword
Indications and Patient Selection for Percutaneous Coronary Intervention of Chronic Total Occlusions
Key points
Introduction
Indications
Patient selection
Future directions
Clinics care points
Preprocedure Planning for Chronic Total Occlusion Percutaneous Coronary Intervention: The Separation Is in the Preparation
Key points
Introduction
Preprocedural patient encounter
Studying the anatomy of the chronic total occlusion of interest
Making a game plan: case-specific order of operations
Vascular access
Anticipating and ensuring availability of necessary equipment
Safety planning
Summary
Toolbox for Coronary Chronic Total Occlusion Percutaneous Coronary Intervention
Key points
Introduction
Coronary guidewires
Microcatheters
Dual-Lumen microcatheters
Guide extensions
Antegrade dissection reentry devices
Balloons
Snares
Intravascular imaging
Management of calcification
Tools for complication management
Summary
Antegrade Wire Escalation Case Selection and Strategies: Four Wires for Success
Key points
Introduction and background
Discussion
Application
Case studies
Summary
Clinics care points
Supplementary data
Antegrade Dissection and Reentry: Tools and Techniques
Key points
Introduction
Anatomy
Preprocedure planning
Procedural approach
Clinical results
Summary
Retrograde Dissection and Reentry: Strategies: Common Pitfalls and Troubleshooting
Key points
Background
Strategies
Summary
Clinics Care Points
Subintimal Plaque Modification and Subintimal Dissection and Reentry: Strategies to Turn Failure into Success
Key points
Introduction
Discussion
Summary and future directives
Clinics Care Points
Supplementary data
Intravascular Ultrasound in Chronic Total Occlusion Percutaneous Coronary Intervention: Solving Ambiguity and Improving Durability
Key points
Introduction
Antegrade approach
Antegrade dissection reentry
Retrograde approach
How I can use intravascular ultrasound imaging after crossing?
What technology is on the horizon?
Summary
Clinical Care Points
The Hybrid Approach and Its Variations for Chronic Total Occlusion Percutaneous Coronary Intervention
Key points
Introduction
Development of the hybrid algorithm for chronic total occlusion percutaneous coronary intervention
The four fundamental questions
Summary
Clinics Care Points
Perforation Mechanisms, Risk Stratification, and Management in the Non-post Coronary Artery Bypass Graft Patient
Key points
Mechanisms of coronary perforation
Risk stratification
Management of coronary perforation
Summary
Perforation Mechanisms, Risk Stratification, and Management in the Post-Coronary Artery Bypass Grafting Patient
Key points
Introduction
Treatment strategy
Summary
Supplementary data
Access Selection for Chronic Total Occlusion Percutaneous Coronary Intervention and Complication Management
Key points
Introduction
Femoral access
Radial or ulnar access
Femoral artery and radial artery techniques
Complication management
Summary
Clinical care points
Patient and Device Selection for Hemodynamic Support in High-Risk Percutaneous Coronary Intervention
Key points
Introduction
Left-sided mechanical circulatory support
Right-sided mechanical circulatory support
Discussion
Clinics Care Points
When Things Get Stuck: Gear Entrapment and Other Complications of Chronic Total Occlusion Percutaneous Coronary Intervention
Key points
Introduction
Equipment failure
Summary