Main description:

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.

Contents:

1. What is what: Important Definitions in Chronic Total Occlusion Percutaneous Coronary Intervention 2. The Histopathology of Chronic Total Occlusion and its Impact on Mode of Treatment 3. Who are Best Candidates for Chronic Total Occlusion Revascularization 4. When, Why and How to Assess Ischemia and Viability in Patients with Chronic Total Occlusion 5. How to Set Up a Chronic Total Occlusion Angioplasty Program. 6. Equipment Requirement for Chronic Total Occlusion Percutaneous Coronary Intervention 7. The hybrid approach and its variations for Chronic Total Occlusion Percutaneous Coronary Intervention 8. When, Why and How to Perform a Good Angiography Analysis Prior to CTO PCI 9. Specific Basic Techniques to Master in Chronic Total Occlusion Percutaneous Coronary Intervention 10. When, Why and How to Perform an Antegrade Approach Using a Wiring Technique 11. When, Why and How to Perform Wire-based antegrade Dissection and Re-entry technique 12. When, Why and How to Perform Contemporary Device-Based Antegrade Dissection and Re-entry technique 13. How to Deal with Difficult Antegrade Issues 14. Intra-occlusion Microinjection of Contrast: When, Why and How 15. When, Why and How to Perform Antegrade Fenestration and Re-entry technique 16. When, Why and How to Perform the Retrograde Approach through Septal Collateral Channels 17. When, Why and How to Perform the Retrograde Approach through epicardial and non-septal collateral channels 18. When, Why and How to Perform the Retrograde Approach through Patent or Occluded SVGs 19. How to Cross the Occlusion Using a Retrograde Approach 20. How To Manage Ostial Chronic Right Total Occlusions and Externalization Techniques 21. CTO Stenting: Impact of Intraplaque and Extraplaque Strategies 22. When, Why and How to Recanalize In-Stent Chronic Total Occlusions 23. When, Why and How to Fix Common Problems Encountered in Chronic Total Occlusion Percutaneous Coronary Intervention: The Expanded Hybrid Approach 24. When, Why and How to Perform Subintimal Plaque Modification, Subintimal Tracking and Re-entry with Deferred Stenting for Failed Percutaneous Coronary Intervention Cases 25. Why IVUS when approaching a CTO? 26. How to Manage Calcified Chronic Total Occlusion lesions 27. How to Improve Catheter Support During Chronic Total Occlusion Percutaneous Coronary Intervention? 28. When, Why and How to Perform a Transradial Approach for Chronic Total Occlusion Percutaneous Coronary Intervention 30. When, Why and How to Use Left-Ventricular Assist Devices during Chronic Total Occlusion Percutaneous Coronary Intervention 31. Specific Considerations when Performing CTO PCI in Post CABG Patients 32. An Overview of Chronic Total Occlusion Percutaneous Coronary Intervention Complications 33. Management and Prevention of Perforations During Chronic Total Occlusion Percutaneous Coronary Intervention 34. How to Prevent and Manage Ischemic Complications During Chronic Total Occlusion Percutaneous Coronary Intervention 35. Managing Entrapped Gear During Chronic Total Occlusion Interventions 36. When, Why and How to Perform Robotic-Assisted Chronic Total Occlusion Percutaneous Coronary Intervention 37. How to Proctor New Operators to Learn Chronic Total Occlusion Percutaneous Coronary Intervention 38. How to Start and Build Your CTO Practice and Maintain Referrals in a Competitive Environment