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.
- A practical and technical handbook providing operators with a step-by-step description of how to perform some of the techniques involved in PCI CTO procedures along with common pitfalls encountered in daily CTO PCI practice
- Formatted specifically for the busy interventional cardiologist
- Provides essential tips and tricks currently used in the field by experienced operators
How to Justify CTO Revascularization.- How to Set Up a Chronic Total Occlusion Angioplasty Program.- What Equipment Should be Available.- Specific Basic Techniques to Master in CTO PCI.- When and How to Perform an Antegrade Approach Using a Wire Escalation Technique.- When and How to Perform an Antegrade Dissection/Re-entry Approach using the CrossBoss and Stingray Catheters.- How to Deal with Difficult Antegrade Issues.- Intra-occlusion Microinjection of Contrast: When, Why and How.- How and When to Perform the Retrograde Approach.- How to Recanalize In-Stent Chronic Total Occlusions.- How to Fix Common Problems Encountered in CTO PCI: The Expanded Hybrid Approach.- How to Improve Catheter Support during CTO PCI.- When and How to Perform a Transradial Approach for CTO PCI.- How to Manage Radiation and Contrast during Chronic Total Occlusion Percutaneous Coronary Intervention.- Complications of Chronic Total Occlusion Percutaneous Coronary Intervention.- How to Prevent Perforation during CTO PCI.- How to Prevent and Manage Ischemic Complications during CTO PCI.- Managing Entrapped Gear during Chronic Total Occlusion Interventions.- How to Start and Build Your CTO Practice and Maintain Referrals in a Competitive Environment.