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Handbook of Chronic Total Occlusions

Editat de George D. Dangas, Roxana Mehran, Jeffrey W. Moses
en Limba Engleză Hardback – sep 2007
Chronic total occlusions (CTO) are common, and found in approximately one third of patients with significant coronary artery disease who undergo angiography. CTO constitute one of the main criteria when selecting between angioplasty and bypass surgery. Angioplasty for CTO is intricate and requires excellent operator skill, but even when performed under the best circumstances, it is plagued by lower success rates when compared to non-total occlusions. The main difficulty with CTO lies not with choosing which stent to use, but rather occurs during earlier steps of crossing the lesion and advancing the wire into the true lumen of the distal vessel. Having accomplished this, the rates of restenosis are prohibitively high. Mehran, Dangas and an international team of experienced operators offer the reader sound advice on the evaluation and management of CTO in both the coronary and peripheral vascular systems. Their practical guidance should aid all those working with this difficult subset of patients.
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Specificații

ISBN-13: 9781841846248
ISBN-10: 1841846244
Pagini: 237
Ilustrații: 198 b/w images, 21 color images, 22 tables, 176 halftones, 19 color halftones, 22 line drawings and 2 color line drawings
Dimensiuni: 166 x 238 x 20 mm
Greutate: 0.69 kg
Ediția:1
Editura: Informa Medical
Locul publicării:United Kingdom

Cuprins

1. Patient selection and general approach to CTO  2. Guidewire techniques; Hydrophilic Versus Stiff wire selection  3. Advanced antegrade techniques: parallel wires, seesaw technique, anchoring balloon, IVUS guidance  4. Retrograde and combination techniques  5. Subintimal Tracking and Reentry: The STAR technique  6. Technical options for uncrossable lesions  7. Rotational Atherectomy  8. Role of the Crosser Device  9. Role of fibrinolysis  10a. Drug Eluting Stents for CTO: European Experience  10b. Drug Eluting Stents for CTO: North American and Asian experience  11. Prevention of complications: When to stop-retry-redirect to other therapy  12. Complications related to Radiation and Contrast Exposure  13. Procedural and Technical complications  14. Peripheral CTO recanalization and revascularization techniques  15. Role of Excimer Laser in coronary and peripheral CTO  16. Role of antegrade blunt dissection for coronary and peripheral CTO  17a. Role of optical reflectometry and radiofrequency ablation device: For Coronary CTO  17b. Role of optical reflectometry and radiofrequency ablation device: For Peripehral CTO  18. Tackling Chronic Total Occlusions: Training Standards and Recommendations