Chronic Total Occlusions

Ron Waksman, MD, is Director of Clinical Research and Advanced Education and Associate Director of the Cardiology Division at MedStar Heart Institute, as well as Clinical Professor of Medicine (Cardiology) at Georgetown University, Washington, DC., USA. He is editor-in-chief of the journal Cardiovascular Revascularization Medicine and has published hundreds of articles on interventional cardiology. Shigeru Saito, MD, is Director of the Cardiology and Catheterization Laboratories and Vice Director at Shonan Kamakura General Hospital, Kamakura, Japan. He sits on the editorial boards of numerous journals and has published extensively on interventional cardiology.

• List of Contributors viiForeword xPreface xiiPart I Pathology, Indications, and Review of Clinical Trials1 The Pathobiology of CTO 3Gabby Elbaz-Greener & Bradley H. Strauss2 Pathology of Chronic Total Occlusions: Implications for Revascularization 10Takao Konishi, Ji Eun Park, Diljon S. Chahal & Aloke V. Finn3 Indications and Guidelines of PCI for CTO 19Ilan Merdler, Gabriel Maluenda & Ron WaksmanPart II Imaging4 CT Angiography: Application in Chronic Total Occlusions 29Hidehiko Hara, John R. Lesser, Nicholas Burke & Robert S. Schwartz5 IVUS-Guided Recanalization of CTO 35Etsuo Tsuchikane6 Optical Coherence Tomography to Guide the Treatment of Chronic Total Occlusions 39Francesca Maria Di Muro, Giulia Nardi, Niccolò Ciardetti, Selcuk Kucukseymen, Alessio Mattesini & Carlo Di MarioPart III Wires Technology7 New Coronary Guidewire Technology in Chronic Total Occlusion Percutaneous CoronaryInterventions 49Salman Allana & Emmanouil S. Brilakis8 Tornus Catheter 64Hideaki Kaneda9 Microcatheters: Characteristics and Use 69John D. Hung & James C. SprattPart IV Wires Technique10 CTO Wires: Engineering 101 and Principles of Wire Manipulation 83Rahul Kurup & Luiz Fernando Ybarra11 Use of Two Wires in the Treatment of CTO 101Thierry Lefèvre & Thomas Hovasse12 Parallel-Wire Techniques 109Sudhir Rathore & Takahiko Suzuki13 Transradial Approach for CTO Lesions 115Yutaka Tanaka & Shigeru Saito14 Subintimal Angioplasty in Coronary CTO 121Negar Salehi, Philippe Généreux & George D. Dangas15 Antegrade Dissection and Re-Entry Techniques 129Anbukarasi Maran, Carson Keck & Matthew C. Evans16 3D Wiring Methods in CTO PCI 135Atsunori Okamura17 Antegrade Fenestration and Re-Entry: An Alternative Approach to Antegrade Dissection and Re-Entry 156Lorenzo Azzalini & Mauro Carlino18 Retrograde CTO PCI: Step by Step 166Michael Megaly & Ashish Pershad19 Retrograde CTO Intervention via Vein Grafts 172Pavan Reddy & Nelson L. Bernardo20 Tips and Tricks of the CART and Reverse CART Technique 177Arber Kodra, Chad Kliger, Apurva Patel, Craig Basman, Tak Kwan & Michael Kim21 Debulking of CTO 181Etsuo Tsuchikane22 Laser Revascularization in Coronary CTO 186On Topaz23 How to Handle Subintimal Dissections 203Pratik B. Sandesara & William J. Nicholson24 CTO: How to Minimize Contrast-Associated Acute Kidney Injury 218Luis Gruberg25 Mechanical Support for CTO 232Khaldoon Alaswad, Asaad Nakhle, Ankur Gupta, Katherine J. Kunkel & Mir Babar Basir26 Stent Grafts to Seal Coronary Perforation 246Jasleen Tiwana & Kathleen E. Kearney27 Complications During Retrograde Approach for CTO 250Yutaka Tanaka & Shigeru SaitoPart V Interesting Cases28 Interesting Cases I–V 257Yutaka Tanaka & Shigeru SaitoIndex 263