Hemodynamic support
14.1 Hemodynamic support: when and what device Maintaining adequate tissue perfusion is critical for survival. PCI may result in decreased cardiac output and tissue hypoperfusion or may be performed in…
Acute vessel closure
CTO PCI Manual Online cases: 38 , 92 , 98 , 112 , 125 PCI Manual Online cases: 18 , 21 , 40 , 44 , 57 , 68 ,…
Chronic total occlusions
Chronic total occlusions (CTOs) are defined as completely occluded coronary arteries with Thrombolysis In Myocardial Infarction (TIMI) 0 flow with an estimated duration of at least 3 months . CTOs…
Other complex lesions
In addition to calcification, thrombus, and CTOs, other complex lesion types include: • Spontaneous coronary artery dissection (SCAD) (PCI Manual Online case 72 ), • Stent failure (in-stent restenosis and…
Coronary intravascular imaging
13.1 When to do coronary intravascular imaging? Coronary intravascular imaging can be performed before, during, and after PCI to determine the need for coronary revascularization, and help plan and optimize…
Acute coronary syndromes—thrombus
CTO Manual Online cases: 6 , 19 , 103 PCI Manual Online cases: 4 , 9 , 11 , 14 , 19 , 27 , 31 , 35 , 40…
Access closure
11.1 Femoral access 11.1.1 Femoral access closure algorithm The following algorithm ( Fig. 11.1 ) reflects the experience and current practice of the authors; other vascular closure devices can be…
Coronary physiology
12.1 When should coronary physiology be used? 12.1.1 Before PCI 1. Determine significance of intermediate coronary lesions. Several studies have shown that PCI of lesions with adenosine fractional flow reserve…
