How to Recanalize In-Stent Chronic Total Occlusions
Fig. 10.1 IS CTO due to restenosis with a tapered proximal cap Fig. 10.2 In-stent restenotic CTO. (a) Long in-stent occlusion in the distal RCA ostium, likely due to an…
How to Improve Catheter Support During CTO PCI
Active support Passive support Guide catheter tip Soft tips Long tipped Guide catheter shape Can be altered to accommodate aortic root Rests on aortic valve or opposite wall of…
How to Set Up a Chronic Total Occlusion Angioplasty Program
Fig. 2.1 Suggested schema to introduce CTO-PCI program Having expressed an interest in learning these skills and introducing a CTO PCI program (and having the support of your institution), there…
How to Start and Build Your CTO Practice and Maintain Referrals in a Competitive Environment
and Stéphane Rinfret2 (1) Department of Medicine, Minneapolis Heart Institute, Minneapolis, MN, USA (2) CTO Recanalization Program, Interventional Cardiology, Multidisciplinary Department of Cardiology, Quebec Heart and Lung Institute, Laval University, Quebec…
Managing Entrapped Gear During Chronic Total Occlusion Interventions
Scenario Causes Bail-out techniques Trapped equipment Wires Prolapsed or knuckled wire is trapped in a calcified or tortuous segment Wire used to protect a side branch is trapped behind a…
How to Prevent Perforation During CTO PCI
© Springer International Publishing Switzerland 2016Stéphane Rinfret (ed.)Percutaneous Intervention for Coronary Chronic Total Occlusion10.1007/978-3-319-21563-1_16 16. How to Prevent Perforation During CTO PCI Parag Doshi1 (1) Department of Cardiology, Chicago Cardiology Institute, Schaumburg, IL, USA …
Intra-occlusion Microinjection of Contrast: When, Why and How
Fig. 8.1 One case of tubular dissections. Arrows indicate the contrast-induced dissection The principle information we can obtain from this dissection classification is regarding the location of the micro-catheter or…
Echocardiographic Detection and Transcranial Doppler Quantification of Right-to-Left Shunting
Transient Ischemic Attack (TIA)/Cryptogenic Stroke [7] Migraine with aura [39] Orthostatic desaturation in the setting of platypnea-orthodeoxia syndrome [40] Decompression illness and ischemic cerebral lesions in divers [41] Paradoxical air…
A Comparison of Methods to Detect and Quantitate PFO: TCD, TTE, ICE and TEE
Fig. 7.1 Transesophageal echo images demonstrate a patent foramen ovale and atrial septal aneurysm bowing into the right atrium in a 38-year- old man presenting with cryptogenic stroke. (a) The…
Occlutech, PFM, Lifetech and Other New Devices. What’s on the Horizon?
Fig. 20.1 Occlutech Figulla Flex II PFO Occluder © Occlutech, All rights reserved (Courtesy of Occlutech GmbH, Jena, Germany) Nit-Occlud® PFO (PFM Medical) The Nit-Occlud® PFO device (Figs. 20.2 and…
