How to Justify CTO Revascularization
Fig. 1.1 Interrelated benefits of CTO PCI Symptoms and Quality of Life Patients with obstructive coronary artery disease (CAD) and ischemic symptoms are helped from coronary revascularization. Most would not…
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…
When and How to Perform an Antegrade Approach Using a Wire Escalation Technique
Fig. 5.1 With increasing lesion complexity there is a decreasing applicability for antegrade wire escalation based strategies and an increasing need for strategies utilizing blunt dissection. AWE Antegrade Wire Escalation,…
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…
