CHRONIC TOTAL OCCLUSIONS

Chronic total occlusions (CTO) are common, and found in approximately one third of patients with significant coronary artery disease who undergo angiography. Over the past 20 years, CTO lesions have represented the most difficult anatomy for treatment — with lower success rates and higher complication rates. Chronic Total Occlusions provides interventionalists insight into the world of CTOs with introductory chapters that describe the pathology and indications of CTOs along with a review of clinical trials. Imaging modalities including CT angiography, magnetic navigation wire, and IVUS guided recanalization of CTO are also introduced, together with information on new wires technology and devices for CTOs. With numerous illustrations of these devices, technologies, and strategies to improve the CTO success rate, this clinical guide, headed up by Ron Waksman, will prove to be the ideal companion for interventional cardiologists and cardiac surgeons who are required to perform angioplasty and coronary stenting. Table of Contents. CTOs: The Ultimate Goal to Beat the Surgeons?. J.J.R.M. (Hans) Bonnier, MD. The Pathology of CTOs: Implications for Successful Wire and Device Crossing. Robert S. Schwartz, MD. Clinical and Angiographic Variables Related to Procedural Success: A Moving Target?. Tian-Hai Koh, MD. The Spectrum of Guide Wires Available to Recanalize CTOs: How to Choose the Wire Gregory A. Braden, MD. Guide Wire Techniques: Shaping the Tip and Strategies for Penetrating and Crossing the Lesion. Shigeru Saito, MD. Guide Wire Techniques: Parallel Wire, Seesaw Technique, and More. Tian-Hai Koh, MD. IVUS Guidance of CTO Recanalization. Gary S. Mintz, MD. Imaging of Small Vessels. Bradley H. Strauss, MD, PhD. Stereotaxis Navigation Imaging for CTO Recanalization. Neil Kleiman, MD. Retrograde Collateral Technique. Shigeru Saito, MD. Advanced CTO Techniques: Case Review I. Carlo Di Mario, MD, PhD. When and How to Use the Safe-Cross System. Charles Simonton, MD. When and How to Use the Frontrunner. Patrick L. Whitlow, MD. Laser Wire for CTO Recanalization. On Topaz, MD. CTO: State of the Art for Peripheral Recanalization. John R. Laird, Jr., MD. New Devices for CTO Recanalization. Charles Simonton, MD. Chronic Total Occlusion Plaque Digestion. Bradley H. Strauss, MD, PhD. Drug Eluting Stents for CTO. Alexandre Abizaid, MD, PhD. Subintimal Tracking and Re-Entry: The Frontier Catheter. John R. Laird, Jr., MD. Advanced CTO Techniques: Case Review II. Gregory A. Braden, MD. Expert Perspectives: When Not to Start, and When to Stop and Try Again. Gregory A. Braden, MD. Avoiding Radiation Toxicity During Complex CTO Angioplasty. Bernard Chevalier, MD. Dye Utilization During CTO Angioplasty: Minimizing, Monitoring, and Managing Contrast Nephropathy. Leonardo C. Clavijo , MD, PhD. Perforations and Complications That Can Occur During CTO Angioplasty: “You Ain’t Seen Nothing Yet!”. Kenneth M. Kent, MD. Advanced CTO Techniques: Case Review II. Shigeru Saito, MD