Percutaneous coronary intervention for chronic total occlusion : the hybrid approach / / edited by Stephane Rinfret

• Pubblicazione: Cham, Switzerland : , : Springer, , [2022]; ©2022
• Edizione: Second edition.
• Descrizione fisica: 1 online resource (372 pages)
• Disciplina: 617.412
• Soggetto topico: Coronary heart disease - Surgery; Coronary heart disease - Treatment; Therapeutic embolization
• Soggetto non controllato: Surgery; Medical
• Persona (resp. second.): RinfretStéphane
• Nota di bibliografia: Includes bibliographical references and index.
• Nota di contenuto: Intro -- Foreword -- Preface of the First edition -- Preface of the Second edition -- Contents -- About the Editor -- 1: What Is What: Important Definitions in Chronic Total Occlusion Percutaneous Coronary Intervention -- Introduction -- Anatomical and Procedural Definitions -- Efficacy and Safety Endpoints -- Conclusion -- References -- 2: The Histopathophysiology of Chronic Total Occlusion and Its Impact on Mode of Treatment -- Introduction -- Mechanisms of Lesion Progression and Histologic Studies of CTO -- Characteristics of the Arterial Wall -- The Lesion Characteristics of CTO With or Without Prior CABG -- Clinical Translation from a Pathological Point of View -- Conclusions -- References -- 3: Who Are Best Candidates for Chronic Total Occlusion Revascularization -- Introduction -- Prior Evidence -- EXPLORE Trial -- REVASC Trial -- EUROCTO Trial -- DECISION-CTO Trial -- Conclusions from Trials -- Which Patients Are Best Candidates? -- Final Remarks -- Conclusions -- References -- 4: Why, When and How to Assess Ischemia and Viability in Patients with Chronic Total Occlusions -- Introduction -- Ischemia, Hibernation, and Viability -- Why to Assess Ischemia and Viability? -- Ischemia -- Ischemia and Collaterals, and After Opening the CTO -- Ischemia and Prognosis -- Ischemia and Symptoms -- Viability -- When to Assess Ischemia and Viability? -- Guideline Recommendations -- STEMI Patients with a CTO -- Stable Patients with a CTO -- Case Examples -- How to Assess Ischemia and Viability? -- Ischemia -- Nuclear Myocardial Perfusion Imaging -- Stress Echocardiography -- Stress Cardiac Magnetic Resonance Imaging -- Viability -- Stress Echocardiography -- Cardiac Magnetic Resonance Imaging -- Nuclear Imaging -- Conclusion -- References -- 5: How to Set Up a Chronic Total Occlusion Angioplasty Program -- Introduction -- Developing CTO Skills. ; Operator Selection -- Operator Training -- CTO Program Built Around Two Operators -- Infrastructure -- Cardiac Catheterization Laboratory Volume -- Cardiac Catheterization Laboratory -- Cardiac Surgery Program/Extracorporeal Membrane Oxygenation (ECMO) -- Nonmedical Staff -- Administrative Support -- Quality Control -- Pre-procedure: CTO Clinic -- Pre-PCI Explanation of the Plan -- Post Procedure: CTO Rounds -- Getting Started, the Practicalities -- References -- 6: Equipment Requirement for Chronic Total Occlusion Percutaneous Coronary Intervention -- Sheaths -- Guide Catheters -- Microcatheters -- Finecross -- Corsair Series -- Turnpike Series -- Mamba Series -- Guidewires -- Dissection/Reentry Equipment -- Guide Catheter Extensions -- Snares -- Equipment for "Uncrossable-Undilatable" Lesions -- Intravascular Ultrasound (IVUS) -- Complication Management Equipment -- References -- 7: The Hybrid Approach and Its Variations for Chronic Total Occlusion Percutaneous Coronary Intervention -- Introduction and Historical Perspective -- Simplifying the Complex -- The Algorithms…. Combined -- Who Should Do the Procedure? -- Pre-procedure Coronary CT Angiography -- Choosing the Initial Strategy -- Antegrade Wiring -- Secondary and Bailout Strategies with Primary AW Approach -- Antegrade Dissection and Reentry (ADR) -- The Retrograde Approach -- In-Stent Chronic Total Occlusion -- Switching Strategies -- Ending the Procedure -- Conclusions -- References -- 8: When, Why, and How to Perform Good Angiographic Analysis Before CTO PCI -- Introduction -- When and Why -- How -- CTO Angiography -- CTO Angiographic Analysis -- Target Vessel -- CTO Characteristics -- Donor Vessels -- Collateral Circulation -- Collateral Pathways -- Interventional Collaterals -- Conclusion -- References -- 9: Specific Basic Techniques to Master in CTO PCI -- Approaching the CTO Segment. ; Wire Manipulation Techniques in CTO -- Trapping Balloon Technique -- References -- 10: When, Why and How to Perform an Antegrade Approach Using a Wiring Technique -- Introduction -- Anatomical Subsets That Favor Antegrade Wiring -- Lesion Length -- Proximal Cap Anatomy -- In-CTO Tortuosity (> -- 45°) -- Presence of Intra-CTO Calcium -- Previous Procedural Failure -- Other Factors -- Degree of Disease in the "Distal Landing Zone" -- Presence of "Interventional Collaterals" -- Basic Principles of CTO PCI -- Planning -- Visibility -- Backup Support -- Use of "Over-the-Wire" Equipment -- Wire Selection -- Tapered Polymer-Coated Wires -- Medium Weight Wires -- High Gram Weight Wires -- The Proximal Cap and How to Assess It -- Wire Selection: Principles and Rationale -- Polymer-Coated Wires -- Penetration Force -- Tactile Feel -- Torque Transmission -- Wire Selection -- Wire Shaping -- Confirming Progress and Ensuring Safety -- Confirming True Lumen Entry -- Angiographically -- Wire Feel -- Intravascular Ultrasound (IVUS) -- Advancing Equipment -- Anchor Balloon -- Guide Extension -- Higher Support Microcatheter -- Laser Atherectomy -- Rotational Atherectomy -- Indications and Use of Adjunctive Imaging Strategies -- CTA -- IVUS -- When to Switch Strategy -- References -- 11: When, Why, and How to Perform Wire-Based Antegrade Dissection and Reentry Technique -- References -- 12: When and How to Perform Contemporary Device-Based Antegrade Dissection and Re-entry Technique -- Introduction -- Evolution of Strategies for ADR -- Primary ADR: A Step-by-Step Approach -- Troubleshooting ADR Procedures and Bailout Manoeuvres -- Outcomes with ADR in Contemporary Practice -- Conclusions -- References -- 13: How to Deal with Difficult Antegrade Issues -- Difficult Antegrade Issues That Apply to Both AW and ADR -- Ambiguous Proximal Cap -- Impenetrable Cap. ; Uncrossable Lesion -- Difficult Antegrade Issues That Are Unique to Antegrade Dissection Reentry -- Crossboss Challenges -- Reentry Challenges -- References -- 14: Intra-occlusion Microinjection of Contrast: When, Why, and How -- References -- 15: When, Why, and How to Perform the Antegrade Fenestration and Reentry Technique -- Introduction -- Pathophysiological Bases and Development of Antegrade Fenestration and Reentry (AFR) -- Procedural Description of Antegrade Fenestration and Reentry (AFR) -- Real-Life Experience with Antegrade Fenestration and Reentry (AFR) -- Role of Antegrade Fenestration and Reentry (AFR) in the Hybrid Algorithm -- Further Developments in Antegrade Fenestration and Reentry (AFR) -- Conclusions -- References -- 16: When, Why, and How to Perform the Retrograde Approach Through Septal Collateral Channels -- When to Select the Retrograde Approach: How to Analyze the Coronary Angiography -- How to Set Up the Procedure -- Pathways to the Distal Cap (Table 16.1) -- Collateral Channels -- Step-by-Step Approach -- Selecting the Microcatheter, Crossing the Collateral Channel with a Wire, and the Microcatheter -- Selecting the Microcatheter -- Crossing a Septal CC with the Wire -- Surfing from PDA to LAD: A More Difficult Task -- Advancing the Microcatheter to the Distal Cap Through the Septal CC -- Special Situations and Considerations -- Using an Internal Mammary Artery as a Donor Artery to Septal CCs -- LAD or LCX CTOs in a Dominant Left System -- References -- 17: When, Why, and How to Perform the Retrograde Approach Through Epicardial and Non-septal Collateral Channels -- When to Perform Retrograde CTO PCI Via Non-septal Connections? Anatomic Evaluation -- Algorithms for Performing Retrograde Approach -- Collateral Channel Scores -- Why Performing Retrograde CTO PCI Via Non-septal CCs? Clinical Evaluation. ; Indication and Timing of Using Non-septal Collateral CCs -- Risk-Benefit Assessment of Selecting Non-septal CCs -- How to Perform Retrograde CTO PCI Via Non-septal Connections: Practical Considerations -- Arterial Access -- Non-septal Collateral Channel Crossing -- Crossing the CTO -- Externalization -- Complications Related to Retrograde CTO PCI Via Non-septal Connections -- Perforation of the CC When the CTO Is Crossed -- Perforation of the CC When the CTO Remains Uncrossed -- References -- 18: When, Why, and How to Perform the Retrograde Approach Through Patent or Occluded SVGs -- Introduction -- CTO PCI in Post-CABG Patients -- Retrograde Approach Through an SVG -- Retrograde Via Diseased But Patent SVGs -- Retrograde Via Occluded SVGs -- Guide Extensions in SVGs -- Specific Situations -- Stumpless SVG Use -- Retrograde Access Via Acutely or Recently Thrombosed SVG in ACS Patients -- How to Deal with Acute Angle of Distal Anastomosis -- Distal Anastomosis Ambiguity -- Stenting Coronary Across Distal SVG Anastomosis After CTO PCI -- Dealing with Anastomotic Stents in SVGs -- Protecting the Graft -- What To Do with the SVG Once the Native Artery CTO is Open? -- Potential Complications When Using SVGs as Retrograde Conduits -- Distal Embolization -- SVG Perforation -- Aortic Dissection -- Mediastinal Bleeding/Haematoma -- References -- 19: How to Cross the Occlusion Using a Retrograde Approach, How to Externalize, and How to Snare Long Wires -- Introduction -- Retrograde Wiring -- Wire Choice -- Confirming Wire Position -- Note on Safety in RW -- Retrograde Dissection and Re-entry -- Creating an Antegrade Dissection -- Use of Guide Catheter Extension -- Creating a Retrograde Dissection -- Joining the Spaces -- Externalization -- Use of Snare for Externalization -- Principles of Snaring -- How to Snare. ; Positioning of Retrograde Microcatheter After Externalization.
• Sommario/riassunto: The second edition of this essential text provides readers with a detailed guide to performing various percutaneous coronary intervention (PCI) techniques for treating coronary chronic total occlusion (CTO). PCI continues to be an effective procedure to help patients with this pathology, with high success and low complications rates. Chapters feature a step-by-step approach to relevant techniques and describe their potential pitfalls, enabling the reader to develop a thorough understanding of how to perform those procedures successfully. Details of the latest methods for angiography analysis and the management of ostial CTOs, plus heavily revised chapters on topics such as contemporary device-based antegrade dissection and the retrograde approach through septal and non-septal collateral channels are included.
• Titolo autorizzato: Percutaneous Coronary Intervention for Chronic Total Occlusion
• ISBN: 9783031054372; 9783031054365
• Formato: Materiale a stampa
• Livello bibliografico: Monografia
• Lingua di pubblicazione: Inglese
• Record Nr.: 9910632485403321
• Lo trovi qui: Univ. Federico II