UID:
almahu_9949576305902882
Format:
1 online resource (xii, 273 pages) :
,
illustrations (chiefly color)
Edition:
Third edition.
ISBN:
9781119517337
,
1119517338
,
9781119517221
,
1119517222
,
9781119517313
,
1119517311
Content:
"Chronic total occlusions (CTO) are defined by an occlusion age of 3 months or greater, with angiographic thrombolysis in myocardial infarction (TIMI) flow grade 0 or 11. Our current understanding of CTO development is based on a limited number of autopsy specimens, imaging studies and animal CTO models. CTO constitute the most challenging lesions in interventional challenge due to the complexity of the composition and the geometric issues, such as CTO entry/exit and the overall occlusion length. In recent years, additional unique features in specific types of CTO, such as occluded native arteries in patients with bypass surgery and stent CTO have been identified. The challenges of CTO PCI have been the impetus for developing unique interventional equipment and strategies, and innovative biologic manipulations2, 3. Human Coronary CTO Studies: Our current understanding of human coronary CTO pathology is based on a small number of autopsy studies. Srivastra et al4, 5 classified angiographic CTOs in 61 patients according to the age of the occlusions (〈1 year vs 〉1 year). The main points were: (1) Angiographic occlusion did not necessarily mean histologic occlusion, with 25% of cases demonstrating antegrade continuity and subtotal occlusion (90-95% obstructed). Severe, but not completely obstructive narrowing, may limit contrast reagent penetration into lesions and thereby overestimate the difficulty of a successful guidewire crossing. This was particularly shown in peripheral arterial "chronic occlusions" in the lower legs6, (2) Hard fibrocalcific plaques are a common feature in all CTOs regardless of age, but there is a definite increase in harder plaques in older CTOs, while softer (mainly lipid and loose fibrous tissue) plaques are more likely to be present in CTOs 〈1 year old, and (3) Recanalization of the CTO intimal plaques by neovascular channels was commonly observed at all time periods, particularly around prominent collections of inflammatory cells (lymphocytes and macrophages)7 (Figures 1A,B; Figures 2A, 2B)"--
Note:
Frontmatter -- The Pathobiology of CTO / Gabby Elbaz-Greener, BradleyH Strauss -- Pathology of Chronic Total Occlusions / Takao Konishi, JiEun Park, DiljonS Chahal, AlokeV Finn -- Indications and Guidelines of PCI for CTO / Ilan Merdler, Gabriel Maluenda, Ron Waksman -- CT Angiography / Hidehiko Hara, JohnR Lesser, Nicholas Burke, RobertS Schwartz -- IVUS -Guided Recanalization of CTO / Etsuo Tsuchikane -- Optical Coherence Tomography to Guide the Treatment of Chronic Total Occlusions / FrancescaMaria DiMuro,, Giulia Nardi,, Niccolò Ciardetti,, Selcuk Kucukseymen,, Alessio Mattesini, Carlo DiMario -- New Coronary Guidewire Technology in Chronic Total Occlusion Percutaneous Coronary Interventions / Salman Allana, &EmmanouilS Brilakis -- Tornus Catheter / Hideaki Kaneda -- Microcatheters / JohnD Hung,, JamesC Spratt -- CTO Wires / Rahul Kurup, LuizFernando Ybarra -- Use of Two Wires in the Treatment of CTO / Thierry Lefèvre, Thomas Hovasse -- Parallel-Wire Techniques / Sudhir Rathore,, Takahiko Suzuki -- Transradial Approach for CTO Lesions / Yutaka Tanaka, Shigeru Saito -- Subintimal Angioplasty in Coronary CTO / Negar Salehi, Philippe Généreux, &GeorgeD Dangas -- Antegrade Dissection and Re-Entry Techniques / Anbukarasi Maran, Carson Keck, MatthewC Evans -- 3D Wiring Methods in CTO PCI / Atsunori Okamura -- Antegrade Fenestration and Re-Entry / Lorenzo Azzalini, Mauro Carlino -- Retrograde CTO PCI / Michael Megaly, Ashish Pershad -- Retrograde CTO Intervention via Vein Grafts / Pavan Reddy, NelsonL Bernardo -- Tips and Tricks of the CART and Reverse CART Technique / Arber Kodra, Chad Kliger, Apurva Patel, Craig Basman,, Tak Kwan, Michael Kim -- Debulking of CTO / Etsuo Tsuchikane -- Laser Revascularization in Coronary CTO / On Topaz -- How to Handle Subintimal Dissections / PratikB Sandesara, WilliamJ Nicholson -- CTO : How to Minimize Contrast-Associated Acute Kidney Injury / Luis Gruberg -- Mechanical Support for CTO / Khaldoon Alaswad, Asaad Nakhle, Ankur Gupta, KatherineJ Kunkel, &MirBabar Basir -- Stent Grafts to Seal Coronary Perforation / Jasleen Tiwana&, KathleenE Kearney -- Complications During Retrograde Approach for CTO / Yutaka Tanaka, Shigeru Saito -- Interesting Cases I-V / Yutaka Tanaka, Shigeru Saito -- Index
Additional Edition:
Print version: Chronic total occlusions Hoboken, NJ : Wiley-Blackwell, 2023 ISBN 9781119517276
Language:
English
Keywords:
Electronic books.
;
Electronic books.
;
Electronic books.
DOI:
10.1002/9781119517337
URL:
https://onlinelibrary.wiley.com/doi/book/10.1002/9781119517337
URL:
https://onlinelibrary.wiley.com/doi/book/10.1002/9781119517337
URL:
https://onlinelibrary.wiley.com/doi/book/10.1002/9781119517337
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