Handbook of Chronic Total Occlusions

Handbook of Chronic Total Occlusions

by George D. Dangas
     
 

Chronic total occlusions (CTO) are common, and found in approximately one third of patients with significant coronary artery disease who undergo angiography. CTO constitute one of the main criteria when selecting between angioplasty and bypass surgery. Angioplasty for CTO is intricate and requires excellent operator skill, but even when performed under the best

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Overview

Chronic total occlusions (CTO) are common, and found in approximately one third of patients with significant coronary artery disease who undergo angiography. CTO constitute one of the main criteria when selecting between angioplasty and bypass surgery. Angioplasty for CTO is intricate and requires excellent operator skill, but even when performed under the best circumstances, it is plagued by lower success rates when compared to non-total occlusions. The main difficulty with CTO lies not with choosing which stent to use, but rather occurs during earlier steps of crossing the lesion and advancing the wire into the true lumen of the distal vessel. Having accomplished this, the rates of restenosis are prohibitively high. Mehran, Dangas and an international team of experienced operators offer the reader sound advice on the evaluation and management of CTO in both the coronary and peripheral vascular systems. Their practical guidance should aid all those working with this difficult subset of patients.

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Editorial Reviews

Doody's Review Service
Reviewer: Ramy A Badawi, MBBS MA MRCP(Ochsner Clinic Foundation)
Description: This is an in-depth review of the evaluation and management of chronic coronary artery occlusions.
Purpose: The book is designed to serve as a definitive yet concise review of the field of chronic total occlusions.
Audience: Interventional cardiology trainees and practitioners interested or involved in the treatment of patients with coronary chronic total occlusions are the intended audience.
Features: The book is carefully structured in short chapters, each dedicated to a specific aspect of chronic total occlusion therapy. The initial chapters deal with patient and lesion selection, addressing overall planning in terms of vascular access, guide catheter and wire selection, and possible approaches (e.g. retrograde and bilateral techniques, subintimal tracking and reentry, etc.). Later chapters focus on strategies for delivery of equipment after successful crossing of the chronic total occlusions with specific emphasis and discussion on the use of drug-eluting stents, different types of complications the operator may encounter, and certain niche devices that might be employed. Other chapters also deal with the management of chronic total occlusions of the iliofemoral vasculature.
Assessment: This will become a required reference for interventional cardiologists on the evaluation and management of chronic total occlusions. The chapters are short and succinct and written so that they can be read individually without referring to earlier parts of the book. The handbook makes excellent use of case examples with detailed step-by-step explanations and even a "tips and tricks" section that facilitates learning. The chapters are all written by expert interventional cardiologists from around the world, which is important in a field where many approaches were pioneered internationally. Finally, the book provides contemporary literature references for further reading.

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Product Details

ISBN-13:
9781841846248
Publisher:
Taylor & Francis
Publication date:
09/28/2007
Pages:
262
Product dimensions:
6.30(w) x 9.40(h) x 0.80(d)

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