Chronic Total Occlusions

List of Contributors vii Foreword x Preface xii Part I Pathology, Indications, and Review of Clinical Trials 1 The Pathobiology of CTO 3 Gabby Elbaz-Greener & Bradley H. Strauss 2 Pathology of Chronic Total Occlusions: Implications for Revascularization 10 Takao Konishi, Ji Eun Park, Diljon S. Chahal & Aloke V. Finn 3 Indications and Guidelines of PCI for CTO 19 Ilan Merdler, Gabriel Maluenda & Ron Waksman Part II Imaging 4 CT Angiography: Application in Chronic Total Occlusions 29 Hidehiko Hara, John R. Lesser, Nicholas Burke & Robert S. Schwartz 5 IVUS-Guided Recanalization of CTO 35 Etsuo Tsuchikane 6 Optical Coherence Tomography to Guide the Treatment of Chronic Total Occlusions 39 Francesca Maria Di Muro, Giulia Nardi, Niccolò Ciardetti, Selcuk Kucukseymen, Alessio Mattesini & Carlo Di Mario Part III Wires Technology 7 New Coronary Guidewire Technology in Chronic Total Occlusion Percutaneous CoronaryInterventions 49 Salman Allana & Emmanouil S. Brilakis 8 Tornus Catheter 64 Hideaki Kaneda 9 Microcatheters: Characteristics and Use 69 John D. Hung & James C. Spratt Part IV Wires Technique 10 CTO Wires: Engineering 101 and Principles of Wire Manipulation 83 Rahul Kurup & Luiz Fernando Ybarra 11 Use of Two Wires in the Treatment of CTO 101 Thierry Lefèvre & Thomas Hovasse 12 Parallel-Wire Techniques 109 Sudhir Rathore & Takahiko Suzuki 13 Transradial Approach for CTO Lesions 115 Yutaka Tanaka & Shigeru Saito 14 Subintimal Angioplasty in Coronary CTO 121 Negar Salehi, Philippe Généreux & George D. Dangas 15 Antegrade Dissection and Re-Entry Techniques 129 Anbukarasi Maran, Carson Keck & Matthew C. Evans 16 3D Wiring Methods in CTO PCI 135 Atsunori Okamura 17 Antegrade Fenestration and Re-Entry: An Alternative Approach to Antegrade Dissection and Re-Entry 156 Lorenzo Azzalini & Mauro Carlino 18 Retrograde CTO PCI: Step by Step 166 Michael Megaly & Ashish Pershad 19 Retrograde CTO Intervention via Vein Grafts

Ron Waksman, MD, is Director of Clinical Research and Advanced Education and Associate Director of the Cardiology Division at MedStar Heart Institute, as well as Clinical Professor of Medicine (Cardiology) at Georgetown University, Washington, DC., USA. He is editor-in-chief of the journal Cardiovascular Revascularization Medicine and has published hundreds of articles on interventional cardiology.

Shigeru Saito, MD, is Director of the Cardiology and Catheterization Laboratories and Vice Director at Shonan Kamakura General Hospital, Kamakura, Japan. He sits on the editorial boards of numerous journals and has published extensively on interventional cardiology.