Roxana Mehran

Handbook of chronic total occlusions

1. Patient selection and general approach to CTO 2. Guidewire techniques Hydrophilic Versus Stiff wire selection 3. Advanced antegrade techniques: parallel wires, seesaw technique, anchoring balloon, IVUS guidance 4. Retrograde and combination techniques 5. Subintimal Tracking and Reentry: The STAR technique 6. Technical options for uncrossable lesions 7. Rotational Atherectomy 8. Role of the Crosser Device 9. Role of fibrinolysis 10a. Drug Eluting Stents for CTO: European Experience 10b. Drug Eluting Stents for CTO: North American and Asian experience 11. Prevention of complications: When to stop-retry-redirect to other therapy 12. Complications related to Radiation and Contrast Exposure 13. Procedural and Technical complications 14. Peripheral CTO recanalization and revascularization techniques 15. Role of Excimer Laser in coronary and peripheral CTO 16. Role of antegrade blunt dissection for coronary and peripheral CTO 17a. Role of optical reflectometry and radiofrequency ablation device: For Coronary CTO 17b. Role of optical reflectometry and radiofrequency ablation device: For Peripehral CTO 18. Tackling Chronic Total Occlusions: Training Standards and Recommendations

Treatment Options for Coronary Revascularization

The discovery of the use of balloon angioplasty was accomplished by Dotter in dy1963, when he recanalized an occluded right iliac artery by passing a percutaneously introduced catheter retrograde through the occlusion to perform an abdominal aortogram in a patient with renal artery stenosis.1–5 On September 16th, 1977, the first percutaneous transluminal coronary angioplasty (PTCA) in a human was performed by Gruentzig, in Zurich. Gruentzig et al. followed this first report with the first 50 coronary angioplasties in 1979.6–10