Handbook of Chronic Total Occlusions

George D Dangas MD PhD Associate Professor of Medicine Director of Postgraduate Training Columbia University Medical Center Cardiovascular Research Foundation New York, NY USA Roxana Mehran MD Associate Professor of Medicine Director, Outcomes Research Data Coordination and Analysis Center for Interventional Vascular Therapy Columbia University Medical Center Cardiovascular Research Foundation New York, NY USA Jeffrey W Moses MD Professor of Medicine Director of the Center for Interventional Vascular Therapy Columbia University Medical Center Cardiovascular Research Foundation New York, NY USA

List of Contributors, Foreword, Martin B Leon, Preface, 1 Patient selection and general approach to CTO revascularization, 2 Guidewire techniques and technologies: hydrophilic versus stiff wire selection, 3 Advanced techniques for antegrade advancement of wires, 4 Retrograde and bilateral techniques, 5 Subintimal tracking and reentry: the STAR technique, 6 Technical options for uncrossable lesions, 7 Rotational atherectomy, 8 Role of the CROSSER Catheter, 9 The role of fibrinolytic therapy in the management of chronic total occlusions, 10 Drug-eluting stents for chronic total occlusions: the European experience, 11 Drug-eluting stents for chronic total occlusions: the North American and Asian experience, 12 Prevention of complications: when to stop–retry–redirect to other therapy, 13 Complications related to radiation and contrast media exposure, 14 Procedural and technical complications, 15 Peripheral CTO recanalization and revascularization techniques, 16 Role of excimer laser, 17 Role of antegrade blunt dissection for coronary and peripheral chronic total occlusions, 18 Role of an optical reflectometry and radiofrequency ablation device: coronary chronic total occlusions, 19 Role of an optical reflectometry and radiofrequency ablation device: peripheral chronic total occlusions, 20 Tackling chronic total occlusions: training standards and recommendations, Index