Handbook of Chronic Total Occlusions - Grand Format

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 coronary artery bypass surgery. Angioplasty for CTO is intricate, requires excellent operator skill, but is also plagued by a reduced success rather when compared to non-occlusive stenoses.
The main problem with CTO is not the type of stent to use but rather the possibility to cross the occlusion and advance the wire into the true lumen of the distal vessel. Having accomplished this, the rates of restenosis are prohibitively high. Drs Dangas, Mehran, Moses and an internationally renown 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 for the use of drug-eluting stents and advanced new guidewire techniques should successfully aid all those working with this difficult subset of patients. With contributions from : Amr E Abbas, M Ishti Ali, Steven R Bailey, Stephen Balter, Gregory A Braden, Antonio Colombo, George D Dangas, Neil K Goyal, William Gray, Richard Heuser, Angela Hoye, David E Kandzari, Osamu Katoh, Masashi Kimura, Ajay J Kirtane, Roxana Mehran, Jeffrey W Moses, Eugenia Nikolsky, Masahiko Ochiai, William W O'Neill, Charles Perry, Matthew J Price, Mark Reisman, Matthew Selmon, Goran Stankovic, Jean-François Surmely, Paul S Teirstein, Etsuo Tsuchikane, Patrick L Whitlow, Garrett B Wong.