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Author Mitsudo, Kazuaki, author

Title Non-pushing PCI techniques / Kazuaki Mitsudo
Published Singapore : Springer, [2021]


Description 1 online resource (xvii, 273 pages) : illustrations (some color)
Contents Intro -- Foreword -- Acknowledgments -- Contents -- Contributors -- List of Columns -- 1: Mitsudo's PCI Techniques for CTO -- 1.1 Approach (Puncture Site) -- 1.1.1 Selection of the Approach -- Guiding Catheter Size -- Fluoroscopic Angles for Biplane Cineangiography and Puncture Sites -- Influence of Severe Tortuosity and/or Stenosis -- 1.2 Sheath -- 1.3 Guiding Catheter -- 1.3.1 Selection of the Guiding Catheter -- Amplatz-Type Catheter for the RCA -- Tips When Using an Amplatz Left-Type Guiding Catheter for the RCA
Shape of the Catheter Tip -- Short-Tipped Judkins Catheter or Extra Backup Catheter for the LCA -- Size of the Catheter Tip Curve -- 1.3.2 Anchoring Technique -- Size and Inflation Pressure of the Anchoring Balloon -- If No Side Branch Is Available for Anchoring -- 1.4 Anticoagulation Strategy -- 1.4.1 Administration of Heparin -- 1.4.2 Blood Sample Collection for ACT Measurement -- 1.4.3 Precautions When Collecting Blood via the Guiding Catheter -- 1.5 Fluoroscopy and Imaging Strategies -- 1.5.1 Video Imaging Equipment and Fluoroscopy Angles Is Biplane Imaging Essential? -- Direction of the Longitudinal Axis of the Target Vessel in the Region of Interest for Guidewire Advancement -- Selecting Two Orthogonal Projections -- Isocenter -- 1.5.2 Bilateral Angiography and Collateral Flow Angiography (Contralateral Imaging, etc.) -- 1.6 Antegrade Approach -- 1.6.1 Mechanism of CTO Formation and Changes After Occlusion -- Occlusion Resulting from Tight Stenosis (Fig. 1.42) -- Acute Thrombotic Occlusion (Fig. 1.46) -- Occlusions with Complex Etiologies
1.6.2 Histological Features Before and After Occlusion -- 1.6.3 Guidewire Crossing Based on the Presumed Mechanism of CTO Formation and Changes After Occlusion -- 1.6.4 Guidewire Strategies -- Tip Load and Penetration Force: Why a Crossing Guidewire Is Needed to Perform Antegrade PCI for CTO -- Curve of the Guidewire Tip -- Fixed Point Guidewire Rotation -- Guidewire Trapping and Inflection -- Does a Stiff Guidewire Only Advance Toward the Larger Curvature in a Curved Vessel? -- Straightening of the Guidewire Tip Basic Techniques for Manipulating a CTO Guidewire -- Selection and Manipulation of Guidewires in Various Situations -- Role of the First Guidewire -- Setting a Landmark -- Parallel Wire Technique -- Choice of the Second Guidewire (Figs. 1.109, 1.110, 1.111, 1.112, 1.113, and 1.114) -- Correcting the Guidewire Route by Using a Landmark -- IVUS-Guided Wiring: Side Branch Technique -- IVUS-Guided Wiring: False Lumen Technique -- Confirmation of Crossing the True Lumen and Points to Be Considered After Crossing
Summary This book provides an in-depth review of non-pushing percutaneous coronary intervention (PCI). With abundant, clear figures, the chapters logically describe retrograde wiring techniques, including the stenting of bifurcation lesions, right coronary artery ostial lesions, and left main trunk (LMT) lesions, and then go on to illustrate Mitsudo's non-pushing PCI techniques. Short columns between chapters offer tips and tricks to help readers gain a better understanding. Given its scope, this book is not only a valuable resource for by coronary interventionalists dealing with PCI for complex lesions including chronic total occlusion (CTO), but also serves as a practical and informative for cardiologists
Notes Translated from the Japanese
1.6.5 Microcatheter
Print version record
Subject Cardiac catheterization.
Percutaneous Coronary Intervention -- methods
Cardiac Catheterization
Cardiac catheterization
Genre/Form Methods (Music)
Form Electronic book
ISBN 9811570434
Other Titles Jutsusha Mitsudo no osanai PCI. English
Non-pushing percutaneous coronary intervention techniques