Chronic Total Occlusion Wiring: A State-of-the-Art Guide From The Asia Pacific Chronic Total Occlusion Club
Objective: Despite the advances in wire technology and development of algorithm-driven methodology for chronic total occlusion (CTO) intervention, there is a void in the literature about the technical aspects of CTO wiring. The Asia Pacific CTO Club, a group of 10 experienced operators in the Asia P...
Ausführliche Beschreibung
Autor*in: |
Wu, Eugene B. [verfasserIn] Tsuchikane, Etsuo [verfasserIn] Lo, Sidney [verfasserIn] Lim, Soo Teik [verfasserIn] Ge, Lei [verfasserIn] Chen, Ji-Yan [verfasserIn] Qian, Jie [verfasserIn] Lee, Seung-Whan [verfasserIn] Kao, Hsien-Li [verfasserIn] Harding, Scott A. [verfasserIn] |
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Format: |
E-Artikel |
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Sprache: |
Englisch |
Erschienen: |
2019 |
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Schlagwörter: |
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Übergeordnetes Werk: |
Enthalten in: Heart, lung and circulation - Amsterdam [u.a.] : Elsevier, 2000, 28, Seite 1490-1500 |
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Übergeordnetes Werk: |
volume:28 ; pages:1490-1500 |
DOI / URN: |
10.1016/j.hlc.2019.04.004 |
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Katalog-ID: |
ELV002827093 |
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245 | 1 | 0 | |a Chronic Total Occlusion Wiring: A State-of-the-Art Guide From The Asia Pacific Chronic Total Occlusion Club |
264 | 1 | |c 2019 | |
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520 | |a Objective: Despite the advances in wire technology and development of algorithm-driven methodology for chronic total occlusion (CTO) intervention, there is a void in the literature about the technical aspects of CTO wiring. The Asia Pacific CTO Club, a group of 10 experienced operators in the Asia Pacific region, has tried to fill this void with this state-of-the-art review on CTO wiring.Methods: This review explains, for proximal cap puncture: choices of wires, shaping of the wire, use of dual lumen catheter, and method of step-down of wire penetration force for successful wiring. In wiring the CTO body, the techniques of loose tissue tracking, intentional intimal plaque tracking, and intentional subintimal wiring are described in detail. For distal lumen wiring, a blunt distal cap, presence of a distal cap side branch, calcium, and sharp tapered distal stump predict cap toughness, and wire penetration force should be stepped-up in these cases. The importance of choosing between redirection, parallel wiring, and Stingray (Boston Scientific, Marlborough, MA, USA) for angiographic guidance is discussed along with which will be more successful. On the retrograde side, the problems encountered with distal cap puncture and methods to overcome these problems are explained. The method of wiring the CTO body through a retrograde approach depending on the morphology of the CTO is described. Different reverse controlled antegrade and retrograde tracking (CART) wiring methods – including end balloon wiring, side balloon entry, and conventional reverse CART – are explained in detail.Conclusion: This is a systematic CTO wiring review, which is believed to be beneficial for CTO operators worldwide. | ||
650 | 4 | |a Chronic total occlusion | |
650 | 4 | |a Wiring | |
650 | 4 | |a Percutaneous coronary intervention | |
700 | 1 | |a Tsuchikane, Etsuo |e verfasserin |4 aut | |
700 | 1 | |a Lo, Sidney |e verfasserin |4 aut | |
700 | 1 | |a Lim, Soo Teik |e verfasserin |4 aut | |
700 | 1 | |a Ge, Lei |e verfasserin |4 aut | |
700 | 1 | |a Chen, Ji-Yan |e verfasserin |4 aut | |
700 | 1 | |a Qian, Jie |e verfasserin |4 aut | |
700 | 1 | |a Lee, Seung-Whan |e verfasserin |4 aut | |
700 | 1 | |a Kao, Hsien-Li |e verfasserin |4 aut | |
700 | 1 | |a Harding, Scott A. |e verfasserin |4 aut | |
773 | 0 | 8 | |i Enthalten in |t Heart, lung and circulation |d Amsterdam [u.a.] : Elsevier, 2000 |g 28, Seite 1490-1500 |h Online-Ressource |w (DE-627)323607241 |w (DE-600)2026333-8 |w (DE-576)091210305 |x 1444-2892 |7 nnns |
773 | 1 | 8 | |g volume:28 |g pages:1490-1500 |
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912 | |a GBV_ILN_4242 | ||
912 | |a GBV_ILN_4251 | ||
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912 | |a GBV_ILN_4334 | ||
912 | |a GBV_ILN_4335 | ||
912 | |a GBV_ILN_4338 | ||
912 | |a GBV_ILN_4393 | ||
936 | b | k | |a 44.85 |j Kardiologie |j Angiologie |
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951 | |a AR | ||
952 | |d 28 |h 1490-1500 |
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2019 |
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44.85 44.65 |
publishDate |
2019 |
allfields |
10.1016/j.hlc.2019.04.004 doi (DE-627)ELV002827093 (ELSEVIER)S1443-9506(19)30342-7 DE-627 ger DE-627 rda eng 610 DE-600 44.85 bkl 44.65 bkl Wu, Eugene B. verfasserin aut Chronic Total Occlusion Wiring: A State-of-the-Art Guide From The Asia Pacific Chronic Total Occlusion Club 2019 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective: Despite the advances in wire technology and development of algorithm-driven methodology for chronic total occlusion (CTO) intervention, there is a void in the literature about the technical aspects of CTO wiring. The Asia Pacific CTO Club, a group of 10 experienced operators in the Asia Pacific region, has tried to fill this void with this state-of-the-art review on CTO wiring.Methods: This review explains, for proximal cap puncture: choices of wires, shaping of the wire, use of dual lumen catheter, and method of step-down of wire penetration force for successful wiring. In wiring the CTO body, the techniques of loose tissue tracking, intentional intimal plaque tracking, and intentional subintimal wiring are described in detail. For distal lumen wiring, a blunt distal cap, presence of a distal cap side branch, calcium, and sharp tapered distal stump predict cap toughness, and wire penetration force should be stepped-up in these cases. The importance of choosing between redirection, parallel wiring, and Stingray (Boston Scientific, Marlborough, MA, USA) for angiographic guidance is discussed along with which will be more successful. On the retrograde side, the problems encountered with distal cap puncture and methods to overcome these problems are explained. The method of wiring the CTO body through a retrograde approach depending on the morphology of the CTO is described. Different reverse controlled antegrade and retrograde tracking (CART) wiring methods – including end balloon wiring, side balloon entry, and conventional reverse CART – are explained in detail.Conclusion: This is a systematic CTO wiring review, which is believed to be beneficial for CTO operators worldwide. Chronic total occlusion Wiring Percutaneous coronary intervention Tsuchikane, Etsuo verfasserin aut Lo, Sidney verfasserin aut Lim, Soo Teik verfasserin aut Ge, Lei verfasserin aut Chen, Ji-Yan verfasserin aut Qian, Jie verfasserin aut Lee, Seung-Whan verfasserin aut Kao, Hsien-Li verfasserin aut Harding, Scott A. verfasserin aut Enthalten in Heart, lung and circulation Amsterdam [u.a.] : Elsevier, 2000 28, Seite 1490-1500 Online-Ressource (DE-627)323607241 (DE-600)2026333-8 (DE-576)091210305 1444-2892 nnns volume:28 pages:1490-1500 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.85 Kardiologie Angiologie 44.65 Chirurgie AR 28 1490-1500 |
spelling |
10.1016/j.hlc.2019.04.004 doi (DE-627)ELV002827093 (ELSEVIER)S1443-9506(19)30342-7 DE-627 ger DE-627 rda eng 610 DE-600 44.85 bkl 44.65 bkl Wu, Eugene B. verfasserin aut Chronic Total Occlusion Wiring: A State-of-the-Art Guide From The Asia Pacific Chronic Total Occlusion Club 2019 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective: Despite the advances in wire technology and development of algorithm-driven methodology for chronic total occlusion (CTO) intervention, there is a void in the literature about the technical aspects of CTO wiring. The Asia Pacific CTO Club, a group of 10 experienced operators in the Asia Pacific region, has tried to fill this void with this state-of-the-art review on CTO wiring.Methods: This review explains, for proximal cap puncture: choices of wires, shaping of the wire, use of dual lumen catheter, and method of step-down of wire penetration force for successful wiring. In wiring the CTO body, the techniques of loose tissue tracking, intentional intimal plaque tracking, and intentional subintimal wiring are described in detail. For distal lumen wiring, a blunt distal cap, presence of a distal cap side branch, calcium, and sharp tapered distal stump predict cap toughness, and wire penetration force should be stepped-up in these cases. The importance of choosing between redirection, parallel wiring, and Stingray (Boston Scientific, Marlborough, MA, USA) for angiographic guidance is discussed along with which will be more successful. On the retrograde side, the problems encountered with distal cap puncture and methods to overcome these problems are explained. The method of wiring the CTO body through a retrograde approach depending on the morphology of the CTO is described. Different reverse controlled antegrade and retrograde tracking (CART) wiring methods – including end balloon wiring, side balloon entry, and conventional reverse CART – are explained in detail.Conclusion: This is a systematic CTO wiring review, which is believed to be beneficial for CTO operators worldwide. Chronic total occlusion Wiring Percutaneous coronary intervention Tsuchikane, Etsuo verfasserin aut Lo, Sidney verfasserin aut Lim, Soo Teik verfasserin aut Ge, Lei verfasserin aut Chen, Ji-Yan verfasserin aut Qian, Jie verfasserin aut Lee, Seung-Whan verfasserin aut Kao, Hsien-Li verfasserin aut Harding, Scott A. verfasserin aut Enthalten in Heart, lung and circulation Amsterdam [u.a.] : Elsevier, 2000 28, Seite 1490-1500 Online-Ressource (DE-627)323607241 (DE-600)2026333-8 (DE-576)091210305 1444-2892 nnns volume:28 pages:1490-1500 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.85 Kardiologie Angiologie 44.65 Chirurgie AR 28 1490-1500 |
allfields_unstemmed |
10.1016/j.hlc.2019.04.004 doi (DE-627)ELV002827093 (ELSEVIER)S1443-9506(19)30342-7 DE-627 ger DE-627 rda eng 610 DE-600 44.85 bkl 44.65 bkl Wu, Eugene B. verfasserin aut Chronic Total Occlusion Wiring: A State-of-the-Art Guide From The Asia Pacific Chronic Total Occlusion Club 2019 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective: Despite the advances in wire technology and development of algorithm-driven methodology for chronic total occlusion (CTO) intervention, there is a void in the literature about the technical aspects of CTO wiring. The Asia Pacific CTO Club, a group of 10 experienced operators in the Asia Pacific region, has tried to fill this void with this state-of-the-art review on CTO wiring.Methods: This review explains, for proximal cap puncture: choices of wires, shaping of the wire, use of dual lumen catheter, and method of step-down of wire penetration force for successful wiring. In wiring the CTO body, the techniques of loose tissue tracking, intentional intimal plaque tracking, and intentional subintimal wiring are described in detail. For distal lumen wiring, a blunt distal cap, presence of a distal cap side branch, calcium, and sharp tapered distal stump predict cap toughness, and wire penetration force should be stepped-up in these cases. The importance of choosing between redirection, parallel wiring, and Stingray (Boston Scientific, Marlborough, MA, USA) for angiographic guidance is discussed along with which will be more successful. On the retrograde side, the problems encountered with distal cap puncture and methods to overcome these problems are explained. The method of wiring the CTO body through a retrograde approach depending on the morphology of the CTO is described. Different reverse controlled antegrade and retrograde tracking (CART) wiring methods – including end balloon wiring, side balloon entry, and conventional reverse CART – are explained in detail.Conclusion: This is a systematic CTO wiring review, which is believed to be beneficial for CTO operators worldwide. Chronic total occlusion Wiring Percutaneous coronary intervention Tsuchikane, Etsuo verfasserin aut Lo, Sidney verfasserin aut Lim, Soo Teik verfasserin aut Ge, Lei verfasserin aut Chen, Ji-Yan verfasserin aut Qian, Jie verfasserin aut Lee, Seung-Whan verfasserin aut Kao, Hsien-Li verfasserin aut Harding, Scott A. verfasserin aut Enthalten in Heart, lung and circulation Amsterdam [u.a.] : Elsevier, 2000 28, Seite 1490-1500 Online-Ressource (DE-627)323607241 (DE-600)2026333-8 (DE-576)091210305 1444-2892 nnns volume:28 pages:1490-1500 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.85 Kardiologie Angiologie 44.65 Chirurgie AR 28 1490-1500 |
allfieldsGer |
10.1016/j.hlc.2019.04.004 doi (DE-627)ELV002827093 (ELSEVIER)S1443-9506(19)30342-7 DE-627 ger DE-627 rda eng 610 DE-600 44.85 bkl 44.65 bkl Wu, Eugene B. verfasserin aut Chronic Total Occlusion Wiring: A State-of-the-Art Guide From The Asia Pacific Chronic Total Occlusion Club 2019 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective: Despite the advances in wire technology and development of algorithm-driven methodology for chronic total occlusion (CTO) intervention, there is a void in the literature about the technical aspects of CTO wiring. The Asia Pacific CTO Club, a group of 10 experienced operators in the Asia Pacific region, has tried to fill this void with this state-of-the-art review on CTO wiring.Methods: This review explains, for proximal cap puncture: choices of wires, shaping of the wire, use of dual lumen catheter, and method of step-down of wire penetration force for successful wiring. In wiring the CTO body, the techniques of loose tissue tracking, intentional intimal plaque tracking, and intentional subintimal wiring are described in detail. For distal lumen wiring, a blunt distal cap, presence of a distal cap side branch, calcium, and sharp tapered distal stump predict cap toughness, and wire penetration force should be stepped-up in these cases. The importance of choosing between redirection, parallel wiring, and Stingray (Boston Scientific, Marlborough, MA, USA) for angiographic guidance is discussed along with which will be more successful. On the retrograde side, the problems encountered with distal cap puncture and methods to overcome these problems are explained. The method of wiring the CTO body through a retrograde approach depending on the morphology of the CTO is described. Different reverse controlled antegrade and retrograde tracking (CART) wiring methods – including end balloon wiring, side balloon entry, and conventional reverse CART – are explained in detail.Conclusion: This is a systematic CTO wiring review, which is believed to be beneficial for CTO operators worldwide. Chronic total occlusion Wiring Percutaneous coronary intervention Tsuchikane, Etsuo verfasserin aut Lo, Sidney verfasserin aut Lim, Soo Teik verfasserin aut Ge, Lei verfasserin aut Chen, Ji-Yan verfasserin aut Qian, Jie verfasserin aut Lee, Seung-Whan verfasserin aut Kao, Hsien-Li verfasserin aut Harding, Scott A. verfasserin aut Enthalten in Heart, lung and circulation Amsterdam [u.a.] : Elsevier, 2000 28, Seite 1490-1500 Online-Ressource (DE-627)323607241 (DE-600)2026333-8 (DE-576)091210305 1444-2892 nnns volume:28 pages:1490-1500 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.85 Kardiologie Angiologie 44.65 Chirurgie AR 28 1490-1500 |
allfieldsSound |
10.1016/j.hlc.2019.04.004 doi (DE-627)ELV002827093 (ELSEVIER)S1443-9506(19)30342-7 DE-627 ger DE-627 rda eng 610 DE-600 44.85 bkl 44.65 bkl Wu, Eugene B. verfasserin aut Chronic Total Occlusion Wiring: A State-of-the-Art Guide From The Asia Pacific Chronic Total Occlusion Club 2019 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective: Despite the advances in wire technology and development of algorithm-driven methodology for chronic total occlusion (CTO) intervention, there is a void in the literature about the technical aspects of CTO wiring. The Asia Pacific CTO Club, a group of 10 experienced operators in the Asia Pacific region, has tried to fill this void with this state-of-the-art review on CTO wiring.Methods: This review explains, for proximal cap puncture: choices of wires, shaping of the wire, use of dual lumen catheter, and method of step-down of wire penetration force for successful wiring. In wiring the CTO body, the techniques of loose tissue tracking, intentional intimal plaque tracking, and intentional subintimal wiring are described in detail. For distal lumen wiring, a blunt distal cap, presence of a distal cap side branch, calcium, and sharp tapered distal stump predict cap toughness, and wire penetration force should be stepped-up in these cases. The importance of choosing between redirection, parallel wiring, and Stingray (Boston Scientific, Marlborough, MA, USA) for angiographic guidance is discussed along with which will be more successful. On the retrograde side, the problems encountered with distal cap puncture and methods to overcome these problems are explained. The method of wiring the CTO body through a retrograde approach depending on the morphology of the CTO is described. Different reverse controlled antegrade and retrograde tracking (CART) wiring methods – including end balloon wiring, side balloon entry, and conventional reverse CART – are explained in detail.Conclusion: This is a systematic CTO wiring review, which is believed to be beneficial for CTO operators worldwide. Chronic total occlusion Wiring Percutaneous coronary intervention Tsuchikane, Etsuo verfasserin aut Lo, Sidney verfasserin aut Lim, Soo Teik verfasserin aut Ge, Lei verfasserin aut Chen, Ji-Yan verfasserin aut Qian, Jie verfasserin aut Lee, Seung-Whan verfasserin aut Kao, Hsien-Li verfasserin aut Harding, Scott A. verfasserin aut Enthalten in Heart, lung and circulation Amsterdam [u.a.] : Elsevier, 2000 28, Seite 1490-1500 Online-Ressource (DE-627)323607241 (DE-600)2026333-8 (DE-576)091210305 1444-2892 nnns volume:28 pages:1490-1500 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.85 Kardiologie Angiologie 44.65 Chirurgie AR 28 1490-1500 |
language |
English |
source |
Enthalten in Heart, lung and circulation 28, Seite 1490-1500 volume:28 pages:1490-1500 |
sourceStr |
Enthalten in Heart, lung and circulation 28, Seite 1490-1500 volume:28 pages:1490-1500 |
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bklname |
Kardiologie Angiologie Chirurgie |
institution |
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topic_facet |
Chronic total occlusion Wiring Percutaneous coronary intervention |
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false |
container_title |
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authorswithroles_txt_mv |
Wu, Eugene B. @@aut@@ Tsuchikane, Etsuo @@aut@@ Lo, Sidney @@aut@@ Lim, Soo Teik @@aut@@ Ge, Lei @@aut@@ Chen, Ji-Yan @@aut@@ Qian, Jie @@aut@@ Lee, Seung-Whan @@aut@@ Kao, Hsien-Li @@aut@@ Harding, Scott A. @@aut@@ |
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2019-01-01T00:00:00Z |
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Wu, Eugene B. |
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610 DE-600 44.85 bkl 44.65 bkl Chronic Total Occlusion Wiring: A State-of-the-Art Guide From The Asia Pacific Chronic Total Occlusion Club Chronic total occlusion Wiring Percutaneous coronary intervention |
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ddc 610 bkl 44.85 bkl 44.65 misc Chronic total occlusion misc Wiring misc Percutaneous coronary intervention |
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Chronic Total Occlusion Wiring: A State-of-the-Art Guide From The Asia Pacific Chronic Total Occlusion Club |
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Chronic Total Occlusion Wiring: A State-of-the-Art Guide From The Asia Pacific Chronic Total Occlusion Club |
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Wu, Eugene B. Tsuchikane, Etsuo Lo, Sidney Lim, Soo Teik Ge, Lei Chen, Ji-Yan Qian, Jie Lee, Seung-Whan Kao, Hsien-Li Harding, Scott A. |
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chronic total occlusion wiring: a state-of-the-art guide from the asia pacific chronic total occlusion club |
title_auth |
Chronic Total Occlusion Wiring: A State-of-the-Art Guide From The Asia Pacific Chronic Total Occlusion Club |
abstract |
Objective: Despite the advances in wire technology and development of algorithm-driven methodology for chronic total occlusion (CTO) intervention, there is a void in the literature about the technical aspects of CTO wiring. The Asia Pacific CTO Club, a group of 10 experienced operators in the Asia Pacific region, has tried to fill this void with this state-of-the-art review on CTO wiring.Methods: This review explains, for proximal cap puncture: choices of wires, shaping of the wire, use of dual lumen catheter, and method of step-down of wire penetration force for successful wiring. In wiring the CTO body, the techniques of loose tissue tracking, intentional intimal plaque tracking, and intentional subintimal wiring are described in detail. For distal lumen wiring, a blunt distal cap, presence of a distal cap side branch, calcium, and sharp tapered distal stump predict cap toughness, and wire penetration force should be stepped-up in these cases. The importance of choosing between redirection, parallel wiring, and Stingray (Boston Scientific, Marlborough, MA, USA) for angiographic guidance is discussed along with which will be more successful. On the retrograde side, the problems encountered with distal cap puncture and methods to overcome these problems are explained. The method of wiring the CTO body through a retrograde approach depending on the morphology of the CTO is described. Different reverse controlled antegrade and retrograde tracking (CART) wiring methods – including end balloon wiring, side balloon entry, and conventional reverse CART – are explained in detail.Conclusion: This is a systematic CTO wiring review, which is believed to be beneficial for CTO operators worldwide. |
abstractGer |
Objective: Despite the advances in wire technology and development of algorithm-driven methodology for chronic total occlusion (CTO) intervention, there is a void in the literature about the technical aspects of CTO wiring. The Asia Pacific CTO Club, a group of 10 experienced operators in the Asia Pacific region, has tried to fill this void with this state-of-the-art review on CTO wiring.Methods: This review explains, for proximal cap puncture: choices of wires, shaping of the wire, use of dual lumen catheter, and method of step-down of wire penetration force for successful wiring. In wiring the CTO body, the techniques of loose tissue tracking, intentional intimal plaque tracking, and intentional subintimal wiring are described in detail. For distal lumen wiring, a blunt distal cap, presence of a distal cap side branch, calcium, and sharp tapered distal stump predict cap toughness, and wire penetration force should be stepped-up in these cases. The importance of choosing between redirection, parallel wiring, and Stingray (Boston Scientific, Marlborough, MA, USA) for angiographic guidance is discussed along with which will be more successful. On the retrograde side, the problems encountered with distal cap puncture and methods to overcome these problems are explained. The method of wiring the CTO body through a retrograde approach depending on the morphology of the CTO is described. Different reverse controlled antegrade and retrograde tracking (CART) wiring methods – including end balloon wiring, side balloon entry, and conventional reverse CART – are explained in detail.Conclusion: This is a systematic CTO wiring review, which is believed to be beneficial for CTO operators worldwide. |
abstract_unstemmed |
Objective: Despite the advances in wire technology and development of algorithm-driven methodology for chronic total occlusion (CTO) intervention, there is a void in the literature about the technical aspects of CTO wiring. The Asia Pacific CTO Club, a group of 10 experienced operators in the Asia Pacific region, has tried to fill this void with this state-of-the-art review on CTO wiring.Methods: This review explains, for proximal cap puncture: choices of wires, shaping of the wire, use of dual lumen catheter, and method of step-down of wire penetration force for successful wiring. In wiring the CTO body, the techniques of loose tissue tracking, intentional intimal plaque tracking, and intentional subintimal wiring are described in detail. For distal lumen wiring, a blunt distal cap, presence of a distal cap side branch, calcium, and sharp tapered distal stump predict cap toughness, and wire penetration force should be stepped-up in these cases. The importance of choosing between redirection, parallel wiring, and Stingray (Boston Scientific, Marlborough, MA, USA) for angiographic guidance is discussed along with which will be more successful. On the retrograde side, the problems encountered with distal cap puncture and methods to overcome these problems are explained. The method of wiring the CTO body through a retrograde approach depending on the morphology of the CTO is described. Different reverse controlled antegrade and retrograde tracking (CART) wiring methods – including end balloon wiring, side balloon entry, and conventional reverse CART – are explained in detail.Conclusion: This is a systematic CTO wiring review, which is believed to be beneficial for CTO operators worldwide. |
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Chronic Total Occlusion Wiring: A State-of-the-Art Guide From The Asia Pacific Chronic Total Occlusion Club |
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Tsuchikane, Etsuo Lo, Sidney Lim, Soo Teik Ge, Lei Chen, Ji-Yan Qian, Jie Lee, Seung-Whan Kao, Hsien-Li Harding, Scott A. |
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