This book equips readers with the knowledge required in order to successfully treat coronary chronic total occlusion by means of percutaneous coronary interventions. All the essential background knowledge is provided, including with regard to procedurally relevant histopathology, assessment of chronic total occlusion by means of angiography and computed tomography, patient preparation, and selection and use of guidewires. Both basic and advanced techniques employing antegrade and retrograde approaches are then described in detail with the aid of numerous high-quality illustrations that ensure ease of understanding. Helpful tips and tricks are highlighted, and guidance provided on the troubleshooting of problems and the prevention and management of complications. The book will serve as a superb guide for all who are involved in percutaneous coronary interventions for chronic total occlusion, including interventional cardiologists, fellows in training, nurses, and technicians in catheterization laboratories.

Yangsoo Jang, MD, PhDSeverance Cardiovascular Hospital, Yonsei University Health System, Seoul, Korea

Chapter 1. History of CTO intervention and benefits of CTO PC.- Chapter 2. Review of histopathology of CTO for CTO success.- Chapter 3. Angiographic assessment of CTO before PCI.- Chapter 4. Pre- and intra-procedure computed tomography-based assessment of CTO for the successful CTO intervention.- Chapter 5. Initial preparation for CTO intervention; vascular access and selection of guiding catheter.- Chapter 6. Basic CTO guidewires and tips for proper use.- Chapter 7. Guidewire supporting devices.- Chapter 8. Antegrade approach of CTO PCI.- Chapter 9. Tips and tricks of antegrade CTO PCI (Kenya Nasu): Toyohashi Heart CenterChapter 10. Intravascular Ultrasound guidance for the successful wiring.- Chapter 11. Retrograde approach of CTO PCI.- Chapter 12. CART/reverse CART/contemporary reverse CART for successful retrograde PCI.- Chapter 13. Use of intravascular Ultrasound for wire-crossing in retrograde CTO PCI.- Chapter 14. Antegrade dissection/re-entry.- Chapter 15. Tips and tricksof successful stent delivery and implantation.- Chapter 16. Complications of CTO-PCI and how to manage and prevent.- Chapter 17. How to reduce the radiation and contrast doses.