Non-Pushing PCI Techniques

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.

Explains the non-pushing percutaneous coronary intervention (PCI),a key concept for complex PCI of CTO developed by Dr. Kazuaki Mitsudo Features abundant figures for clear guidance Serves as a useful guide for coronary interventionalists dealing with PCI for complex lesion especially CTO

Autorentext
Kazuaki Mitsudo MD

Former Deputy Chief of Kurashiki Central Hospital, Kurashiki, Japan

Former Board Chair of the Japanese Association of Cardiovascular Intervention and Therapeutics

Inhalt

Part I Mitsudo's PCI techniques for CTO.- 1 Approach (Puncture site) .- 2 Sheath.- 3 Guiding catheter.- 4 Column (1): Guide wire cannulation and buddy wire technique.- 5 Column (2): Coronary arteries with an anomalous origin.- 6 Anticoagulation strategy.- 7 Fluoroscopy and imaging strategy.- 8 Column (3): Fluoroscopy (imaging) angle and detector surface.- 9 Column (4): Rotational angiography.- 10 Antegrade approach.- 11 Column (5): Advancing the guide wire and relationship with tissue hardness.- 12 Column (6): Mechanisms of guide wire penetration.- 13 Column (7): Selection and rationale - Part I.- 14 Retrograde approach.- 15 Column (8): Sion guide wire.- 16 Column (9): Techniques for RCA segments 2-3.- 17 Column (10): Selection and rationale Part I.- 18 Antegrade approach revisited.- 19 Column (11): Distal protection method.- 20 Trouble shooting.- Part II Stenting of bifurcation lesions.- 21 Stent design, stent placement, and placement technique.- 22 Dedicated stent for bifurcation lesions.- 23 Generic stent design optimized for bifurcation lesions.- 24 Column (13): Good fracture and bad fracture.- 25 Optimized stent placement technique for bifurcation lesions.- 26 Column (14): Selection of the balloon and inflation pressure.- 27 Column (15): Prevention of coiling and countermeasures.- 28 Column (16): Balloon formation (rewrapping) .- 29 Column (17): Importance of the observation angle.- 30 Column (18): Necessity for POT and KBT.- 31 Ideal two-stent method for bifurcation lesions.- Part III Stenting of right coronary artery ostial lesions.- 32 Radial force.- 33 Preparation.- 34 Stent.- 35 Positioning the stent.- 36 Necessity for IVUS.- 37 Case studies.- Part IV Stenting of left main trunk (LMT) lesions.- 38 Lesion pathomorphology and stent placement.- 39 Stent design.- 40 Column (19): Promus PREMIER.- 41 Preparation.- 42 Column (20): Carina shift.- 43 Column (21): Lacrosse NSE, AngioSculpt, or ScoreFlex.- 44 Stenting procedure and stent placement.-45 LMT trifurcation stenting.- 46 Case studies on LMT stenting.- Part V Mitsudo's non-pushing PCI technique .- 47 When pushing is allowed.- 48 Guide wire.- 49 Balloon angioplasty (POBA) .- 50 Rotablator.-51 ELCA.- 52 Stenting.- 53 IVUS.- 54 So-called anchoring technique.- 55 Guide wire loop (wire tag) .- 56 IVUS removal.