How to Justify CTO Revascularization -- How to Set Up a Chronic Total Occlusion Angioplasty Program -- What Equipment Should be Available -- Specific Basic Techniques to Master in CTO PCI -- When and How to Perform an Antegrade Approach Using a Wire Escalation Technique -- When and How to Perform an Antegrade Dissection/Re-entry Approach using the CrossBoss and Stingray Catheters -- How to Deal with Difficult Antegrade Issues -- Intra-occlusion Microinjection of Contrast: When, Why and How -- How and When to Perform the Retrograde Approach -- How to Recanalize In-Stent Chronic Total Occlusions -- How to Fix Common Problems Encountered in CTO PCI: The Expanded Hybrid Approach -- How to Improve Catheter Support during CTO PCI -- When and How to Perform a Transradial Approach for CTO PCI -- How to Manage Radiation and Contrast during Chronic Total Occlusion Percutaneous Coronary Intervention -- Complications of Chronic Total Occlusion Percutaneous Coronary Intervention -- How to Prevent Perforation during CTO PCI -- How to Prevent and Manage Ischemic Complications during CTO PCI -- Managing Entrapped Gear during Chronic Total Occlusion Interventions -- How to Start and Build Your CTO Practice and Maintain Referrals in a Competitive Environment.

This is a practical handbook providing readers with a step-by-step description of how to perform some of the percutaneous coronary intervention (PCI) techniques for treating chronic total occlusion (CTO) and how to troubleshoot some of the problems along the way. PCI has emerged as a very effective procedure to help patients with CTOs, with high success and low complications rates. However, it remains a very challenging procedure with multiple challenges, both in managing specific cases, but also in the learning process. Percutaneous Intervention for Coronary Chronic Total Occlusion: The Hybrid Approach represents a practical book formatted to assist the busy interventional cardiologist in learning the techniques. Numerous examples are provided, with a vast selection of still images and over 150 angiographic video loops. The concept of the book is to provide a quick reference tool to help identify the most common problems encountered with instruction on the most effective method of counteracting them.� It will become a zmust havey for operators who want a quick reference for the procedure.