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Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_3764_Библиотеки_им_академика_М_И_Перельмана
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268 Index
new technologies 38
penetration from subintimal space 36–38
reverse CART guiding 126–127, 178
rotational atherectomy 181–182
tip detection 144–155
transradial intervention 115
two-wire techniques 103–104
intravascular ultrasound-guided reverse
controlled antegrade and retrograde
tracking (IVUS-guided reverse
CART) 126–127
IOCM see iso-osmolar contrast media
IS-CTO see in-stent chronic total occlusions
iso-osmolar contrast media (IOCM) 225
IVUS see intravascular ultrasound
IVUS-guided reverse CART see intravascular
ultrasound-guided reverse controlled
antegrade and retrograde tracking
J-CTO scores see Japanese Chronic Total
Occlusion scores
Japanese Chronic Total Occlusion scores
(J-CTO scores), laser debulking
outcomes 199
Judo guidewires 59–60, 93–94
knuckling 94, 96, 207–208
laser revascularization 187–203
clinical applications 195–196
clinical experience 196–199
complications 200
contraindications 200
effects of lasers 189–190, 194
indications 195–196
J-CTO score correlations 199
with rotational atherectomy 199–200
synergistic procedures 199–200
technique 192–195
lasers
concepts 189–192
induced effects 189–190, 194
technology 192–195
LAST see limited antegrade subintimal
tracking
LAVA-ECMO see left atrial-veno-arterial
extracorporeal membrane oxygenation
LD-CTO see long-duration chronic total
occlusions
left atrial-veno-arterial extracorporeal mem-
brane oxygenation (LAVA-ECMO) 236,
240, 242
left brachial haemodialysis shunts 260
left radial artery, transradial intervention 115
left ventricular cardiac tamponade after
guidewire perforation 260
left ventricular function 20
left ventricular support devices 227
lesion crossing, optical coherence
tomography 40–41
limitations, transradial intervention 115
limited antegrade subintimal tracking (LAST)
technique 124, 130, 210–212, 211
LOCM see low-osmolar contrast media
long-duration chronic total occlusions
(LD-CTO) 10–13, 16
low-osmolar contrast media (LOCM) 224–225
lubricity
guidewires 84–86
microcatheters 70
vs tactile feedback 85–86
lumen patterns 11–13
Mamba Flex microcatheters 76
Mamba microcatheters 76
manipulation
guidewires 97–98
see also wires technique
materials, guidewires 49
MCs see microcatheters
MCS see mechanical circulatory support
measurement
occlusions 41
stent prediction 41–42
tip stiffness 83
mechanical circulatory support
(MCS) 232–245
complications 243–244
contraindications 232–233
contrast-associated acute kidney injury 227
hemodynamic effects 235–236
indications 232–233, 236–237, 242–243
inter-surgical emergencies 242–243
procedural examples 237–240
risk assessment 232–235
technical aspects 240–242
medial tears, stents 5
metformin 221
microcatheters (MCs) 69–80
antegrade dissection and re-entry 130–131,
212, 215
braided 70–73
coil-based 73–76
collateral crossing 167–168
directional 79–80
dual lumen 77–79
lubricity 70
penetration-type 76–77
Index 269
Данная книга находится в списке для перевода на русский язык сайта https://meduniver.com/
push force 70
sizes 70
specifications 71–72
threads 70
torque 70
trackability 70
types 70–80
microchannel navigation, guidewires 90–92
Minamo wire 49
Mini-STAR technique 124, 129–130
see also limited antegrade subintimal tracking
MIRACLEbros 12 212
models, 3D wiring methods 139, 147
modified STAR technique see contrast-guided
subintimal tracking and re-entry
modulation, tip stiffness 97
MSCT see multislice computed tomography
multislice computed tomography
(MSCT) 29–34
impacts of 33
pathology representation 30–33
volume rendering 31–33
Nanto-Method 65
navigation
extraplaque space 209–210
intraplaque 93, 98, 136, 150
microchannels 90–92
necrosis 11–12
negative remodeling 4
neoatherosclerotic plaque rupture 5, 14, 16
neovascularization 6
nephrotoxic drugs 221, 224–225
NHancer RX microcatheters 78
nitinol 49
non-tapered, polymer coated
guidewires
87–88
non-tapered stiff guidewires 54–59, 88–89
OAS (orbital atherectomy system) see orbital
atherectomy
occluded abdominal aorta 260
OCT see optical coherence tomography
one-hand technique 97
optical coherence tomography (OCT) 39–45
four P’s 39–40
length assessment 41–42
lesion crossing 40–41
principles 39–40
stent measurement prediction 41–42
stent post-insertion evaluation 44
vessel wall assessment 42–44
OPTIMISM system 40
optimization, covered stents 247–248
orbital atherectomy 183–184
osmolarity, contrast media
224–225
osseous calcification 6–7
outcomes
angiography-guided 3D wiring 143
antegrade dissection and re-entry 133, 214
antegrade fenestration and re-entry 162
covered stents 248
plaque debulking 184
tip detection with AnteOwl intravascular
ultrasound 150–151
oversizing, stents 44
parallel-wire technique 103, 109–114
clinical experience 113
dual lumen microcatheters 111
exchanging wires 112
principles 109–111
support catheters 110
use of 112–113
wires selection 110–111
passive calcification 6
pathobiology 3–9
calcification 6–7
development 5–7
distal fibrous cap 5
main body 6
pathogenesis 5–7
proximal fibrous cap 5
recanalization channels 6
pathogenesis 5–7
pathology 3–26
calcification 6–7
computed tomography 30–33
development 5–7
histological 10–15, 187–188, 203
human studies
3–5
revascularization implications 10–18
pathophysiology, acute kidney injury 219
penetration
guidewires 92–93
microcatheters 76–77
technique 98
by Tornus catheter 64, 67
perforation
collaterals 170, 251–252
covered stents 246–249
peripheral interventions, antegrade fenestra-
tion and re-entry 165
phosphate, calcification 6
PK Papyrus stents 246–247
plaque debulking 181–185
directional coronary atherectomy 182–183, 184
DOCTORS study 184
indications 181
lasers 187–203
270 Index
orbital atherectomy 183–184
outcomes 184
role of 184
rotational atherectomy 181–182, 184,
199–200
SilverHawk excision system 183
plaque ruptures 5, 14, 16
platelets 5
polymer-jacket guidewires 52–54, 85–86
non-tapered 87
tapered 87–88
power knuckle technique 207–208
prediction
contrast-associated acute kidney
injury 219–221
stent measurements 41–42
of success 21
presentation, with chronic occlusions 188
prevalence
calcification 6
of CTO 187
in-stent occlusions 4–5, 13–14, 17
post arterial bypass 4
post-STEMI 5
profound ischemia 252
prophylaxis, contrast-associated acute kidney
injury 221
proteoglycan 29
proximal cap 5
disambiguation 207–209
push force, microcatheters 70
RA see rotational atherectomy
Raider guidewires 53, 56
RASER see Rotablation plus laser
RDR see retrograde dissection and re-entry
re-entry
devices 126, 211–212, 215
techniques 210–212
recanalization
channel formation 6
electrosurgical 174–175
occlusal formation 6
parallel-wire technique 112–113
ReCross microcatheters 79, 130–131, 212
removal
retrograde approach 170
by Tornus catheter 64–65
restenosis 14–15, 174
retrograde approaches 166–176
3D wiring indications 140
access 166–167
collaterals management 167–170,
251–252
complications 170, 250–254
cross vein graft occlusions 173
dissection and re-entry 168–170
donor artery injury 250–251
donor vessel management 167
electrosurgical recanalization 174–175
externalization 170
fundamental principles 166–167
general concepts 22
guides 167
guidewires 93–94, 167, 170
indications 166
interesting cases 257–262
microcatheters 167–168
profound ischemia 252
removal of instruments 170
septal artery perforation 251, 259–260
step-by-step 166–171
two-wire technique 104–106
via vein grafts 172–176
wire entrapments 252–253
retrograde dissection and re-entry
(RDR) 168–170
revascularization
merits of 188–189
physiological implications 10–18
reverse CART technique 104, 125–126
confluent balloon technique 126, 179
contemporary 168–169
failures 169
guide-extension 168–169, 178
intravascular ultrasound-guided 126–127,
178
retrograde dissection and re-entry
168–169
snares 179
speciality balloon 168–169
tips and tricks 177–180
RG 3 guidewires 95–96
RG 350 guidewires 95–96
risk factors
contrast-associated acute kidney
injury 219–221
hemodynamic collapse 232–235
Rotablation plus laser (RASER) 199–200
rotation
one-handed technique 97
orthogonal fluoroscopic
observations 136–139
Tornus catheter 64–65
torque devices 97
two-handed technique 97
rotational atherectomy (RA) 181–182, 184,
199–200
RotaWire 95
Runthrough guidewires 49
Index 271
Данная книга находится в списке для перевода на русский язык сайта https://meduniver.com/
sacrifice, saphenous vein grafts 174
safety
antegrade dissection and re-entry 214
two-wire techniques 101
Samurai guidewires 50–51
Samurai RC guidewires 50–51
saphenous vein grafts (SVG)
electrosurgical recanalization 174–175
imaging 173
laser revascularization 199
restenosis 174
retrograde approach 172–176
sculpturing 199
Sasuke dual lumen microcatheters 78
SB see side branches
scratch-and-go technique 207
sculpturing 199
SD-CTO see short-duration chronic total
occlusions
SED see stent edge dissection
septal artery hematoma 251, 259–260
septal branch entrapment 252–253
shaft breakage 64
shaping, guidewires 96–97
short-duration chronic total occlusions
(SD-CTO) 10–13, 16–17
side branches (SB)
dual lumen microcatheters 78, 101, 103,
208–209
guidewire entrapment 252–253
transradial intervention 117
two-wire techniques 101–103
side-balloon-assisted subintimal entry (side-
BASE) 133, 208–209
side-branch anchoring 101–103, 117
SilverHawk Plaque Excision System
183
simulation, 3D wiring methods 139, 147
Sion black guidewires 52–53, 93, 95
Sion blue guidewires 90
Sion guidewires 49–50, 90, 93, 95
sizes
covered stents 247
microcatheters 70
sliding technique 98
snares, reverse CART 179
speciality balloon reverse CART 168–169
specifications, microcatheters 71–72
ST segment elevation myocardial infarction
(STEMI)
antegrade fenestration and re-entry 165
laser revascularization 195
occlusal risk factors 5
stability, two-wire technique 101
stainless steel 49
STAR see subintimal tracking and re-entry
221
statins
STEMI see ST segment elevation myocardial
infarction
stent edge dissection (SED) 44
stents
anchoring techniques 106
covered 246–249
edge dissections 44
laser revascularization 199
measurement prediction 41–42
medial tears 5
occlusion pathobiology 4–5
optical coherence tomography 41–44
oversizing 44
plaque debulking 184
post-implantation assessment 44
strut malpositioning 44
under-expansion 44
see also in-stent chronic total occlusions
stiff-tip non-polymer jacketed guidewires 54–
62, 88–89
non-tapered 54–59
tapered 59–62
STINGRAY LP system 130–133, 151–152,
211–212
Stingray re-entry system 126
strategy planning 21–22
subintimal angioplasty 121
vein grafts 173
see also algorithms
STRAW see subintimal transcatheter with-
drawal technique
strut malpositioning, stents 44
subintimal angioplasty 121–128, 203–217
algorithm 123
appropriate usage
122–123
assessment 121
principles 121–122
re-entry devices 126, 211–212
related techniques 123–126
strategy selection 121
see also antegrade dissection and re-entry;
antegrade fenestration and re-entry;
subintimal tracking and re-entry
techniques
subintimal tracking and re-entry (STAR)
techniques 123–124, 129–130, 210–212
contrast-guided 124, 131–132, 210
LAST 124, 130
Mini 124, 129–130
subintimal transcatheter withdrawal (STRAW)
technique 133, 213–214
success rates 22
sudden cardiac death 20
Suoh 03 guidewires 49–50, 93–95
272 Index
support catheters 110
support guidewires 89
survival benefits 21
SVG see saphenous vein grafts
symptom relief 19–20
tactile feedback
principles 97
vs lubricity 85–86
TandemHeart device 233, 235, 238–240
tapered, high tip stiffness guidewires 59–62,
88–89
tapered, polymer coated guidewires 87–88
targeting, guidewires 90
TECC technology 84
techniques, strategy planning 21–22
threads, microcatheters 70
tip construction 49–51, 83–84
tip detection 144–155
antegrade dissection and re-entry 151–155
concept 144–146
tip-detection antegrade dissection and re-entry
(TD-ADR) 136, 151–155
advantages over Stingray systems 151–152
procedural details 152–154
tip load specifications 83
tip stiffness
classification 83
modulation 97
tissue hardness variability 101–103
tomography, success prediction 21
Tornus catheters 64–68, 76–77
case study 67
complications 65–67
penetration 64, 67
removal 64–65
shaft breakage 64
transradial approach 67, 119
wire crossing support 65
torque
3D wiring methods 135–137
controlled-torquing 98
devices 97
microcatheters 70
touching wires 104
trackability 70, 84–86
training, 3D wiring methods 139, 147
transcatheter electrosurgery 174–175
Transit support catheters 110
transradial intervention (TRI) 115–120
advantages 115
bidirectional approach 118–119
case selection 120
guiding catheters 117–118
limitations 115
side branches 117
Tornus catheters 67, 119
TrapLiner guide extensions 131
TRI see transradial intervention
troubleshooting
antegrade dissection and re-entry 132–133,
207–209
antegrade fenestration and re-entry 213–214
Turnpike Gold microcatheters 77
Turnpike LP (low profile)
microcatheters 74–76
Turnpike microcatheters 74–75
Turnpike Spiral microcatheters 74–75
two-handed technique 97
two-wire techniques 101–108
anchoring balloons 106–107
anchoring stents 106
buddy wires 106–107
crossing benefits 101–103
intravascular ultrasound 103–104
retrograde approach 104–106
safety 101
side branches 101–103
see also parallel-wire technique
UltimateBros 3 guidewire 54, 57
ultra-low contrast volumes 225–226
ultraviolet lasers 190
underexpansion, stents 44
VA-ECMO see venous arterial extra corporeal
membrane oxygenation
vascular plugs 174
vein grafts
electrosurgical recanalization 174–175
imaging 173
laser revascularization 199
restenosis 174
retrograde approach 172–176
venous arterial extra corporeal membrane
oxygenation (VA-ECMO) 236, 242
Venture RX microcatheters 79–80
vessel wall assessment, optical coherence
tomography 42–44
ViperWire 95
volume, contrast agents 225–226
volume rendering, computed
tomography 31–33
Warrior guidewires 59, 62
wire entry points, intravascular
ultrasound-guided 35–36
wire manipulation, principles 95–99
Index 273
Данная книга находится в списке для перевода на русский язык сайта https://meduniver.com/
wires selection
3D methods 141–142
parallel-wire technique 110–111
retrograde approach 167, 170
subintimal angioplasty 122–126
wires technique 83–254
3D methods 135–139, 141–159
antegrade dissection and re-entry 129–134,
136, 151–155, 204–212
antegrade fenestration and re-entry
156–165, 212–214
AnteOwl IVUS-based 3D methods 136,
143–155
balloon-assisted subintimal entry 207–209
contrast-guided STAR 210
controlled-torquing 98
covered stents 247–248
de-escalation 98–99
debulking 181–185
directional coronary atherectomy 182–183
drilling 98
electrosurgical recanalization 174–175
escalation 98–99
fluoroscopy-based 3D methods 136–143
laser revascularization 192–195
LAST technique 211
manipulation principles 95–99
mini-STAR 210–211
one-handed 97
orthogonal fluoroscopic
observations 136–139
parallel-wires 110–111
penetration 98
retrograde approach 166–176
rotational atherectomy 181–182, 184, 199–200
shaping 96–97
sliding 98
STAR 210
subintimal angioplasty 121–128, 203–217
tactile feedback 97
tip detection 136, 144–155
tip stiffness modulation 97
transradial approach 115–120
two-handed 97
two-wires 101–108
vein grafts 172–174
wire selection 83–95
wires technology 49–80
clinical use cases 90–95
hydrophilic coatings 49, 84–85
hydrophobic coatings 85
materials 49
microcatheters 69–80
non-tapered stiff-tipped 54–59
polymer-jacketed guidewires 52–54, 85–86,
87–88
shaft construction 83
stiff-tip non-polymer jacketed guide-
wires 54–62, 88–89
tapered stiff-tipped 59–62
tip construction 49–51, 84–85
Tornus catheter 64–68
torque transmission 83–84
workhorse guidewires 49–51, 86
workhorse guidewires 49–51
XTRAND coil technology 59, 93
zero contrast volume 225–226
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