CTO: Technique and Tools
|
|
- Irma Neal
- 5 years ago
- Views:
Transcription
1 CTO: Technique and Tools S. Hinan Ahmed, MD Associate Professor: Cardiology and Cardiothoracic Surgery Program Director: Interventional Fellowship Program Associate Editor: Cath Cardiov Interventions UT Health Science Center San Antonio NCVH, 2015
2 Conflicts of Interest Advisory Board: Abbott Vascular, GE Medical Consultant: St. Jude Medical, Sanofi-Aventis, GORE Medical Speaker: Astra Zeneca
3 CTO: Prevalence CTOs in particular are present in as many as 40% of patients presenting with CLI. The anatomical challenges associated with CTO treatment include the frequent presence of heavy calcification, no distinct cap, collaterals.
4 CTO: Challenges Lower procedural success Failure to cross is the primary method of failure Wire coupled with a support catheter works in 40-60% of cases Subintimal passage and re-entry works in 80% -(Data above the knee) These factors are the rationale for developing novel peripheral CTO crossing catheters.
5 Know the anatomy CTO: Tips Have a plan A and B Access (Contralateral, Antegrade, Retrograde, Dual) Equipment Available Wires Catheters Crossing devices Reentry
6 Case
7 Angiography left leg
8 Reverse CART
9 Results
10 CTO Cap Analysis
11 CTO Analysis
12 Courtesy of Metro Heart & Vascular
13 CTO CAPS DYNAMICS: CTOP II Central Lumen guidewire navigation can be difficult Distal G62123 v Best Strategy: Follow Concavity Proximal Cap: RETROGRADE APPROACH ANTEGRADE CONVEX Distal Cap: RETROGRADE CONCAVE Courtesy of Metro Heart & Vascular
14 CTO CAPS DYNAMICS: CTOP IIIa Proximal Cap: ANTEGRADE CONCAVE Micro CT scan of a CTO Proximal v Best Strategy: Follow Concavity ANTEGRADE - RETROGRADE Distal Cap: RETROGRADE CONCAVE Courtesy of Metro Heart & Vascular
15 CTO CAPS DYNAMICS: CTOP IIIb1 Proximal Cap: ANTEGRADE CONCAVE Micro CT scan of a CTO Proximal v Best Strategy: ANTEGRADE RETROGRADE The distal cap will be challenging given its FLAT configuration. Distal Cap: RETROGRADE CONVEX FLAT Courtesy of Metro Heart & Vascular
16 CTO CAPS DYNAMICS: CTOP IIIb2 Distal G62123 Proximal Cap: ANTEGRADE CONVEX FLAT Central Lumen guidewire navigation can be difficult v Best Strategy: ANTEGRADE RETROGRADE The proximal cap will be challenging given its FLAT configuration. Distal Cap: RETROGRADE CONCAVE Courtesy of Metro Heart & Vascular
17 CTO CAPS DYNAMICS: CTOP IV Proximal Cap: ANTEGRADE CONVEX Micro CT scan of a CTO Proximal v Best Strategy: ANTEGRADE RETROGRADE Both caps will be challenging given FLAT configuration. Most complex CTO. Distal Cap: RETROGRADE CONVEX Courtesy of Metro Heart & Vascular
18 Pedal Approach CTO PT
19 Pedal Approach: AT
20 Crossing Devices
21 Crosser catheter Uses high-frequency vibration to facilitate navigation of guidewires beyond chronic total occlusions (CTOs). Complementary to alternate between CROSSER Catheter activation and guidewire probing. System set up. Quick pass/fail assessment and shorter CTO crossing times.*
22 Frontrunner XP catheter Features a profile of.039" with 2.3 mm jaws. Hydrophilic coating to facilitate crossing. Catheter steerability. Integrated system. Variable support from advancing and retracting the 4.5F Micro Guide Catheter.
23 Wildcat catheter Rotatable tip equipped with distal spiral wedges that can be used to bore a track into the CTO Crossing Profile: 2 mm (.080") Sheath Compatibility: 6 French Guidewire Compatibility:.035"
24 Ocelot catheter Similar mechanism as Wildcat catheter but added imaging with real time OCT Crossing Profile: 2 mm (.080") Inner Diameter:.41 mm (.016") Working Length: 110 cm (43.3") Sheath Compatibility: 6 French Guidewire Compatibility:.014
25 Safe-Cross system Safe-Cross system combines an optical coherence reflectometer with radiofrequency energy delivered from the wire tip to help the operator remain intraluminal
26 TruePath Rotating diamond-coated tip designed to break through plaque in peripheral lesions Size (OD): 0.018" Length: 165 cm Sheath Compatibility: compatible catheters 135cm Tip Profile: 0.017"
27 Viance Catheter Over the wire guidewire compatible, 150 cm long multi-wire coiled shaft that has a inch atraumatic distal tip. Hydrophilic stainless steel distal coating and is compatible through 5Fr sheath
28 Cross and confirm
29 Planter Loop Cases
30
31
32
33
34 Before and After
35 Plantar Loop Case 2
36
37 Before and After
38 Other Tools
39 ReEntry Tools
40 Quick Capture
41 Acknowledgements Thank You
Endovascular Approach to CTOs: Crossing methods and Devices
Endovascular Approach to CTOs: Crossing methods and Devices Anish J. Thomas, MD FACC FSCAI Interventional Cardiology Vascular/Endovascular Medicine SSM Heart Institute St. Louis, MO Disclosure Consultant:
More informationChronic total occlusions (CTOs) are frequently
Specialty Crossing Devices: Understanding the Learning Curve Technical pearls and new devices for crossing peripheral CTOs. y Usman Javed, MD, and John R. Laird, MD (Courtesy of ard Peripheral Vascular,
More informationEndovascular Treatment of Aortoiliac Occlusive Disease: What s in My Toolbox in Jade S. Hiramoto, MD, MAS UCSF Vascular Symposium April 20, 2018
Endovascular Treatment of Aortoiliac Occlusive Disease: What s in My Toolbox in 2018 Jade S. Hiramoto, MD, MAS UCSF Vascular Symposium April 20, 2018 Disclosures Research support and royalties, Cook Inc.
More informationCopyright HMP Communications
Ocelot With Wildcat in a Complicated Superficial Femoral Artery Chronic Total Occlusion Soundos K. Moualla, MD, FACC, FSCAI; Richard R. Heuser, MD, FACC, FACP, FESC, FSCAI From Phoenix Heart Center, Phoenix,
More informationAppropriate Device Selection for Endovascular Procedures
Appropriate Device Selection for Endovascular Procedures Thomas M. Shimshak, MD Florida Hospital Heartland Medical Center Sebring, Florida Disclosures Speaker s Bureau: Abbott Vascular Boston Scientific
More informationLessons for Successful Subintimal Angioplasty in SFA CTO
Lessons for Successful Subintimal Angioplasty in SFA CTO John R. Laird Professor of Medicine Medical Director of the Vascular Center UC Davis Medical Center CTOs in the Periphery Presence of Total Occlusion
More informationPCI for Chronic Total Occlusions
PCI for Chronic Total Occlusions Chronic Total Occlusions Why not Medical Treatment? Medical Treatment CTO in 891 pts over 24 years High 10% Mortality Low 2 % 1 year 10 years Puma JA, et al. JACC 1994;23:390A
More informationChronic Total Occlusion (CTO) Technologies
to receive our latest news and key activities. Chronic Total Occlusion (CTO) Technologies Re-open vital channels LinkedIn page Follow us on CORDIS EMEA OUTBACK LTD Re-Entry Catheter True Lumen Re-Entry
More informationEndovascular Repair of Combined Occluded Femoral and Popliteal Arteries
MEET 2013 Endovascular Repair of Combined Occluded Femoral and Popliteal Arteries ALI AMIN MD, FACS,FACC, RVT CHIEF OF ENDOVASCULAR INTERVENTIONS READING HOSPITAL AND MEDICAL CENTER READING, PA USA Chronic
More informationCatheterization and Cardiovascular Interventions
Recanalization of Popliteal and Infrapopliteal Chronic Total Occlusions using Viance and CrossBoss Crossing Catheters: a Multicenter Experience from the XLPAD Registry Journal: Manuscript ID: CCI--0 Wiley
More informationChronic Total Occlusion (CTO) Technologies. Re-open vital channels
Chronic Total Occlusion (CTO) Technologies Re-open vital channels OUTBACK LTD Re-Entry Catheter True Lumen Re-Entry Technology Get back into the true lumen with ease and precision There are a number of
More informationNew Devices Pedro Pinto Cardoso
New Devices Pedro Pinto Cardoso HSM, CHLN, CALM for CTOs Guidewires Microcatheters Radiofrequency Pharmacotherapy Pedro Pinto Cardoso, Serviço de Cardiologia HSM CHLN New Guidewires SENTAI family Samurai
More informationRe-entry into the true lumen from the subintimal space
VASCULAR AND ENDOVASCULAR TECHNIQUES Peter F. Lawrence, MD, Section Editor Re-entry into the true lumen from the subintimal space Peter A. Schneider, MD, Michael T. Caps, MD, MPH, and Nicolas Nelken, MD,
More informationAntegrade techniques for CTO recanalization. Dr. George Karavolias, MD, PhD, FESC, FACC Interventional Cardiologist
Antegrade techniques for CTO recanalization Dr. George Karavolias, MD, PhD, FESC, FACC Interventional Cardiologist can CTOs be reliably opened by PCI? Meta-Analysis of 18,061 Patients Patel V, J Am Coll
More informationAnnals of Vascular Diseases Advance Published Date: June 2, Horie K, et al.
2016 Annals of Vascular Diseases doi:10.3400/avd.cr.16-00007 Case Report Recanalization of a Heavily Calcified Chronic Total Occlusion in a Femoropopliteal Artery Using a Wingman Crossing Catheter Kazunori
More informationElements of CTO PCI. Ashish Pershad, MD FACC Heart and Vascular Center of AZ & Banner Good Samaritan Medical Center
Elements of CTO PCI Ashish Pershad, MD FACC Heart and Vascular Center of AZ & Banner Good Samaritan Medical Center Disclosures Consultant- Bridgepoint Medical Systems Speakers Honorarium- WL Gore Inc.
More informationNew Modalities and Advanced Techniques: The Role of Crossing Devices and Atherectomy
New Modalities and Advanced Techniques: The Role of Crossing Devices and Atherectomy Satish Gadi, MD FACC FSCAI Interventional Cardiologist, Cardiovascular Institute of the South (CIS) Baton Rouge Clinical
More informationFielder XT: Initial and. Department of Cardiology, Asan Medical Center, Ulsan University of college of medicine
Fielder XT: Initial and Professional Use for CTO Seung-Whan Lee, MD, PhD D t t f C di l A M di l C t Department of Cardiology, Asan Medical Center, Ulsan University of college of medicine Plastic-Jacket
More informationGuidewire Selection. Making the Most Out of My Guidewire: LINC 2016: Leipzig Interventional Course Leipzig, Germany January 26-29, 2016
Making the Most Out of My Guidewire: Guidewire Selection LINC 2016: Leipzig Interventional Course Leipzig, Germany January 26-29, 2016 Brian DeRubertis, MD, FACS Associate Professor of Surgery Division
More informationHydrodynamic boost: a novel re-entry technique in distal BTK vessel: when and how to do it
Hydrodynamic boost: a novel re-entry technique in distal BTK vessel: when and how to do it Roberto Ferraresi Peripheral Interventional Unit Bergamo Italy Disclosure Roberto Ferraresi, MD I have the following
More informationAlgorithm and Tools for the Uncrossable CTO
Algorithm and Tools for the Uncrossable CTO David E. Kandzari, MD, FACC, FSCAI Chief Scientific Officer Director, Interventional Cardiology Piedmont Heart Institute Atlanta, Georgia david.kandzari@piedmont.org
More informationMy idea on intimal tracking guide wire selection for Pop-BTK treatment
LINC 2017 Leipzig January 24-27, 2017 My idea on intimal tracking guide wire selection for Pop-BTK treatment Jos C. van den Berg, MD PhD Ospedale Regionale di Lugano, sede Civico Lugano University of Bern
More informationPCI for Chronic Total Occlusions
PCI for Chronic Total Occlusions Chronic Total Occlusions 20-40% of patients with CAD Why should we open? Rationale for CTO Revascularization Relief of symtomatic ischemia and angina Increase long-term
More informationAngioplasty Summit TCTAP Technical Aspects of Overview in CTO-PCI Toyohashi Heart Center Takahiko Suzuki, M.D
Angioplasty Summit TCTAP 2010 Technical Aspects of Overview in CTO-PCI Toyohashi Heart Center Takahiko Suzuki, M.D Introduction CTO-PCI has been technically and technologically evolved over the past two
More informationApproximately 40 million Americans (13%) are
Exotic Access, Techniques, and Devices for Infrapopliteal CTOs Recommendations on how to successfully cross chronic total occlusions of the infrapopliteal vasculature. By George L. Adams, MD, MHS, FACC;
More informationDisclosures. Tips and Tricks for Tibial Intervention. Tibial intervention overview
Tips and Tricks for Tibial Intervention Donald L. Jacobs, MD C Rollins Hanlon Endowed Professor and Chair Chair of Surgery Saint Louis University SSM-STL Saint Louis University Hospital Disclosures Abbott
More informationEducational Objectives. Conflict of Interest Disclosure. TIMI Flow Classification TIMI= Thrombolysis in Myocardial Infarction TIMI 0 Flow
Educational Objectives Percutaneous Coronary Interventions (PCI) in Chronic Total Occlusions (CTO s) The Last Frontier Ramon L. Lloret, MD, FACC, FSCAI At the end of this talk, attendees will: Understand
More informationPocket Reference Guide For (CTO) Technologies
to receive our latest news and key activities. Pocket Reference Guide For (CTO) Technologies LinkedIn page Follow us on CORDIS EMEA Table of Contents Essential prescribing information for both FRONTRUNNER
More informationTRANSRADIAL PERIPHERAL VASCULAR INTERVENTIONS
TRANSRADIAL PERIPHERAL VASCULAR INTERVENTIONS Cezar Staniloae NYU Heart and Vascular Institute May 27, 2015 Radial Artery is an Ideal Acess Site Easily accessible even in subjects with severe PVD Major
More informationUC SF. Introduction: Retrograde Access. Pedal Access: When to Do It How Does it Fare. Introduction: Retrograde Access. Introduction: Retrograde Access
Introduction: Retrograde Access Pedal Access: When to Do It How Does it Fare Wide spread application of endovascular techniques to infrageniculate arterial occlusive disease Technical failure rate of crossing
More informationAdvanced d Techniques and Tools to Treat Below the Knee CTO
TCTAP 2013, Apr. 23-26, 2013, Seoul, Korea Cardiovascular Center Tokeidai Memorial Hospital Sapporo, Japan Crossing Strategy t for Complex & CTO Lesion - Cross with Confidence - Supported by Educational
More information-Wire Based Strategies- Step by Step Instructions. Yasumi Igarashi M.D. Ph.D. JCHO Hokkaido Hospital
-Wire Based Strategies- Step by Step Instructions Yasumi Igarashi M.D. Ph.D. JCHO Hokkaido Hospital Disclosure Statement of Financial Interest I,Yasumi Igarashi, DO NOT have a financial interest/ arrangement
More informationModified Reverse CART technique in a near-ostial
Modified Reverse CART technique in a near-ostial RCA CTO Dr. Vincent O.H. Kwok MB BS (HK) FRCP (Lond( Lond, Edin, Glasg) ) FACC FSCAI Consultant Cardiologist & Director Cardiac Catheterization & Intervention
More informationUse of Laser In BTK Disease (CLI)
Use of Laser In BTK Disease (CLI) Click to edit academic affiliation, practice or hospital logo(s) of preference. Product and/or sponsor logos not permitted, per CME guidelines. Richard Kovach, MD, FACC,
More informationAccess strategy for chronic total occlusions (CTOs) is crucial
Learn How Access Strategy Impacts Complex CTO Crossing Arthur C. Lee, MD The Cardiac & Vascular Institute, Gainesville, Florida VASCULAR DISEASE MANAGEMENT 2018;15(3):E19-E23. Key words: chronic total
More informationAccess (Antegrade, Retrograde, Pedal)
Access (Antegrade, Retrograde, Pedal) ARCH St. Louis Craig M. Walker, MD, FACC, FACP Clinical Professor of Medicine Tulane University School of Medicine New Orleans, LA Clinical Professor of Medicine LSU
More informationGuide Wires design and selection Abbott Vascular. All rights reserved.
Guide Wires design and selection the cardiac catheter was...the key in the lock Cournand AF, Nobel lecture December 11, 1956; nowadays, the coronary guidewire is the master key to all locks Colombo et
More informationInterventional Cardiology
r l Interventional Cardiology Intravascular ultrasound findings after knuckle wire technique for superficial femoral artery occlusion Aim: We assessed the wire behavior by using intravascular ultrasound
More informationMAXIMIZE RADIAL SOLUTIONS TO PERIPHERAL CHALLENGES
MAXIMIZE RADIAL SOLUTIONS TO PERIPHERAL CHALLENGES PUSHING BOUNDARIES Terumo Interventional Systems is committed to your success with innovative procedural solutions and ongoing support for your most challenging
More informationNovel distal popliteal artery puncture technique in supine position for chronic femoropopliteal arterial occlusion; frontal popliteal puncture
Novel distal popliteal artery puncture technique in supine position for chronic femoropopliteal arterial occlusion; frontal popliteal puncture Miyazaki Medical Association Hospital Cardiovascular Center
More informationBifurcated system Proximal suprarenal stent Modular (aortic main body and two iliac legs) Full thickness woven polyester graft material Fully
Physician Training Bifurcated system Proximal suprarenal stent Modular (aortic main body and two iliac legs) Full thickness woven polyester graft material Fully supported by self-expanding z-stents H&L-B
More informationPing-Pong Guide Catheter Technique for Retrograde Intervention of a Chronic Total Occlusion Through an Ipsilateral Collateral
Catheterization and Cardiovascular Interventions 78:395 399 (2011) Case Reports Ping-Pong Guide Catheter Technique for Retrograde Intervention of a Chronic Total Occlusion Through an Ipsilateral Collateral
More informationPhoenix Atherectomy System Product Overview /LB
Phoenix Atherectomy System Product Overview Phoenix Atherectomy System- The next generation of atherectomy The first hybrid atherectomy system available Combines the benefits of existing atherectomy systems
More informationChronic Total Occlusions Opening the Way. Reginald Low MD Chief, Division of Cardiovascular Medicine University of California, Davis
Chronic Total Occlusions Opening the Way Reginald Low MD Chief, Division of Cardiovascular Medicine University of California, Davis Disclosures Abbott Vascular Consultant Boston Scientific Consultant Direct
More informationHKSTENT 2012: 2012/3/3-4 11:47 12:17 CTO Complication
HKSTENT 2012: 2012/3/3-4 11:47 12:17 CTO Complication SATORU SUMITSUJI MD. FACC. Specially Appointed Associate Professor Advanced Cardiovascular Therapeutics, Osaka University Director of Heart Center,
More informationENDOVASCULAR TREATMENT OF SFA
ENDOVASCULAR TREATMENT OF SFA WHAT TO DO IN CASE OF DISSECTION, HOW TO REENTER THE LUMEN, WHEN TO STENT, WHEN NOT TO? E.DUCASSE MD PHD FEBVS, CHU DE BORDEAUX 2018 ENDOVASCULAR TTT OF SFA NOWDAYS PTA first
More informationThe essentials for BTK procedures: wires, balloons, what else
A comprehensive approach to diabetic patient Tx The essentials for BTK procedures: wires, balloons, what else Dai-Do Do Clinical and Interventional Angiology Cardiovascular Department Disclosure Speaker
More informationIndex. cardiology.theclinics.com. Note: Page numbers of article titles are in boldface type.
Index Note: Page numbers of article titles are in boldface type. A ABI. See Ankle-brachial index (ABI). Afterload, deconstructing of, in ventricular vascular interaction in heart failure, 449 Air plethysmography
More informationSolving the Dilemma of Ostial Stenting: A Case Series Illustrating the Flash Ostial System
Volume 1, Issue 1 Case Report Solving the Dilemma of Ostial Stenting: A Case Series Illustrating the Flash Ostial System Robert F. Riley * and Bill Lombardi University of Washington Medical Center, Division
More informationWhat Are the Five Devices Your CLI Practice Can t Live Without?
What Are the Five Devices Your CLI Practice Can t Live Without? Sean P. Lyden, MD, FACS Medical Director, Clinical Supply Chain Management Associate Professor, Department of Vascular Surgery Cleveland
More informationChallenging of contrast agent-free endovascular treatment using 3D imaging
AC17-0010 Challenging of contrast agent-free endovascular treatment using 3D imaging Amane Kozuki Department of Cardiology, Osaka Saiseikai Nakatsu Hospital Introduction With advances in devices and techniques,
More informationCook Medical. Zenith Flex AAA Endovascular Graft with Z-Trak Introduction System Physician Training
Cook Medical Zenith Flex AAA Endovascular Graft with Z-Trak Introduction System Physician Training Bifurcated system Proximal suprarenal stent Modular (aortic main body and two iliac legs) Full-thickness,
More informationMasashi Kimura, MD Etsuo Tsuchikane, MD Osamu Katoh, MD Toyohashi Heart Center, Japan
Masashi Kimura, MD Etsuo Tsuchikane, MD Osamu Katoh, MD, Japan Retrograde Approach for Coronary CTO Collateral channels A. bypass graft B. epicardial collateral C. septal perforator Retrograde wiring techniques
More informationZenith Renu AAA Converter Graft. Device Description Planning and Sizing Deployment Sequence Patient Follow-Up
Zenith Renu AAA Converter Graft Device Description Planning and Sizing Deployment Sequence Patient Follow-Up Device description: Device indications The Zenith Renu AAA Converter Graft with Z-Trak Introduction
More information5F Devices with 0.035
Ambulatory mamagement for PAD endovascular treatment 5F Devices with 0.035 Flavio Airoldi, MD Multmedica IRCCS Milan - ITALY flavio.airoldi@multimedica.it Is there a need for low profile delivery systems?
More informationThe use of ultrasound (US) to visualize vascular
Extravascular Ultrasound Guidance for CTO Crossing Techniques to treat complex infrainguinal and tibial-pedal disease. Y J.. MUSTPH, MD; LRRY J. DIZ-SNDOVL, MD; ND FDI S, MD The use of ultrasound (US)
More informationThe Case of the successful PCI for the ostium CTO lesion of the RCA by the retrograde approach
The Case of the successful PCI for the ostium CTO lesion of the RCA by the retrograde approach NAGOYA KYORITSU HOSPITAL DAISUKE KAMOI K.KAWASHIMA, Y.KAWAMURA, M.TANAKA T.AOYAMA Case : 58y.o. Male CC: CCSⅡ
More informationTHE RETROGRADE APPROACH FOR BELOW-THE- KNEE ANGIOPLASTIES:
THE RETROGRADE APPROACH FOR BELOW-THE- KNEE ANGIOPLASTIES: Massimiliano Fusaro, MD Interventional Cardiologist Hemodynamics and Cardiovascular Interventions Service San Pellegrino Hospital Castiglione
More informationThe Art of. Flow Restoration. Ikazuchi Zero. Semi-Compliant PTCA Balloon OVERVIEW CROSSABILITY LOW PROFILE CASE STUDY CODES
The Art of Flow Restoration Japan s Recognized PCI Technology For Both Everyday and Complex CTO Cases* Manufactured by Kaneka Corporation, one of Japan s leading providers of interventional devices. Now
More informationHow to Choose Among Carotid Embolic Protection Devices?
How to Choose Among Carotid Embolic Protection Devices? James P. Zidar, M.D., F.A.C.C., F.S.C.A.I. Associate Professor of Medicine Duke University Medical Center Director, Cardiovascular Services Duke
More informationCatheters and Wires. Dr. Vaibhav Jain MD,DNB,MNAMS Senior Consultant, IR Medanta, the Medicity, Gurgaon
Catheters and Wires Dr. Vaibhav Jain MD,DNB,MNAMS Senior Consultant, IR Medanta, the Medicity, Gurgaon Guidewires: Guidewires (solid wires navigated within the vascular system / extravascular tract) act
More informationWe Catch. What Others Miss
We Catch What Others Miss GORE Embolic Filter Diamond Frame Circumferential Filter Attachment eptfe Filter Media with 100-Micron Pores and Hydrophilic Heparin Coating Diamond Frame designed to enhance
More informationIllustration of the hybrid approach to chronic total occlusion crossing
case report Illustration of the hybrid approach to chronic total occlusion crossing The hybrid approach to coronary chronic total occlusions advocates using all feasible crossing techniques in a manner
More informationDiagnosis and Management of Femoral Access Site Complications IV: Novel Techniques for Endovascular Rescue
Diagnosis and Management of Femoral Access Site Complications IV: Novel Techniques for Endovascular Rescue Robert M. Bersin, M.D. Director, Endovascular Services Seattle Cardiology and the Cardiovascular
More informationLets go on a SAFARI and Discover Novel Tactics. Awais Siddique MD Endovascular Interventional Radiology AZH/WAVE Centers Milwaukee WI
Lets go on a SAFARI and Discover Novel Tactics Awais Siddique MD Endovascular Interventional Radiology AZH/WAVE Centers Milwaukee WI Subintimal Arterial Flossing with Antegrade Retrograde Intervention
More informationPenumbra INTRACRANIAL ACCESS REDEFINED
Penumbra INTRACRANIAL ACCESS REDEFINED BENCHMARK Case Examples Stability & Compatibility Atraumatic Navigation Flow Diverter Delivery Pipeline BENCHMARK Stability Without Surpass Full distal shaft radiopacity
More informationSuccessful transcollateral approach for chronic total occlusion of the superficial femoral artery using a side-hole sheath
Successful transcollateral approach for chronic total occlusion of the superficial femoral artery using a side-hole sheath Tokyo Kenta Onodera 1, Yasuhiro Takahashi 1, Reiko Shiomura 1, Hiroki Goda 1,
More informationCTO Angioplasty Lessons from the Summit
CTO Angioplasty Lessons from the Summit Gregg W. Stone, MD Columbia University Medical Center The Cardiovascular Research Foundation New York City The 1 st International CTO Summit January 2004 47 faculty
More informationPATIENT SPECIFIC STRATEGIES IN CRITICAL LIMB ISCHEMIA. Dr. Manar Trab Consultant Vascular Surgeon European Vascular Clinic DMCC Dubai, UAE
PATIENT SPECIFIC STRATEGIES IN CRITICAL LIMB ISCHEMIA Dr. Manar Trab Consultant Vascular Surgeon European Vascular Clinic DMCC Dubai, UAE Disclosure Speaker name: DR. Manar Trab I have the following potential
More informationCrossing the Long SFA CTO
Crossing the Long SFA CTO Techniques and Variables You need to Know Kyoto Katsura Hospital Cardiovascular Center Shigeru Nakamura M.D. Korea Soul 2011.4.28 28 Back ground Superficial femoral artery (SFA)
More informationLeg arteries : MANAGEMENT and STRATEGY
Leg arteries : MANAGEMENT and STRATEGY Prof E. Ducasse Unit of vascular surgery BORDEAUX ESVB May 14th 2011 BARD Symposium CLI : definition Fontaine Rutherford ABI Symptoms class category Asymptomatic
More informationStep by Step : How I treat SFA lesions
BASIC TECHNIQUES IN PERIPHERAL INTERVENTIONS Step by Step : How I treat SFA lesions Koen Deloose, MD Vascular Surgery, AZ Sint Blasius Dendermonde, Belgium Access to the lesion Common femoral art. Superficial
More informationNCVH. What's New on the Vascular Horizons? Craig M. Walker, MD, FACC, FACP. New Cardiovascular Horizons
What's New on the Vascular Horizons? NCVH New Cardiovascular Horizons KNOW YOUR OPTIONS Craig M. Walker, MD, FACC, FACP Clinical Professor of Medicine Tulane University School of Medicine New Orleans,
More informationA transvenous intravascular ultrasound-guided technique for chronic total occlusion of a below-the-knee artery
A transvenous intravascular ultrasound-guided technique for chronic total occlusion of a below-the-knee artery Yasuhiro Takahashi 1, Reiko Shiomura 1, Erito Furuse 1 Junya Matsuda 1, Taisuke Sato 1, Wataru
More informationFor Personal Use. Copyright HMP 2013 J INVASIVE CARDIOL 2013;25(5):E96-E100
Case Report and Brief Review Transcollateral Approach for Percutaneous Revascularization of Complex Superficial Femoral Artery Chronic Total Occlusion Zaheed Tai, DO ABSTRACT: Chronic total occlusions
More informationJETSTREAM Atherectomy System DELIVERING VERSATILITY TO RESTORE FLOW
JETSTREAM Atherectomy System DELIVERING VERSATILITY TO RESTORE FLOW DISCOVER THE VALUE OF VERSATILITY Versatility means not having to guess the morphology! Peripheral arterial lesions can present with
More informationPort Design. Page 1. Port Placement, Removal, and Management. Selecting a Vascular Access Device. Thomas M. Vesely, MD
Non-Dialysis Procedures Port Placement, Removal, and Management Thomas M. Vesely, MD Saint Louis, Missouri Selecting a Vascular Access Device Duration of use Number of lumens Frequency used Blood flow
More informationFor Personal Use. Copyright HMP 2013
Case Report J INVASIVE CARDIOL 2013;25(2):E39-E41 A Case With Successful Retrograde Stent Delivery via AC Branch for Tortuous Right Coronary Artery Yoshiki Uehara, MD, PhD, Mitsuyuki Shimizu, MD, PhD,
More informationNavigate Complex Interventions at Every Turn
Navigate Complex Interventions at Every Turn Keep Driving Forward The portfolio of Catheters places the power in your hands. Navigate tortuous anatomy with agility and precision. No matter the challenge,
More informationOptimal Techniques for Obtaining Large Caliber Arterial Access
Optimal Techniques for Obtaining Large Caliber Arterial Access Gerald Yong MBBS (Hons) FRACP FSCAI Interventional Cardiologist Royal Perth Hospital Western Australia APCASH 11 October 2014 Disclosure Statement
More informationHow do I use mechanical debulking for the treatment of arterial occlusions
How do I use mechanical debulking for the treatment of arterial occlusions Sven Bräunlich, MD Division of Interventional Angiology University-Hospital Leipzig, Germany Disclosure Speaker name: Sven Bräunlich
More informationBalloon Expandable Covered Stents. Suddenly a Crowded Space
Novel Balloon Expandable Covered Stents for Aorto-iliac Occlusive Disease: New Trial Data makes for an Interesting Balloon Expandable Covered Stents Comparison in Aorto-iliac Occlusive Disease: Andrew
More informationRadial Basics. Samir B. Pancholy, MD, FACP, FACC, FSCAI. Program Director, Cardiology Fellowship, The Wright Center for Graduate Medical Center
Radial Basics Samir B. Pancholy, MD, FACP, FACC, FSCAI Program Director, Cardiology Fellowship, The Wright Center for Graduate Medical Center Associate Professor of Medicine, The Commonwealth Medical College,
More informationPeripheral Artery Disease Interventions Utilizing the Angiosomal Approach to the Complex Wound
Peripheral Artery Disease Interventions Utilizing the Angiosomal Approach to the Complex Wound Craig M. Walker, MD, FACC, FACP Chairman, New Cardiovascular Horizons Clinical Professor of Medicine Tulane
More informationCoronary artery Dissection. Dr TP Singh MD,DM
Coronary artery Dissection Dr TP Singh MD,DM 52 M,Non HT, Non DM,Acute IWMI lysed within 4 hours D2 Coronary angiography RCA mid 90% discrete hazy stenosis LAD non significant ifi disease, LCx Normal Taken
More informationLimitations of the Outback LTD re-entry device in femoropopliteal chronic total occlusions
From the Society for Clinical Vascular Surgery Limitations of the Outback LTD re-entry device in femoropopliteal chronic total occlusions Susanna H. Shin, MD, Donald Baril, MD, Rabih Chaer, MD, Robert
More informationUreteroscopy solutions for your most challenging cases.
Ureteroscopy solutions for your most challenging cases. IT TAKES INSIGHT TO SEE THAT NO TWO STONE PATIENTS ARE ALIKE. THAT S THE DIFFERENCE BETWEEN MAKING DEVICES AND MAKING PROGRESS. There is nothing
More informationPreliminary Data from the Gore EXCLUDER Thoracoabdominal Branch Endoprosthesis Early Feasibility Study
Preliminary Data from the Gore EXCLUDER Thoracoabdominal Branch Endoprosthesis Early Feasibility Study Mark A Farber, MD Professor of Surgery and Radiology Director, UNC Aortic Network University of North
More informationThere are multiple endovascular options for treatment
Peripheral Rotablator Atherectomy: The Below-the-Knee Approach to Address Calcium Head On Peripheral Rotablator s front-cutting, diamond-tipped burr provides stable rotation in calcified lesions. BY SONYA
More informationChronic total occlusion (CTO) of the coronaries
Wired for Success Guidewire escalation and techniques for successful crossing of chronic total occlusions. BY JON C. GEORGE, MD; TROY TRAYER, DO; AND RICHARD KOVACH, MD Chronic total occlusion (CTO) of
More informationInnovation in Transradial access. Aminian Adel, MD CHU Charleroi Belgium
Innovation in Transradial access Aminian Adel, MD CHU Charleroi Belgium Potential conflicts of interest Speaker's name: Adel Aminian I do not have any potential conflict of interest Limitations of TR access?
More informationStuck dialysis catheters. ANZSIN 2013 Michael Lam & Kendal Redmond
Stuck dialysis catheters ANZSIN 2013 Michael Lam & Kendal Redmond NT 39 yr old CI Maori - ESKD 2 o to cortical necrosis HD August 2002 R IJ tunneled Tesio catheter Oct 2002 Failed L RC AVF Feb 2004 Failed
More informationGalt Medical Corp. A leader in vascular and interventional medical devices. part of the GaltNeedleTech TM Family
Galt Medical Corp. A leader in vascular and interventional medical devices. part of the GaltNeedleTech TM Family MICRO-INTRODUCERS Micro-Introducer Kits Galt s Micro-Introducer Kits with smooth transition,
More informationChronic Total Occlusions. Stephen Cook, MD Medical Director, Cardiac Catheterization Laboratory Oregon Heart & Vascular Institute
Chronic Total Occlusions Stephen Cook, MD Medical Director, Cardiac Catheterization Laboratory Oregon Heart & Vascular Institute Financial Disclosures /see -tee-oh / abbr. Med. Chronic Total Occlusion,
More informationUtility of Image-Guided Atherectomy for Optimal Treatment of Ambiguous Lesions by Angiography
Utility of Image-Guided Atherectomy for Optimal Treatment of Ambiguous Lesions by Angiography Jon C. George, MD; Vincent Varghese, DO From the Deborah Heart and Lung Center, Browns Mills, New Jersey. ABSTRACT:
More information1 Description. 2 Indications. 3 Warnings ASPIRATION CATHETER
Page 1 of 5 ASPIRATION CATHETER Carefully read all instructions prior to use, observe all warnings and precautions noted throughout these instructions. Failure to do so may result in complications. STERILE.
More informationRetrograde dorsalis pedis and posterior tibial artery access after failed antegrade angioplasty
Retrograde dorsalis pedis and posterior tibial artery access after failed antegrade angioplasty Poster No.: C-2067 Congress: ECR 2010 Type: Topic: Authors: Keywords: DOI: Scientific Exhibit Interventional
More informationRecanalization Techniques: Sharp Needle Recanalization. Recanalization Techniques: Sharp Needle Recanalization
Recanalization of Occluded Central Veins When Conventional Methods Failed: Abigail Falk, MD, FSIR American Access Care New York, NY Conventional Methods of Recanalization Directional 0.035 and 0.018 Guidewires
More informationThe Burden of CLI and Crosser Catheter Recanalization Strategies
, LLC an HMP Communications Holdings Company November 2013 Volume 25/ Supplement D www.invasivecardiology.com The Official Journal of the International Andreas Gruentzig Society The Burden of CLI and Crosser
More informationRX Biliary System. Start
Start We re in! When you control the wire, efficiency comes along for the ride. The of Physician-Controlled Wireguided Cannulation Physician-controlled wireguided cannulation (WGC) facilitates deep biliary
More information