Introduction Equipment is necessary for performing PCI. Although many operators would like to have everything available, the reality is that equipment cost and space limitations require prioritization. Here are some criteria to use when deciding the “must have” equipment for…
Both femoral and radial access may lead to complications that are discussed in this chapter. 29.1 Femoral access complications Femoral access complications include lower extremity ischemia (due to dissection, embolization, or thrombosis), bleeding (groin hematoma and retroperitoneal hematoma), arteriovenous fistula,…
In this chapter we discuss three non-coronary complications: hypotension, radiation skin injury, and contrast-induced acute kidney injury (CI-AKI). 28.1 Hypotension CTO Manual Online cases 69 , 85 , 92 , 129 , 146 PCI Manual Online cases 23 , 27…
Various types or equipment, such as stents, guidewires, and various catheters can be lost or entrapped either within or outside the coronary artery . Such equipment can lead to occlusion or perforation of the coronary vessel. It could also lead…
CTO PCI Manual Online cases: 3 , 13 , 17 , 26 , 39 , 40 , 41 , 42 , 63 , 89 , 90 , 112 , 118 , 119 , 125 , 131 , 134 , 139…
CTO PCI Manual Online cases: 38 , 92 , 98 , 112 , 125 PCI Manual Online cases: 18 , 21 , 40 , 44 , 57 , 68 , 72 , 81 Acute vessel closure is defined as (partial…
Complex patient subgroups that will be discussed in this chapter include: TAVR patients Cardiogenic shock patients 24.1 TAVR patients CTO Manual Online case: 113 PCI Manual Online case: 62 Transcatheter aortic valve replacement (TAVR) is increasingly being performed for symptomatic…
23.1 Balloon uncrossable lesions CTO Manual Online cases: 1 , 5 , 15 , 18 , 27 , 30 , 31 , 47 , 49 , 52 , 53 , 57 , 73 , 124 , 126 PCI Manual Online…
In addition to calcification, thrombus, and CTOs, other complex lesion types include: Spontaneous coronary artery dissection (SCAD) (PCI Manual Online case 72 ), Stent failure (in-stent restenosis and stent thrombosis), CTO Manual Online cases: 19 , 52 , 54 ,…
Chronic total occlusions (CTOs) are defined as completely occluded coronary arteries with Thrombolysis In Myocardial Infarction (TIMI) 0 flow with an estimated duration of at least 3 months . CTOs can be challenging to recanalize, requiring specialized equipment and techniques…