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CTO
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Exam of 4 pages for the course APCO CTO 6 - ALL Quizzes/Final at APCO CTO 6 - ALL Quizzes/Final (CTO)
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CTOTraditional CTO modalities - ANS-.035 stiff guidewires
.014 extra support coronary wires
Crossing support catheters
Subintimal Navigation and Implications - ANS-*Poor long term outcomes
*Perforation, Dissection, Loss of Collaterals
*Accelerated intimal hyperplasia
Collateral Compromise - ANS-Up to 47% loss distally and 26% loss proximally
Extension of Treatment Site - ANS-Due to inability to re-access the lumen at the exact
site of the distal end of the lesion.
Intravascular Ultrasound (IVUS) - ANS-Can help differentiate 4 types of plaque. Fibrous,
Fibro-fatty, Necrotic, dense calcium
Re-Entry Devices - ANS-*Boston Scientific - Off Road
*Cordis - LTD Outback
*Volcano Pioneer
*All non-reimbursable
Crossing Cather Market Overview - ANS-*.014, .018, .035 wire configurations
*65, 90, 135, 150 cm lengths
* 69% of market is .035 catheters
* Quick Cross .035 x 135cm & 150cm hold highest sales respectively
Seeker Specs - ANS-* .014, .018, .035 wire compatibility
* 65, 90, 135, 150
* Radiopaque marking system
* Hydrophylic coating on distal 40 cm
* Power Injection at 300 psi
* Ergonomic hub with imprinted catheter sizing
Seeker Radiopaque Markers - ANS-* 30 cm total measurement capability
* Tungsten loaded segments
* 1mm embedded platinum RO band (5-6 mm from tip)
* Distal tip = .5 cm
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