Antegrade CTO PCI: how to develop a consistent and systematic strategy ?

Anchorperson: P. Agostoni
Spokesperson: G. Gasparini
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Summary

This replay provides a comprehensive guide to mastering antegrade wire escalation (AWE), managing failed procedures, and utilizing IVUS to address ambiguous proximal caps. Additionally, learn when to stop in the event of a failed case and explore alternative strategies to ensure optimal patient outcomes.

Learning Objectives

  • To learn to interpret different antegrade cap morphologies in order to optimise set up, materials and techniques choices
  • To understand the choice of guidewires and microcatheters and how to use them in the best way
  • To learn how to approach an ambiguous proximal cap with antegrade techniques (IVUS, BASE)
  • To know, after failed AWE, when to consider antegrade dissection re-entry or parallel wiring, to invest or to stop

Presentations available when logged in:

  • Session objectives
  • Case 1 - The basics: how to perfom AWE
  • Case 2 - Failed AWE, what next
  • Case 3 - Ambiguous proximal cap: how IVUS may help
  • Case 4 - Failed case : when to stop and extra option
  • Session evaluation and key learning