Elliot Smith
Latest contributions
Life threatening complications in CTO PCI
23 May 2025 – From EuroPCR 2025
Focus on life-threatening complications during CTO PCI with topics including rotational atherectomy challenges, interventricular septal puncture, surgical retrieval of fractured guidewires, and image-guided strategies for managing multivessel CTO complications, enhancing procedural safety.
How to avoid and manage complications in CTO interventions
21 May 2025 – From EuroPCR 2025
Learn how to anticipate, prevent, and manage complications during complex CTO interventions. This session presents real-world cases including donor artery dissection, main and distal vessel perforations, and the importance of teamwork in the cath lab for successful complication management.
Integrative step-by-step approach to perform successful CTO interventions: from angiographic evaluation to strategy selection
20 May 2025 – From EuroPCR 2025
Master the integrative step-by-step approach to successful chronic total occlusion (CTO) interventions. This session emphasizes systematic angiographic evaluation and strategy selection ranging from simple to complex techniques, supplemented by blinded case discussions for practical learning.
How to deal with ostial right coronary artery CTOs
20 May 2025 – From EuroPCR 2025
Delve into specialized approaches for managing ostial right coronary artery CTOs. This session discusses scenarios with no clear antegrade path, PCI in high take-off anomalies, retrograde techniques in familial hypercholesterolemia, and complex in-stent CTOs with aortic protrusion.
How to successfully approach CTO interventions: a step-by-step approach
20 May 2025 – From EuroPCR 2025
Elliot Smith, Thomas Hovasse and Roberto Garbo discuss a comprehensive, step-by-step approach to CTO interventions, providing structured guidance on navigating CTOs in a safe and effective way.
The discussion begins with angiographic assessment, emphasising the importance of identifying key anatomical features upfront. Based on this evaluation, operators determine...
Upgrade to retrograde: when and how?
16 May 2024 – From EuroPCR 2024
This session delves into the decision-making for transitioning to a retrograde approach in CTO PCI, covering effective techniques and safety considerations for successful outcomes, through cases involving antegradely induced hematomas and ambiguous CTO caps, alongside severe distal atherosclerosis.
Complex CTO - LIVE case
22 Sep 2023 – From AICT-AsiaPCR 2023
View the case of an 82-year-old man with history of CABG in 2003 (LIMA LAD, VG RCA, VG CX), PCIs on VG RCA in 2021, PCIs VG-CX in 2022, PPM in 2023 with preserved LV function, and follow the retrograde approach of calcified CX CTO using...
How CTO techniques can help you in your everyday practice?
17 May 2023 – From EuroPCR 2023
Consult this session if you want to improve your skills in coronary intervention problem solving, to learn how techniques used in CTO PCI can solve problems in non-CTO PCI, and to discuss how to overcome PCI barriers and complications.
Planning of CTO PCI based on initial angiogram
16 May 2023 – From EuroPCR 2023
View the case of a man with severe inferior ischemia and right coronary occlusion at the proximal and mi-parts, & follow discussion about how to approach the CTO, before analyzing the one of a 62-year-old man with anterior STEMI and elective PCI Cx, HTN, hyperlipidemia, LVEF...
Selecting CTO strategies - Quo vadis based on angiograms
17 May 2022 – From EuroPCR 2022
This EuroPCR 2022 case-based session deals with selecting our strategy for CTO PCI based on angiographic analysis, focusing on how the anatomy is going to dictate our interventional strategy.
Antegrade CTO PCI with wire escalation - Session with LIVE demonstration
20 May 2021 – From EuroPCR 2021
Watch this session if you want to discuss how to plan and guide a CTO PCI, to learn how to select the most appropriate wires and microcatheters, and to appraise how to apply antegrade and retrograde techniques in a structured manner.
This session was originally presented during...
Retrograde CTO
13 Dec 2020 – From AICT-AsiaPCR 2020
Watch this session if you want to learn the indications for retrograde CTO PCI, to learn the different techniques in performing retrograde CTO PCI and to familiarise with the devices used for this technique.
This session was originally presented during AICT-AsiaPCR 2020.
CTO intervention in patients with prior CABG
22 May 2019 – From EuroPCR 2019
Consult this session to learn all about CTO intervention in patients with prior coronary artery bypass graft (CABG): challenges, tools, techniques, and more!
LIVE demonstration from St-Johannes Hospital - Dortmund, Germany: Antegrade CTO PCI
22 May 2019 – From EuroPCR 2019
Consult this session to discover the slides of this antegrade CTO PCI case, transmitted live during EuroPCR 2019: you will find out about the patient presentation and key clinical datas.
Complicated PCI for CTO
21 May 2019 – From EuroPCR 2019
Consult this session to discover through various compelling cases how to manage complications during PCI for CTO, such as aortic dissection & radial rupture, hypotension, haemodynamic compromise, and more!
Useful unusual approaches in complex CTO interventions
21 May 2019 – From EuroPCR 2019
Consult this session to discover new approaches in complex CTO interventions, with clinical cases such as right coronary CTO PCI with a twist, intravascular lithotripsy for heavy calcified CTO, left anterior descending resistant CTO, and more!
