
Roberto Garbo
Latest contributions
A mindset shift in the cathlab: leveraging contemporary technologies for planning and guiding PCI in complex patients
22 May 2025 – From EuroPCR 2025
This session examines evolving catheterisation lab workflows, highlighting how integrated imaging, physiology, and procedural strategies are reshaping PCI practices. Speakers emphasize the importance of advanced pre-procedural planning using modalities such as intravascular ultrasound (IVUS) to optimise stent deployment, and cardiac computed tomography angiography (CCTA) to improve diagnosis...

Shock and PCI: due to ECMO I survived
22 May 2025 – From EuroPCR 2025
Explore life-saving strategies in the management of cardiogenic shock complicating PCI, with emphasis on ECMO utilization. This session reviews challenging cardiac arrest cases, multi-culprit STEMI scenarios, and innovative STEMI treatments in critical patients, illustrating how ECMO support can be pivotal in survival and recovery.

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.

DCB PCI: are we ready for complex de novo lesions?
21 May 2025 – From EuroPCR 2025
Evaluate the readiness of drug-coated balloon (DCB) therapy for complex de novo coronary lesions. This session reviews comparative outcomes of DCB versus drug-eluting stents (DES) across CHIP risk categories, impacts of diabetes, long-term follow-up data in calcified lesions and left main bifurcations, and treatment of in-stent...

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 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...

Antegrade CTO - LIVE case
16 May 2024 – From EuroPCR 2024
This session features a LIVE educational case from Netcare Sunninghill Hospital in Johannesburg, South Africa, focusing on the management of chronic total occlusions (CTOs) using an antegrade approach. Participants will learn how to identify CTO anatomy through dual injection, as well as how to perform IVUS-guided...

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.

Mechanical circulatory support in cardiogenic shock and high-risk PCI
14 May 2024 – From EuroPCR 2024
This session, comprising selected EuroPCR 2024 Abstract submissions, focuses on the use of mechanical circulatory support in cardiogenic shock and high-risk PCI. It includes presentations and discussions on lowering cardiogenic shock mortality through a comprehensive mechanical circulatory support approach, the use of lactate and lactate clearance...

Facing challenging CTO scenarios
17 May 2023 – From EuroPCR 2023
If you're looking for training in the treatment of chronic total occlusion, explore these diverse cases involving patients of different ages and with a variety of pathologies. Observe the strategies employed in each complex case to gain valuable knowledge and improve your skills in managing these...

Ultra-low contrast PCI - An indispensable toolset in complex coronary interventions and higher-risk patients
17 May 2023 – From EuroPCR 2023
Discover the indispensable toolset of ultra-low contrast (ULC) percutaneous coronary intervention (PCI) in complex coronary interventions and higher-risk patients in this session. Gain a comprehensive understanding of how ULC PCI can enhance the safety and quality of revascularization in complex procedures and learn practical aspects from...

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...

Complex CTOs in CHIP
14 Dec 2022 – From GulfPCR-GIM 2022
Watch this session if you want to understand when and how protected PCI with mechanical support in CHIP is needed. You'll also learn about complex CTO PCI treatment in both antegrade and retrograde approaches, and plaque debulking techniques in severe calcified lesions.

The use of ultra-low contrast in complex CTO
14 Dec 2022 – From GulfPCR-GIM 2022
Thanks to the recorded complex CTO case shared in this session, learn how to perform ultra-low contrast PCI, learn what skills are required and tools available to perform ultra-low contrast coronary interventions in CTO, and become aware of the importance of relying on less contrast injections...

Retrograde CTO - the techniques
19 May 2022 – From EuroPCR 2022
Watch this EuroPCR 2022 session to discuss the basics of collateral analysis and passage with wires and microcatheters, retrograde intra and extraplaque CTO wiring, ante retrograde wire connection technique, marker wires, and much more!

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.

Overcoming the tortuosity in complex PCI
18 May 2021 – From EuroPCR 2021
Watch this video presented by Shao-Liang Chen, Roberto Garbo, Maciej Lesiak and Jose Antonio Linares Vicente in order to understand how tortuosity impacts the practice of complex PCI and CTO PCI, and learn about the use of guiding extension and microcatheter combination, as well as of spherical tip NC...
