CTO (Chronic total occlusion)

Find all the latest content on chronic total occlusion (CTO) published on this website.

Recently we have seen an increase in successful percutaneous coronary interventions (PCI) of CTO in part due to improvements in hardware (guidewires and balloons), the introduction of dedicated devices (microcatheters, channel dilators, dissection-reentry devices) and the elaboration of CTO-specific techniques. To fully grasp CTO today, here you will find here everything that you need to know including the latest devices and techniques as well as advances in imaging, the use of adjunctive pharmacotherapy, vascular access or understanding bleeding risks…

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Microcatheter-facilitated reverse controlled antegrade and retrograde tracking (Micro-CART) for retrograde recanalization of coronary chronic total occlusions

04 Apr 2018

A case of retrograde coronary chronic total occlusions (CTO) percutaneous coronary intervention (PCI) through an ipsilateral collateral, in which the authors successfully used a novel variation of the reverse controlled antegrade and retrograde tracking (CART): the micro-CART technique.

Quick and easy auto-transfusion for rapidly accumulating tamponade due to coronary artery perforation

01 Mar 2018

An 84-year-old man with stable angina presented with a normal left, and an occluded right, coronary artery. A percutaneous CTO coronary intervention was undertaken and throughout the procedure, the position of the distal wire was difficult to control…

Tips and tricks: CTO

Join the experts to learn more about collateral channel crossing, how to make an antegrade-retrograde connection, how to manage collateral injuries / perforations or a slender approach to CTO PCI.

In vitro validation of coronary CT angiography for the evaluation of complex lesions

The aim of this study was to assess in vitro the diagnostic accuracy of computed tomography angiography (CTA) for the evaluation of complex coronary lesions.

Innovative PCI strategies against complex cases with the latest and useful devices

26 Jan 2018 – From AsiaPCR/SingLIVE 2018

A retry case of RCA chronic total occlusion

26 Jan 2018 – From AsiaPCR/SingLIVE 2018

Consult the session on a retry case of RCA chronic total occlusion, with LIVE demonstration from National Heart Centre Singapore if you want to learn from recent CTO trails and an updated CTO main algorithm.

Intervention of a LAD chronic total occlusion

26 Jan 2018 – From AsiaPCR/SingLIVE 2018

Consult this session on intervention of a LAD chronic total occlusion with LIVE demonstration from National Heart Centre Singapore - Singapore if you want to learn more about:

- Antegrade dissection re-entry in CTO PCI: should it not be used more widely in Asia-Pacific?
- Retrograde CTO PCI made easy

CTO, innovative approaches

Find out about some new techniques with the slides of some specific cases presented at EuroPCR 2017. 

2017 ESC Focused update on Dual Antiplatelet Therapy (DAPT)

04 Sep 2017

As dual antiplatelet therapy (DAPT) seems to have been interventionalists’ close companion since the pioneering studies showing its benefits over oral anticoagulants (OAC) some 20 years ago, the myriad of ensuing studies has led to expanding indications, but has also uncovered the inherent risks of DAPT. In the 2017 Focused Update, the hitherto accumulated evidence is eloquently summarized into a set of recommendations that provide guidance on some of the important questions of an interventional cardiologist's everyday practice: which of the currently available P2Y12 inhibitors should be selected, what is the optimal duration of DAPT and how to manage bleeding complications.

Dejan Milasinovic

Author

Dejan Milasinovic

Ticagrelor or clopidogrel in DAPT for acute coronary syndromes: A call for a stepwise approach?