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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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CTO

187 results

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...

Complex CTO - LIVE case

Coronary, structural and peripheral interventions

21 Sep 2023 – From AICT-AsiaPCR 2023

Explore the latest innovations in coronary, structural, and peripheral interventions in this session, from machine learning CT-FFR systems for severe aortic stenosis to the role of real-world data in enhancing cardiovascular care, and discover cutting-edge techniques like transpedal accesses for complex lesions and comprehensive valve sizing...

Coronary, structural and peripheral interventions

Navigating complex STEMI situations

21 Sep 2023 – From AICT-AsiaPCR 2023

Delve into a series of complex real-world STEMI cases and explore challenging scenarios in this session, such as a STEMI occurrence in a healthy adolescent, the complexities of post-CABG safety, and much more!

Navigating complex STEMI situations

CTO challenges

21 Sep 2023 – From AICT-AsiaPCR 2023

Broaden your knowledge in CTO interventions in this session: delve into the complexities of managing refractory angina, gain insights into the unique challenges of anomalous and ectatic RCA CTOs, explore effective techniques using separate cornus branch in LAD treatment, and discover how to address unexpected complications...

CTO challenges

Infarct‐related artery as a donor of collaterals in ST‐segment–elevation myocardial infarction with concomitant chronic total occlusion: challenge of the double‐jeopardy thesis

30 May 2023

This study challenges the double-jeopardy assumption as the main cause of adverse outcome in STEMI with non-IRA CTO, as a collateral origin distal from the acute IRA occlusion was associated with a significantly better prognosis than with a proximal origin.

Reviewer

Aaysha Cader
Saidur Rahman Khan

Reviewer

Saidur Rahman Khan
Infarct‐related artery as a donor of collaterals in ST‐segment–elevation myocardial infarction with concomitant chronic total occlusion: challenge of the double‐jeopardy thesis

Hurdles in TAVI and dilemmas in CTO

19 May 2023 – From EuroPCR 2023

Consult this session if you want to learn how to recognise unexpected problems in TAVI, to learn to think out of the box for tackling unusual problems, and to learn how to know when to expect rare problems.

Hurdles in TAVI and dilemmas in CTO

Left main interventions in the context of cardiogenic shock

19 May 2023 – From EuroPCR 2023

Discover a series of captivating videos regarding left main interventions in the context of cardiogenic shock that delve into groundbreaking techniques and challenging cases. Our experts share their insights and experiences on various topics, such as: revascularization of the ostial left main CTO after early bypass...

Left main interventions in the context of cardiogenic shock

EuroPCR 2023 Highlights: Coronary Interventions

20 May 2023 – From EuroPCR 2023

Nieves Gonzalo and Thomas Cuisset join Dejan Milasinovic in the PCR recording studio to share their takeaways from this rich edition of EuroPCR: intracoronary physiology guidance, post-PCI physiology, the increasing use of imaging to improve the clinical outcome of patients, new technologies such as drug-coated balloons,...

EuroPCR 2023 Highlights: Coronary Interventions

CTO peripheral interventions followed by closure device complications

18 May 2023 – From EuroPCR 2023

Discover challenging chronic total occlusion (CTO) peripheral interventions followed by the complexities of closure device complications in this session: explore a unique case involving an infectious pseudoaneurysm after the use of a suture-mediated closure device, uncover the management of in-stent restenosis in a CTO of the...

CTO peripheral interventions followed by closure device complications

CTO-PCI in patients with reduced left-ventricular function

18 May 2023 – From EuroPCR 2023

Discover the management strategies for CTO-PCI in patients with reduced left-ventricular function in this session: witness the utilization of ECMO protection during CTO PCI in the presence of electrical instability, encounter the complexities of multivessel PCI in the setting of severe left ventricular systolic dysfunction, explore the...

CTO-PCI in patients with reduced left-ventricular function