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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

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Fighting against a rock - CTO and calcification

17 May 2023 – From EuroPCR 2023

This series of case studies examine the challenges posed by chronic total occlusion in combination with calcification in coronary arteries. Discover the strategies deployed to navigate complicated situations, offering valuable guidance for overcoming arduous obstacles in the field of interventional cardiology.

Fighting against a rock - CTO and calcification

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.

How CTO techniques can help you in your everyday practice?

PCR's Got Talent - Round 2 - Session 2

17 May 2023 – From EuroPCR 2023

Join Round 2, Session 2 of PCR's Got Talent for insights into the safety and efficacy of protamine administration in TAVR patients with recent PCI.

PCR's Got Talent - Round 2 - Session 2

Managing difficult situations during CTO PCI

16 May 2023 – From EuroPCR 2023

Through this collection of cases, watch your peers' skillful techniques and ingenious approaches as they overcome obstacles, and gain valuable insights into how to tackle complex coronary obstructions.

Difficult situations during CTO PCI

Procedural challenges, difficulties and pitfalls in CTO PCI

16 May 2023 – From EuroPCR 2023

How would you treat this 68-year-old man who presented for a third attempt at CTO RCA PCI, this 73-year-old patient with proximal RCA CTO, or this 72-year-old man with complex calcified RCA CTO? Get answers in this session!

Procedural challenges, difficulties and pitfalls in CTO PCI

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...

Planning of CTO PCI based on initial angiogram

CTO: more than just a procedure

16 May 2023 – From EuroPCR 2023

You might be interested in reviewing the key messages of this session focusing on CTO…Browse these slides and review in particular the fundamentals about characteristics of the CTO patients, treatment goals and NAPS role in CTO treatment.

Coronary total occlusion procedures

PCR's Got Talent - Round 1 - Session 2

16 May 2023 – From EuroPCR 2023

Did you participate in this session and want to enhance your memory? Take a look at the slides shared by the presenters and revisit the key points worth remembering.

Abstracts on CTO, STEMI and NSTEMI

Anterograde LAD CTO - LIVE case

03 Mar 2023 – From AfricaPCR 2023

A 66-year-old male presented an ACS two months ago with MVD, preserved LV function without regional wall abnormality. The medical team decided to address this condition with a double PCI: one in the mid-RCA and another in the distal CX. Their plan includes performing PCI of the LAD CTO.
During the procedure, the operators...

CTO: LIVE case from Sunninghill

Bifurcation and CTO clinical cases

03 Mar 2023 – From AfricaPCR 2023

This session presents several challenging clinical cases including an in-stent restenosis in a bifurcation and retained wire, a left main thrombus, and an open CTO for retrograde approach of another CTO. Watch now to find out more!

Bifurcation and CTO clinical cases