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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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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

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

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

Distal radial artery access for recanalization of radial artery occlusion and repeat intervention: a single centre experience

21 Dec 2022

This pilot study aimed to investigate the feasibility, safety, and efficacy (long-term patency) of the recanalization of chronic RAO via DRA7.

Reviewer

Aaysha Cader

Reviewer

Ali Nazmi Calik
Distal radial artery access for recanalization of radial artery occlusion and repeat intervention: a single centre experience

Challenging and complication cases

15 Dec 2022 – From GulfPCR-GIM 2022

Watch this GulfPCR-GIM 2022 session to learn how to deal with post-infarction ventricular rupture, an unusual post-CABG complication, a left main complication with the LACOSTE technique, the entrapment of a knotted catheter in the radial artery during primary PCI, and much more!

Challenging and complication cases

Left main and multivessel disease - Session 2

15 Dec 2022 – From GulfPCR-GIM 2022

View a sudden LM stem occlusion, a LM dissection during CTO, or even a rotablation in LM triple vessel disease in severe left ventricle dysfunction, and much more in this GulfPCR-GIM 2022 session.

Left main and multivessel disease - Session 2

CTO - Tools, devices and techniques

15 Dec 2022 – From GulfPCR-GIM 2022

In this GulfPCR-GIM 2022 session, learn how a left anterior descending in-stent CTO was rescued by epicardial retrograde wiring, how a guidewire was redirected using a dual lumen microcath, how a CTO intervention was treated in an anomalous right coronary artery, and more!

CTO - Tools, devices and techniques

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.

Complex CTOs in CHIP