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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

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

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...

The use of ultra-low contrast in complex CTO

Challenging CTO Cases - Session 1

14 Dec 2022 – From GulfPCR-GIM 2022

In this GulfPCR-GIM 2022 session, learn about a complex challenging case of left main bifurcation disease and ostial left anterior descending CTO, as well as a rotational atherectomy assisted-PCI for an old calcified CTO, and more!

Challenging CTO Cases - Session 1

Challenging CTO cases - Session 2

14 Dec 2022 – From GulfPCR-GIM 2022

This GulfPCR-GIM 2022 session compiles 5 challenging CTO cases and explains how to handle them. Study for example a flush ostial RCA-CTO, PWS in a CTO feeding vessel, rotablation and intravascular lithotripsy in three-vessel disease with IVUS, or rotaburr incarceration.

Challenging CTO cases - Session 2

Bifurcation lesion

14 Dec 2022 – From GulfPCR-GIM 2022

Among the 3 bifurcation lesion cases presented in this GulfPCR-GIM 2022 session, find out how to deliver a trapped guidewire, how to manage a live angioplasty that turned out to be a nightmare, and how to deal with a multivessel intervention with left main bifurcation and...

Bifurcation lesion

Treatment of calcified lesions

07 Oct 2022 – From AICT-AsiaPCR 2022

Consider a 66-year-old man, hypertensive and diabetic for 10 years, with history of recurrent substernal chest pain and exertional dyspnea, who presented with easy fatigability and shortness of breath, or a 72-year-old man on dialysis who presented with STEMI and severe calcified stenosis of LAD/DI bifurcation,...

Treatment of calcified lesions