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

224 results

Challenging coronary case: anatomical complexity on top of a CTO

17 May 2022 – From EuroPCR 2022

Consult this session to discover a selection of complex coronary cases, such as: CTO of ostial left anterior descending, with affectation of ostial circumflex, left main bifurcation lesion with CTO of LAD, and more!

Challenging coronary case: anatomical complexity on top of a CTO

How to overcome uncrossable CTO

17 May 2022 – From EuroPCR 2022

Consult this session to learn all about how to overcome uncrossable CTO with outside-the-box approaches, thanks to a selection of interesting cases: ostial in-stent CTO and shockwave, balloon uncrossable CTO lesion after externalisation of retrograde wire, and much more!

How to overcome uncrossable CTO

CTO cases for sharing

17 May 2022 – From EuroPCR 2022

Watch these videos to discover multiple CTO cases involving complications, and learn various tips and techniques to better face coronary perforation, epicardial collateral rupture, dissection, and much more!

CTO cases for sharing

Innovations in simulation-based training, procedural planning, monitoring and robotic PCI

17 May 2022 – From EuroPCR 2022

In this session, find out more about telemedicine, mixed reality technology in CTO proctoring, new-human grade simulator for ViV procedure planning, distance proctoring for transseptal TMVR, stent positioning assistance system, and robotic PCI.

Innovations in simulation-based training, procedural planning, monitoring and robotic PCI

Learning from the most challenging CTO cases

17 May 2022 – From EuroPCR 2022

Femoral or radial approach in treatment of coronary chronic total occlusion: A randomized clinical trial

27 Apr 2022

Access remains an increasingly discussed issue in the interventional community globally. In this FORT CTO trial, the authors reported no difference in procedural success in TRA vs TFA, among CTO patients.

Reviewer

Aaysha Cader
Saidur Rahman Khan

Reviewer

Saidur Rahman Khan
Femoral or radial approach in treatment of coronary CTO: A randomized clinical trial

Crash TAVI-in-TAVI complicated by coronary obstruction

20 Apr 2022

Thanks to this Image in Interventional Cardiology, view an emergency TAVI-in-TAVI for cardiogenic shock secondary to acute valve degeneration complicated by left main stem obstruction treated successfully by chimney stenting.

Crash TAVI-in-TAVI complicated by coronary obstruction

I need a shorter guiding catheter and I don’t have it in my cath-lab!

12 Apr 2022

The guiding catheter is necessary for guaranteeing the support and deliverability of additional devices. However, it's not always of the perfect length for several reasons, because it is not available at that moment in the cath-lab or it is not designed for the purpose you need....

Alessandro Sticchi

Author

Alessandro Sticchi
Gabriele Gasparini

Author

Gabriele Gasparini
I need a shorter guiding catheter and I don’t have it in my cath-lab!

Complications: cases of wire entrapment, stent dislodgement, an entangled Impella device and more

16 Dec 2021 – From GulfPCR-GIM 2021

Watch this session to learn how to face various complications, thanks to a selection of cases presented at GulfPCR-GIM 2021: a wire entrapment, a guide-wire fracture, a dissection and a loss of flow, a stent dislodgement, as well as an entangled Impella device. 

Complications

Cases on CTO

16 Dec 2021 – From GulfPCR-GIM 2021

Watch this session to discover 3 CTO cases unveiled at GulfPCR-GIM 2021: a successful CTO left circumflex PCI with periprocedural cardiac tamponade, a dynamic coronary roadmap as a guidance tool in CTO LAD recanalisation, as well as a complicated CTO to right coronary artery.

Cases on CTO