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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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Clinical cases - Coronary interventions - Session 2

06 Oct 2022 – From AICT-AsiaPCR 2022

Radial access for chronic total occlusion percutaneous coronary intervention: insights from the PROGRESS‐CTO registry

27 Jul 2022

This analysis of the large multinational Prospective Global Registry for the Study of Chronic Total Occlusion Intervention (PROGRESS‐CTO) registry1 examined prevalence, temporal trends, and clinical outcomes of radial versus femoral access in CTO PCI.

Reviewer

Aaysha Cader
Saidur Rahman Khan

Reviewer

Saidur Rahman Khan
Radial access for chronic total occlusion percutaneous coronary intervention: Insights from the PROGRESS‐CTO registry

EuroPCR 2022 Hotlines / Late-Breaking Trials in Drug-eluting balloons: U-REDUCE STENT, HYPER, IMPROVED-CTO, and more!

19 May 2022 – From EuroPCR 2022

Find out more about various studies & registries in drug-eluting balloons! A Sirolimus-coated balloon with micro-reservoir technology in coronary lesions, utilisation of DEB guided by post-PCI pressure gradient, DEB in combination with DES in the treatment of diffuse coronary artery disease,DEB for in-stent restenosis and plaque...

EuroPCR 2022 Hotlines / Late-Breaking Trials in Drug-eluting balloons: U-REDUCE STENT, HYPER, IMPROVED-CTO, and more!

Retrograde CTO - the techniques

19 May 2022 – From EuroPCR 2022

Watch this EuroPCR 2022 session to discuss the basics of collateral analysis and passage with wires and microcatheters, retrograde intra and extraplaque CTO wiring, ante retrograde wire connection technique, marker wires, and much more!

Retrograde CTO - the techniques

CTO complications

19 May 2022 – From EuroPCR 2022

Consult this session to discover through various compelling cases how to manage CTO complications, including a case reporting intra-mural haematoma, a PCI of right coronary artery CTO and a CTO-intervention complicated with a dry tamponade. 

CTO complications

Antegrade CTO - The techniques

19 May 2022 – From EuroPCR 2022

This EuroPCR 2022 session, live from the simulation lab, focuses on antegrade CTO techniques, with particular attention to wire escalation techniques and the differences between microcatheters. Follow carefully the demonstrations and diagrams of our experts!

Antegrade CTO - The techniques

CTO interventions outcomes

18 May 2022 – From EuroPCR 2022

Consult this session to discover some CTO interventions outcomes, and learn about the early and long-term prognosis in patients with remaining CTO after revascularisation attempt, the effect of a prescriptive OCT strategy on CTO treatment, the drug-eluting balloons for treatment of CTO, and more!

CTO interventions outcomes

How to deal with calcified CTO

17 May 2022 – From EuroPCR 2022

In this dedicated session from EuroPCR 2022, listen to Gabriele Luigi Gasparini talk about procedural challenges and device selection for calcified CTO, while James Spratt looks at how to deal with long, calcified CTO, and Kambis Mashayekhi discusses problems and solutions in calcified CTO.

How to deal with calcified CTO

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