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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Complications: chronic total occlusions

12 May 2021 – From EuroPCR 2021

Watch this session to get proved that IVUS is extremely helpful in finding potential threats, and that fast recognition of coronary perforation is crucial, to learn more about the Ping-Pong technique, and to discover how to use subcutaneous fat to embolise perforation.

EuroPCR 2021 Complications: chronic total occlusions

CTO: retrograde approach

12 May 2021 – From EuroPCR 2021

Watch this session if you wish to learn how to handle biradial retrograde CTO PCI, how to manage minimum contrast retrograde CTO PCI in multiple kidney transplantation patient, how to use the Rendezvous Technique, and more!

EuroPCR 2021 CTO: retrograde approach

CTO anterograde approach

28 Apr 2021 – From EuroPCR 2021

This session aims at helping you choose the right equipment for successfull anterograde CTO crossing, how not to neglect active and passive supports in CTO, appreciate antegrade dissection and re-entry (ADR), and more!

EuroPCR 2021 CTO anterograde approach

Coronary dissection - Part 2

28 Apr 2021 – From EuroPCR 2021

Don't miss this session about iatrogenic dissection of aorta in a recanalization of a chronic total occlusion, LM dissection during PCI by decompression of false lumen, complication in a morbidly obese patient with STEMI, and more!

EuroPCR 2021 Coronary dissection - Part 2

CTO tools, devices and techniques

14 Apr 2021 – From EuroPCR 2021

The Capture Technique, the intra-coronary Rendezvous Technique, a new technique for proximal cap penetration in a calcified CTO... Watch this session to get all the necessary tools to handle CTO!

EuroPCR 2021 CTO tools, devices and techniques

CTO: imaging and devices

14 Apr 2021 – From EuroPCR 2021

Thanks to this session, learn how to recanalize a chronic total occlusion of the right coronary artery, how IVUS can facilitate and guide PCI to ostial left circumflex CTO, how hi-tech devices are also needed in calcified artery occlusions, and even more!

EuroPCR 2021 CTO: imaging and devices

A mix of complications in interventional cardiovascular medicine

14 Apr 2021 – From EuroPCR 2021

In this session, you will learn how to adopt the right method when bleeding challenges guidelines, retrieve a fractured driveshaft tip of orbital atherectomy system by micro basket, guide catheter delamination during left main stenting after TAVI, and much more!

EuroPCR 2021 A mix of complications

Mortality 10 years after percutaneous or surgical revascularization in patients with total coronary artery occlusions

16 Feb 2021

The proposed manuscript is an intriguing sub-analysis from the recent SYNTAX Extended Survival (SYNTAXES) study, where the Synergy Between PCI With Taxus and Cardiac Surgery (SYNTAX) was investigated.

Alessandro Candreva

Reviewer

Alessandro Candreva

Reviewer

Salvatore Brugaletta
Mortality 10 years after percutaneous or surgical revascularization in patients with total coronary artery occlusions

Retrograde CTO

13 Dec 2020 – From AICT-AsiaPCR 2020

Watch this session if you want to learn the indications for retrograde CTO PCI, to learn the different techniques in performing retrograde CTO PCI and to familiarise with the devices used for this technique.

This session was originally presented during AICT-AsiaPCR 2020.

Retrograde CTO

Intravascular healing is not affected by approaches in contemporary CTO PCI: the CONSISTENT CTO study

16 Jul 2020

This study compares clinical, angiographic and imaging outcomes of patients undergoing CTO PCI with dissection and re-entry techniques (DART) and subintimal stenting to intimal techniques.

Nicola Ryan

Reviewer

Nicola Ryan
CONSISTENT CTO study: intravascular healing is not affected by approaches in contemporary CTO PCI