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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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Advanced techniques for complex CTO interventions (Part 2) - Session with LIVE demonstration

20 May 2021 – From EuroPCR 2021

Watch this session if you want to develop treatment strategies in a patient with multiple CTOs, to learn how to approach technical difficulties in complex CTO PCI, and to learn about treatment options for typical complications of CTO PCI.

This session was originally presented during EuroPCR 2021.

Advanced techniques for complex CTO interventions (Part 2)

New perspectives in CTO PCI, a case-based approach

19 May 2021 – From EuroPCR 2021

Watch this session presented by Masahisa Yamane, Paul Knaapen and Kambis Mashayekhi in order to learn more about new devices for CTO PCI treatment, to master selection and appropriate usage of CTO guidewires, and to learn what to consider for selecting the appropriate microcatheters.

New perspectives in CTO PCI, a case-based approach

A case-based approach: finding balance between bleeding and ischemic risk

19 May 2021 – From EuroPCR 2021

Watch this session presented by David Kandzari, Mirvat Alasnag, Emmanouil Brilakis, Chorcheung Frankie Tam and Beatriz Vaquerizo in order to debate case complexity of patient characteristics and complex lesions in HBR patients, to review patient centered clinical judgment and individualised treatment plans, and to analyse current Onyx ONE...

A case-based approach: finding balance between bleeding and ischemic risk

Ultra-low contrast 2021: new skills and technologies for next frontier in PCI

18 May 2021 – From EuroPCR 2021

Watch this video presented by Ziad Ali, Nieves Gonzalo, Alexander Becker, Javier Escaned and Billal Patel in order to understand what's the rationale for ULCPCI, to get an overview of techniques that help you dramatically reduce the contrast dose while performing PCI, and to gain some visibility...

Ultra-low contrast 2021: new skills and technologies for next frontier in PCI

Overcoming the tortuosity in complex PCI

18 May 2021 – From EuroPCR 2021

Watch this video presented by Shao-Liang Chen, Roberto Garbo, Maciej Lesiak and Jose Antonio Linares Vicente in order to understand how tortuosity impacts the practice of complex PCI and CTO PCI, and learn about the use of guiding extension and microcatheter combination, as well as of spherical tip NC...

Overcoming the tortuosity in complex PCI

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

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 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

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