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

27 Jun 2020 – From PCR e-Course 2020

Watch this session if you want to learn why ULCPCI will be needed for patients who have developed cardiomyopathy due wait linked to COVID outbreak, to understand what tools we have in the cathlab to perform ULCPCI and to learn how to practice ultra-low contrast in...

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

CTO procedures: the antegrade approach - Session with LIVE case

Watch this session to learn step by step how to treat and manage patients with chronic total occlusion with a LIVE case from the University Heart Center Freiburg - Bad Krozingen, Germany.

Access part 2 of the session: CTO procedures - the retrograde approach

This session was originally...

CTO procedures: the antegrade approach

CTO procedures: the retrograde approach - Session with LIVE case

26 Jun 2020 – From PCR e-Course 2020

Watch this session to learn step by step techniques to treat and manage patients with chronic total occlusion, with a LIVE case from the University Heart Center Freiburg - Bad Krozingen, Germany.

Access part 1 of the session: CTO procedures - the antegrade approach

This session was originally...

CTO procedures: the retrograde approach

PCR e-Course 2020 Late-Breaking Trials - part 2

26 Jun 2020 – From PCR e-Course 2020

Watch a series of Late-Breaking Trials presented during the PCR e-Course 2020 and see how they might have an impact on your practice: 

  • 2-year safety of revascularisation deferral based on iFR or FFR
  • CABG and PCI in patients with CTO and multivessel disease
  • Routine revascularisation vs. medical therapy
PCR e-Course 2020 Late-Breaking Trials

CT guidance for coronary interventions - PCR e-Course 2020 Hot lines

26 Jun 2020 – From PCR e-Course 2020

Watch a series of Hot Lines on CT-guidance for PCI presented during the PCR e-Course 2020, followed by an analysis of the results and their impact on your practice: CT-FFR CHINA, CAST-FFR, CT-QFR vs. myocardial perfusion imaging, CT-CTO trial, CCTA for optimal fluoroscopic coronary projections.

CT guidance for coronary interventions

Latest advances in chronic total occlusion techniques

Watch this session if you wan to learn stumpless CTO recanalization using IVUS guided antegrade Approach, to understand Ipsilateral Retrograde Recanalization and to gain insight of ESC Principle & Invisible septal surfing skill.

This interview supported by MicroPort was filmed at PCR e-Course 2020: see more videos...

Latest advances in chronic total occlusion technique

PCR e-Course 2020 Clinical cases

25 Jun 2020 – From PCR e-Course 2020

Watch a series of best clinical cases presented at the PCR e-Course 2020:

  • ACS-patient with culprit in a coronary ectasia
  • Coronary stenting in an ectatic artery
  • Challenging PCI after aortic valve-in-valve implantation
  • Cisplatin-induced coronary artery thrombosis presented as ACS
  • MOCA I study: microvascular obstruction measured using dMVR
  • The many faces of in-stent...
PCR e-Course Clinical cases

Selection of appropriate devices for retrograde CTO cases

25 Jun 2020 – From PCR e-Course 2020

Watch this roundtable discussion if you want to witness appropriate device selection for retrograde approach, to improve your skills as a CTO operator and to have interactive discussions about available chronic total occlusion wires and devices.

Selection of appropriate devices for retrograde CTO cases

How to use a guide-extension catheter for stent delivery

15 May 2020

Population ageing is increasing. Therefore extensive coronary artery calcification is a frequent finding and results in complex coronary interventions. Despite the improvement of stent- and balloon- profile, delivery can be challenging due to vessel tortuosity and calcified plaque... Discover the tips and solutions proposed by Lucas...

Author

Lucas Joerg
Johannes Rigger

Author

Johannes Rigger
My toolkit: How to use a guide-extension catheter for stent delivery

Towards performing a successful CTO procedure: making sense of all the different techniques

07 Jan 2020 – From AICT-AsiaPCR 2020

Consult this session to learn all about the different CTO treatment strategies (including anterograde, retrograde and dissection re-entry strategies), and discover interesting tips & tricks of CTO PCI.

Towards performing a successful CTO procedure: making sense of all the different techniques