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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CTO, modern challenges and solutions

21 May 2025 – From EuroPCR 2025

Address modern challenges in chronic total occlusion (CTO) interventions with this session focusing on the latest technologies and techniques. Learn key procedural strategies and best practices through detailed case studies, and understand how evolving technology is shaping the future of CTO revascularization.

CTO, modern challenges and solutions

How to avoid and manage complications in CTO interventions

21 May 2025 – From EuroPCR 2025

Learn how to anticipate, prevent, and manage complications during complex CTO interventions. This session presents real-world cases including donor artery dissection, main and distal vessel perforations, and the importance of teamwork in the cath lab for successful complication management.

How to avoid and manage complications in CTO interventions

How imaging can improve efficiency in CTO PCI

21 May 2025 – From EuroPCR 2025

Discover how advanced imaging techniques improve efficiency in CTO PCI procedures. This session features IVUS-guided antegrade dissection, angio-CT guided retrograde recanalisation, and complex cases involving anomalous anatomy and multiple bifurcations.

How imaging can improve efficiency in CTO PCI

PCR's Got Talent Round 1 - Session 2

20 May 2025 – From EuroPCR 2025

Join the dynamic PCR's Got Talent Round 1 - Session 2 featuring cutting-edge research and innovations in interventional cardiology. Highlights include complex CTO PCI strategies, valve comparisons in TAVI for small annuli, PFO closure outcomes, long-term PCI durability, CT-guided robotic PCI, pacemaker prediction post-TAVI, and much...

PCR's Got Talent Round 1 - Session 2

CTO in special clinical scenarios

20 May 2025 – From EuroPCR 2025

This session focuses on the unique challenges of performing CTO interventions in special clinical scenarios, including critical donor artery stenosis, anomalous coronary origins post-TAVI, and complex multivessel disease with limited vascular access. Gain insights into tailored strategies such as retrograde approaches and management after arterial switch...

CTO in special clinical scenarios

How to deal with ostial right coronary artery CTOs

20 May 2025 – From EuroPCR 2025

Delve into specialized approaches for managing ostial right coronary artery CTOs. This session discusses scenarios with no clear antegrade path, PCI in high take-off anomalies, retrograde techniques in familial hypercholesterolemia, and complex in-stent CTOs with aortic protrusion.

How to deal with ostial right coronary artery CTOs

From theory to practice: the versatility of drug-coated balloons around the world

20 May 2025 – From EuroPCR 2025

Step into the world of drug-coated balloons (DCBs) with this EuroPCR 2025 session, tracing their journey from pioneering use in Europe to versatile applications worldwide. Discover the latest evidence on the safety and efficacy of both paclitaxel- and sirolimus-coated balloons across diverse lesion types—from straightforward to...

From theory to practice: the versatility of drug-coated balloons around the world

PCR's Got Talent Round 1 - Session 1

20 May 2025 – From EuroPCR 2025

Experience a diverse range of cutting-edge interventional cardiology topics in PCR's Got Talent Round 1. This session features presentations on PFO closure outcomes, plaque morphology, vascular injury treatments, microvascular disease assessment, TAVI-related coronary obstruction prediction, novel FFR surrogates, and more.

PCR's Got Talent Round 1 - Session 1

Integrative step-by-step approach to perform successful CTO interventions: from angiographic evaluation to strategy selection

20 May 2025 – From EuroPCR 2025

Master the integrative step-by-step approach to successful chronic total occlusion (CTO) interventions. This session emphasizes systematic angiographic evaluation and strategy selection ranging from simple to complex techniques, supplemented by blinded case discussions for practical learning.

Integrative step-by-step approach to perform successful CTO interventions: from angiographic evaluation to strategy selection

CTO PCI with Asian flavour

20 May 2025 – From EuroPCR 2025

Learn contemporary tips and tricks for chronic total occlusion (CTO) percutaneous coronary intervention (PCI) with an emphasis on specific algorithms to enhance procedural efficiency and safety. This session addresses overcoming obstacles in antegrade and retrograde approaches and managing potential complications through real-world case examples.

CTO PCI with Asian flavour