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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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CTO beyond the conventional: when new strategies come to the rescue

22 May 2025 – From EuroPCR 2025

Delve into advanced strategies for chronic total occlusion (CTO) beyond conventional methods. This session covers step-by-step re-entry techniques with electrified guidewires, approaches to CTO in small vessels, and indications and methods for occlusion of saphenous vein grafts, illustrated by detailed case discussions and key learnings.

CTO PCI evolution: unlocking new approaches

22 May 2025 – From EuroPCR 2025

Unlock new approaches in chronic total occlusion (CTO) PCI with this session highlighting advanced techniques such as tip-in methods when microcatheters fail, support maximization strategies, rotational direction considerations during CTO, and timing of PCI in ACS patients with non-infarct related CTOs.

CTO PCI evolution: unlocking new approaches

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

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

Unconventional situations and complications during cardiovascular interventions

21 May 2025 – From EuroPCR 2025

Explore this session to gain expert tips and practical strategies for managing unexpected complications during cardiovascular interventions. Learn how to anticipate and avoid complications in conventional procedures and discover different approaches to tackle challenging situations in the cathlab through detailed case discussions involving PCI, TAVI, and...

Unconventional situations and complications during cardiovascular interventions

Optimising CTO outcomes by lesion selection

21 May 2025 – From EuroPCR 2025

Optimize chronic total occlusion (CTO) PCI outcomes through lesion selection strategies. This session reviews coronary calcium patterns via CT, target vessel considerations, distal vessel remodeling, imaging-guided versus conventional approaches, and complex lesion cases.

Optimising CTO outcomes by lesion selection

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

Strategies in treating double CTO scenarios

21 May 2025 – From EuroPCR 2025

Navigate complex double chronic total occlusion (CTO) scenarios with this session that emphasizes thorough lesion qualification and innovative techniques. Learn strategies including management of ambiguous proximal caps, sequential vessel revascularization, and advanced tools like snaring and deflection to optimize procedural success.

Strategies in treating double CTO scenarios

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

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