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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

187 results

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

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

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

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 successfully approach CTO interventions: a step-by-step approach

22 Oct 2025 – From EuroPCR 2025

Elliot Smith, Thomas Hovasse and Roberto Garbo discuss a comprehensive, step-by-step approach to CTO interventions, providing structured guidance on navigating CTOs in a safe and effective way.

The discussion begins with angiographic assessment, emphasising the importance of identifying key anatomical features upfront. Based on this evaluation, operators determine...

How to successfully approach CTO interventions: a step-by-step approach

CTO PCI

19 Dec 2024 – From GulfPCR-GIM 2024

Embark on a journey to master Chronic Total Occlusion (CTO) Percutaneous Coronary Intervention (PCI) procedures. This comprehensive session will prepare your mindset, equip you with strategies to avoid failure, and provide valuable insights from real-world CTO case failures. Explore techniques to effectively deal with CTO procedure...

CTO PCI

Caught between a calcified rock and a hard place

19 Dec 2024 – From GulfPCR-GIM 2024

This session delves into the challenges of managing heavily calcified coronary lesions, particularly in complex scenarios like left main bifurcation angioplasty and in elderly patients with unstable angina. Explore innovative techniques to tackle abrupt vessel closure, situations where rotablation may fall short, and state-of-the-art approaches for...

Caught between a calcified rock and a hard place

Interventional pot pourri #1

19 Dec 2024 – From GulfPCR-GIM 2024

Dive into this 'Interventional potpourri' session for a diverse array of captivating case studies and innovative techniques in interventional cardiology. Explore an anomalous right coronary artery origin, tackle a complex and poorly understood lesion, discover the integration of artificial intelligence in stentless PCI, and master the...

Interventional pot pourri #1

CTO interventions : tips and tricks

19 Dec 2024 – From GulfPCR-GIM 2024

Explore this comprehensive session on CTO interventions, where seasoned interventional cardiologists share their invaluable tips and tricks for navigating even the most complex cases. Discover how to handle unforeseen complications, tackle challenging scenarios like left main disease with left anterior descending artery CTO, and learn the...

CTO interventions : tips and tricks