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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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When complications storm through the cathlab #2

19 Dec 2024 – From GulfPCR-GIM 2024

Brace yourself as we delve into a captivating session showcasing a series of complex and challenging complications that can arise in the catheterization laboratory. From a coiling gone awry to a stuck burr in an elderly patient, this session offers invaluable insights and strategies for navigating...

When complications storm through the cathlab #2

Let it heal!

05 Feb 2025

The purpose of this case report is to discuss the treatment of a chronic total occlusion (CTO) in a 58-year-old male patient with multiple cardiovascular risk factors including type 2 diabetes, dyslipidemia, hypertension, and smoking history.

Angio showed a CTO of the RCA. In the MR-Scan, the RCA...

Johannes Rigger

Author

Johannes Rigger
Let it heal!

CTO PCI: Addressing acute no-flow, multivessel challenges and calcified lesions

04 Oct 2024 – From AICT-AsiaPCR 2024

Delve into this comprehensive CTO session, featuring a selection of compelling clinical case submissions from AICT-AsiaPCR 2024. Explore various complex CTO scenarios, including the management of acute no-flow after stenting, multivessel PCI for heavily calcified CTOs, and confronting the calcium conundrum. Gain valuable insights from expert...

CTO PCI: Addressing acute no-flow, multivessel challenges and calcified lesions

Mastering complex CTO interventions: Techniques, challenges, and innovations

04 Oct 2024 – From AICT-AsiaPCR 2024

Immerse yourself in a comprehensive CTO session featuring a selection of complex and challenging cases from the AICT-AsiaPCR 2024 conference. Discover innovative techniques and strategies for navigating highly calcified and tortuous CTO lesions, utilizing IVUS guidance, managing coronary perforations, and optimizing CTO PCI planning with left...

Mastering complex CTO interventions: Techniques, challenges, and innovations

Imaging and physiology guided PCI

17 May 2024 – From EuroPCR 2024

This session features selected EuroPCR 2024 clinical case submissions showcasing the use of imaging and physiology guidance during PCI. Cases cover topics such as managing cardiac arrest during PCI, virtual reality-guided PCI, low-contrast PCI in multivessel disease, and the comprehensive assessment of obstructive and non-obstructive coronary...

Imaging and physiology guided PCI

Mastering the recovery of lost stents in PCI

17 May 2024 – From EuroPCR 2024

This session, comprising selected EuroPCR 2024 Clinical Case submissions, focuses on the management of lost stents during Percutaneous Coronary Intervention (PCI). Participants will explore various cases of stent dislodgement, entrapment, and retrieval challenges, and learn about the corresponding bailout techniques and solutions to preserve coronary flow...

Mastering the recovery of lost stents in PCI

Complications in CTO: is there a bailout?

16 May 2024 – From EuroPCR 2024

Watch this session on CTO complications and explore unique challenges and solutions, including a retrograde CTO technique with a twist, an unexpected outcome in a right coronary artery case, and an atypical perforation caused by an unexpected equipment issue. You’ll also see how a guide wire...

Complications in CTO: Is there a bailout?

CTO within a bifurcation

16 May 2024 – From EuroPCR 2024

This session will present various cases of chronic total occlusions (CTOs) within a bifurcation. Participants will learn about the challenges, diagnostic techniques, and treatment strategies for these complex cases, including the use of IVUS, CT angiography, and the hybrid algorithm for successful CTO interventions.

CTO within a bifurcation

CTO PCI: from planning to execution

16 May 2024 – From EuroPCR 2024

This session, with the collaboration of the Cyprus Society of Cardiology / Cyprus Interventional Cardiology Working Group, Tunisian Group for Interventional Cardiology and Bulgarian Society of Interventional Cardiology, covers planning and execution of CTO PCI procedures. It includes case discussions on treatment dilemmas, overcoming frequently encountered...

CTO PCI: from planning to execution

The challenge with ostial CTO lesions

16 May 2024 – From EuroPCR 2024

This session comprises selected EuroPCR 2024 Clinical Case submissions focused on the challenges in treating ostial chronic total occlusion (CTO) lesions. It covers various case presentations and discussions, including the use of specialized techniques and devices to tackle calcified and stumpless ostial right coronary artery CTOs,...

The challenge with ostial CTO lesions