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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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

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!

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

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 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

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

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

Challenging scenarios in NSTEMI

16 May 2024 – From EuroPCR 2024

This session features selected clinical case submissions that explore complex and challenging scenarios encountered in the management of NSTEMI patients. Participants will delve into discussions on topics such as coronary artery aneurysm, restenosis of coronary ostial stents, right-sided chest pain, subsequent occlusions of the left anterior...

Challenging scenarios in NSTEMI

The value of IVUS during CTO PCI

16 May 2024 – From EuroPCR 2024

This session explores the role of IVUS imaging in the management of chronic total occlusions (CTOs) during PCI procedures. Participants will learn how IVUS can help in navigating the true lumen, utilizing retrograde plaque/flap lift-and-shift techniques, managing false lumen entry, and addressing other challenging scenarios in...

The value of IVUS during CTO 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?