CTO (Chronic total occlusion)

Latest CTO content in interventional cardiology - research, practice, and education

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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Artificial intelligence and innovations in interventional cardiology

10 Oct 2025 – From AICT-AsiaPCR 2025

Explore the transformative role of artificial intelligence and robotics in interventional cardiology. This session covers big data fundamentals, bridges the gap between emerging technologies and clinical practice, and discusses AI-enhanced decision-making and robotic applications in cardiovascular interventions.

Artificial intelligence and innovations in interventional cardiology

Complex coronary challenges and anomalies

10 Oct 2025 – From AICT-AsiaPCR 2025

This session explores complex coronary challenges and anatomical anomalies encountered in clinical practice. Topics include management of thrombus showers from unexpected culprits, ultra-low contrast angioplasty in mesenteric ischemia, advanced bifurcation PCI techniques with IVUS guidance, and troubleshooting difficult stent delivery scenarios in calcified lesions and challenging...

PCR @ TCT 2025 - Get the international perspective!

15 Oct 2025

Thanks to the contribution of a team of interventional cardiologists from around the globe, get the international perspective on Late-breaking Clinical Trials and Science released at TCT 2025 - check out the list below.

PCRonline @ TCT 2025 - get the international perspective!

CTO after CABG: complex but feasible

23 May 2025 – From EuroPCR 2025

Overcome the complexities of chronic total occlusion (CTO) PCI after coronary artery bypass grafting (CABG) with this session highlighting real-world challenging cases. Topics include retrograde recanalization via bypass grafts, management of regretted stents, post-CABG intervention challenges, and advanced techniques such as plaque/flap lift-and-shift to optimize procedural...

CTO after CABG: complex but feasible

When strange things happen, CTO and complications

23 May 2025 – From EuroPCR 2025

This session addresses complications and unexpected challenges encountered in chronic total occlusion (CTO) interventions. Learn from cases involving retrieval of stuck wires, coronary perforations, and strategies to manage complex and unusual procedural difficulties.

When strange things happen, CTO and complications

Life threatening complications in CTO PCI

23 May 2025 – From EuroPCR 2025

Focus on life-threatening complications during CTO PCI with topics including rotational atherectomy challenges, interventricular septal puncture, surgical retrieval of fractured guidewires, and image-guided strategies for managing multivessel CTO complications, enhancing procedural safety.

Life threatening complications in CTO PCI

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

Atherectomy for CTO-PCI

22 May 2025 – From EuroPCR 2025

Explore atherectomy applications in CTO-PCI with cases demonstrating reverse cart technique, orbital atherectomy in heavily calcified occlusions, and management of atherectomy-induced coronary dissection. Gain practical insights into navigating complex CTO lesions with atherectomy support.

Atherectomy for CTO-PCI

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.

Beyond the intervention: outcomes of CTO PCI

22 May 2025 – From EuroPCR 2025

Discover long-term outcomes and practical insights into chronic total occlusion (CTO) PCI. This session presents real-world registry data, cost-effectiveness analyses, effects of successful revascularisation in reduced ejection fraction and heart failure patients, and specific outcomes in octogenarian populations.

Beyond the intervention: outcomes of CTO PCI