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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Upgrade to retrograde: when and how?

16 May 2024 – From EuroPCR 2024

This session delves into the decision-making for transitioning to a retrograde approach in CTO PCI, covering effective techniques and safety considerations for successful outcomes, through cases involving antegradely induced hematomas and ambiguous CTO caps, alongside severe distal atherosclerosis.

Upgrade to retrograde: when and how?

Antegrade CTO - LIVE case

16 May 2024 – From EuroPCR 2024

This session features a LIVE educational case from Netcare Sunninghill Hospital in Johannesburg, South Africa, focusing on the management of chronic total occlusions (CTOs) using an antegrade approach. Participants will learn how to identify CTO anatomy through dual injection, as well as how to perform IVUS-guided...

Antegrade CTO - LIVE case

Complex scenarios beyond complex interventions, time to take multiple factors into account

15 May 2024 – From EuroPCR 2024

Complex scenarios beyond complex interventions, time to take multiple factors into account

Chronic total occlusions - miscellaneous

15 May 2024 – From EuroPCR 2024

Chronic total occlusions - miscellaneous

Stentless PCI

15 May 2024 – From EuroPCR 2024

This session explores various stentless percutaneous coronary intervention (PCI) strategies, including drug-coated balloon (DCB)-only PCI for chronic total occlusions and de-novo coronary lesions, as well as the use of magnesium resorbable scaffolds. Attendees will learn about the rationale, techniques, and outcomes of these "leave nothing behind"...

Stentless PCI

Innovations and novel strategies in CTO PCI

15 May 2024 – From EuroPCR 2024

This session showcases innovative and novel strategies for the percutaneous treatment of chronic total occlusions (CTO) in the coronary arteries. Attendees will learn about techniques such as subintimal rotational ablation with retrograde guidance, external calcium modification, and the use of intravascular lithotripsy to optimize stenting in...

Innovations and novel strategies in CTO PCI

The big challenge: CTO post-CABG

15 May 2024 – From EuroPCR 2024

The big challenge: CTO post-CABG

NSTEMI in patients in post CABG: a challenging combination

15 May 2024 – From EuroPCR 2024

This session focuses on the management of non-ST-elevation myocardial infarction (NSTEMI) in patients who have previously undergone coronary artery bypass grafting (CABG). Attendees will explore various case presentations and discussions on the challenges and treatment strategies for this complex clinical scenario, including the use of intravascular...

NSTEMI in patients in post CABG: a challenging combination

An image is worth a 1,000 words

15 May 2024 – From EuroPCR 2024

An image is worth a 1,000 words

PCI in challenging coronary anatomies

15 May 2024 – From EuroPCR 2024

This session explores various complex PCI cases, providing insights and solutions for navigating challenging coronary anatomies. The discussions cover techniques for crossing difficult paths, the role of PCI as a backup for CABG, and the use of specialized tools like balloons and rotablation when standard approaches...

PCI in challenging coronary anatomies