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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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

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

Physiology guided post-DCB treatment to safely limit stenting. Validation in complex clinical settings with the optical Optowire III pressure guidewire

16 May 2024 – From EuroPCR 2024

Follow this session to discover how accurate resting index can inform decision-making for DCB in CTO patients and understand the role of physiology in a new PCI workflow for complex MVD. Thus, you will learn about a DCB intention-to-treat strategy guided by post-PCI coronary physiology in...

Physiology guided post-DCB treatment to safely limit stenting. Validation in complex clinical settings with the optical Optowire III pressure guide

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