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

The uncrossable lesion

16 May 2024 – From EuroPCR 2024

This session delves into the challenges of dealing with uncrossable and heavily calcified coronary lesions. It features a variety of cases showcasing the use of specialized techniques and tools, such as the excimer laser, to overcome these obstacles. The session emphasizes the importance of troubleshooting, utilizing...

The uncrossable lesion

Stent loss and coronary perforation: how to deal with

16 May 2024 – From EuroPCR 2024

This session explores the management of challenging complications during percutaneous coronary interventions, such as stent loss and coronary perforation. The presenters share case studies that demonstrate various techniques and strategies used to address these complications, including the use of CTO wires for distal wire perforation, managing...

Stent loss and coronary perforation: how to deal with

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

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

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

Chronic total occlusions - miscellaneous

15 May 2024 – From EuroPCR 2024

Chronic total occlusions - miscellaneous

How to achieve successful outcome in contemporary CTO PCI

15 May 2024 – From EuroPCR 2024

How to achieve successful outcome in contemporary CTO PCI