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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Hemodynamic support during CTO PCI: to use it or not?

15 May 2024 – From EuroPCR 2024

This session features selected EuroPCR 2024 Clinical Case submissions focused on the use of hemodynamic support devices during percutaneous coronary interventions (PCI) for chronic total occlusions (CTO). Experts will present and discuss challenging cases where the use of devices like the Impella pump or pulsatile left...

Hemodynamic support during CTO PCI: to use it or not?

How to achieve successful outcome in contemporary CTO PCI

15 May 2024 – From EuroPCR 2024

How to achieve successful outcome in contemporary CTO PCI

PCR's Got Talent - Round 2 - Session 2

15 May 2024 – From EuroPCR 2024

This session features a selected abstract submission from EuroPCR 2024 on plaque characterization, outcomes, and predictors of recurrent events in stent failure, as studied using optical coherence tomography (OCT).

PCR's Got Talent - Round 2 - Session 2

Treatment strategies in complex coronary

14 May 2024 – From EuroPCR 2024

This session comprises a selection of complex coronary intervention cases from the EuroPCR 2024 Clinical Case submissions. The cases cover a range of challenging scenarios, including CTO with left ventricular dysfunction and VT storm, subintimal tracking and re-entry, and the decision between native vessel CTO PCI...

Treatment strategies in complex coronary

Complex PCI in multivessel disease

14 May 2024 – From EuroPCR 2024

This session features selected clinical case submissions focused on complex PCI (Percutaneous Coronary Intervention) in patients with multivessel disease. Participants will learn about various challenging cases, including navigating heart failure, three-vessel disease with functional mitral regurgitation, complete revascularization assisted by Impella, and end-stage refractory angina. The...

Complex PCI in multivessel disease

PCR's Got Talent - Round 1 - Session 2

14 May 2024 – From EuroPCR 2024

This session is part of the "PCR's Got Talent" competition, showcasing a diverse range of abstract submissions covering various aspects of interventional cardiology. The topics include the impact of bifurcation lesions on outcomes in the FAME 3 trial, predictors of target lesion failure after DCB angioplasty,...

PCR's Got Talent - Round 1 - Session 2

Antegrade CTO PCI: how to develop a consistent and systematic strategy ?

14 May 2024 – From EuroPCR 2024

This replay provides a comprehensive guide to mastering antegrade wire escalation (AWE), managing failed procedures, and utilizing IVUS to address ambiguous proximal caps. Additionally, learn when to stop in the event of a failed case and explore alternative strategies to ensure optimal patient outcomes.

Antegrade CTO PCI: how to develop a consistent and systematic strategy ?

Technical pearls in CTO PCI

14 May 2024 – From EuroPCR 2024

This session will feature a series of selected clinical case submissions from EuroPCR 2024, focusing on the technical pearls and innovative approaches in the management of chronic total occlusions (CTO) during percutaneous coronary interventions. Attendees will have the opportunity to explore various strategies, including the use...

Technical pearls in CTO PCI

Left main bifurcation techniques - Part 1

14 May 2024 – From EuroPCR 2024

This session features selected EuroPCR 2024 Clinical Case submissions showcasing various techniques for managing complex left main bifurcation lesions. It includes presentations and discussions on the use of a home-made dual lumen microcatheter, angulated catheters for side branches, a novel "crushing" approach for narrow-angle bifurcations, challenging...

Left main bifurcation techniques - Part 1

CTO PCI: what a surprise!

14 May 2024 – From EuroPCR 2024

This session, comprising selected EuroPCR 2024 Clinical Case submissions, explores various challenging and unexpected scenarios encountered during CTO PCI procedures. It includes case presentations and discussions on guide wire entrapment and removal, subintimal wiring, revitalizing hope in a low ejection fraction patient, physiologic and hemodynamic considerations...

CTO PCI: what a surprise!