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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Navigating complex CTO scenarios

22 Sep 2023 – From AICT-AsiaPCR 2023

In this session, delve into the complexities of Chronic Total Occlusion (CTO) interventions: explore advanced techniques like the balloon anchoring method for uncrossable CTO lesions and the use of IVUS to detect the distal cap of RCA CTO after CABG, and gain insights into managing unexpected...

Navigating complex CTO scenarios

Uncommon complications in NSTEMI

22 Sep 2023 – From AICT-AsiaPCR 2023

Discoversome unforeseen challenges in NSTEMI cases in this session, ranging from managing coronary air embolisms and distinguishing between inflammation and infarction to dealing with coronary aneurysms at the left main coronary artery bifurcation and addressing type 5 coronary perforation. 

Uncommon complications in NSTEMI

Complex CTO challenges

22 Sep 2023 – From AICT-AsiaPCR 2023

Gain valuable insights into overcoming CTO challenges in this session: learn how IVUS can come to the rescue in cases of main branch cut-off, discover successful recanalization techniques for right coronary artery CTOs using very long epicardial channels and explore the best approaches for managing complex...

Complex CTO challenges

Innovations in managing calcified lesions

22 Sep 2023 – From AICT-AsiaPCR 2023

Discover advanced strategies for dealing with challenging calcified lesions in this session: learn how to tackle complex situations, including diffuse and heavily calcified lesions, and discover innovative techniques for addressing angulated calcified lesions in the left anterior descending artery and other vessels.

Innovations in managing calcified lesions

How to manage complications in CTO PCI

22 Sep 2023 – From AICT-AsiaPCR 2023

Explore complex CTO PCI scenarios and gain insights into complications and their solutions in this session. Topics include CTO vessel rupture after a covered stent bailout, epicardial channel perforation management, dissection from collateral tip injection, and more!

How to manage complications in CTO PCI

Complex CTO - LIVE case

22 Sep 2023 – From AICT-AsiaPCR 2023

View the case of an 82-year-old man with history of CABG in 2003 (LIMA LAD, VG RCA, VG CX), PCIs on VG RCA in 2021, PCIs VG-CX in 2022, PPM in 2023 with preserved LV function, and follow the retrograde approach of calcified CX CTO using...

Complex CTO - LIVE case

CTO challenges

21 Sep 2023 – From AICT-AsiaPCR 2023

Broaden your knowledge in CTO interventions in this session: delve into the complexities of managing refractory angina, gain insights into the unique challenges of anomalous and ectatic RCA CTOs, explore effective techniques using separate cornus branch in LAD treatment, and discover how to address unexpected complications...

CTO challenges

Coronary, structural and peripheral interventions

21 Sep 2023 – From AICT-AsiaPCR 2023

Explore the latest innovations in coronary, structural, and peripheral interventions in this session, from machine learning CT-FFR systems for severe aortic stenosis to the role of real-world data in enhancing cardiovascular care, and discover cutting-edge techniques like transpedal accesses for complex lesions and comprehensive valve sizing...

Coronary, structural and peripheral interventions

Navigating complex STEMI situations

21 Sep 2023 – From AICT-AsiaPCR 2023

Delve into a series of complex real-world STEMI cases and explore challenging scenarios in this session, such as a STEMI occurrence in a healthy adolescent, the complexities of post-CABG safety, and much more!

Navigating complex STEMI situations

Infarct‐related artery as a donor of collaterals in ST‐segment–elevation myocardial infarction with concomitant chronic total occlusion: challenge of the double‐jeopardy thesis

30 May 2023

This study challenges the double-jeopardy assumption as the main cause of adverse outcome in STEMI with non-IRA CTO, as a collateral origin distal from the acute IRA occlusion was associated with a significantly better prognosis than with a proximal origin.

Reviewer

Aaysha Cader
Saidur Rahman Khan

Reviewer

Saidur Rahman Khan
Infarct‐related artery as a donor of collaterals in ST‐segment–elevation myocardial infarction with concomitant chronic total occlusion: challenge of the double‐jeopardy thesis