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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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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 ?

Evolution of complex PCI: cross, modify it, and be precise!

14 May 2024 – From EuroPCR 2024

Don't miss this session for expert guidance on preparing and managing complex lesions. Gain insights into choosing the right tools, including microcatheters and balloons, for optimal treatment outcomes. Explore the innovative features of flagship devices for complex PCI, and Pronavi microcatheter and Alveo HP CTO balloon...

Evolution of complex PCI: cross, modify it, and be precise!

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!

PCR's Got Talent - Round 1 - Session 1

14 May 2024 – From EuroPCR 2024

This session, comprising selected EuroPCR 2024 Abstract submissions, showcases a variety of research topics in the field of interventional cardiology. It includes presentations and discussions on sex differences in outcomes of percutaneous thrombectomy for pulmonary embolism, the validation of the MIRACLE2 score in OHCA patients, the...

PCR's Got Talent - Round 1 - Session 1

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

Double barrel in CTO PCI

23 Apr 2024

This EIJ image illustrates a crucial case, emphasizing the importance of confirming wire position in the true lumen during dissection and re-entry techniques in CTO PCI.

Double barrel in CTO PCI

Challenging STEMI scenarios: part 2

07 Dec 2023 – From GulfPCR-GIM 2023

In this session, delve into intricate STEMI cases, featuring presentations on the challenges of primary PCI for left main, the significance of IVUS in STEMI patients during primary PCI, a compelling exploration of myocardial infarction in an anomalous coronary artery, and much more!

Challenging CTO interventions: part 3

07 Dec 2023 – From GulfPCR-GIM 2023

In this session, broaden your knowledge in CTO treatment by exploring these diverse cases: delve into the complexities of managing double CTO lesions with ACS, gain insights into the ambiguous ostium antegrade CTO, and explore effective techniques such as the semi stent crush technique for closing...