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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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 ?

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

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!

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

When complications storm through the cathlab: part 3

07 Dec 2023 – From GulfPCR-GIM 2023

These slides focus on complications that may occur during PCI in the cathlab. Through the lens of this case, be prepared about what type of complications one might face during PCI, and get updates on the latest guidelines and tools developed for emergencies.

When complications storm through the cathlab: part 2

07 Dec 2023 – From GulfPCR-GIM 2023

The continuation of this session focuses on complications that may occur during PCI in the cathlab. Through the lens of these cases, be prepared about what type of complications one might face during PCI, and get updates on the latest guidelines and tools developed for emergencies.