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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Stuck between a rock and a hard place: when calcium is the enemy!

07 Dec 2023 – From GulfPCR-GIM 2023

Have you ever wondered what tools and techniques to use when faced with calcified lesions? Watch this session to discover various cases of severely calcified lesions: the use of IVUS guidance and rota-cut when faced with tough calcium, PCI of a stubborn fibrotic coronary lesion, as...

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...

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 2

06 Dec 2023 – From GulfPCR-GIM 2023

Keep learning about challenging cases of CTO interventions in the continuation of this session. Discover how IVUS may be used to better guide intervention, gain insight into the use of the knuckle wire technique as a last resort during difficult cases, and learn how to deal...

Challenging CTO interventions: part 1

06 Dec 2023 – From GulfPCR-GIM 2023

Discover challenging CTO interventions and how to resolve them. Examine a variety of techniques used to manage a lesion that is only crossable by wire, and witness the use of extreme measures to overcome an uncrossable CTO lesion.

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

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

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

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