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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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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.

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 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.

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...

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

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