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1st Edition ML CTO 2016

The recanalization of coronary chronic total occlusion (CTO) has become an important and promising proce­ dure to treat overt or silent myocardial ischemia and improve patient outcomes. It is a growing and constantly evolving discipline, allowing us to improve our daily prac­ tice in percutaneous coronary interventions (PCI).

The Multi-Level CTO Course includes didactic and practical lectures with associated live cases, related to the topics covered during the session.
The first day has been dedicated to antegrade operators. Discussions around basic techniques and strategies, leading to more advanced teaching points.
The second day has focused on retrograde and antegrade dissection re­entry strategies.
Finally, the third day has addressed very complex cases, complications and tips & tricks.

In order to allow as many operators as possible to attend this event, the full conference has been streamed live in english and french versions on incathlab, and you can now watch all cases in VOD!

Learn more about the next 2017 ML CTO Edition!

Purchase your online access now (buying 95 credits) for an unlimited connection during the full congress!
 
ML CTO WEBSITE

 

THURSDAY JUNE 30th (module 1: First Steps In CTO PCI)

Session 1: ANTEGRADE: BASICS, IMPROVEMENTS AND STRATEGY

Chairman: T. Lefèvre
Moderator: A. Avran

Panelists: J. Hill, N. Lhoest & R. Jussila

 
08:00
Stéphane Rinfret
 
08:15
Benjamin Faurie
 
08:30
Procedure set up for CTO PCI
Khalid O. Tammam
 
08:45 Antegrade strategy with sequential wire escalation
Alexander Bufe
 
09:00 Essential basic maneuvers in CTO PCI: trapping balloon technique, hydraulic pull-back, microcatheter advancement...
Thomas Hovasse
 
09:15 BVS implantation for CTOs
Antonio Serra
 
09:30
Operators: Nicolas Boudou & Erwan Bressollette
 
  PARALLEL SESSION
"Sharing your own tips & tricks"
 

Chairman: K. Tammam
Moderator: J. Spratt
Panelists: E. Brilakis, T. Hovasse & J. Koolen


11:15 X-Ray issues and management
Fabrice Leroy
 
11:30 Double lumen microcatheter: material, indication and technique
Erwan Bressollette
 
11:45 How to improve guide support?
Nicolas Lhoest
 
12:00 Choice of guide wires for an antegrade approach
Christopher Buller
 

Session 2: ANTEGRADE MANAGEMENT AND COMPLICATIONS

Chairman: M. Amor
Moderator: N. Boudou
Panelists: E. Bressollette, R. Jussila & A. Serra

 

13:30
Operators: Benjamin Faurie & Thierry Lefèvre
 
  PARALLEL SESSION
"Sharing your own tips & tricks"

CLINICAL CASE: Tips & Tricks
Thierry Lefèvre
 
14:45
15:00
15:15 The ping-pong technique for type 3 perforation management
Stéphane Rinfret
 
15:30 Contrast volume management during CTO PCI
Philippe Durand
 
15:45 Parallel wire technique: indication and how to do it
Jacques Koolen
 

Chairman: S. Rinfret
Moderator: L. Quilliet
Panelists: N. Lhoest, S. Sumitsuji & J. Wójcik



16:30
Operators: Alexandre Avran & Daniel Weilenmann
 
  PARALLEL SESSION
"Sharing your own tips & tricks"

CLINICAL CASE: Clinical case from participant
Sami Malwen
 
17:45
INDUSTRY SESSION
New devices, new techniques for CTO
Biotronik, Biosensors, Alvimedica, Comed, RenalGuard
 
18:00
Conclusion
 
FRIDAY JULY 1st (module 2: IMPROVING SKILLS IN CTO)

Session 3: ANTEGRADE DISSECTION AND RE-ENTRY BASICS AND STRATEGY

Chairman: A. Bufe
Moderator: B. Faurie
Panelists: N. Boudou, T. Lefèvre & K. Mashayekhi

 

08:30 The hybrid algorithm: choosing the right approach
Emmanouil Brilakis
 
08:45
Dissection re-entry: step-by-step
Stéphane Rinfret
 
09:00
Antegrade dissection re-entry, hard situations: how to handle?
Dimitrios Karmpaliotis
 
09:15
LIVE CASE #4
Operators: Colm Hanratty & James Spratt
 
  PARALLEL SESSION
"Sharing your own tips & tricks"
 


Session 4: RETROGRADE BASICS, IMPROVEMENTS AND STRATEGY

Chairman: D. Weilenmann
Moderator: C. Buller
Panelists: J. Koolen, L. Quilliet & K. Tammam

 

11:15 Retrograde approach: step-by-step instructions
Alexandre Avran
 
11:30
 
11:45 Reverse CART technique
James Spratt

 

Chairman: D. Karmpaliotis
Moderator: A. Avran
Panelists: A. Kalnins, I. Ungi & J. Wójcik


 
13:30 Operators: Satoru Sumisutji & Khalid O. Tammam
 
 
PARALLEL SESSION
"Sharing your own tips & tricks"
 
15:00 Management of septal hematoma
Daniel Weilenmann
 
15:15 Live in a box presentation
Omer Goktekin
 
15:30 Externalisation and snaring techniques
Satoru Sumisutji
 

Chairman: G. Werner
Moderator: M. Meyer
Panelists: P. Durand, O. Goktekin & J. Koolen


 
16:15 Operators: Christopher Buller & Stéphane Rinfret
 
 
PARALLEL SESSION
"Sharing your own tips & tricks"
 
17:45 INDUSTRY SESSION
New devices, new techniques for CTO
Alvimedica, Acrostak, Vascular Solution

 
18:00 Conclusion
 
SATURDAY JULY 2nd (module 3: MASTERING CTO)

Session 5: MASTERING ANTEGRADE STRATEGIES

Chairman: A. Galassi
Moderator: S. Rinfret
Panelists: O. Goktekin, A. Kalnins & K. Mashayekhi

 

08:00 Ambiguous proximal cap without a retrograde option
Emmanouil Brilakis
 
08:15 When you cannot cross the proximal cap with a microcatheter
Nicolas Boudou
 
08:30 Revival of parallel wire in time of Gaia
Gerald S. Werner
 
08:45
Laser in CTO PCI
Thomas Hovasse
 
09:00 Principles of contrast modulation techniques
Mauro Carlino
 
09:15 LIVE CASE #7
Operators: Alexandre Avran & Dimitrios Karmpaliotis
 
  PARALLEL SESSION
“Worst nightmares, great saves”

CLINICAL CASE: Technique -  B.A.I.T
Luca Grancini

CLINICAL CASE: RCA CTO nightmare
Ahmed Kassem
 


Session 6: RETROGRADE STRATEGIES

Chairman: C. Buller
Moderator: N. Lhoest
Panelists: M. Carlino, T. Hovasse & A. Serra



11:15 How to deal with ostial CTOs?
Markus Meyer Gessner
 
11:30
Challenges with septal connections
Khalid O. Tammam
 
11:45 IVUS guidance in CTO PCI
Satoru Sumisutji
 
12:00
 
12:15 Retrograde approach through epicardial collateral channels
Kambis Mashayekhi
 

Chairman: S. Sumitsuji
Moderator: E. Brilakis
Panelists: A. Bufe, D. Karmpaliotis & D. Weilenmann



13:30 LIVE CASE #8
Operators: Alfredo Galassi & Stéphane Rinfret
 
 
PARALLEL SESSION
“Worst nightmares, great saves”
 
15:30 Specific issues with post-CABG CTOs
Risto Jussila
 
15:45 Ping-pong technique for CTO PCI: retrograde or antegrade
Alexandre Avran
 

Chairman: B. Faurie
Moderator: A. Avran
Panelists: M. Carlino, M. Meyer & I. Ungi



16:20 LIVE CASE #9 (Complex antegrade or retrograde)
Operators: Kambis Mashayekhi & Gerald S. Werner
 
 
PARALLEL SESSION
“Worst nightmares, great saves”
 
18:30 Conclusion
Take home messages & closing remarks
 

 

Linked playlists

This playlist appears in the following pack(s)
ML CTO courses

Course Directors


About Stéphane Rinfret


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