The 2nd Edition of the international Multi-level CTO Course was held in Nice (France) from June 29th to July 1st, 2017 at Palais de la Méditerranée, and brought together over 450 participants from 40 countries. Following the success of the 2016 first Edition, the main goal of this event was to bring together all passionate operators in one place: from beginners to experts in a climate of openness and congeniality. This conference, with simultaneous translation in English and French, was organized on 3 days modules:
Each module included live cases performed by national and international experienced operators, with associated didactic lectures and interactive discussions, related to the topics covered during sessions.
For more information about the Scientific Program and the Faculty Guests, we invite you to navigate through the ML CTO website.
Provoker: Alexandre Avran
Chairman: James Spratt
Panelists: Emmanouil Brilakis, Nicolaus Reifart & Mike Wyman
08:00 |
Introduction Alexandre Avran and Stéphane Rinfret |
08:10 |
Why should we treat CTOs: impact on ischemia and LV function Christopher Buller |
08:20 |
Recent trials on CTO PCI: should it change practice? Stéphane Rinfret |
08:30 |
Coronary angiography in planning for CTO PCI Laurent Quilliet |
08:40 |
CTO angiographic analysis: scoring systems and algorithms Marouane Boukhris |
08:50 |
Requirements for initiation of CTO PCI program: Tools and set up Thomas Hovasse |
Long proximal LCx CTO with ipsilateral and controlateral visualization
ACROSTAK - MEDTRONIC
Operators: William Nicholson, MD & Khalid Tammam, MD
IVUS commentator: Stéphane Carlier, MD
09:00 | Live case Clinical presentation |
09:10 | Starting procedure |
Parallel session: Case-in-box presentations
Wake up or close: tips & tricks for complications – Risto Jussila
10:10 |
Vascular access and guide selection for CTO PCI Khaldoon Alaswad |
10:20 |
Essential basic maneuvers for CTO PCI Colm Hanratty |
10:30 |
How to prevent common complications? Javier Escaned |
10:40 |
Radioprotection and contrast management Nicolaus Reifart |
Provoker: Christopher Buller
Chairman: Colm Hanratty
Panelists: Khaldoon Alaswad, Jo Dens & Javier Escaned
11:15 |
Antegrade strategy with sequential wire escalation James Spratt |
11:30 |
Modern parallel wire technique Daniel Weilenmann |
Dominant LCx CTO with septal collateral channels
ASAHI-BIOSENSORS
Operators: Satoru Sumitsuji, MD & Nicolas Boudou, MD
IVUS commentator: Stéphane Carlier, MD
11:45 | Live case Clinical presentation |
12:00 | Starting procedure |
Parallel session: Case-in-box presentations
Dangerous curves - Lorenzo Azzalini
13:00 |
How and when to use dual-lumen catheters Nicolas Lhoest |
13:10 |
How to improve guide catheter support Benjamin Faurie |
Provoker: Alaswad Khaldoon
Chairman: Benjamin Faurie
Panelists: Alexander Bufe, Artis Kalnins & Khalid Tammam
14:30 |
Retrograde approach: step-by-step instructions William Nicholson |
Long mid RCA CTO with a good landing zone
HEXACATH – VASCULAR SOLUTIONS/TELEFLEX
Operators: Emmanouil Brilakis, MD & Mike Wyman, MD
IVUS commentator: Stéphane Carlier, MD
14:45 | Live case Clinical presentation |
15:00 | Starting procedure |
Parallel session: Case-in-box presentations
Ipsilateral epicardial retrograde CTO PCI over single radial access - Gregor Leibundgut
16:00 |
Reverse-CART technique Masahisa Yamane |
16:15 |
Dissection technique using knuckled wires: use and indication Elliot Smith |
16:25 |
Externalization and snaring techniques Satoru Sumitsuji |
Provoker: Benjamin Faurie
Chairman: Stéphane Rinfret
Panelists: Sébastien Levesque, Sudhir Rathore & Masahisa Yamane
17:10 | Industry session |
17:30 |
How would you approach that CTO? An interactive session Presenters : Sébastien Levesque and Masahisa Yamane |
17:50 |
Debate: Tip injection should always be used to guide septal collateral crossing? Pro : Sudhir Rathore Con : Stéphane Rinfret |
18:05 | MLCTO career achievement interview with Dr Heinz Joachim Büttner |
18:15 | Closing remarks |
Exclusive on Incathlab.com: Digital Extra of the Day
Lecture of Dr Antonio Serra: BVS implantation in chronically occluded vessels
Provoker: Christopher Buller
Chairman: Elliot smith
Panelists: Marouane Boukhris, Omer Goktekin & Daniel Weilenmann
08:30 |
Microcatheter overview: how to choose and use Paul Knaapen |
08:45 |
When you cannot cross the proximal cap with a microcatheter Jonathan Hill |
Dominant LCx CTO with ipsilateral collateral channels
ABBOTT
Operators: Kambis Mashayekhi, MD & Alexander Bufe, MD
IVUS commentator: Stéphane Carlier, MD
09:00 | Live case Clinical presentation |
09:10 | Starting procedure |
Parallel session: Case-in-box presentations
Tips & Tricks -Thierry Lefèvre
Provoker: Stéphane Rinfret
Chairman: Christopher Buller
Panelists: Heinz Joachim Büttner, Nicolas Lhoest & Khalid Tammam
11:00 |
IVUS during CTO PCI Roberto Garbo |
11:15 |
Principles of contrast modulation techniques Mauro Carlino |
Ostial LAD CTO with short left main and ipsilateral and contralateral collateral channels
TERUMO
Operators: Masahisa Yamane, MD & Alexandre Avran, MD
IVUS commentator: Stéphane Carlier, MD
11:30 | Live case Clinical presentation |
11:40 | Starting procedure |
Parallel session: Case-in-box presentations
RCA ostial CTO and snaring – Andrea Gagnor
13:00 |
How to manage ambiguous proximal cap without a retrograde option Alexander Bufe |
13:15 |
How to manage CTO PCI complications Emmanouil Brilakis |
13:30 |
Perforations: the complete toolbox and how to use it Kambis Mashayekhi |
Provoker: Kambis Mashayekhi
Chairman: Max Amor
Panelists: Yangsoo Jang, Sanjog Kalra & Nicolaus Reifart
14:45 |
Toolbox for effective dissection re-entry techniques Jonathan Hill |
LCx CTO with ambiguous proximal cap
ALVIMEDICA – VOLCANO/PHILIPS
Operators: Roberto Garbo, MD & Andrea Gagnor, MD
IVUS commentator: Stéphane Carlier, MD
15:00 | Live case Clinical presentation |
15:10 | Starting procedure |
Parallel session : Case-in-box presentations
Heavily calcified distal RCA CTO uncrossable with device neither retrogradely nor anterogradely - Meruzhan Saghatelyan
Provoker: Thierry Lefèvre
Chairman: Alexander Bufe
Panelists: Georges Sianos, Mauro Carlino & Paul Knaapen
17:00 | Industry-supported session |
17:15 |
Device-based ADR: step-by-step instructions Mike Wyman |
17:30 |
Wire-based ADR: bailout indications and Mini-Star technique Alfredo Galassi |
17:45 |
How would you approach that CTO? An interactive session Presenters: Lorenzo Azzalini and Mauro Carlino |
Chairman: Alexandre Avran
Panelists: Nicolas Boudou, Emmanouil Brilakis & Stéphane Rinfret
18:00 |
The hybrid algorithm: choosing the right approach Emmanouil Brilakis |
18:15 | Case presentations |
18:45 |
The new Jedi meets Yoda: Q&A session All Faculty members |
19:00 | Closing remarks |
Exclusive on Incathlab.com: Digital Extra of the Day
Lecture of Dr Daniel Weilenmann: Management of septal complications
Provoker: Elliot Smith
Chairman: Alfredo Galassi
Panelists: Philippe Durand, Andrea Gagnor & William Nicholson
08:30 |
Solution for difficult retrograde re-entry Yangsoo Jang |
Blunt mid RCA CTO
BIOTRONIK
Operators: Georges Sianos, MD & Jonathan Hill, MD
IVUS commentator: Stéphane Carlier, MD
08:45 | Live case Clinical presentation |
09:00 | Starting procedure |
Parallel session: Case-in-box presentations
Late acquired malapposition and sub-occlusive restenosis after reverse CART for ostially occluded LAD - Erion Xhepa
10:15 |
Wire crosses septal channel but microcatheter doesn’t follow: what to do? Gerald Werner |
10:30 |
Retrograde approach through epicardial collateral channels Kambis Mashayekhi |
10:45 |
Ping-pong technique for retrograde approach Nicolas Boudou |
Provoker: Alexandre Avran
Chairman: Jonathan Hill
Panelists: Kambis Mashayekhi, Satoru Sumitsuji & Mike Wyman
11:25 |
How would you approach that CTO? An interactive session Presenters: Kambis Mashayekhi and Alexandre Avran |
11:45 |
Difficult ADR situations: how to handle? Colm Hanratty |
12:00 |
How to deal with ostial RCA CTOs Alexandre Avran |
RCA CTO with good landing zone
BOSTON – GUERBET
Operators: Christopher Buller, MD & James Spratt, MD
IVUS commentator: Stéphane Carlier, MD
12:15 | Live case Clinical presentation |
12:30 | Starting procedure |
Parallel session: Case-in-box presentations
Multivessel Disease with double CTO - Eugenio La Scala
Provoker: Jonathan Hill
Chairman: Masahisa Yamane
Panelists: Max Amor, Laurent Drogoul & Risto Jussila
14:50 |
The RECHARGE registry: what have we learned? Jo Dens |
15:00 |
Specific issues with post-CABG CTOs Heinz Joachim Büttner |
Parallel session: Case-in-box presentations
Previous CABG alter the native coronary disease nature - Albert Alahmar, MD
16:25 | Industry session |
Chairman: Omer Goktekin
Panelists: Colm Hanratty, Thomas Hovasse & Daniel Weilenmann
17:15 |
Supported CTO PCI using percutaneous left ventricular assist devices Sanjog Kalra |
17:30 |
Cost of CTO PCI: the cathlab manager perspective Aurélie Fresselinat |
17:40 |
How are they doing? Angiographic follow-up of last year cases Laurent Drogoul |
18:00 |
Take home messages and conclusion Alexandre Avran and Stéphane Rinfret |
Modérateurs : Dr Nicolas Lhoest & Hervé Faltot
08:30 | Ouverture de la journée |
08:40 |
Pourquoi et comment démarrer un programme CTO ? Hervé Faltot |
08:50 | Présentation clinique du live case |
09:00 | Live case n°1 |
Modérateurs : Dr Nicolas Lhoest & Hervé Faltot
10:00 |
Désobstruction des occlusions coronaires chroniques : Pourquoi ? Pour qui ? Fanny Villanova |
10:15 |
Les outils incontournables Gilles Wilhelm |
10:30 |
Techniques antérogrades de désobstruction Dr Nicolas Lhoest |
Modérateurs : Dr Alexandre Avran & Hervé Faltot
11:30 |
Techniques rétrogrades de désobstruction Dr Alexandre Avran |
11:45 | Présentation clinique du live case |
12:00 | Live case n°2 |
Modérateurs : Dr Max Amor & Hervé Faltot
14:15 | Présentation clinique du live case |
14:30 | Live case n°3 (inclus 30mn de préparation paramédicale) |
Modérateurs : Dr Max Amor & Hervé Faltot
15:45 |
Préparation en amont de la procédure Nathalie Lattarico |
16:00 |
Assistance per CTO : le méthode McGill Nathalie Ferlatte |
16:15 |
Surveillance per-procédure Rafik Lamari |
16:30 |
Gestion post désobstruction Sabrina Benmesbah |
16:45 | Take Home Messages |
0Join the discussion
ML CTO 2017 - Discussion
7Leave us a comment
Commented videos
ML CTO 2017: Live Cases Through this playlist you could watch the live cases that have been performed during the 2nd Edition of the Multi-Level CTO Course as well as the angiograms, the cl...
MLCTO 2017 : Digital Extra of the Day The 2nd Edition of the international ML CTO congress was held in Nice (France) from June 29th to July 1st, 2017 at Palais de ...
Thursday, June 29th, 2017 Session 1: CTO PCI BASICS Christopher Buller, MD: "Why should we treat CTOs: impact on ischemia and LV funct...