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Learning objectives

  • Learn how to treat ostial CTOs
  • Put into practice the hybrid algorithm
  • Learn about strategies and devices used for retrograde CTOs

Key points of the procedure

  • Ostial CTOs usually needs a retrograde approach
  • Snaring if often required in those cases
  • Septal surfing may be challenging and needs several wires available to be successful

Step-by-step procedure

Chapter 1

  • Intial dual injection angiography and procedure planning
  • Material selection

Chapter 2

  • Septal surfing using Turnpike LP MC
  • Challenging septals with multiple attempts
  • How to define the position of your wire between cavity and artery
  • Different wires sued : Sion – Suho 3 and Filder XTr

Chapter 3

  • How to advance your MC through the septal
  • Knuckling your wire

Chapter 4 and 5

  • How to snare your retrograde wire
  • Where to perform your snaring
  • Which wire to snare

Chapter 6

  • Wire externalisation and predilatation

Bibliography

- Guiding Principles for Chronic Total Occlusion Percutaneous Coronary Intervention.

Brilakis ES, Mashayekhi K, Tsuchikane E, Abi Rafeh N, Alaswad K, Araya M, Avran A, Azzalini L, Babunashvili AM, Bayani B, Bhindi R, Boudou N, Boukhris M, Božinović NŽ, Bryniarski L, Bufe A, Buller CE, Burke MN, Büttner HJ, Cardoso P, Carlino M, Christiansen EH, Colombo A, Croce K, Damas de Los Santos F, De Martini T, Dens J, Di Mario C, Dou K, Egred M, ElGuindy AM, Escaned J, Furkalo S, Gagnor A, Galassi AR, Garbo R, Ge J, Goel PK, Goktekin O, Grancini L, Grantham JA, Hanratty C, Harb S, Harding SA, Henriques JPS, Hill JM, Jaffer FA, Jang Y, Jussila R, Kalnins A, Kalyanasundaram A, Kandzari DE, Kao HL, Karmpaliotis D, Kassem HH, Knaapen P, Kornowski R, Krestyaninov O, Kumar AVG, Laanmets P, Lamelas P, Lee SW, Lefevre T, Li Y, Lim ST, Lo S, Lombardi W, McEntegart M, Munawar M, Navarro Lecaro JA, Ngo HM, Nicholson W, Olivecrona GK, Padilla L, Postu M, Quadros A, Quesada FH, Prakasa Rao VS, Reifart N, Saghatelyan M, Santiago R, Sianos G, Smith E, C Spratt J, Stone GW, Strange JW, Tammam K, Ungi I, Vo M, Vu VH, Walsh S, Werner GS, Wollmuth JR, Wu EB, Wyman RM, Xu B, Yamane M, Ybarra LF, Yeh RW, Zhang Q, Rinfret S.

Circulation. 2019 Jul 30;140(5):420-433. doi: 10.1161/CIRCULATIONAHA.119.039797. Epub 2019 Jul 29. Review.




- An algorithmic approach for the management of ostial right coronary artery chronic total occlusions.

Avran A, Boukhris M, Drogoul L, Brilakis ES.
Catheter Cardiovasc Interv. 2018 Sep 1;92(3):515-521. doi: 10.1002/ccd.27603. Epub 2018 Mar 30.

Shooting date : 0000-00-00
Last update : 2020-05-11

Suggestions

Saturday, October 6th 2018 from 03:30pm to 05pm (GMT+1)
Honolulu : Saturday, October 6th 2018 from 04:30am to 06am (GMT-10)
San Francisco : Saturday, October 6th 2018 from 07:30am to 09am (GMT-7)
New York : Saturday, October 6th 2018 from 10:30am to 12pm (GMT-4)
Buenos Aires : Saturday, October 6th 2018 from 11:30am to 01pm (GMT-3)
Reykjavik : Saturday, October 6th 2018 from 02:30pm to 04pm (GMT)
London / Dublin : Saturday, October 6th 2018 from 03:30pm to 05pm (GMT+1)
Paris / Berlin : Saturday, October 6th 2018 from 04:30pm to 06pm (GMT+2)
Istanbul : Saturday, October 6th 2018 from 05:30pm to 07pm (GMT+3)
Moscou / Dubaï : Saturday, October 6th 2018 from 06:30pm to 08pm (GMT+4)
Bangkok : Saturday, October 6th 2018 from 09:30pm to 11pm (GMT+7)
Shanghai : Saturday, October 6th 2018 from 10:30pm to 12am (GMT+8)
Tokyo : Saturday, October 6th 2018 from 11:30pm to 01am (GMT+9)
Sydney : Sunday, October 7th 2018 from 01:30am to 03am (GMT+11)
Wellington : Sunday, October 7th 2018 from 03:30am to 05am (GMT+13)

Live case from CTO Summit Brazil 2018: CTO PCI of LAD

Dr Leibundgut & Prof. Dr Rickli

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Tuesday, December 3rd 2019 from 12:30pm to 02pm (GMT+1)
Honolulu : Tuesday, December 3rd 2019 from 01:30am to 03am (GMT-10)
San Francisco : Tuesday, December 3rd 2019 from 03:30am to 05am (GMT-8)
New York : Tuesday, December 3rd 2019 from 06:30am to 08am (GMT-5)
Buenos Aires : Tuesday, December 3rd 2019 from 08:30am to 10am (GMT-3)
London / Dublin : Tuesday, December 3rd 2019 from 11:30am to 01pm (GMT)
Paris / Berlin : Tuesday, December 3rd 2019 from 12:30pm to 02pm (GMT+1)
Istanbul : Tuesday, December 3rd 2019 from 01:30pm to 03pm (GMT+2)
Moscou / Dubaï : Tuesday, December 3rd 2019 from 03:30pm to 05pm (GMT+4)
Bangkok : Tuesday, December 3rd 2019 from 06:30pm to 08pm (GMT+7)
Shanghai : Tuesday, December 3rd 2019 from 07:30pm to 09pm (GMT+8)
Tokyo : Tuesday, December 3rd 2019 from 08:30pm to 10pm (GMT+9)
Sydney : Tuesday, December 3rd 2019 from 09:30pm to 11pm (GMT+10)
Wellington : Tuesday, December 3rd 2019 from 11:30pm to 01am (GMT+12)

The CTO Training Pathway: taking the first steps towards CTO mastery

featuring the antegrade and retrograde CTO iBooks

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Wednesday, September 14th 2022 from 06pm to 07pm (GMT+1)
Honolulu : Wednesday, September 14th 2022 from 07am to 08am (GMT-10)
San Francisco : Wednesday, September 14th 2022 from 10am to 11am (GMT-7)
New York : Wednesday, September 14th 2022 from 01pm to 02pm (GMT-4)
Buenos Aires : Wednesday, September 14th 2022 from 02pm to 03pm (GMT-3)
Reykjavik : Wednesday, September 14th 2022 from 05pm to 06pm (GMT)
London / Dublin : Wednesday, September 14th 2022 from 06pm to 07pm (GMT+1)
Paris / Berlin : Wednesday, September 14th 2022 from 07pm to 08pm (GMT+2)
Istanbul : Wednesday, September 14th 2022 from 08pm to 09pm (GMT+3)
Moscou / Dubaï : Wednesday, September 14th 2022 from 09pm to 10pm (GMT+4)
Bangkok : Thursday, September 15th 2022 from 12am to 01am (GMT+7)
Shanghai : Thursday, September 15th 2022 from 01am to 02am (GMT+8)
Tokyo : Thursday, September 15th 2022 from 02am to 03am (GMT+9)
Sydney : Thursday, September 15th 2022 from 04am to 05am (GMT+11)
Wellington : Thursday, September 15th 2022 from 06am to 07am (GMT+13)

Protected PCI: Clinical Evidence and Best Practices Improvement

Impella Case Club

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Monday, October 25th 2021 from 05pm to 06pm (GMT+1)
Honolulu : Monday, October 25th 2021 from 06am to 07am (GMT-10)
San Francisco : Monday, October 25th 2021 from 09am to 10am (GMT-7)
New York : Monday, October 25th 2021 from 12pm to 01pm (GMT-4)
Buenos Aires : Monday, October 25th 2021 from 01pm to 02pm (GMT-3)
Reykjavik : Monday, October 25th 2021 from 04pm to 05pm (GMT)
London / Dublin : Monday, October 25th 2021 from 05pm to 06pm (GMT+1)
Paris / Berlin : Monday, October 25th 2021 from 06pm to 07pm (GMT+2)
Istanbul : Monday, October 25th 2021 from 07pm to 08pm (GMT+3)
Moscou / Dubaï : Monday, October 25th 2021 from 08pm to 09pm (GMT+4)
Bangkok : Monday, October 25th 2021 from 11pm to 12am (GMT+7)
Shanghai : Tuesday, October 26th 2021 from 12am to 01am (GMT+8)
Tokyo : Tuesday, October 26th 2021 from 01am to 02am (GMT+9)
Sydney : Tuesday, October 26th 2021 from 03am to 04am (GMT+11)
Wellington : Tuesday, October 26th 2021 from 05am to 06am (GMT+13)

Drug Coated Balloons - The Untold Story

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