MLCTO 2018

3^rd Edition ML CTO 2018

The 3^rd Edition of the international Multi-level CTO Course was held in Nice (France) from June 28^th to June 30^th, 2018 at Palais de la Méditerranée, and brought together 675 participants from 65 countries. Following the success of the first and second 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:

• Module 1 - Module dedicated to operators willing to learn and/or reinforce their CTO knowledge on: antegrade basic techniques and strategies - first steps in retrograde.
• Module 2 - Module dedicated to regular operators willing to master more advanced techniques: complex antegrade - first steps in antegrade dissection re-entry.
• Module 3 - Module dedicated to experienced operators mastering all CTO techniques and strategies: complex retrograde - complex ADR - complications. Module based on interactivity and exchanges about personal and practical experiences.

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.

THURSDAY JUNE 28^th (Level 1: Discover CTO PCI) 

Session 1: CTO PCI BASICS

Chairman: Christopher Buller
Provoker: Elliott Smith
Co-director: Stéphane Rinfret
 

08:00	Welcome ML CTO Course Co-directors
08:05	Patient selection: who are the best candidates for CTO PCI? Stéphane Rinfret
08:25	Impact of CTO PCI: a patient's perspective Grégory Rolly
08:35	Angiographic follow-up of ML CTO 2017 patients Laurent Drogoul
08:45	Angiographic roadmap for CTO PCI James Spratt
09:00	Simultaneous transmissions From Heart Center Bad Krozingen LIVE CASE #1 Operators: Andrea Gagnor & Kambis Mashayekhi LIVE CASE #2 Operators: Thierry Lefèvre & Miroslaw Ferenc
10:00	Guidewires and microcatheters: what you need to know Christopher Buller
10:30	Set up for safety. Khaldoon Alaswad

Session 2: ANTEGRADE WIRE ESCALATION

Chairman: Aaron Grantham
Provoker: Khaldoon Alaswad
Co-director: Alexandre Avran
 

11:00	Live-in-box presentation: sheathless transradial approach Benjamin Faurie
11:30	Less you use, better it is: contrast & radiation management  Adriaan Kraaijeveld
12:00	From Tzanck Institute LIVE CASE #3 Operators: Artis Kalnins & Nicolas Boudou IVUS commentator: Stéphane Carlier          CLINICAL CASES SESSION Focus on AWE - Why it worked! Ömer Göktekin - Why it failed! Marouane Boukhris

Session 3: RETROGRADE STEP-BY-STEP

Chairman: Joachim Büttner
Provoker: William Lombardi
Co-director: Stéphane Rinfret
 

14h30	AWE: from wire to wire Joachim Büttner
14:45	From Heart Center Bad Krozingen LIVE CASE #4 Operators: Emmanouil Brilakis & Kambis Mashayekhi   CLINICAL CASES SESSION Focus on retrograde - Why it worked! Daniel Weilenmann - Why it failed! Laurent Quilliet
15:45	CTO crossing from the retrograde approach Stéphane Rinfret

Session 4: MORE ON RETROGRADE

Chairman: Masahisa Yamane
Provoker: Colm Hanratty
Co-director: Stéphane Rinfret
 

16:45	From Tzanck Institute LIVE CASE #5 Operators: Khalid Tammam & Alexandre Avran IVUS commentator: Stéphane Carlier          CLINICAL CASES SESSION Focus on retrograde - Why it worked! Thomas Hovasse - Why it failed! Chris Zambakides
17:45	INDUSTRY SESSION   EMEA Lydia Roca   Terumo Ariene Bréant   BTG Dean U'Dell   Medtronic Natalia Selina

FRIDAY JUNE 29^th (Level 2: Progress in CTO PCI) 

Session 1: BASICS IN ANTEGRADE DISSECTION RE-ENTRY

Chairman: Max Amor
Provoker: Roberto Garbo
Co-director: Stéphane Rinfret
 

08:00	PRESENT YOUR CASE Chairman: Alexandre Avran   Case presentations by participants: - Chakib Benajiba - Michail Koutouzis - Omar Jawad Altisent
08:15	Tools & techniques to improve success antegrade. Lorenzo Azzalini
08:40	Step 1 - Managing the proximal cap Gregor Leibundgut
09:05	Step 2 - Dissection as a mode of treatment Paul Knaapen
09:40	Step 3 - How to perform re-entry in the vessel true lumen? Aaron J. Grantham

Session 2: CTO PCI GUIDANCE

Chairman: Thierry Lefèvre
Provoker: Elliot Smith
Co-director: Alexandre Avran
 

11:15	LIVE CASE #6 Operators: Thomas Hovasse & William Lombardi IVUS commentator: Stéphane Carlier          CLINICAL CASES SESSION Focus on management of difficult proximal cap - Why it worked! Jo Dens - Why it failed! Thierry Lefèvre - Something happened! Stelios Pyxaras
12:30	Live-in-box presentation: another way to cross? Nicolas Lhoest & Alexandre Avran
12:45	The hybrid algorithm to guide CTO PCI Emmanouil Brilakis
13:00	IVUS to guide CTO PCI Roberto Garbo
13:15	MDCT to guide CTO PCI Satoru Sumitsuji
14:30	LIVE CASE #7 Operators: Masahisa Yamane & Chris Zambakides IVUS commentator: Stéphane Carlier          CLINICAL CASES SESSION Focus on use of algorithm for CTO - Why it failed! Lorenzo Azzalini - Why it worked! Ahmed El Guindy - Something happened! Risto Jussila
15:05	It happens to me. Alexandre Avran

Session 3: ADVANCED ANTEGRADE TECHNIQUES & ADR

Chairman: Antonio Serra
Provoker: Christopher Buller
Co-director: Kambis Mashayekhi
 

15h15	LIVE CASE #8 Operators: Stéphane Rinfret & Aaron J. Grantham IVUS commentator: Stéphane Carlier          CLINICAL CASES SESSION Focus on difficult ADR - Why it worked! Mauro Carlino - Why it failed! Emmanouil Brilakis
15h50	Live-in-box presentation: bifurcations and CTOs Benjamin Faurie
16:30	CLINICAL CASES SESSION Focus on difficult ADR - Something happened! Elliott Smith

Session 4: THE HUMAN FACTOR

Chairman: Co-directors
 

16:45	Managing CTO complications Kambis Mashayekhi
17:00	MLCTO career achievement award

SATURDAY JUNE 30^th (Level 3: Master CTO PCI) 

Session 1: ADVANCED STRATEGIES

Chairman: Emmanouil Brilakis
Provoker: Joachim Büttner
Co-director: Stéphane Rinfret
 

08:00	PRESENT YOUR CASE Chairman: Alexandre Avran   Case presentations by participants: - Rustem Dautov - Meruzahn Saghatelyar - Serguey Furkalo
08:20	Live-in-box presentation: use of intravascular lithotripsy James Spratt
08:45	INDUSTRY SESSION - ASAHI
08:50	Difficult antegrade or retrograde re-entry situations: how to manage? William Lombardi

Session 2: DIFFICULT CASES

Chairman: William Lombardi
Provoker: Khaldoon Alaswad
Co-director: Kambis Mashayekhi
 

09:05	Specific issues with post CABG CTOs Emmanouil Brilakis
09:20	LIVE CASE #9 Operators: Kambis Mashayekhi & Alexandre Avran IVUS commentator: Stéphane Carlier          CLINICAL CASES SESSION Focus on epicardial collateral crossing for CTO - Why it worked! Elliot Smith
11:00	Supported CTO PCI using percutaneous LVAD William Lombardi
11:30	Using epicardial collateral channels for retrograde CTO PCI Kambis Mashayekhi
11h50	CLINICAL CASES SESSION Focus on epicardial collateral crossing for CTO - Why it failed! Masahisa Yamane
12:10	LIVE CASE #10 Operators: Satoru Sumitsuji & Christopher Buller IVUS commentator: Stéphane Carlier          CLINICAL CASES SESSION Focus on post CABG - Why it worked! Luiz Fernando Ybarra - Something happened! Amr El Hadidy - Why it failed! Stéphane Rinfret
13:25	Closing remarks

This congress is organized by incathlab events

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