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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 will include didactic and practical lectures with associated live cases, related to the topics covered during the session.
The first day will be dedicated to antegrade operators. We will discuss the basic techniques and strategies, leading to more advanced teaching points.
The second day will focus on retrograde and antegrade dissection re­entry strategies.
Finally, the third day will address very complex cases, complications and tips & tricks.

In order to allow as many operators as possible to attend this event, the full conference will be streamed live  in english and french versions on incathlab!

Discover the complete scientific program and the international Faculty.

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

 

 



Thursday June, 30th
Module 1: First Steps in CTO PCI
 
Antegrade: basics, improvements and strategy
 
8:00-10:45
Chairman:T. Lefèvre - Moderator:  A. Avran
Panelists: J. Hill, R. Jussila & N. Lhoest
 
Why should we treat CTOs? - S. Rinfret
CTO angiographic analysis for the antegrade-only operator: scoring systems and algorithms - B. Faurie
Procedure set up for CTO PCI - K. O. Tammam
Antegrade strategy with sequential wire escalation - Alexander Bufe
Essential basic maneuvers in CTO PCI: trapping balloon technique, hydraulic pull-back, microcatheter advancement... - T. Hovasse
BVS implantation for CTOs - A. Serra
 
Live Case N°1
Operators: N. Boudou & E. Bressollette
Sponsored by Terumo
 
Parallel Session : "Sharing your own tips & tricks"
 
10:45 Coffee break
 
11:15-12:15
Chairman: K. Tammam - Moderator: J. Spratt
Panelists: E. Brilakis, T. Hovasse & J. Koolen
 
X-ray issues and management - F. Leroy
Double lumen microcatheter: material, indication and technique - E. Bressollette
How to improve guide support? - N. Lhoest
Choice of guidewires for an antegrade approach - C. Buller
 
12:15 Lunch break
 
Antegrade management and complications
 
13:30-16:00 
Chairman: M. Amor - Moderator: N. Boudou
Panelists: E. Bressollette, R. Jussila & A. Serra
 
Live Case N°2
Operators : B. Faurie & T. Lefèvre
Sponsored by Asahi Intecc & Biosensors International
 
Parallel Session : "Sharing your own tips & tricks"
 
Management of anticoagulation during CTO PCI - A. Kalnins
Perforation: classification and management - E. Brilakis
The ping-pong technique for type 3 perforation management - S. Rinfret
Contrast volume management during CTO PCI - P. Durand
Parallel wire technique: indication and how to do it - J. Koolen
 
16:00 Coffee break
 
16:30-18:00
Chairman: S. Rinfret - Moderator: L. Quilliet
Panelists: N. Lhoest, S. Sumitsuji & J. Wojcik
 
Live Case N°3
Operators: A. Avran & D. Weilenmann
Sponsored by Biotronik
 
Parallel Session : "Sharing your own tips & tricks"
 
Industry session
New devices, new techniques for CTO
Biotronik, Biosensors, Alvimedica, Comed, RenalGuard
 
Conclusion
 
Friday July, 1st
Module 2: Improving skills in CTO
 
Antegrade dissection and re-entry basics and strategy
 
8:00-10:45
Chairman: A. Bufe – Moderator: B. Faurie
Panelists: N. Boudou, T. Lefèvre & K. Mashayekhi
 
The hybrid algorithm: choosing the right approach - E. Brilakis
Dissection re-entry: step-by-step – S. Rinfret
Antegrade dissection re-entry, hard situations: how to handle? – D. Karmpaliotis
 
Live Case N°4 
Operators: C. Hanratty & J. Spratt
Sponsored by Boston Scientific
 
Parallel Session : "Sharing your own tips & tricks"
 
10:45 Coffee break
 
Retrograde basics, improvements and strategy
 
11:15-12:15
Chairman: D.Weilenmann – Moderator: C. Buller
Panellists: K. Tammam, J. Koolen & L. Quilliet
 
Retrograde approach: step-by-step instructions – A. Avran
Knuckle wire dissection technique: use and indications – S. Rinfret
Reverse CART technique – J. Spratt
 
12:00 Lunch break
 
13:30-15:45
Chairman: D. Karmpaliotis – Moderator: A. Avran
Panellists: A. Kalnins, I. Ungi & J. Wojcik
 
Live Case N°5 
Operators: S. Sumitsuji & K. Tammam
Sponsored by Philips & Volcano
 
Parallel Session : "Sharing your own tips & tricks"
 
Management of septal hematoma – D. Weilenmann
Live in a box presentation – O. Goktekin
Externalisation and snaring techniques – S. Sumitsuji
 
15:45 Coffee break
 
16:15-18:00
Chairman: G. Werner – Moderator: M. Meyer Gessner
Panellists: P. Durand, O. Goktekin & J. Koolen
 
Live Case N°6
Operators: C. Buller & S. Rinfret
Sponsored by Guerbet
 
Parallel Session : "Sharing your own tips & tricks"
 
Industry session
New devices, new techniques for CTO
Boston, Terumo, Acrostak, Vascular Solutions
 
Conclusion
 
Saturday July, 2nd
Module 3: Mastering CTO
 
Mastering antegrade strategies
 
8:00-10:45
Chairman: A. Galassi – Moderator: S. Rinfret
Panelists: O. Goktekin, A. Kalnins & K. Mashayekhi
 
Ambiguous proximal cap without a retrograde option – E. Brilakis
When you cannot cross the proximal cap with a microcatheter – N. Boudou
Revival of parallel wire in time of Gaia – G. Werner
Laser in CTO PCI – T. Hovasse
Principles of contrast modulation techniques – M. Carlino
 
Live Case N°7 (Complex antegrade or retrograde)
Operators: A. Avran & D. Karmpaliotis
 
10:45 Coffee break
 
Parallel Session : "Worst nightmares, great saves"
 
Mastering retrograde strategies
 
11:15-12:30
Chairman: C. Buller – Moderator: N. Lhoest
Panelists: T. Hovasse, M. Carlino & A. Serra
 
How to deal with ostial CTOs? – M. Meyer Gessner
Challenges with septal connections - K. Tamman
IVUS guidance in CTO PCI – S. Sumitsuji
MSCT for CTO PCI planning: when and how? G. Werner
Retrograde approach through epicardial collateral channels – K. Mashayekhi
 
12:30 Lunch break
 
13:30-16:00
Chairman: S. Sumitsuji – Moderator: E. Brilakis
Panellists: A. Bufe, D. Karmpaliotis & D. Weilenmann
 
Live Case N°8 (Complex antegrade or retrograde)
Operators: A. Galassi & S. Rinfret
 
Parallel Session : "Worst nightmares, great saves"
 
Specific issues with post-CABG CTOs – R. Jussila
Ping-pong technique for CTO PCI: retrograde or antegrade – A. Avran
 
16:00 Coffee break
 
16:20-18:30
Chairman: B. Faurie – Moderator: A. Avran
Panellists: M. Carlino, M. Meyer Gessner & I. Ungi
 
Live Case N°9 (Complex antegrade or retrograde)
Operators: K. Mashayekhi & G. Werner
 
Parallel Session : "Worst nightmares, great saves"
 
Conclusion
Take home messages & closing remarks
 




 

Shooting date : 2016-06-30
Last update : 2016-10-25
Stéphane Rinfret
Atlanta, United States
Alexandre Avran
Valenciennes, France
2 comments
Join the Discussion
  • Bozinovic N.

    Exelent meeting with educational lectures and very challenging live cases

    Thanks to Dr Avran, Dr Amor, Dr Rinfret

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    • Alexandre P. I can't see the Replay, where is it please ?

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