ML CTO 2017

THURSDAY JUNE 29th (Level 1: Discover CTO PCI)

Session 1: CTO PCI basics

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
09:00	LIVE CASE #1: Long proximal LCx CTO with ipsilateral and controlateral visualization (Acrostak - Medtronic) Operators: William Nicholson, MD & Khalid Tammam, MD IVUS commentator: Stéphane Carlier, MD
	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

Session 2: Antegrade CTO PCI basics

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
11:45	LIVE CASE #2: Dominant LCx CTO with septal collateral channels (Asahi - Biosensors) Operators: Satoru Sumitsuji, MD & Nicolas Boudou, MD IVUS commentator: Stéphane Carlier, MD
	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

Session 3: Retrograde CTO PCI basics

Provoker: Alaswad Khaldoon
Chairman: Benjamin Faurie
Panelists: Alexander Bufe, Artis Kalnins & Khalid Tammam

14:30	Retrograde approach: step-by-step instructions William Nicholson
14:45	LIVE CASE #3: 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
	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	ML CTO career achievement interview with Dr Heinz Joachim Büttner
18:15	Closing remarks

FRIDAY JUNE 30th (Level 2: Progress in CTO PCI)

Session 1: Advanced Antegrade Techniques

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
09:00	LIVE CASE #4: Dominant LCx CTO with ipsilateral collateral channels Operators: Kambis Mashayekhi, MD & Alexander Bufe, MD IVUS commentator: Stéphane Carlier, MD
	PARALLEL SESSION: Case-in-box presentations Tips & Tricks -Thierry Lefèvre

Session 2: Advanced procedural guidance and complications management

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
11:30	LIVE CASE #5: 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
	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

Session 3: Basics in Antegrade Dissection Re-entry

Provoker: Kambis Mashayekhi
Chairman: Max Amor
Panelists: Yangsoo Jang, Sanjog Kalra & Nicolaus Reifart
 

14:45	Toolbox for effective dissection re-entry techniques Jonathan Hill
15:00	LIVE CASE #6: LCx CTO with ambiguous proximal cap (Alvimedica - Volcano/Philips) Operators: Roberto Garbo, MD & Andrea Gagnor, MD IVUS commentator: Stéphane Carlier, MD
	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

Session 4: CTO PCI for Fellows

Chairman: Alexandre Avran
Panelists: Nicolas Boudou, Emmanouil Brilakis & Stéphane Rinfret
 

18:00	Toolbox for effective dissection re-entry techniques Jonathan Hill
18:15	Case presentations
18:45	The new Jedi meets Yoda: Q&A session All Faculty members
19:00	Closing remarks

SATURDAY JULY 1st (Level 3: Master CTO PCI)

Session 1: Retrograde advanced strategies

Provoker: Elliot Smith
Chairman: Alfredo Galassi
Panelists: Philippe Durand, Andrea Gagnor & William Nicholson

 

08:30	Solution for difficult retrograde re-entry Yangsoo Jang
08:45	LIVE CASE #7: Blunt mid RCA CTO (Biotronik) Operators: Georges Sianos, MD & Jonathan Hill, MD IVUS commentator: Stéphane Carlier, MD
	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

Session 2: Antegrade Dissection Re-entry Advanced Strategies

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
12:15	LIVE CASE #8: RCA CTO with good landing zone (Boston, Guerbet) Operators: Christopher Buller, MD & James Spratt, MD IVUS commentator: Stéphane Carlier, MD
	PARALLEL SESSION: Case-in-box presentations Multivessel Disease with double CTO - Eugenio La Scala

Session 3: Difficult CTO PCI, Costs and outcomes

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

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