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.ML CTO WEBSITE |
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 |
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 |
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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 |
11:15 | |
11:30 | |
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 |
Dangerous curves - Lorenzo Azzalini |
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13:00 |
How and when to use dual-lumen catheters Nicolas Lhoest |
13:10 |
How to improve guide catheter support Benjamin Faurie |
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, MDIVUS commentator: Stéphane Carlier, MD |
PARALLEL SESSION: Case-in-box presentations
Ipsilateral epicardial retrograde CTO PCI over single radial access - Gregor Leibundgut |
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16:00 | |
16:15 |
Dissection technique using knuckled wires: use and indication Elliot Smith |
16:25 |
Externalization and snaring techniques Satoru Sumitsuji |
17:10 | |
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 | |
18:15 |
Closing remarks |
08:30 |
Microcatheter overview: how to choose and use Paul Knaapen |
08:45 | |
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 |
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 |
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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 |
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 |
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 |
18:00 |
Toolbox for effective dissection re-entry techniques Jonathan Hill |
18:15 |
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18:45 |
The new Jedi meets Yoda: Q&A session All Faculty members |
19:00 |
Closing remarks |
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 |
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10:15 |
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10:30 |
Retrograde approach through epicardial collateral channels Kambis Mashayekhi |
10:45 |
Ping-pong technique for retrograde approach Nicolas Boudou |
11:25 |
How would you approach that CTO? An interactive session Presenters: Kambis Mashayekhi and Alexandre Avran |
11:45 | |
12:00 | |
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 |
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 | |
PARALLEL SESSION: Case-in-box presentations
Previous CABG alter the native coronary disease nature - Albert Alahmar, MD |
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16:25 |
Industry session |
17:15 |
Supported CTO PCI using percutaneous left ventricular assist devices Sanjog Kalra |
17:30 | |
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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