> Why Attend the 2nd Workshop of the ML CTO Academy on “Crossing Algorithms”?
Chronic total occlusion (CTO) recanalization remains one of the most challenging procedures in interventional cardiology. As a young CTO operator, mastering the different crossing strategies is essential to improving procedural success and patient outcomes.
The second workshop of the ML CTO Academy, focusing on “Crossing Algorithms”, is a unique opportunity to gain in-depth knowledge and hands-on experience with cutting-edge techniques. You will explore:
> The step-by-step approach to antegrade and retrograde CTO crossing.
> The latest advancements in wire escalation, parallel wiring, and dissection-reentry techniques.
> Case-based discussions with experienced CTO operators, providing real-world insights and troubleshooting strategies.
> Simulation corner with bench test
Attending this workshop will help refine your skills, enhance decision-making, and build confidence in tackling complex CTO cases. Join us to learn from the best and elevate your expertise in CTO interventions!
> Registration fees
The fees (850€)* to participate in this workshop covers:
1st Date:
Wednesday, June 25th 2025 in Nice (France)
– Workshop registration fees
– Registration fees for the Pre-course of the ML CTO congress
– Registration fees for the ML CTO Congress
2nd Date:
Saturday, November 29th 2025 in Paris (France)
– Workshop registration fees
*Transportation and accommodation expenses are covered by participants
Conditions to participate
- Be a member of the Academy
- Commitment to participate in both workshop dates
(June 2025 & November 2025)
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> Program | Wednesday, June 25th 2025
Basic/Intermediate level
08.30 - 10.30 ▷ CLINICAL SESSION - Foxtrot room
Session 1: Understanding the Hybrid Algorithm – The Framework of Decision-Making
Expert: Emmanouil Brilakis
- Overview of the Hybrid Algorithm: Principles & Evolution
- Key factors influencing strategy selection: Proximal cap ambiguity, length, quality of distal vessel, and collateral circulation
Session 2: Antegrade Wire Escalation – First-Line Strategy Mastery
Expert: Kambis Mashayekhi
- Choosing your first wire: Soft vs. stiff
- How to recognize wire path success or failure
- When to escalate and when to switch
Session 3: Dissection and Re-entry Techniques – Knuckling, ADR, and Re-entry Devices
Expert: Alexandre Avran
- Indications for Antegrade Dissection & Re-entry (ADR)
- Technique variations: Knuckle wire, re-entry devices (e.g., Stingray, ReCross)
Session 4: Retrograde Approach – Finding another way to the solution
Expert: Stéphane Rinfret
- When starting retrograde first, when switching retrograde
- How to identify safe collaterals
10.45 - 13.00 ▷ PRACTICAL SESSION - Charleston room
Hands-on stations focusing on Crossing Algorithms
13.00 - 13.45 ▷ LIGHT LUNCH - On the terrasse
> Program | Saturday, November 29th 2025
Advanced level
08.30 - 11.00 ▷ CLINICAL SESSION - Salon Auriol
Session 1: More antegradly
Expert: Alexandre Avran
- Proximal Cap penetration techniques (Stiff wire puncture, IVUS guidance for puncture, BASE, autotraping).
Session 2: More retrogradly
Expert: Kambis Mashayekhi
- Collateral Crossing techniques (septal, epicardial).
- Understanding Reverse maneuvers.
- Externalization techniques and pitfalls.
Session 3: More complications management
Expert: Thomas Hovasse
- Perforation Management (distal wire perforation, perforation subintimal space, collateral perforation).
Session 4: Knuckle management
Expert: Alexandre Avran
- Retrograde and antegrade.
- When to stop and to change.
Participants’ cases presentations
11.00 - 13.30 ▷ PRACTICAL SESSION - Salon Ader
Hands-on stations focusing on Crossing Algorithms
13.30 - 14.45 ▷ LUNCH & DIPLOMA CEREMONY - Lobby
> Faculty
Alexandre Avran
Emmanouil Brilakis
Stéphane Carlier
Thomas Hovasse
Kambis Mashayekhi
Stéphane Rinfret
