Pre-courses
Thursday, June, 27th
Friday, June, 28th
Saturday, June, 29th
Pre-courses
Wednesday, June 26th
15:30 – 17:30
PRE-CONGRESS COURSE 1
BRIDGING THE GAP: SHARING EXPERTISE IN COMPLEX PCI CASES
• Introduction – Alexandre Avran
• Role of Microcatheter: when and how? Ahmed Hailan
• In-stent CTO with distal bifurcation – Alfonso Jurado
• The antegrade & retrograde approach: my best tips & tricks – Sevket Gorgulu
• How to deal with complex lesions in CTO PCI – Ehsan Bahramali
• How to deal with ischemia or pressure dampening in complex PCI? Cheaito Radi
Expert discussion
in partnership with
15:30 – 16:30
PRE-CONGRESS COURSE 2
ENHANCE YOUR CTO-PCI TOOLBOX: MEET FINECROSS M3
• Finecross M3 design and indications – Andrea Gagnor
• Where does it fit in our algorithm? Gregor Leibundgut
• First clinical cases and impressions – Kambis Mashayekhi
in partnership with
15:30 – 17:30
PRE-CONGRESS COURSE 3
GET COMFORTABLE WITH IVUS: FROM BASICS TO CTO APPLICATION
Speakers: Stéphane Rinfret & Stéphane Carlier
• Why IVUS?
• Basics of IVUS HD interpretation
• 2 CTO cases, from simple to complex
in partnership with
15:30 – 17:30
PRE-CONGRESS COURSE 4
INTRAVASCULAR IMAGING IN COMPLEX PCI AND CTO CASES WITH OCT
Speakers: Evan Shlofmitz, Richard Shlofmitz & Allen Jeremias
• Introduction to intravascular imaging and OCT
• Morphology assessment with OCT including case discussion and hands-on stations
• Complex CTO PCI case performed with OCT – case discussion
in partnership with
Thursday, June, 27th
BASIC LEVEL
08:45
ML CTO 2024 INTRODUCTION, «CTO PCI, a science or an art?»
08:45 – 10:15
BASIC CTO PCI MANEUVERS YOU NEED TO MASTER
Chair: Carlo Di Mario | Co-Chairs: Omer Goktekin & Mihajlo Kovačić
• Large CTO PCI registries vs. clinical trials: Apples and oranges? Emmanouil Brilakis
• Guide catheters and access sites: my approach – Claudia Cosgrove
• The art of handling wires and microcatheter for AWE – Goran Olivecrona
• Guide extensions: essential in many ways – Ali El Sayed
• Parallel wiring is not dead – Jaikirshan Khatri
• The art of using dual lumen catheters – Nicolas Boudou
• ML CTO ACADEMY registries – Chadi Ghafari
• CTO Toolbox 3.0 – Mihajlo Kovacic
10:15
Coffee break & Exhibition visit
10:45 – 12:30
BASIC COMPLICATION MANAGEMENT SKILLS YOU ASKED US TO SHOW YOU
Chair: Thomas Hovasse | Co-Chairs: Scott Harding & Yasser Sadek
Provoker: Elliot Smith
LIVE CASE #1 Long calcified RCA CTO with bifurcation
From Polyclinique Saint-George, Nice
Operators: Claudiu Ungureanu & Allison Hall
IVUS Commentator: Stéphane Carlier
• 3 min product review
• The art of managing entrapped material – Roberto Garbo
• The art of managing a tamponnade – Benjamin Faurie
12:30
Lunch break & Exhibition visit
13:30 – 15:30
SOLUTIONS TO COMMON ANTEGRADE PROBLEMS
Chair: Antonio Serra | Co-Chairs: Tarek Rashid & Sergey Furkalo
Provoker: Amr El Hadidy
LIVE CASE #2 CX CTO with small ipsilateral collateral branch
From Centre Cardio-Thoracique de Monaco
Operators: Anja Øksnes & Alexandre Avran
IVUS Commentator: Ziad Ali
• 3 min product review
• My wire crossed but the microcathter can’t – Mohamed Ayoub
• The proximal cap is ambiguous – Chris Zambakides
• Calcium Modification Techniques for CTO Management – Roberto Diletti
• Multivessel disease with CTO: how to approach? Thomas Hovasse
• Shocked to get retrograde with ACISTance – Ram Vijayaraghavan 
15:30
Coffee break & Exhibition visit
16h00 – 18:00
CAN WE DO BETTER AND SAFER?
Chair: Masahisa Yamane | Co-Chairs: Edward Koifman & Robert F. Riley
Provoker: Khaldoon Alaswad
LIVE CASE #3 Very long ostial RCA CTO with septal collateral channel
From Polyclinique Saint-George, Nice
Operators: Ignacio Amat-Santos & Kate Kearney
IVUS Commentator: Stéphane Carlier
• 3 min product review
• Avoiding full metal jacket in CTOs : role for DCB? Andrew Ladwiniec 
• New balloon technology for plaque modification in CTO PCI – Mohamed Ayoub 
• Practical Applications of the SCAI Calcified Coronary Lesion Algorithm
in Treating CTOs – Robert F. Riley 
18:00
End of the day
Friday, June, 28th
INTERMEDIATE LEVEL
08:30 – 10:40
MORE ADVANCED CTO PCI MANEUVERS YOU NEED TO MASTER
Chair: Emmanouil Brilakis | Co-Chairs: Rustem Dautov & Khalid Tammam
Provoker: Roberto Garbo
LIVE CASE #4 LAD CTO diffuse disease with small septal collateral channel
From Polyclinique Saint-George, Nice
Operatots: Kambis Mashayekhi & Paul Hsien-Li Kao
IVUS Commentator: Stéphane Carlier
• 3 min product review
• The art of handling wires and microcatheters (an Asian Perspective) – Masahisa Yamane
• Deconstructing Wire Skills (a Western perspective) – Elliot Smith
• The art of knuckling guidewires – Stéphane Rinfret
• Preventing complications: the essential mindset – Gregor Leibundgut
10:40
Coffee break & Exhibition visit
11:15 – 13:15
SOLUTIONS TO COMMON ANTEGRADE & RETROGRADE PROBLEMS
Chair: Ahmed El Guindy | Co-Chairs: Mauro Carlino & Kate Kearney
Provoker: Stefan Harb
LIVE CASE #5 LAD CTO with ipsilateral septal collateral channel
From Centre Cardio-Thoracique de Monaco
Operators: Stéphane Rinfret & Alexander Nap
IVUS Commentator: Evan Shlofmitz
• The art of connecting retrograde in my Western world – Maximilian Opolski
• The art of connecting retrograde in my Asian world – Paul Hsien-Li Kao
• The art of connecting antegrade from the SI space – Khaldoon Alaswad
• Putting it all together: a global algorithm for the world of CTO PCI – Scott Harding
13:15
Lunch break & Exhibition visit
14:15 – 16:20
IN-DEPTH PRACTICAL LEARNING
Chair: Mohaned Egred | Co-Chairs: Maximilian Opolski & Andrew Ladwiniec
Provoker: Jaikirshan Khatri
LIVE CASE #6 Long RCA CTO with unique septal collateral channel
From Polyclinique Saint-George, Nice
Operators: Laurent Drogoul & Khalid Tammam
IVUS Commentator: Stéphane Carlier
• 3 min product review
• Lessons from Bill Lombardi’s Podcast «The Journey to get better» – William B. Lombardi
LIVE CASE #7 It’s not a recent distal RCA occlusion ! So try again
From Centre Cardio-Thoracique de Monaco
Operators: Andrea Gagnor & Elliot Smith
IVUS Commentator: Allen Jeremias
• CTO PCI is a difficult sport – How to prevent injuries – Jean-Pierre Macabee
16:20
Coffee break & Exhibition visit
16h45 – 18:45
ALWAYS MORE CASES
Chair: Paul Hsien-Li Kao | Co-Chairs: Allison Hall & Baktash Bayani
Provoker: Khaldoon Alaswad
LIVE CASE #8 Post cabg rca. Reverse CART vs STAR
From UW Medical Center, Heart Institute – Montlake, Seattle
Operators: William B. Lombardi & David Elison
• Reducing radiation exposure to the operator and the team – Stylianos Pyxaras
• CALCIVLFURCATION – how IVL helps in calcified bifurcation lesions – Gregor
Leibundgut
• CTO PCI in reduced LV function with Impella Support – Mohamed Ayoub 
• Tip-in or not tip-in, that’s the question! Ignacio Amat-Santos 
• … SURPRISE!!! ML CTO Board
18:45
End of the day
Saturday, June, 29th
ADVANCED LEVEL
08:45 – 10:15
ADVANCED COMPLICATION MANAGEMENT SKILLS
Chair: Joachim Büttner | Co-Chairs: Goran Olivecrona & Luiz Ybarra
• Managing perforations with coils and covered stents – Luiz Ybarra
MASTERS ALSO FAIL AND HAVE COMPLICATIONS!
• Why I stopped this procedure – Alexander Nap
• Why I failed this procedure – Roberto Diletti
• Why I didn’t go retrograde – Pierfrancesco Agostoni
• We could not save this patient, sadly – Emmanouil Brilakis
• I learned so much from this rare one – Arun Kalyanasundaram
• This complication is more common – be prepared! Carlo Di Mario
10:15
Coffee break & Exhibition visit
10:45 – 13:15
CLINICAL CASES BY ML CTO ACADEMY MEMBERS
Chair: Georges Sianos | Co-Chairs: Muzzafer Degertekin & Stéphane Carlier
Provoker: Andrea Gagnor
LIVE CASE #9 Very long blunt RCA CTO, second attempt
From Centre Cardio-Thoracique de Monaco
Operators: Khaldoon Alaswad & Ahmed ElGuindy
IVUS Commentator: Jeffrey Moses
• Proximal CTO RCA : Not what I expected – Stéphane Carlier
Selected clinical cases to be presented by participants:
• We´ll be breaking boulders…tell me what you see! Konstantin Schwarz
• Managing complications in a micro-uncrossable Reverse-CART case – Ahmed Karagöz
• Unusual complication that skipped my eyes – Ilya Litovchik
• Bifurcation blunt stump CTO treated with imaging-assisted retrograde techniques – Anastasios Barmpas
• Ostial, blunt stump LAD CTO with good collateral channels – Michael Koutouzis
• Not all CTO look alike: An unusual case of itrogenic left main occlusion – Davide Cao
• Dissection Reentry in Bifurcation stent / a sequel – Ioannis Tsiafoutis
13:15
ML CTO 2024 Lunch closing
