7 th ML CTO
June 30th – July 1st & 2nd 2022

“I AM AN ANTEGRADE OPERATOR ONLY : HOW ML CTO CAN IMPROVE MY SKILLS ?”

08:00 – 10:45

SESSION 1

Moderators:

08:00

  • The  basics

08:15

  • New guidewires real changes?

08:30

  • How to manipulate guidewires

08:45

LIVE CASE #1
From The Prince Charles Hospital – Brisbane, Australia

09:30

LIVE CASE #2
From Saint-Georges Polyclinic – Nice, France

10:15

  • How can I overcome long occlusion with antegrade strategy?

10:30

  • How to improve the safety in antegrade CTO PCI

10:45

Coffee break

11:15 – 13:15

SESSION 2

Moderators:

11:15

LIVE CASE #3
From Mater Private Hospital – Dublin, Ireland

12:15

  • Is OCT usefull in CTO PCI?

12:30

  • How to deal with very calcified CTO after intraplaque crossing?

12:45

  • How to deal with a bifurcations in CTO?

13:00

  • Am I able to deal with IVUS for detecting the proximal cap?

13:15

Lunch

14:15 – 16:15

SESSION 3 – CTO issues that cross generations

Moderators:

I want to improve my success rate and need to discover new features

14:15

  • Advices for my very first ADR case

14:25

  • How to deal with an ambiguous proximal cap: the basics

14:35

  • Advices for my very first retrograde case

I am in front of my first complication: How should I deal with it?

14:45

  • Main vessel perforation

14:55

  • Collateral perforation

15:05

LIVE CASE #4
From Saint-Georges Polyclinic – Nice, France

15:55

  • Clinical case

16:05

  • This years CTO stories: “What happened here?”
    (3 cases, 3min talk, 3 min discussion)

16:15

Coffee break

16:40 – 18:30

SESSION 4

Moderators:

16:40

  • Live-in-box: Is investment procedure useful?

16:50

LIVE CASE #5
From Emory Heart and Vascular Center – Atlanta, USA

17:15

LIVE CASE #6
From Emory Heart and Vascular Center – Atlanta, USA

18:10

  • My tremendous CTO case of the year

18:30

Adjournment

“I AM CONFIDENT WITH MY ANTEGRADE SKILL, I HAVE ALREADY DISCOVERED THE THEORY AND THE BASIC OF ADR & RETROGRADE, NOW I WANT TO IMPROVE MY SKILLS”

08:30 – 10:30

SESSION 5

Moderators:

08:15

  • Starting directly retrograde or preparing the antegrade cap first?

08:25

  • My microcatheter get stucked after septal surfing: what’s next?

08:35

LIVE CASE #7
From National Taiwan University Hospital – Taipei, Taiwan

09:00

LIVE CASE #8 Proctoring Case
From Saint-Georges Polyclinic – Nice, France

10:00

  • How to overcome anatomical difficulties at the distal cap?

10:10

  • Overcoming difficulties in Reverse CART

10:20

  • Clinical Case

10:30

Coffee break

11:00 – 13:15

SESSION 6

Moderators:

11:00

  • Antegrade re-entry strategies

11:10

  • My 5 most important tips for a successful ADR case

11:20

LIVE CASE #9
From Saint-Georges Polyclinic – Nice, France

12:30

  • Knuckle wire-based re-entry – more important than ever?

Short debate:

12:40

  • IVUS is not mandatory for every dissection re-entry case

12:50

  • IVUS is mandatory for every dissection re-entry case

6 min to convince us:

  • CT scan for CTO PCI
  • IVUS for Reverse CART

13:15

Lunch

14:10 – 16:10

SESSION 7 – I’m confident with retrograde CTO PCI, now I want to become an expert

Moderators:

14:10

  • Do I need to learn epicardial collateral crossing to become a CTO expert?

14:20

  • What is important before I attempt crossing an epicardial connection?

14:30

LIVE CASE #10
From Saint-Georges Polyclinic – Nice, France

15:30

  • My first ostial LAD or LCX-CTO

15:40

  • I don’t have any snare in my lab; how to create one

15:50

  • This years CTO stories: “What happened here?”
    (3 cases, 3min talk, 3 min discussion)

16:10

Coffee break

16:40 – 18:55

SESSION 8 – I’m confident with simple ADR cases, now I want to be an expert: Difficult ADR situation

Moderators:

16:40

  • Do I need experience in ADR to become a CTO expert?

16:50

  • Bifurcation at the proximal cap; how to avoid loosing it

17:00

  • How to re-direct my knuckle wire?

17:10

  • My Stingray re-entry failed, what’s next?

17:20

LIVE CASE #11
From Emory Heart and Vascular Center – Atlanta, USA

17:45

LIVE CASE #12
From Emory Heart and Vascular Center – Atlanta, USA

18:55

Adjournment

“I CONSIDER MYSELF AS A VERY EXPERIENCED OPERATOR, BUT NOW I’M CONFRONTED WITH A VERY COMPLEX SITUATION”

08:00

  • 5 cases presentation by participants

08:30 – 10:20

SESSION 9

Moderators:

08:30

  • Patient with low ejection fraction and CTO with multivessel-disease

08:40

  • Live-in-box

08:50

LIVE CASE #13
From Chris Hani Baragwanath Hospital – Johannesburg, South Africa

There is only ipsilateral connection

09:30

  • Retrograde approach with ipsilateral connection

09:40

  • ADR with ipsilateral collateral filling

Complex situation means complex complication

10:00

  • How to deal with device entrapment

10:10

  • The CTO is open but my patient is not doing better

10:20

Coffee break

10:50 – 13:00

SESSION 10

Moderators:

10:50

LIVE CASE #14
From Saint-Georges Polyclinic – Nice, France

The future

12:30

  • Robotic and CTO – any progress in this field?

12:40

  • E-Proctoring in CTO PCI – my experience

12:50

  • Real time review of live cases’ patients

13:00

Closing and Board’s take home message

13:00

ML CTO 2022 Lunch closing