Occlusions of Chronic Total The 20 · choose the appropriate strategic approach to CTO PCI and lead to success for recanalization of CTO even in non-expert CTO operators. However,

June 14 Fri. − 15 Sat., 2019［Dates］

［Venue］

WINC AICHI, Nagoya, Japanh t t p s : / / c c t . g r . j p / c t o c l u b /

Supported by Complex Cardiovascular Therapeutics

The 20th Sem

inar of Angioplasty

of Chronic Total

Occlusions

Final

1

Greetings from the 20th CTO Club

Recent developments of devices and technical approaches such as the retrograde approach and antegrade dissection re-entry (ADR) have led to a greatly improved success rate for recanalization of chronic total occlusion (CTO). Also, a new algorithm for crossing CTO has been proposed from the Asia Pacific CTO club. The algorithm can help to choose the appropriate strategic approach to CTO PCI and lead to success for recanalization of CTO even in non-expert CTO operators. However, when a difficult case (J-CTO score≧2) is suggested for non-expert CTO operators, it is best to either perform the case with a proctor or refer the case to an expert CTO operator because more depth insight and theoretical procedure are required for success in CTO PCI.This year marks the 20th anniversary of the CTO Club. The CTO Club has provided the best knowledge and procedure for complex CTO lesions via live demonstrations by Japanese CTO expert operators for 20 years. In recent years, CTO-PCI procedures have been proactively performed worldwide. Joint sessions have been also held with CTO clubs from other countries. The Chinese language live course was extremely popular last year, hence, this live course will be held this year too.The procedure and methodology of CTO PCI are becoming a mature stage, and the success rate for recanalization of CTO is now beyond 90% according to data from the Japanese Expert Registry. However, there are still some issues that need to technically overcome complex CTO lesions, such as heavily calcified lesions, tortuous lesions and long lesions. The CTO Club will continue to confront and overcome these issues with experts from all over the world for further development. We are looking forward to seeing you at the 20th CTO Club in 2019.

Takafumi TsujiThe 20th CTO Club Representative Course Director

Course DirectorsYasushi AsakuraHakujikai Memorial Hospital

Yuji HamazakiOotakanomori Hospital

Yasumi IgarashiTokeidai Memorial Hospital

Eisho KyoKusatsu Heart Center

Kenya NasuToyohashi Heart Center

Masahiko OchiaiShowa University,Northern Yokohama Hospital

Atsunori OkamuraSakurabashi Watanabe Hospital

Satoru OtsujiHigashi Takarazuka Satoh Hospital

Etsuo TsuchikaneToyohashi Heart Center

Takafumi TsujiKusatsu Heart Center

Kinzo UedaTakase Clinic

Junji YajimaThe Cardiovascular Institute

Masahisa YamaneSaitama Sekishinkai Hospital

International Course DirectorsEmmanouil BrilakisMinneapolis Heart Institute [USA]

Jiyan ChenGuangdong Provincial People's Hospital, Institute of Cardiovascular Diseases [People’s Republic of China]

Scott HardingWellington Hospital [New Zealand]

Hsien-Li KaoNational Taiwan University Medical School & Hospital [Taiwan, R.O.C.]

Kambis MashayekhiUniversity Heartcenter Freiburg - Bad Krozingen [Germany]

Eugene Brian WuPrince of Wales Hospital, Chinese University Hong Kong [Hong Kong]

Honorary Co-directorsOsamu Katoh

Takahiko SuzukiToyohashi Heart Center

Directors

1 2

Program at a glanceLive Theater

China Theater

Educational Theater

English ↕ Japanese simultaneous interpretation is available

Chinese ↕ Japanese simultaneous interpretation is available

Live Theater

Educational Theater

Saturday, June 15

Special live session:Quality of CTO-PCI:TIME TO GLOBALIZE

8:30 9:00 10:00 11:00 12:00 13:00 14:00 15:00 16:00 17:007:50

LuncheonSeminar

P.11

BreakfastMeeting

P.9 P.9 P.9 P.10

P.11 P.11

Time for Reflection: How to Best Treat Calcified Lesions

Medtronic Japan Co., Ltd.

LuncheonSeminar

Abbott Vascular Japan Co., Ltd.

CTO Live TransmissionNagoya Heart Center

ASAHI INTECC CO., LTD. / CANON MEDICAL SYSTEMS CORPORATION

Boston Scientific Japan K. K.

Friday, June 14

CTO Live TransmissionOotakanomori Hospital

CTO Live TransmissionOotakanomori Hospital

Chinese Perspectives onLive Case Transmission

Cocktail Night Meeting

CaseCompetition

Fireside SessionProctorship

Live

8:30 9:00 10:00 11:00 12:00 13:00 14:00 15:00 16:00 17:00 18:00 19:00 20:00 until tired7:50

BreakfastMeeting

P.7

New DeviceSession

P.7

IJCTO@CTO Club

KCTO@CTO Club

P.7

Novel Devicesand PracticalTechniques

P.8

Asian-Pacific CTO ClubIT Live Demonstration from Hong Kong

P.5 P.5 P.5

P.7

P.5 P.6

P.8 P.8

P.6

Chinese Perspectives onLive Case Transmission

P.6

LuncheonSeminar

DAIICHI SANKYO COMPANY, LIMITED

LuncheonSeminar

ASAHI INTECC CO., LTD.

KANEKA MEDIX CORPORATION ASAHI INTECC CO., LTD. / OrbusNeich

ASAHI INTECC CO., LTD. / CANON MEDICAL SYSTEMS CORPORATIONASAHI INTECC CO., LTD. / CANON MEDICAL SYSTEMS CORPORATION

Boston Scientific Japan K.K.

China Theater

Live Theater

Educational Theater

Boston Scientific Japan K.K.

P.11

Effective usageof IVUS

for CTO casesPhilips Japan, Ltd.

1

























Directors

3 4

EV EV EV EV

EV

Live Theater

FacultyLounge

6F

5F

Floor Plan

EV EV EV EV

EV

EducationalTheaterExhibition

Secretariat

Registration

Faculty Registration

Poster Posting Area

Learn guide wire manipulation techniques with ASAHI Gaia Next and

other latest products, using an elaborate vessel model to better

understand the movement of devices inside the vessel and lesions.

Observation of device movement on a PC monitor provides better

understanding to acquire necessary techniques for wire manipulation,

giving a realistic clinical experience.

Do not miss this chance and give it a try at our booth!

Hands-on booth withASAHI ETOSS

June 14 9:00-17:00June 15 9:00-16:30Exhibition Room, 5F

Supported by: ASAHI INTECC CO., LTD.

9F

EV EV EV EV

EV

China TheaterRegistration FeeMedical JPY 25,000Co-medical JPY 3,000Industry JPY 25,000Student/Intern Free *Student/Intern ID is required.

Opening Hours［Registration］

Registration Desk, 5FFriday June 14 7:40-17:00Saturday June 15 7:40-15:30 ［Exhibition］

Exhibition Room, 5FFriday June 14 9:00-17:00Saturday June 15 9:00-16:30 ［Poster Posting］

Exhibition Room, 5FFriday June 14 12:00-17:00Saturday June 15 9:00-13:30 Food and BeveragesBreakfast is provided in Breakfast Meeting.Every Luncheon Seminar provides Lunch boxes for attendees.On June 14, refreshment is provided during Cocktail Night Meeting.Coffee service will be offered at the Exhibition. Language The English language shall be the official language of CTO Club.*English-Japanese simultaneous interpretation is available in Live Theater and Educational Theater.*Chinese-Japanese simultaneous interpretation is available in live session at June 14, 9:00-14:40 in China Theater at 9F.

General Information

Online Registration https://cct.gr.jp/ctoclub/

本会出席により、CVIT専門医・認定医資格更新単位ライブデモンストレーション2点を取得できます。


View Live Cases on e-casebook.com

Live case data & strategiesThe 20th CTO Club participants can view case data and strategies of operators by visiting the “e-casebook.com” website. Please access the page and read case information before live sessions in order to deeply understand case treatments on the day.

You can also come to e-casebook booth in Exhibition Room at the venue in order to check the case data.

Live online streaming of live sessionsThere will be a free live streaming of live case transmissions at the 20th CTO Club on e-casebook. Whoever has e-casebook account can watch them by accessing the below URL. Please share this opportunity with your colleagues!!

*Please note that “e-casebook.com” is a members only website and require a free registration.

https://www.e-casebook.com/cto2019live

3 4

EV EV EV EV

EV

Live Theater

FacultyLounge

6F

5F

Floor Plan

EV EV EV EV

EV

EducationalTheaterExhibition

Secretariat

Registration

Faculty Registration

Poster Posting Area

Learn guide wire manipulation techniques with ASAHI Gaia Next and

other latest products, using an elaborate vessel model to better

understand the movement of devices inside the vessel and lesions.

Observation of device movement on a PC monitor provides better

understanding to acquire necessary techniques for wire manipulation,

giving a realistic clinical experience.

Do not miss this chance and give it a try at our booth!

Hands-on booth withASAHI ETOSS


Supported by: ASAHI INTECC CO., LTD.

9F

EV EV EV EV

EV

China TheaterRegistration FeeMedical JPY 25,000Co-medical JPY 3,000Industry JPY 25,000Student/Intern Free *Student/Intern ID is required.

Opening Hours［Registration］

Registration Desk, 5FFriday June 14 7:40-17:00Saturday June 15 7:40-15:30 ［Exhibition］

Exhibition Room, 5FFriday June 14 9:00-17:00Saturday June 15 9:00-16:30 ［Poster Posting］

Exhibition Room, 5FFriday June 14 12:00-17:00Saturday June 15 9:00-13:30 Food and BeveragesBreakfast is provided in Breakfast Meeting.Every Luncheon Seminar provides Lunch boxes for attendees.On June 14, refreshment is provided during Cocktail Night Meeting.Coffee service will be offered at the Exhibition. Language The English language shall be the official language of CTO Club.*English-Japanese simultaneous interpretation is available in Live Theater and Educational Theater.*Chinese-Japanese simultaneous interpretation is available in live session at June 14, 9:00-14:40 in China Theater at 9F.

General Information

Online Registration https://cct.gr.jp/ctoclub/

本会出席により、CVIT専門医・認定医資格更新単位ライブデモンストレーション2点を取得できます。


View Live Cases on e-casebook.com

Live case data & strategiesThe 20th CTO Club participants can view case data and strategies of operators by visiting the “e-casebook.com” website. Please access the page and read case information before live sessions in order to deeply understand case treatments on the day.

You can also come to e-casebook booth in Exhibition Room at the venue in order to check the case data.

Live online streaming of live sessionsThere will be a free live streaming of live case transmissions at the 20th CTO Club on e-casebook. Whoever has e-casebook account can watch them by accessing the below URL. Please share this opportunity with your colleagues!!

*Please note that “e-casebook.com” is a members only website and require a free registration.

https://www.e-casebook.com/cto2019live

5 6

Friday, June 14Live Theater

CTO Live Case Transmission Ootakanomori Hospital

Operators: Takafumi Tsuji, Atsunori Okamura, Kenya Nasu, Ryohei Yoshikawa, Yuji Hamazaki IVUS Commentators: Junko Honye, Shunsuke Matsuno, Kenichiro Shimoji

8:30-10:30 Live Case Transmission 1 Chairs: Etsuo Tsuchikane Junji Yajima Sidney Tsz Ho Lo

Commentators: Hiroaki Hirase, Shozo Ishihara, Kenji Kawajiri, Wataru Nagamatsu, Hiroki Sakamoto, Yoshihiro Takeda, Rustem Dautov, Michael Fryer, Byeong-Keuk Kim, Seung-Whan Lee, Jianfang Luo

15:00-16:50 Live Case Transmission 4 Chairs: Keiichi Igarashi Hanaoka Masahisa Yamane V. Surya Prakasa Rao

Commentators: Nozomu Kawashima, Makoto Muto, Masami Sakurada, Yoshisato Shibata, Takahide Suzuki, Tohru Takahashi, Justin Ardill, Kee-Sik Kim, Steven P. Marso

12:00-13:00 Luncheon Seminar: What to consider to select the right wire Ⅴ Chairs: Yasumi Igarashi Kambis Mashayekhi

Co-sponsored by: ASAHI INTECC CO., LTD.

Lecturer: Etsuo Tsuchikane

10:30-11:50 Live Case Transmission 2 Chairs: Yasushi Asakura Yasumi Igarashi Takahiko Suzuki Hee Yeol Kim

Commentators: Hiromasa Katoh, Masakazu Nagaoka, Yuichi Noguchi, Shinya Okazaki, Kaname Takizawa, Edward Danson, Do Hoi Kim, Nae-Hee Lee, Soo Teik Lim, Ajith Ananthakrishna Pillai

7:50-8:30 Breakfast Meeting: Live Case Pre-discussion Session We are going to discuss live case treatments of the day in the morning. Let's start your day by learning strategies and exchanging opinions about live cases of the day.

Chair: Kazuhiro Ashida Commentators: Hiromasa Katoh, Tomoko Kobayashi, Yoshitane Seino, Masaki Tanabe

13:10-15:00 Live Case Transmission 3 Chairs: Ichiro Hamanaka Yuji Oikawa Junbo Ge

Commentators: Yoshifumi Kashima, Tetsuo Matsubara, Masatoshi Miyahara, Yoichi Nozaki, Makoto Sekiguchi, Yoriyasu Suzuki, Hweung Kon Hwang, Pil-Hyung Lee, Shih-Chi Liu, Seung-Woon Rha, Aurel Toma


China Theater

Live Theater

Friday, June 14

17:00-18:00

Fireside Session: Proctorship LiveIn this Proctorship Live demonstration, the less experienced physician will act as the first operator, while the expert physician will act as the second operator. The less experienced, younger physician, will of course have a strong desire to master CTO procedures and therefore will engage directly in the case. Meanwhile, the expert physician will remain close by to advise throughout the procedure. By having the younger physician engage directly in the procedure, he or she will be able to acquire the tips, tricks and techniques to complete the case successfully, and be educated on the common pitfalls unique to young operators. Our goal is to share CTO knowledge, and teach techniques for successfully completing complex CTO cases with high proficiency and safety.

Operator: Ken Ishibashi (Hiroshima University Hospital, Japan)

Chair: Etsuo Tsuchikane Proctor: Osamu Katoh Commentators: Rei Fukuhara (Hyogo Prefectural Amagasaki General Medical Center, Japan), Maoto Habara (Toyohashi Heart Center, Japan), Fumitaka Hosaka, Wataru Nagamatsu, Hiroyuki Tanaka

Co-sponsored by: Boston Scientific Japan K.K.


Operators: Takafumi Tsuji, Atsunori Okamura, Kenya Nasu, Ryohei Yoshikawa, Yuji HamazakiIVUS Commentators: Junko Honye, Shunsuke Matsuno, Kenichiro Shimoji

9:00-10:25 Chinese Perspectives on Live Case Transmission 1 Chairs: Eisho Kyo Zhanquan Li Jianying Ma Yuchen Zhang

Commentators: Kazuhiro Ashida, Tomoko Kobayashi, Yuquan He, Mingyu Lu, Lin Zhao (Beijing Anzhen Hospital, People's Republic of China)

10:35-12:00 Chinese Perspectives on Live Case Transmission 2 Chairs: Eisho Kyo Zhujun Chen Zhimin Du Chaowei Mu

Commentators: Masaharu Okada, Yoshito Yamamoto, Jianhua Cai, Chunjian Li, Gongxin Li, Jianying Ma, Danqing Yu, Jie Zhao

13:10-14:40 Chinese Perspectives on Live Case Transmission 3 Chairs: Eisho Kyo Fucheng Sun (Beijing Hospital, People's Republic of China)

Commentators: Shozo Ishihara, Toru Kataoka (Bellland General Hospital, Japan), Wataru Nagamatsu, Jifu Li, Fuxian Ren, Lei Song, Bin Yang



This session will be held while watching a live case demonstration that is performed at the main venue in real time on the day. The PCI for CTO often requires a detailed discussion, especially for the procedure, so we prepared interpreters for both Japanese and Chinese-speaking participants in order for them to be able to discuss in their native language. We very much hope that you will come to the session and participate in the discussion.

Focus LiveCo-sponsored by: SHIMADZU CORPORATION

Focus Live & Mini LectureRyurei Technology -possibilities and abilities-Akira Murata (Nagoya Heart Center, Japan)Co-sponsored by: TERUMO CORPORATION Co-sponsored by: ASAHI INTECC CO., LTD. / CANON MEDICAL SYSTEMS CORPORATION

5 6

Friday, June 14Live Theater


Operators: Takafumi Tsuji, Atsunori Okamura, Kenya Nasu, Ryohei Yoshikawa, Yuji Hamazaki IVUS Commentators: Junko Honye, Shunsuke Matsuno, Kenichiro Shimoji

8:30-10:30 Live Case Transmission 1 Chairs: Etsuo Tsuchikane Junji Yajima Sidney Tsz Ho Lo

Commentators: Hiroaki Hirase, Shozo Ishihara, Kenji Kawajiri, Wataru Nagamatsu, Hiroki Sakamoto, Yoshihiro Takeda, Rustem Dautov, Michael Fryer, Byeong-Keuk Kim, Seung-Whan Lee, Jianfang Luo

15:00-16:50 Live Case Transmission 4 Chairs: Keiichi Igarashi Hanaoka Masahisa Yamane V. Surya Prakasa Rao

Commentators: Nozomu Kawashima, Makoto Muto, Masami Sakurada, Yoshisato Shibata, Takahide Suzuki, Tohru Takahashi, Justin Ardill, Kee-Sik Kim, Steven P. Marso

12:00-13:00 Luncheon Seminar: What to consider to select the right wire Ⅴ Chairs: Yasumi Igarashi Kambis Mashayekhi

Co-sponsored by: ASAHI INTECC CO., LTD.

Lecturer: Etsuo Tsuchikane

10:30-11:50 Live Case Transmission 2 Chairs: Yasushi Asakura Yasumi Igarashi Takahiko Suzuki Hee Yeol Kim

Commentators: Hiromasa Katoh, Masakazu Nagaoka, Yuichi Noguchi, Shinya Okazaki, Kaname Takizawa, Edward Danson, Do Hoi Kim, Nae-Hee Lee, Soo Teik Lim, Ajith Ananthakrishna Pillai


Chair: Kazuhiro Ashida Commentators: Hiromasa Katoh, Tomoko Kobayashi, Yoshitane Seino, Masaki Tanabe

13:10-15:00 Live Case Transmission 3 Chairs: Ichiro Hamanaka Yuji Oikawa Junbo Ge

Commentators: Yoshifumi Kashima, Tetsuo Matsubara, Masatoshi Miyahara, Yoichi Nozaki, Makoto Sekiguchi, Yoriyasu Suzuki, Hweung Kon Hwang, Pil-Hyung Lee, Shih-Chi Liu, Seung-Woon Rha, Aurel Toma


China Theater

Live Theater

Friday, June 14

17:00-18:00

Fireside Session: Proctorship LiveIn this Proctorship Live demonstration, the less experienced physician will act as the first operator, while the expert physician will act as the second operator. The less experienced, younger physician, will of course have a strong desire to master CTO procedures and therefore will engage directly in the case. Meanwhile, the expert physician will remain close by to advise throughout the procedure. By having the younger physician engage directly in the procedure, he or she will be able to acquire the tips, tricks and techniques to complete the case successfully, and be educated on the common pitfalls unique to young operators. Our goal is to share CTO knowledge, and teach techniques for successfully completing complex CTO cases with high proficiency and safety.

Operator: Ken Ishibashi (Hiroshima University Hospital, Japan)

Chair: Etsuo Tsuchikane Proctor: Osamu Katoh Commentators: Rei Fukuhara (Hyogo Prefectural Amagasaki General Medical Center, Japan), Maoto Habara (Toyohashi Heart Center, Japan), Fumitaka Hosaka, Wataru Nagamatsu, Hiroyuki Tanaka



Operators: Takafumi Tsuji, Atsunori Okamura, Kenya Nasu, Ryohei Yoshikawa, Yuji HamazakiIVUS Commentators: Junko Honye, Shunsuke Matsuno, Kenichiro Shimoji

9:00-10:25 Chinese Perspectives on Live Case Transmission 1 Chairs: Eisho Kyo Zhanquan Li Jianying Ma Yuchen Zhang

Commentators: Kazuhiro Ashida, Tomoko Kobayashi, Yuquan He, Mingyu Lu, Lin Zhao (Beijing Anzhen Hospital, People's Republic of China)

10:35-12:00 Chinese Perspectives on Live Case Transmission 2 Chairs: Eisho Kyo Zhujun Chen Zhimin Du Chaowei Mu

Commentators: Masaharu Okada, Yoshito Yamamoto, Jianhua Cai, Chunjian Li, Gongxin Li, Jianying Ma, Danqing Yu, Jie Zhao

13:10-14:40 Chinese Perspectives on Live Case Transmission 3 Chairs: Eisho Kyo Fucheng Sun (Beijing Hospital, People's Republic of China)

Commentators: Shozo Ishihara, Toru Kataoka (Bellland General Hospital, Japan), Wataru Nagamatsu, Jifu Li, Fuxian Ren, Lei Song, Bin Yang



This session will be held while watching a live case demonstration that is performed at the main venue in real time on the day. The PCI for CTO often requires a detailed discussion, especially for the procedure, so we prepared interpreters for both Japanese and Chinese-speaking participants in order for them to be able to discuss in their native language. We very much hope that you will come to the session and participate in the discussion.


Focus Live & Mini LectureRyurei Technology -possibilities and abilities-Akira Murata (Nagoya Heart Center, Japan)Co-sponsored by: TERUMO CORPORATION Co-sponsored by: ASAHI INTECC CO., LTD. / CANON MEDICAL SYSTEMS CORPORATION

7 8

Educational Theater

9:30-10:45

International Joint Session: IJCTO@CTO Club Chairs: Ichiro Hamanaka, V. Surya Prakasa Rao

Commentators: Yuichi Kobori, Matthew Brooks, Kapil Challawar, Shashanka Chunduri, Meeraji Rao Dandangi, Debarata Dash, Manjunath Desai, Pannala Lakshmi Narasimha Kabardy, Irfan Khan Hamid Khan, Dae-Won Kim, Mitesh Kumar, Jinghua Liu, Genshan Ma, Dougal McClean, Sinnathurai Mithrakumar, Manokar Panchanatham, Zhenchi Sang, Priyen Kantilal Shah, Rajasekhar Varada, Young Won Yoon

Anomalous RCA CTO - Bailout Rendezvous Technique for Difficult Externalization Pannala Lakshmi Narasimha Kabardy

Ipsilateral Retrograde with Extended Reverse CART in LAD CTO Sharat Anam

Retry CTO PCI - How I did it V. Surya Prakasa Rao

PTCA of Ostial LAD CTO by Retrograde Approach Rajeev Bharadwaj

Retrograde PCI: The Best Things Happen Unexpectedly Jimmy George

IVUS guided Antegrade CTO PCI Yuichi Kobori

Importance of preprocedural angiogram in CTO PCI Takeshi Serikawa

10:50-11:50

Novel Devices and Practical Techniques for Complex CTO and Bifurcation lesions ~ From an educational point of view ~ Chair: Junji Yajima

Usefulness of a KANEKA New Guide Extension Catheter “Hikyaku” for Complex Lesions Toru Kataoka (Bellland General Hospital, Japan)

Practical application of KANEKA DLC “Crusade Type R” for complex CTO and bifurcation lesions Shozo Ishihara

Co-sponsored by: KANEKA MEDIX CORPORATION

12:00-13:00

Luncheon Seminar: New PCI strategy in the current era Chair: Junji Yajima

Optimal Medical and Interventional Therapy for Coronary Artery Disease Toru Kataoka (Bellland General Hospital, Japan)

New PCI Strategy in DOAC Era Hiroaki Hirase

Co-sponsored by: DAIICHI SANKYO COMPANY, LIMITED

13:10-14:10

New Device Session “Global intelligence for advanced ADR”Japanese CTO-PCI strategy has been reaching the highest state of development with the own evolution of CTO techniques. However, recanalization of some CTO lesion subsets remains still challenging and requires higher skill sets. By adopting the newly introduced Stingray re-entry device we have explored how to best integrate it into the modern CTO strategy to pursue higher procedural success and lower complication rates. In this session we are going to meet world experts to discuss such challenge with a global perspective and provide all our participants fresh impetus to move toward the new era for advanced ADR.

Chairs: Etsuo Tsuchikane, Arun Kalyanasundaram

Welcome & Opening Etsuo Tsuchikane

Initial outcomes from Bridgepoint Club - Japanese Style of ADR Maoto Habara (Toyohashi Heart Center, Japan)

The integrated techniques of ADR with Japanese CTO PCI Yoshiaki Ito

Recent US Style of ADR developed from Hybrid Arun Kalyanasundaram

European perspective of ADR Alexandre Avran

Closing & Wrap up Arun Kalyanasundaram


Friday, June 14 English ↕ Japanese simultaneous interpretation is available

Educational Theater

14:20-16:50

Asian-Pacific CTO ClubIT Live Demonstration from Hong KongAs it approaches 5th year since APCTO club was established we would like to take this opportunity to thank everyone having supported us up to the present day. From the universal standpoint for the past five years, the globalization of CTO-PCI has been seen throughout the world. It is truly a fantastic movement, and at the same time, the ultimate objective which "Global CTO Club" is aiming for. Now our mission is to accelerate such movement and for that purpose, we are going to have the session featuring IT live case transmission from Hong Kong to share international expert's procedures with many audiences again this year. We would like to welcome all our participants for this special live demonstration.

Live Transmission site: Prince of Wales Hospital, Chinese University Hong Kong [Hong Kong]

Operators: Hsien-Li Kao, Eugene Brian Wu

Chairs: Sidney Tsz Ho Lo, Etsuo Tsuchikane

Commentators: Alexandre Avran, Jiyan Chen, Lei Ge, Arun Kalyanasundaram, Seung Whan Lee, Soo Teik Lim, Kambis Mashayekhi

Co-sponsored by: ASAHI INTECC CO., LTD. OrbusNeich

Friday, June 14

19:40-until tired

Cocktail Night Meeting“Review the today’s live cases”In this session, we will dig down into the much more detail of today's live cases through the discussion with panelists and participants to clarify the best strategy and procedure. Let's join this discussion and get key to success of tomorrow's CTO PCI.

Chairs: Yasumi Igarashi, Gerald S. Werner

Supervisor: Osamu Katoh

Presenters: Kenya Nasu, Takafumi Tsuji

Disscussers: Yoshifumi Kashima, Kenji Kawajiri, Makoto Sekiguchi, Lei Ge, Sidney Tsz Ho Lo

※Refreshment will be served during the session

18:10-19:10

Case Competition“My most impressive bailout case for complication in CTO PCI”Among submitted cases, four exemplary cases were selected as "oral presentation" at the Case Competition and other cases with honorable mention were selected as "poster presentation" during the 19th CTO Club. The best case of the Case Competition will receive an award and the presenter will be invited to be a CTO Club faculty member in 2020.

Chairs: Tetsuo Matsubara, Yoichi Nozaki

Judges: Kenichi Fujii, Masaharu Okada, Shinya Okazaki, Tamer Badie, Anek Kanoksilp, Ali Al Sayed, Zhaohui Qiu, Jae-Bin Seo

A case of chronic total occlusion of the right coronary artery in which the wire stuck to the microcatheter after rendezvouz

Junpei Koike ( Kyoto Katsura Hospital, Japan)

Bailout case for the pitfall of Knuckle Wire Technique (KWT) in long CTO PCI Koki Omi (Nihonkai General Hospital, Japan)

Bail out treatment through a CTO Alexander Ijsselmuiden (Amphia Hospital, The Netherlands)

A Novel Technique for Tackling Trapped Devices Ali Raza (University of Alberta, Canada)


7 8

Educational Theater

9:30-10:45

International Joint Session: IJCTO@CTO Club Chairs: Ichiro Hamanaka, V. Surya Prakasa Rao

Commentators: Yuichi Kobori, Matthew Brooks, Kapil Challawar, Shashanka Chunduri, Meeraji Rao Dandangi, Debarata Dash, Manjunath Desai, Pannala Lakshmi Narasimha Kabardy, Irfan Khan Hamid Khan, Dae-Won Kim, Mitesh Kumar, Jinghua Liu, Genshan Ma, Dougal McClean, Sinnathurai Mithrakumar, Manokar Panchanatham, Zhenchi Sang, Priyen Kantilal Shah, Rajasekhar Varada, Young Won Yoon

Anomalous RCA CTO - Bailout Rendezvous Technique for Difficult Externalization Pannala Lakshmi Narasimha Kabardy

Ipsilateral Retrograde with Extended Reverse CART in LAD CTO Sharat Anam

Retry CTO PCI - How I did it V. Surya Prakasa Rao

PTCA of Ostial LAD CTO by Retrograde Approach Rajeev Bharadwaj

Retrograde PCI: The Best Things Happen Unexpectedly Jimmy George

IVUS guided Antegrade CTO PCI Yuichi Kobori

Importance of preprocedural angiogram in CTO PCI Takeshi Serikawa

10:50-11:50

Novel Devices and Practical Techniques for Complex CTO and Bifurcation lesions ~ From an educational point of view ~ Chair: Junji Yajima

Usefulness of a KANEKA New Guide Extension Catheter “Hikyaku” for Complex Lesions Toru Kataoka (Bellland General Hospital, Japan)

Practical application of KANEKA DLC “Crusade Type R” for complex CTO and bifurcation lesions Shozo Ishihara

Co-sponsored by: KANEKA MEDIX CORPORATION

12:00-13:00

Luncheon Seminar: New PCI strategy in the current era Chair: Junji Yajima

Optimal Medical and Interventional Therapy for Coronary Artery Disease Toru Kataoka (Bellland General Hospital, Japan)

New PCI Strategy in DOAC Era Hiroaki Hirase

Co-sponsored by: DAIICHI SANKYO COMPANY, LIMITED

13:10-14:10

New Device Session “Global intelligence for advanced ADR”Japanese CTO-PCI strategy has been reaching the highest state of development with the own evolution of CTO techniques. However, recanalization of some CTO lesion subsets remains still challenging and requires higher skill sets. By adopting the newly introduced Stingray re-entry device we have explored how to best integrate it into the modern CTO strategy to pursue higher procedural success and lower complication rates. In this session we are going to meet world experts to discuss such challenge with a global perspective and provide all our participants fresh impetus to move toward the new era for advanced ADR.

Chairs: Etsuo Tsuchikane, Arun Kalyanasundaram

Welcome & Opening Etsuo Tsuchikane

Initial outcomes from Bridgepoint Club - Japanese Style of ADR Maoto Habara (Toyohashi Heart Center, Japan)

The integrated techniques of ADR with Japanese CTO PCI Yoshiaki Ito

Recent US Style of ADR developed from Hybrid Arun Kalyanasundaram

European perspective of ADR Alexandre Avran

Closing & Wrap up Arun Kalyanasundaram


Friday, June 14 English ↕ Japanese simultaneous interpretation is available

Educational Theater

14:20-16:50

Asian-Pacific CTO ClubIT Live Demonstration from Hong KongAs it approaches 5th year since APCTO club was established we would like to take this opportunity to thank everyone having supported us up to the present day. From the universal standpoint for the past five years, the globalization of CTO-PCI has been seen throughout the world. It is truly a fantastic movement, and at the same time, the ultimate objective which "Global CTO Club" is aiming for. Now our mission is to accelerate such movement and for that purpose, we are going to have the session featuring IT live case transmission from Hong Kong to share international expert's procedures with many audiences again this year. We would like to welcome all our participants for this special live demonstration.

Live Transmission site: Prince of Wales Hospital, Chinese University Hong Kong [Hong Kong]

Operators: Hsien-Li Kao, Eugene Brian Wu

Chairs: Sidney Tsz Ho Lo, Etsuo Tsuchikane

Commentators: Alexandre Avran, Jiyan Chen, Lei Ge, Arun Kalyanasundaram, Seung Whan Lee, Soo Teik Lim, Kambis Mashayekhi

Co-sponsored by: ASAHI INTECC CO., LTD. OrbusNeich

Friday, June 14

19:40-until tired

Cocktail Night Meeting“Review the today’s live cases”In this session, we will dig down into the much more detail of today's live cases through the discussion with panelists and participants to clarify the best strategy and procedure. Let's join this discussion and get key to success of tomorrow's CTO PCI.

Chairs: Yasumi Igarashi, Gerald S. Werner

Supervisor: Osamu Katoh

Presenters: Kenya Nasu, Takafumi Tsuji

Disscussers: Yoshifumi Kashima, Kenji Kawajiri, Makoto Sekiguchi, Lei Ge, Sidney Tsz Ho Lo

※Refreshment will be served during the session

18:10-19:10

Case Competition“My most impressive bailout case for complication in CTO PCI”Among submitted cases, four exemplary cases were selected as "oral presentation" at the Case Competition and other cases with honorable mention were selected as "poster presentation" during the 19th CTO Club. The best case of the Case Competition will receive an award and the presenter will be invited to be a CTO Club faculty member in 2020.

Chairs: Tetsuo Matsubara, Yoichi Nozaki

Judges: Kenichi Fujii, Masaharu Okada, Shinya Okazaki, Tamer Badie, Anek Kanoksilp, Ali Al Sayed, Zhaohui Qiu, Jae-Bin Seo

A case of chronic total occlusion of the right coronary artery in which the wire stuck to the microcatheter after rendezvouz

Junpei Koike ( Kyoto Katsura Hospital, Japan)

Bailout case for the pitfall of Knuckle Wire Technique (KWT) in long CTO PCI Koki Omi (Nihonkai General Hospital, Japan)

Bail out treatment through a CTO Alexander Ijsselmuiden (Amphia Hospital, The Netherlands)

A Novel Technique for Tackling Trapped Devices Ali Raza (University of Alberta, Canada)


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Saturday, June 15Live Theater


Chair: Yuji Oikawa Commentators: Shozo Ishihara, Yoshiaki Ito, Makoto Muto, Wataru Nagamatsu

CTO Live Case Transmission Nagoya Heart Center Operators: Junji Yajima, Yasumi Igarashi, Hiromasa Katoh, Etsuo Tsuchikane

IVUS Commentators: Tomoko Kobayashi, Yoriyasu Suzuki

10:30-11:50 Live Case Transmission 6 Chairs: Masahiko Ochiai Atsunori Okamura Sidney Tsz Ho Lo

Commentators: Shinya Fujita, Ichiro Hamanaka, Hiroki Kamiya, Yasunori Nishida, Satoru Sumitsuji, Hiroyuki Tanaka, Jang-Whan Bae, In Ho Chae, Pil-Ki Min, Wasan Udayachalerm

12:00-13:00 Luncheon Seminar: New Insights into XIENCE Chair: Keiichi Igarashi Hanaoka

Co-sponsored by: Abbott Vascular Japan Co., Ltd.

8:30-10:30 Live Case Transmission 5 Chairs: Yoshihisa Kinoshita Satoru Otsuji Jiyan Chen Gerald S. Werner

Commentators: Kazuhiro Ashida, Fumitaka Hosaka, Hisayuki Okada, Yoshitane Seino, Masaki Tanabe, Yoshito Yamamoto, Alexandre Avran, Andrew Boyle, Arun Kalyanasumdaram, Wirash Kehasukcharoen, Moo Hyun Kim, Hun Sik Park


Live Theater

Saturday, June 15

13:10-16:30

Special live session: Quality of CTO-PCI: TIME TO GLOBALIZE

The physicians in Japan, mainly expert operators, have now made it possible to exceed the initial success rate of CTO-PCI 90%. However, this fact has simultaneously proved that approximately 10% of cases are difficult to treat. The approach to CTOs has changed with an increased number of devices that we can select. Since the Corsair, which was specializing in passing interventional collaterals, was developed approximately 10 years ago, the Retrograde approach has gradually become popular. As a result, it has increased treatment options for long CTOs and others without entry that were difficult with the Antegrade approach. At the same time, many CTO registries have increased both in Japan and overseas, in particular in Japan, the standardization of the CTO procedures, including the Retrograde approach, has been developed. Besides, in recent years, the importance of the Antegrade approach has been reviewed, with the support of the development of Gaia and Gaia Next, which emphasize wire direction control within the CTOs. This is caused by a failure factor of the Retrograde approach that has reached its limit of approach to CTOs after passing through collateral channels. We, once again, recognize that it is necessary to improve technology of the wiring itself to CTOs, and we may be entering an era of improving the quality of CTO-PCI such as lowering complications by maximizing the benefits of PCI. In this session, we will provide a place for participants to be able to learn the CTO experts’ techniques in Japan, featuring on the cases that are even now predicted to be difficult to treat. As a technical aspect, we will also provide lectures on the redefinition of R-CART from Japan and the latest abroad activities.

13:10-14:50 Part 1 Chairs: Kenya Nasu, Takafumi Tsuji, Gerald S. Werner

Commentators: Tomohiro Kawasaki, Susumu Matsuda, Masaharu Okada, Takeshi Serikawa, Kenichiro Shimoji, Jiyan Chen, Soo Teik Lim

Special Lecture: Temporal Trends in Chronic Total Occlusion Interventions in Europe

Kambis Mashayekhi

Live Demonstration Part 1 [13:30-14:50]

14:50-16:30 Part 2 Chairs: Yuji Hamazaki, Atsunori Okamura, Kambis Mashayekhi

Commentators: Jiro Ando, Shingo Hosogi, Yuichi Kobori, Shigeru Nakamura, Ryohei Yoshikawa, Lei Ge, Sidney Tsz Ho Lo

Special Lecture: Overview of new CART technique

Shunsuke Matsuno


Special Lecture: "J-Channel Score" for Collateral Channel Selection from the Japanese CTO-PCI Expert Registry

Wataru Nagamatsu

Co-sponsored by: ASAHI INTECC CO., LTD. CANON MEDICAL SYSTEMS CORPORATION


Focus Live & Mini LectureComplex Coronary Interventions with the KANEKA Novel CO-R7 CTO Balloon (tentative)Ruka Yoshida (Japanese Red Cross Nagoya Daini Hospital, Japan)Co-sponsored by: KANEKA MEDIX CORPORATION


Focus LiveCo-sponsored by: Abbott Vascular Japan Co., Ltd.

Focus LiveCo-sponsored by: CANON MEDICAL SYSTEMS CORPORATION

Efficacy of XIENCE in the performance of DES eraTakayuki Ogawa (The Jikei University Hospital, Japan)

The impact of long XIENCE in CTO-PCI treatment ～ How will CTO-PCI treatment change?Tomohiro Kawasaki

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Saturday, June 15Live Theater


Chair: Yuji Oikawa Commentators: Shozo Ishihara, Yoshiaki Ito, Makoto Muto, Wataru Nagamatsu

CTO Live Case Transmission Nagoya Heart Center Operators: Junji Yajima, Yasumi Igarashi, Hiromasa Katoh, Etsuo Tsuchikane

IVUS Commentators: Tomoko Kobayashi, Yoriyasu Suzuki

10:30-11:50 Live Case Transmission 6 Chairs: Masahiko Ochiai Atsunori Okamura Sidney Tsz Ho Lo

Commentators: Shinya Fujita, Ichiro Hamanaka, Hiroki Kamiya, Yasunori Nishida, Satoru Sumitsuji, Hiroyuki Tanaka, Jang-Whan Bae, In Ho Chae, Pil-Ki Min, Wasan Udayachalerm

12:00-13:00 Luncheon Seminar: New Insights into XIENCE Chair: Keiichi Igarashi Hanaoka

Co-sponsored by: Abbott Vascular Japan Co., Ltd.

8:30-10:30 Live Case Transmission 5 Chairs: Yoshihisa Kinoshita Satoru Otsuji Jiyan Chen Gerald S. Werner

Commentators: Kazuhiro Ashida, Fumitaka Hosaka, Hisayuki Okada, Yoshitane Seino, Masaki Tanabe, Yoshito Yamamoto, Alexandre Avran, Andrew Boyle, Arun Kalyanasumdaram, Wirash Kehasukcharoen, Moo Hyun Kim, Hun Sik Park


Live Theater

Saturday, June 15

13:10-16:30

Special live session: Quality of CTO-PCI: TIME TO GLOBALIZE

The physicians in Japan, mainly expert operators, have now made it possible to exceed the initial success rate of CTO-PCI 90%. However, this fact has simultaneously proved that approximately 10% of cases are difficult to treat. The approach to CTOs has changed with an increased number of devices that we can select. Since the Corsair, which was specializing in passing interventional collaterals, was developed approximately 10 years ago, the Retrograde approach has gradually become popular. As a result, it has increased treatment options for long CTOs and others without entry that were difficult with the Antegrade approach. At the same time, many CTO registries have increased both in Japan and overseas, in particular in Japan, the standardization of the CTO procedures, including the Retrograde approach, has been developed. Besides, in recent years, the importance of the Antegrade approach has been reviewed, with the support of the development of Gaia and Gaia Next, which emphasize wire direction control within the CTOs. This is caused by a failure factor of the Retrograde approach that has reached its limit of approach to CTOs after passing through collateral channels. We, once again, recognize that it is necessary to improve technology of the wiring itself to CTOs, and we may be entering an era of improving the quality of CTO-PCI such as lowering complications by maximizing the benefits of PCI. In this session, we will provide a place for participants to be able to learn the CTO experts’ techniques in Japan, featuring on the cases that are even now predicted to be difficult to treat. As a technical aspect, we will also provide lectures on the redefinition of R-CART from Japan and the latest abroad activities.

13:10-14:50 Part 1 Chairs: Kenya Nasu, Takafumi Tsuji, Gerald S. Werner

Commentators: Tomohiro Kawasaki, Susumu Matsuda, Masaharu Okada, Takeshi Serikawa, Kenichiro Shimoji, Jiyan Chen, Soo Teik Lim

Special Lecture: Temporal Trends in Chronic Total Occlusion Interventions in Europe

Kambis Mashayekhi


14:50-16:30 Part 2 Chairs: Yuji Hamazaki, Atsunori Okamura, Kambis Mashayekhi

Commentators: Jiro Ando, Shingo Hosogi, Yuichi Kobori, Shigeru Nakamura, Ryohei Yoshikawa, Lei Ge, Sidney Tsz Ho Lo

Special Lecture: Overview of new CART technique

Shunsuke Matsuno


Special Lecture: "J-Channel Score" for Collateral Channel Selection from the Japanese CTO-PCI Expert Registry

Wataru Nagamatsu

Co-sponsored by: ASAHI INTECC CO., LTD. CANON MEDICAL SYSTEMS CORPORATION


Focus Live & Mini LectureComplex Coronary Interventions with the KANEKA Novel CO-R7 CTO Balloon (tentative)Ruka Yoshida (Japanese Red Cross Nagoya Daini Hospital, Japan)Co-sponsored by: KANEKA MEDIX CORPORATION


Focus LiveCo-sponsored by: Abbott Vascular Japan Co., Ltd.

Focus LiveCo-sponsored by: CANON MEDICAL SYSTEMS CORPORATION

Efficacy of XIENCE in the performance of DES eraTakayuki Ogawa (The Jikei University Hospital, Japan)

The impact of long XIENCE in CTO-PCI treatment ～ How will CTO-PCI treatment change?Tomohiro Kawasaki

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Saturday, June 15Educational Theater

12:00-13:00

Luncheon Seminar: Advanced Stenting Strategies for Complex Lesions Chairs: Yuji Oikawa, Atsunori Okamura

Lecturers: Masahiro Koide (Kyoto Okamoto Memorial Hospital, Japan), Tomohiko Teramoto (Ichinomiyanishi Hospital, Japan)

Co-sponsored by: Medtronic Japan Co., Ltd.

13:10-14:10

Effective usage of IVUS for CTO cases Chair: Tetsuo Matsubara

Lecturers: Hirokazu Konishi (Toyohashi Heart Center, Japan), Takanori Kusuyama (Tsukazaki Hospital, Japan), Yasuhiro Takahashi (The Fraternity Memorial Hospital, Japan)

Co-sponsored by: Philips Japan, Ltd.

8:45-10:15

International Joint session: KCTO@CTO Club Chairs: Takafumi Tsuji, Yoshinori Yasaka, Hee-Yeol Kim

Panelists: Ichiro Hamanaka, Shunsuke Matsuno, Ryohei Yoshikawa, Jae Young Cho, Byeong-Keuk Kim, Dong-Bin Kim

Retrograde approach, long-term outcomesRetrograde approach: contribution to clinical practice and its long term clinical outcomes in Korean CTO

Seung Whan Lee

In-hospital Outcomes of Retrograde CTO PCI From the Japanese CTO PCI Expert Registry

Hiroyuki Tanaka

Management of complications Management of collateral channel injury during retrograde PCI

Seung-Woon Rha

Management of coronary perforation during retrograde PCI Yoshihiro Takeda

Interesting cases ACS-mimicking CTO

Jung-Rae Cho

Ostial LCX-CTO case in which selection of retrograde route was important Masaharu Okada

10:25-11:50

Time for Reflection: How to Best Treat Calcified Lesions Chairs: Fumitaka Hosaka, Yoshisato Shibata

Lecturers: Masashi Iwabuchi (University of the Ryukyus, Japan), Takayuki Ogawa (The Jikei University, Japan), Katsuhide Kitagawa (Kanazawa Medical University, Japan), Yoshifumi Kashima, Yoshiaki Ito

Co-sponsored by: Boston Scientific Japan K. K.

English ↕ Japanese simultaneous interpretation is available Poster PresentationDates: Friday, June 14 12:00-17:00 Saturday, June 15 9:00-13:30 Location: Exhibition Room, 5F

CTO Intervention of Distal RCA bifurcation with Poor Collateral FlowJae Young Cho (Wonkwang University Hospital, Korea)

A case of successful bailout for coronary perforation during antegrade wiringKiwamu Sudo (Saiseikai Utsunomiya Hospital, Japan)

Stentless PCI for LAD CTO by DCATakuma Tsuda (Nagoya Ekisaikai Hospital, Japan)

Complications when using snare catheter to catch retrograde wireYuya Nakagawa (Hakodate Medical Association Hospital, Japan)

The wire rendezvous and chasing wire technique in the bidirectional approach for the percutaneous coronary intervention for chronic total occlusion with a single guiding catheterKeisuke Nakabayashi (Kasukabe Chuo General Hospital, Japan)

Success bails out of A-C channel perforation by coil embolizationMarohito Nakata (Naha City Hospital, Japan)

A Nightmare of LAD CTO with Ellis Type III Coronary PerforationKohei Asada (Shiga University of Medical Science, Japan)

Entrapment of Gaia Next in Heavy Calcified RCA CTOYuta Imai (Saiseikai Shiga Prefecture Hospital, Japan)

A pitfall of rCART in a LAD CTO caseTakuya Sakemi (Iizuka Hospital, Japan)

Coronary perforation complicating cardiac tamponade during complex percutaneous coronary intervention Min Gyu Kang (Gyeongsang National University Hospital, Korea)

My worst case; Cardiac tamponade 2days after CTO PCIMunenori Okubo (Gifu Heart Center, Japan)

A pitfall just before the endMotosu Ando (Okamura Memorial Hospital, Japan)

Successful retrieval of the dislodged ultrathin strut stent (Orsiro stent) using a gooseneck snare kitHirohisa Endo (Juntendo University, Graduate School of Medicine, Japan)

A case of RCA-CTO with high bend and calcification, complicated with perforation of epicardial channelYuki Suzuka (Mimihara General Hospital, Japan)

A case of difficult to determine the cause of stuck Tornus in RCA CTORitsu Yoshida (Kyoto Katsura Hospital, Japan)

A LAD-CTO case that dissection occurred in the LMTKenichi Oota (Tachibanadai Hospital, Japan)

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Saturday, June 15Educational Theater

12:00-13:00

Luncheon Seminar: Advanced Stenting Strategies for Complex Lesions Chairs: Yuji Oikawa, Atsunori Okamura

Lecturers: Masahiro Koide (Kyoto Okamoto Memorial Hospital, Japan), Tomohiko Teramoto (Ichinomiyanishi Hospital, Japan)

Co-sponsored by: Medtronic Japan Co., Ltd.

13:10-14:10

Effective usage of IVUS for CTO cases Chair: Tetsuo Matsubara

Lecturers: Hirokazu Konishi (Toyohashi Heart Center, Japan), Takanori Kusuyama (Tsukazaki Hospital, Japan), Yasuhiro Takahashi (The Fraternity Memorial Hospital, Japan)

Co-sponsored by: Philips Japan, Ltd.

8:45-10:15

International Joint session: KCTO@CTO Club Chairs: Takafumi Tsuji, Yoshinori Yasaka, Hee-Yeol Kim

Panelists: Ichiro Hamanaka, Shunsuke Matsuno, Ryohei Yoshikawa, Jae Young Cho, Byeong-Keuk Kim, Dong-Bin Kim

Retrograde approach, long-term outcomesRetrograde approach: contribution to clinical practice and its long term clinical outcomes in Korean CTO

Seung Whan Lee

In-hospital Outcomes of Retrograde CTO PCI From the Japanese CTO PCI Expert Registry

Hiroyuki Tanaka

Management of complications Management of collateral channel injury during retrograde PCI

Seung-Woon Rha

Management of coronary perforation during retrograde PCI Yoshihiro Takeda

Interesting cases ACS-mimicking CTO

Jung-Rae Cho

Ostial LCX-CTO case in which selection of retrograde route was important Masaharu Okada

10:25-11:50

Time for Reflection: How to Best Treat Calcified Lesions Chairs: Fumitaka Hosaka, Yoshisato Shibata

Lecturers: Masashi Iwabuchi (University of the Ryukyus, Japan), Takayuki Ogawa (The Jikei University, Japan), Katsuhide Kitagawa (Kanazawa Medical University, Japan), Yoshifumi Kashima, Yoshiaki Ito

Co-sponsored by: Boston Scientific Japan K. K.

English ↕ Japanese simultaneous interpretation is available Poster PresentationDates: Friday, June 14 12:00-17:00 Saturday, June 15 9:00-13:30 Location: Exhibition Room, 5F

CTO Intervention of Distal RCA bifurcation with Poor Collateral FlowJae Young Cho (Wonkwang University Hospital, Korea)

A case of successful bailout for coronary perforation during antegrade wiringKiwamu Sudo (Saiseikai Utsunomiya Hospital, Japan)

Stentless PCI for LAD CTO by DCATakuma Tsuda (Nagoya Ekisaikai Hospital, Japan)

Complications when using snare catheter to catch retrograde wireYuya Nakagawa (Hakodate Medical Association Hospital, Japan)

The wire rendezvous and chasing wire technique in the bidirectional approach for the percutaneous coronary intervention for chronic total occlusion with a single guiding catheterKeisuke Nakabayashi (Kasukabe Chuo General Hospital, Japan)

Success bails out of A-C channel perforation by coil embolizationMarohito Nakata (Naha City Hospital, Japan)

A Nightmare of LAD CTO with Ellis Type III Coronary PerforationKohei Asada (Shiga University of Medical Science, Japan)

Entrapment of Gaia Next in Heavy Calcified RCA CTOYuta Imai (Saiseikai Shiga Prefecture Hospital, Japan)

A pitfall of rCART in a LAD CTO caseTakuya Sakemi (Iizuka Hospital, Japan)

Coronary perforation complicating cardiac tamponade during complex percutaneous coronary intervention Min Gyu Kang (Gyeongsang National University Hospital, Korea)

My worst case; Cardiac tamponade 2days after CTO PCIMunenori Okubo (Gifu Heart Center, Japan)

A pitfall just before the endMotosu Ando (Okamura Memorial Hospital, Japan)

Successful retrieval of the dislodged ultrathin strut stent (Orsiro stent) using a gooseneck snare kitHirohisa Endo (Juntendo University, Graduate School of Medicine, Japan)

A case of RCA-CTO with high bend and calcification, complicated with perforation of epicardial channelYuki Suzuka (Mimihara General Hospital, Japan)

A case of difficult to determine the cause of stuck Tornus in RCA CTORitsu Yoshida (Kyoto Katsura Hospital, Japan)

A LAD-CTO case that dissection occurred in the LMTKenichi Oota (Tachibanadai Hospital, Japan)

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International Faculty MembersAli Al Sayed Al Zahra Hospital [Lebanon]

Sharat Anam MaxCure Hospital [India]

Justin Ardill Flinders Private Hospital [Australia]

Alexandre Avran Institut Arnault Tzanck [France]

Tamer Badie Cambelltown Hospital [Australia]

Jang-Whan Bae College of Medicine, Chungbuk National University [Korea]

Rajeev Bharadwaj Indira Gandhi Medical College [India]

Andrew Boyle John Hunter Hospital [Australia]

Matthew Brooks Royal Melborne Hospital [Australia]

Jianhua Cai Wuhan Asia Heart Disease Hospital[People's Republic of China]

In Ho Chae Seoul National University Bundang Hospital [Korea]

Kapil Challawar Apollo Hospitals [India]

Zhujun Chen Guangdong General Hospital [People's Republic of China]

Jae Young Cho Wonkang University Hospital [Korea]

Jung Rae Cho Kangnam Sacred Heart Hospital Hallym University [Korea]

Shashanka Chunduri Omni RK Hospital [India]

Meeraji Rao Dandangi Continental Hospital [India]

Edward Danson Wollogong Hospital [Australia]

Debarata Dash NMC Speciality Hospital [UAE]

Rustem Dautov The Prince Charles Hospital [Australia]

Manjunath Desai Goa Medical [India]

Zhimin Du Sun Yat-Sen University, First Affiliated Hospital[People's Republic of China]

Michael Fryer Sunshine Coast University Hospital [Australia]

Junbo Ge Zhongshan Hospital, Fudan University [People's Republic of China]

Lei Ge Zhongshan Hospital, Fudan University [People's Republic of China]

Jimmy George Lisie Heart Institute, Lisie Hospital [India]

Irfan Khan Hamid Khan LH Hiranandani Hospital [India]

Yuquan He Sino-Japanese Friendship Hospital of Jilin University [People's Republic of China]

Hweung Kon Hwang Konkuk University Hospital [Korea]

Pannala Lakshmi Narasimha Kabardy Apollo Hospitals [India]

Arun Kalyanasundaram Promed Hospital [India]

Anek Kanoksilp Central Chest Institute of Thailand [Thailand]

Hsien-Li Kao National Taiwan University Medical School & Hospital [Taiwan, R.O.C.]

Wirash Kehasukcharoen Central Chest Institute of Thailand [Thailand]

Byeong-Keuk Kim Yonsei University Severance Hospital [Korea]

Dae-Won Kim The Catholic University of Korea, Daejeon St. Mary's Hospital [Korea]

Do Hoi Kim UVIS General Hospital [Korea]

Dong-Bin Kim The Catholic University of Korea, Bucheon St. Mary's Hospital [Korea]

Hee Yeol Kim The Catholic University of Korea, Bucheon St. Mary's Hospital [Korea]

Kee-Sik Kim Daegu Catholic University Medical Center [Korea]

Moo Hyun Kim Dong-A University Medical Center [Korea]

Mitesh Kumar St Philomenas Hospital [India]

Nae-Hee Lee Soonchunhyang University Bucheon Hospital [Korea]

Pil-Hyung Lee Asan Medical Center [Korea]

Seung-Whan Lee Asan Medical Center [Korea]

Chunjian Li Jiangsu People's Hospital [People's Republic of China]

Gongxin LiZhujiang Hospital of Southern Medical University [People's Republic of China]

Jifu LiQilu Hospital of Shandong University [People's Republic of China]

Zhanquan LiLiaoning Provincial People's Hospital [People's Republic of China]

Soo Teik Lim National Heart Centre Singapore [Singapore]

Jinghua Liu Beijing Anzhen Hospital [People's Republic of China]

Shih-Chi Liu Fu Jen University Hospital [Taiwan, R.O.C.]

Simon Lo Gleneagles Penang Hospital [Malaysia]

Sidney Tsz Ho Lo Liverpool Hospital [Australia]

Adrian Low National University of Singapore [Singapore]

Mingyu Lu Peking University People's Hospital [People's Republic of China]

Bo Luan The People's Hospital of Liaoning Province [People's Republic of China]

Jianfang Luo Guangdong General Hospital [People's Republic of China]

Genshan Ma Zhongda Hospital [People's Republic of China]

Jianying Ma Shanghai Zhongshan Hospital [People's Republic of China]

Dougal McClean Christchurch Hospital [New Zealand ]

Pil-Ki Min Gangnam Severance Hospital [Korea]

Sinnathurai Mithrakumar Lanka Hospitals Corporation [Sri Lanka]

Chaowei Mu Fuwai Hosptial [People's Republic of China]

Steven P. Marso UTSW Medical Center [USA]

Manokar Panchanatham Sri Ramachandra Unversity [India]

Hun Sik Park Kyungpook National University Hospital [Korea]

Ajith Ananthakrishna Pillai Jipmer Pondicherry [India]

Zhaohui Qiu Shanghai Tongren Hospital [People's Republic of China]

V. Surya Prakasa Rao Apollo Hospitals [India]

Fuxian Ren Puyang Oilfield General Hospital [People's Republic of China]

Seung-Woon Rha Cardiovascular Center, Korea University Guro Hospital [Korea]

Zhenchi Sang Shanghai Putuo District Central Hospital [People's Republic of China]

Jae-Bin Seo Boramae Medical Center [Korea]

Priyen Kantilal Shah Apollo Hospitals [India]

Lei Song Fuwai Hosptial [People's Republic of China]

Aurel Toma Medical University of Vienna [Austria]

Wasan Udayachalerm Chula Hospital [Thailand]

Rajasekhar Varada Yashoda Hospitals [India]

Gerald S. Werner Klinikum Darmstadt [Germany]

Bin Yang Shanxi Cardiovascular Hospital [People's Republic of China]

Gerald Yong Royal Perth Hospital [Australia]

Young Won Yoon Gangnam Severance Hospital [Korea]

Danqing Yu Guangdong General Hospital[People's Republic of China]

Yuchen Zhang Beijing Anzhen Hospital [People's Republic of China]

Jie Zhao Beijing Fuwai Hospital [People's Republic of China]

Faculty Members Faculty Members

(Alphabetical order as of June 6, 2019)

Japanese Faculty MembersJiro Ando The University of Tokyo Hospital

Kazuhiro Ashida Seirei Yokohama Hospital

Kenichi Fujii Kansai Medical University

Shinya Fujita Kusatsu Heart Center

Ichiro Hamanaka Rakuwakai Marutamachi Hospital

Keiichi Igarashi Hanaoka Hanaoka Seishu Memorial Cardiovascular Hospital

Hiroaki Hirase Takaoka Minami Heart Center

Junko Honye Kikuna Memorial Hospital

Fumitaka Hosaka Okamura Memorial Hospital

Shingo Hosogi Hosogi Hospital

Shozo Ishihara Mimihara General Hospital

Yoshiaki Ito Saiseikai Yokohamashi Tobu Hospital

Hiroki Kamiya Gifu Heart Center

Yoshifumi Kashima Sapporo Cardio Vascular Clinic

Hiromasa Katoh Fukui Prefectural Hospital

Kenji Kawajiri Matsubara Tokushukai Hospital

Tomohiro Kawasaki Shin-Koga Hospital

Nozomu Kawashima Sapporo Orthopaedics and Cardiovascular Hospital

Yoshihisa Kinoshita Toyohashi Heart Center

Tomoko Kobayashi Kyoto Katsura Hospital

Yuichi Kobori Todachuo General Hospital

Tetsuo Matsubara Toyohashi Heart Center

Susumu Matsuda National Hospital Organization Hamada Medical Center

Shunsuke Matsuno The Cardiovascular Institute

Masatoshi Miyahara Mie Heart Center

Makoto Muto Saitama Prefectural Cardiovascular and Respiratory Center

Wataru Nagamatsu Hokusetsu General Hospital

Masakazu Nagaoka Ebina General Hospital

Shigeru Nakamura Kyoto Katsura Hospital

Yasunori Nishida Takai Hospital

Yuichi Noguchi Tsukuba Medical Center Hospital

Yoichi Nozaki Hokko Memorial Hospital

Yuji Oikawa The Cardiovascular Institute

Hisayuki Okada Seirei Hamamatsu General Hospital

Masaharu Okada Shiga General Hospital

Shinya Okazaki Juntendo University

Hiroki Sakamoto Shizuoka General Hospital

Masami Sakurada Tokorozawa Heart Center

Yoshitane Seino Hoshi General Hospital

Makoto Sekiguchi Fukaya Red Cross Hospital

Takeshi Serikawa Fukuoka Wajiro Hospital

Yoshisato Shibata Miyazaki Medical Association Hospital

Kenichiro Shimoji Saiseikai Utsunomiya Hospital

Satoru Sumitsuji Osaka University

Takahide Suzuki Asahikawa-Kosei General Hospital

Yoriyasu Suzuki Nagoya Heart Center

Tohru Takahashi Akita Prefectural Hospital OrganizationAkita Cerebrospinal and Cardiovascular Center

Yoshihiro Takeda Rinku General Medical Center

Kaname Takizawa JCHO Sendai Hospital

Masaki Tanabe Koto Memorial Hospital

Hiroyuki Tanaka Kurashiki Central Hospital

Yoshito Yamamoto Iwaki Kyouritsu General Hospital

Yoshinori Yasaka Himeji Cardiovascular Center

Ryohei Yoshikawa Sanda City Hospital

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International Faculty MembersAli Al Sayed Al Zahra Hospital [Lebanon]

Sharat Anam MaxCure Hospital [India]

Justin Ardill Flinders Private Hospital [Australia]

Alexandre Avran Institut Arnault Tzanck [France]

Tamer Badie Cambelltown Hospital [Australia]

Jang-Whan Bae College of Medicine, Chungbuk National University [Korea]

Rajeev Bharadwaj Indira Gandhi Medical College [India]

Andrew Boyle John Hunter Hospital [Australia]

Matthew Brooks Royal Melborne Hospital [Australia]

Jianhua Cai Wuhan Asia Heart Disease Hospital[People's Republic of China]

In Ho Chae Seoul National University Bundang Hospital [Korea]

Kapil Challawar Apollo Hospitals [India]

Zhujun Chen Guangdong General Hospital [People's Republic of China]

Jae Young Cho Wonkang University Hospital [Korea]

Jung Rae Cho Kangnam Sacred Heart Hospital Hallym University [Korea]

Shashanka Chunduri Omni RK Hospital [India]

Meeraji Rao Dandangi Continental Hospital [India]

Edward Danson Wollogong Hospital [Australia]

Debarata Dash NMC Speciality Hospital [UAE]

Rustem Dautov The Prince Charles Hospital [Australia]

Manjunath Desai Goa Medical [India]

Zhimin Du Sun Yat-Sen University, First Affiliated Hospital[People's Republic of China]

Michael Fryer Sunshine Coast University Hospital [Australia]

Junbo Ge Zhongshan Hospital, Fudan University [People's Republic of China]

Lei Ge Zhongshan Hospital, Fudan University [People's Republic of China]

Jimmy George Lisie Heart Institute, Lisie Hospital [India]

Irfan Khan Hamid Khan LH Hiranandani Hospital [India]

Yuquan He Sino-Japanese Friendship Hospital of Jilin University [People's Republic of China]

Hweung Kon Hwang Konkuk University Hospital [Korea]

Pannala Lakshmi Narasimha Kabardy Apollo Hospitals [India]

Arun Kalyanasundaram Promed Hospital [India]

Anek Kanoksilp Central Chest Institute of Thailand [Thailand]

Hsien-Li Kao National Taiwan University Medical School & Hospital [Taiwan, R.O.C.]

Wirash Kehasukcharoen Central Chest Institute of Thailand [Thailand]

Byeong-Keuk Kim Yonsei University Severance Hospital [Korea]

Dae-Won Kim The Catholic University of Korea, Daejeon St. Mary's Hospital [Korea]

Do Hoi Kim UVIS General Hospital [Korea]

Dong-Bin Kim The Catholic University of Korea, Bucheon St. Mary's Hospital [Korea]

Hee Yeol Kim The Catholic University of Korea, Bucheon St. Mary's Hospital [Korea]

Kee-Sik Kim Daegu Catholic University Medical Center [Korea]

Moo Hyun Kim Dong-A University Medical Center [Korea]

Mitesh Kumar St Philomenas Hospital [India]

Nae-Hee Lee Soonchunhyang University Bucheon Hospital [Korea]

Pil-Hyung Lee Asan Medical Center [Korea]

Seung-Whan Lee Asan Medical Center [Korea]

Chunjian Li Jiangsu People's Hospital [People's Republic of China]

Gongxin LiZhujiang Hospital of Southern Medical University [People's Republic of China]

Jifu LiQilu Hospital of Shandong University [People's Republic of China]

Zhanquan LiLiaoning Provincial People's Hospital [People's Republic of China]

Soo Teik Lim National Heart Centre Singapore [Singapore]

Jinghua Liu Beijing Anzhen Hospital [People's Republic of China]

Shih-Chi Liu Fu Jen University Hospital [Taiwan, R.O.C.]

Simon Lo Gleneagles Penang Hospital [Malaysia]

Sidney Tsz Ho Lo Liverpool Hospital [Australia]

Adrian Low National University of Singapore [Singapore]

Mingyu Lu Peking University People's Hospital [People's Republic of China]

Bo Luan The People's Hospital of Liaoning Province [People's Republic of China]

Jianfang Luo Guangdong General Hospital [People's Republic of China]

Genshan Ma Zhongda Hospital [People's Republic of China]

Jianying Ma Shanghai Zhongshan Hospital [People's Republic of China]

Dougal McClean Christchurch Hospital [New Zealand ]

Pil-Ki Min Gangnam Severance Hospital [Korea]

Sinnathurai Mithrakumar Lanka Hospitals Corporation [Sri Lanka]

Chaowei Mu Fuwai Hosptial [People's Republic of China]

Steven P. Marso UTSW Medical Center [USA]

Manokar Panchanatham Sri Ramachandra Unversity [India]

Hun Sik Park Kyungpook National University Hospital [Korea]

Ajith Ananthakrishna Pillai Jipmer Pondicherry [India]

Zhaohui Qiu Shanghai Tongren Hospital [People's Republic of China]

V. Surya Prakasa Rao Apollo Hospitals [India]

Fuxian Ren Puyang Oilfield General Hospital [People's Republic of China]

Seung-Woon Rha Cardiovascular Center, Korea University Guro Hospital [Korea]

Zhenchi Sang Shanghai Putuo District Central Hospital [People's Republic of China]

Jae-Bin Seo Boramae Medical Center [Korea]

Priyen Kantilal Shah Apollo Hospitals [India]

Lei Song Fuwai Hosptial [People's Republic of China]

Aurel Toma Medical University of Vienna [Austria]

Wasan Udayachalerm Chula Hospital [Thailand]

Rajasekhar Varada Yashoda Hospitals [India]

Gerald S. Werner Klinikum Darmstadt [Germany]

Bin Yang Shanxi Cardiovascular Hospital [People's Republic of China]

Gerald Yong Royal Perth Hospital [Australia]

Young Won Yoon Gangnam Severance Hospital [Korea]

Danqing Yu Guangdong General Hospital[People's Republic of China]

Yuchen Zhang Beijing Anzhen Hospital [People's Republic of China]

Jie Zhao Beijing Fuwai Hospital [People's Republic of China]

Faculty Members Faculty Members

(Alphabetical order as of June 6, 2019)

Japanese Faculty MembersJiro Ando The University of Tokyo Hospital

Kazuhiro Ashida Seirei Yokohama Hospital

Kenichi Fujii Kansai Medical University

Shinya Fujita Kusatsu Heart Center

Ichiro Hamanaka Rakuwakai Marutamachi Hospital

Keiichi Igarashi Hanaoka Hanaoka Seishu Memorial Cardiovascular Hospital

Hiroaki Hirase Takaoka Minami Heart Center

Junko Honye Kikuna Memorial Hospital

Fumitaka Hosaka Okamura Memorial Hospital

Shingo Hosogi Hosogi Hospital

Shozo Ishihara Mimihara General Hospital

Yoshiaki Ito Saiseikai Yokohamashi Tobu Hospital

Hiroki Kamiya Gifu Heart Center

Yoshifumi Kashima Sapporo Cardio Vascular Clinic

Hiromasa Katoh Fukui Prefectural Hospital

Kenji Kawajiri Matsubara Tokushukai Hospital

Tomohiro Kawasaki Shin-Koga Hospital

Nozomu Kawashima Sapporo Orthopaedics and Cardiovascular Hospital

Yoshihisa Kinoshita Toyohashi Heart Center

Tomoko Kobayashi Kyoto Katsura Hospital

Yuichi Kobori Todachuo General Hospital

Tetsuo Matsubara Toyohashi Heart Center

Susumu Matsuda National Hospital Organization Hamada Medical Center

Shunsuke Matsuno The Cardiovascular Institute

Masatoshi Miyahara Mie Heart Center

Makoto Muto Saitama Prefectural Cardiovascular and Respiratory Center

Wataru Nagamatsu Hokusetsu General Hospital

Masakazu Nagaoka Ebina General Hospital

Shigeru Nakamura Kyoto Katsura Hospital

Yasunori Nishida Takai Hospital

Yuichi Noguchi Tsukuba Medical Center Hospital

Yoichi Nozaki Hokko Memorial Hospital

Yuji Oikawa The Cardiovascular Institute

Hisayuki Okada Seirei Hamamatsu General Hospital

Masaharu Okada Shiga General Hospital

Shinya Okazaki Juntendo University

Hiroki Sakamoto Shizuoka General Hospital

Masami Sakurada Tokorozawa Heart Center

Yoshitane Seino Hoshi General Hospital

Makoto Sekiguchi Fukaya Red Cross Hospital

Takeshi Serikawa Fukuoka Wajiro Hospital

Yoshisato Shibata Miyazaki Medical Association Hospital

Kenichiro Shimoji Saiseikai Utsunomiya Hospital

Satoru Sumitsuji Osaka University

Takahide Suzuki Asahikawa-Kosei General Hospital

Yoriyasu Suzuki Nagoya Heart Center

Tohru Takahashi Akita Prefectural Hospital OrganizationAkita Cerebrospinal and Cardiovascular Center

Yoshihiro Takeda Rinku General Medical Center

Kaname Takizawa JCHO Sendai Hospital

Masaki Tanabe Koto Memorial Hospital

Hiroyuki Tanaka Kurashiki Central Hospital

Yoshito Yamamoto Iwaki Kyouritsu General Hospital

Yoshinori Yasaka Himeji Cardiovascular Center

Ryohei Yoshikawa Sanda City Hospital

15 16

Cooperative Company

Bronze Supporters

Amgen Astellas Biopharma K.K.

Astellas Pharma Inc.

AstraZeneca K.K.

Bayer Yakuhin, Ltd.

DATE MEDICAL SERVICE CO., LTD.

Heart Organization Co., Ltd.

NIPRO CORPORATION

OrbusNeich Medical K.K.

Sanofi K.K.

WIN INTERNATIONAL CO., LTD.

(As of June 6, 2019)

Diamond Supporter

ASAHI INTECC CO.,LTD.

Gold Supporters



Silver Supporters


TERUMO CORPORATION

KANEKA MEDIX CORPORATION


SHIMADZU CORPORATION

CANON MEDICAL SYSTEMS CORPORATION

Philips Japan, Ltd.

Dates: June 19fri.-20sat. , 2020

Venue: WINC AICHI, Nagoya

The 21st Seminar of Angioplasty of Chronic Total Occlusions

We’ re looking forward to seeing you in ・・・

CTO ClubDates: October 24thu.-26sat. , 2019Venue: Kobe International Exhibition Hall Portopia Hotel, Kobe, Japan

https://cct.gr.jp/2019/

CCT2O19Complex Cardiovascular Therapeutics 2O19

15 16

Cooperative Company

Bronze Supporters

Amgen Astellas Biopharma K.K.

Astellas Pharma Inc.

AstraZeneca K.K.

Bayer Yakuhin, Ltd.

DATE MEDICAL SERVICE CO., LTD.

Heart Organization Co., Ltd.

NIPRO CORPORATION

OrbusNeich Medical K.K.

Sanofi K.K.

WIN INTERNATIONAL CO., LTD.

(As of June 6, 2019)

Diamond Supporter

ASAHI INTECC CO.,LTD.

Gold Supporters



Silver Supporters


TERUMO CORPORATION

KANEKA MEDIX CORPORATION


SHIMADZU CORPORATION

CANON MEDICAL SYSTEMS CORPORATION

Philips Japan, Ltd.

Dates: June 19fri.-20sat. , 2020

Venue: WINC AICHI, Nagoya

The 21st Seminar of Angioplasty of Chronic Total Occlusions

We’ re looking forward to seeing you in ・・・

CTO ClubDates: October 24thu.-26sat. , 2019Venue: Kobe International Exhibition Hall Portopia Hotel, Kobe, Japan

https://cct.gr.jp/2019/

CCT2O19Complex Cardiovascular Therapeutics 2O19

Xarelto 1C 260×180

効能・効果、用法・用量、警告・禁忌を含む使用上の注意等につきましては、製品添付文書をご参照ください。

2018年3月作成

処方箋医薬品（注意ー医師等の処方箋により使用すること）

細粒分包錠

薬価基準収載

L.JP.MKT.XA.07.2016.1165

資材記号 XAR-16-0613

1

























Directors

June 14 Fri. − 15 Sat., 2019［Dates］

［Venue］

WINC AICHI, Nagoya, Japanh t t p s : / / c c t . g r . j p / c t o c l u b /

Supported by Complex Cardiovascular Therapeutics

The 20th Sem

inar of Angioplasty

of Chronic Total

Occlusions

Final

Documents

Occlusions of Chronic Total The 20 · choose the appropriate strategic approach to CTO PCI and lead to success for recanalization of CTO even in non-expert CTO operators. However,