Coronary
Techniques and Lesion Subsets Learning Series
CTO Techniques and Technologies
Episodes
TCT 1264: A Case of High-Risk RCA Calcified Lesions Overcome by MAXROTA (Multi-AXis ROTAblation)
9 min.
Are CTO Skills Useful for Non-CTO Lesions?
12 min.
TCT 1374: An IVUS Guided “Masked” CTO Case: When an Acute Coronary Syndrome Carries CTO Challenges
8 min.
TCT 1331: Minimalistic PCI Using the Tip Detection ADR Technique for CTO
5 min.
TCT 1319: HD-IVUS Guided Tip Detection-Antegrade Dissection and Re-entry (TD-ADR) for Chronic Total Occlusion Percutaneous Coronary Intervention: First Experience Using Commercially Available Equipment Available in North America
14 min.
TCT 1178: Navigating the Uncharted: Innovative Solutions for In-Stent Coronary Chronic Total Occlusions With Impenetrable Caps
4 min.
TCT 1162: Multivessel PCI for CTO With Heavy Calcified Lesion
9 min.
TCT 1163: Complex RCA CTO Solved Retrograde via an Epicardial Collateral
12 min.
My Personal Guide to CTO Retrograde Approach
28 min.
TCT 1262: LAD CTO PCI-Two in One: A Technique to Avoid Ping-Pong
7 min.
TCT 1220: Sequential PCI of a CTO LAD: Investment Procedure
11 min.
TCT 1081: Very High Risk Indicated CTO PCI: Is Mechanical Hemodynamic Support Mandatory?
11 min.
My Guide to Decision Making About Investment Procedures for CTO
14 min.
How Do I Plan and Prepare for Heavily Calcified CTO?
10 min.
TCT 1128: Heavily Calcified CTO RCA, Rotational Atherectomy in Last Remaining Vessel
6 min.
TCT 1595: Heavily Calcified Bifurcating Chronic Total Occlusions
18 min.
How Do I Plan and Prepare for CTO?
10 min.
TCT 1216: Novel Approach to a CTO
12 min.
The Revival of Sub-intimal Tracking and Re-entry
16 min.
The Art of Knuckling
11 min.
How to do Tip Detection Antegrade Wiring (TD-AW) and Dissection Re-entry (TD-ADR)
19 min.
Differential Resistance Wiring
14 min.
Ongoing Trials & What to Watch Out for in 2025
10 min.
This Year’s Highlights in CHIP PCI
10 min.
This Year’s Highlights in CTO PCI
10 min.
Specific Wires for Specific Tasks
5 min.
Polymer Jacketed Wires Are All I Need
6 min.
Ischemic Cardiomyopathy: When and How Should I Revascularize?
17 min.
Antegrade Dissection and Re-entry Is a Dead End
13 min.
Antegrade Dissection and Re-entry Will Grow and Will Improve the Success and Safety of CTO PCI
5 min.
Coronary Keynote Lecture: My Favorite Hacks for Increasing Success in CTO Procedure: Reflections on Imaging, Access, Equipment and Technique
11 min.
Coronary Keynote Lecture: Practical Guide to Use of Imaging and Physiology in Treatment of Treat Chronic Total Occlusions
10 min.
Coronary Keynote Lecture: Essentials of Coronary Graft Interventions Including Acute and Chronic Occlusions
11 min.
Failing With Flair: How to Do an Investment Procedure With STAR
13 min.
I Wired the Collateral But Am Still Failing! Troubleshooting Retrograde Woes in CTO PCI
13 min.
The Road to Success: How I Did My First Retrograde CTO
13 min.
Become a Believer in Antegrade Dissection and Reentry
15 min.
How to Make Wire Escalation More Efficient (Antegrade and Retrograde Cases)
15 min.
Oh No! I’m Subintimal: What Do I Do Now?
11 min.
Coronary Dissection: What to Do and Not to Do Next
13 min.
Wire Across But Nothing Else Will Follow: What Are My Options?
11 min.
When and How Should I Use Microcatheters?
10 min.
How Do I Optimize Support and Delivery?
9 min.
Post CABG Revascularization – Pragmatic Graft Intervention or Native Vessel Reconstruction?
16 min.
CTO and Higher Risk PCI in a HBR Patient: What Should I Be Doing With DAPT +/- Anticoagulation Therapy?
12 min.
It Was Really Stuck, How Did I Get it Out?
8 min.
A Case of Hemodynamic Collapse, How to Run Through Your Checklist
7 min.
How I Now Manage Coronary Perforation
7 min.
The Essential Advanced Skills that All PCI Operators Should Master
14 min.
Difficult Equipment Delivery Algorithm
5 min.
Retrograde: Tips, Tricks, and Troubleshooting in CTO PCI
5 min.
Antegrade: Tips, Tricks, and Troubleshooting in CTO PCI
7 min.
Protected Three Vessel CTO PCI on a Budget
9 min.
New Hole in the Wall
7 min.
Rotablation and Cutting Balloon to Release Stuck Externalized RG3 in an Ostial RCA Occluded 1st Generation DES
10 min.
External Crush in CTO RCA
5 min.
Inravascular Utrasound Guided Controlled Retrograde Tracking After Failed Antegrade Dissection Re-entry
7 min.
PENDING - CT-Guided ADR in a Calcium-Free LAD CTO Segment in a Post-TAVI/Post-CABG Patient
6 min.
Carlino - Voila!
7 min.
Retrograde Stingray Balloon in Reverse Cart Technique
8 min.
Double Instent CTO of the LCx (Including Flush Ostial LCx CTO)
9 min.
A Complex Retrograde CTO PCI of RCA Demonstrating Difficulty Posed by Occluded SVG at the Distal Cap and Troubleshooting the Reverse-CARTA Complex Retrograde CTO PCI of RCA Demonstrating Difficulty Posed by Occluded SVG at the Distal Cap and Troubleshooting the Reverse-CART
11 min.
Malignant Vein Graft Aneurysm and Double CTO Post-Bypass
8 min.
Conus Anchoring for Support
5 min.
Fixing a Complex and Calcified Lesion With LV Support
9 min.