CTO Club

 Course Objectives

Although it is said that PCI technology for CTO lesions has matured, not all problems have been solved yet. Even now, guidewires, microcatheters, and other devices targeting CTO lesions continue to be developed. Therefore, it is incumbent upon us in trying our best to become more proficient with these developing devices in order to further improve our success rates.

While we felt the benefits of online meetings at a time when it was difficult to hold live meetings due to COVID-19, we were reminded that we are able to have more active discussions by watching live case procedures together on the same screen in the same venue. Unless circumstances change, the next CTO Club will be held on-site on June 21-22, 2024.

We hope that CTO Club will become a source of useful information for CTO-PCI. We look forward to seeing you at the 24th CTO Club in Nagoya.

Yuji Oikawa, MD
The 24th CTO Club Representative Course Director


 Course Directors

Maoto Habara
Toyohashi Heart Center

Yuji Hamazaki
Ootakanomori Hospital

Shunsuke Matsuno
The Cardiovascular Institute

Wataru Nagamatsu
Hokusetsu General Hospital

Kenya Nasu
Mie Heart Center

Yuji Oikawa
The Cardiovascular Institute

Atsunori Okamura
Sakurabashi Watanabe Mirai Medical Hospital

Hiroyuki Tanaka
Kurashiki Central Hospital

Takafumi Tsuji
Kusatsu Heart Center

Junji Yajima
The Cardiovascular Institute

Ryohei Yoshikawa
Sanda City Hospital

 International Course Directors

Emmanouil Brilakis
Minneapolis Heart Institute , USA

Jiyan Chen
Guangdong Provincial People's Hospital, Institute of Cardiovascular Diseases , People's Republic of China

Scott Harding
Wellington Hospital , New Zealand

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

Kambis Mashayekhi
Heartcenter Lahr , Germany

Eugene Brian Wu
Prince of Wales Hospital , Hong Kong

 Honorary Co-directors

Yasushi Asakura
Aqua Rehabilitation Hospital

Yasumi Igarashi
Sapporo-Kosei General Hospital

Osamu Katoh

Eisho Kyo
Kusatsu Heart Center

Masahiko Ochiai
Showa University, Northern Yokohama Hospital

Satoru Otsuji
Higashi Takarazuka Satoh Hospital

Takahiko Suzuki
Toyohashi Heart Center

Etsuo Tsuchikane
Toyohashi Heart Center

Kinzo Ueda
Takase Memorial Hospital

Masahisa Yamane
Saitama Sekishinkai Hospital


 International Faculty

Mohamed Ayoub
University Heart Center Bad Oeynhausen , Germany

Chee Yang Chin
National Heart Centre Singapore , Singapore

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

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

Jung-Kyu Han
Seoul National University Hospital , Korea

Brian K. Jefferson
Centennial Hospital , USA

Anek Kanoksilp
Central Chest Institute of Thailand , Thailand

Wirash Kehasukcharoen
Central Chest Institute of Thailand , Thailand

Byeong-Keuk Kim
Yonsei University Severance Cardiovascular Hospital , Korea

Feng Yu Kuo
Kaohsiung Veterans General Hospital , Taiwan, R.O.C.

Jong-Young Lee
Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine , Korea

Jianping Li
Peking University First Hospital , People's Republic of China

Patrick Lim
Khoo Teck Puat Hospital , Singapore

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

Sidney Tsz Ho Lo
Liverpool Hospital , Australia

Muenpetch Muenkaew
Thammasat University Hospital, Pathumthani , Thailand

Taral N Patel
HonorHealth Scottsdale Shea Medical Center , USA

Jie Qian
Fu Wai Hospital , People's Republic of China

Jon Suh
SoonChunHyang University Bucheon Hospital , Korea

Hoyoun Won
Chung-Ang University Hospital , Korea

 Japanese Faculty

Kazuhiro Ashida
Seirei Yokohama Hospital

Takenori Domei
Kokura Memorial Hospital

Masaki Fujita
Edogawa Hospital

Shinya Fujita
Hamamatsu Medical Center

Rei Fukuhara
Hyogo Prefectural Amagasaki General Medical Center

Ichiro Hamanaka
Rakuwakai Marutamachi Hospital

Katsuyuki Hasegawa
Higashi Takarazuka Satoh Hospital

Hiroaki Hirase
Takaoka Minami Heart Center

Fumitaka Hosaka
Okamura Memorial Hospital

Shingo Hosogi
Hosogi Hospital

Yusuke Hosokawa
Nippon Medical School Musashi Kosugi Hospital

Shozo Ishihara
Mimihara General Hospital

Masato Ishikawa
Fujita Health University School of Medicine

Yoshiaki Ito
Saiseikai Yokohama-City Eastern Hospital

Michiya Kageyama
Nasu Red Cross Hospital

Seiji Kano
Mie Heart Center

Yoshifumi Kashima
Sapporo Cardio Vascular Clinic

Hiromasa Katoh
Fukui Prefectural Hospital

Kenji Kawajiri
Matsubara Tokushukai Hospital

Tomohiro Kawasaki
Shin-Koga Hospital

Shunsuke Kitani
Sapporo-Kosei General Hospital

Norihiro Kobayashi
Saiseikai Yokohama-City Eastern Hospital

Tomoko Kobayashi
Kyoto Katsura Hospital

Yuichi Kobori
Toda Chuo General Hospital

Tairo Kurita
Mie University Hospital

Hiroaki Matsuda
Nagoya Heart Center

Koshi Matsuo
Yao Tokushukai General Hospital

Takanobu Mitarai
OOITA OKA Hospital

Mitsunori Mutou
Kikuna Memorial Hospital

Masakazu Nagaoka
Ebina General Hospital

Yuya Nakagawa
Hakodate Medical Association Hospital

Takeshi Niizeki
Okitama Public General Hospital

Yoichi Nozaki
Hokko Memorial Hospital

Hisayuki Okada
Seirei Hamamatsu General Hospital

Masaharu Okada
Omi Medical Center

Shinya Okazaki
Juntendo University School of Medicine

Masaaki Okutsu
New Tokyo Hospital

Makoto Sekiguchi
Fukaya Red Cross Hospital

Takeshi Serikawa
Fukuoka Wajiro Hospital

Kenichiro Shimoji
Saiseikai Utsunomiya Hospital

Yoshinori Shimooka
Hokushinkai Megumino Hospital

Satoru Sumitsuji

Takahide Suzuki
JA Hokkaido Asahikawa Kosei General Hospital

Kaname Takizawa
JCHO Sendai Hospital

Masaki Tanabe
Nozaki Tokushukai Hospital

Takuma Tsuda
Nagoya Ekisaikai Hospital

Tomohiro Yamaguchi
Osaka Metropolitan University Graduate School of Medicine

Masataka Yoshinaga
Fujita Health University


2nd Announcement

 Call for Cases

Theme: "My most challenging CTO PCI case"

 Accepted Cases

Case Competition
Name Institution Case Title
C009 Ying-Chang Tung Linkou Chang Gung Memorial Hospital, Taiwan, R.O.C. Post-bypass RCA Bifurcation CTO PCI
C020 Arun Kalyanasundaram Promed Hospital, India Double CTO, impaired left ventricle and a large perforation - An innovative way to address perforations!
C030 Takushi Sugiyama Dokkyo Medical University Nikko Medical Center, Japan Complex Retrograde CTO-PCI via a saphenous vein graft
C031 Satoshi Suzuki Kindai University Nara Hospital, Japan PCI with tip detetction method for LCX CTO of unknown vascular running
Poster Session
Name Institution Case Title
P-01 C001 Aaron SL Wong National Heart Centre Singapore, Singapore No way to go but .. forward!
P-02 C004 Wittawat Wattanasiriporn Rajavithi Hospital, College of Medicine, Thailand Complete revascularization of LAD and CTO RCA in very high risk NSTEACS
P-03 C005 Shigeki Nishiyama Saitama Sekishinkai Hospital, Japan A case of RCA CTO treated using a direct channel from the LAD apex
P-04 C007 Masataka Yoshinaga Fujita Health University Hospital, Japan Pre-procedure Virtual Reality Guide Catheter Simulation led to successful PCI in a case of CTO of an anomalous origin RCA with nearly identical orifice originating near the left coronary artery origin
P-05 C010 Ayaka Kimura Shuuwa General Hospital, Japan A case of successful treatment by cutting with DCA into the false lumen in the plaque and completing the treatment with DCB for chronic complete occlusion lesion in the left anterior descending branch
P-06 C012 Yasuaki Koga Oita Prefectural Hospital, Japan A case in which GP-Lock was effective in treating a chronic occlusive lesion of the right coronary artery with abnormal origin
P-07 C013 Narathip Chunhamaneewat Siriraj Hospital, Mahidol University, Thailand Everything everywhere all at once: CTO PCI, LM PCI, IVUS and RotaCut
P-08 C016 Ryusuke Yamamoto Takaoka Minami Heart Center, Japan A case of LCx CTO treated with TD-ADR
P-09 C017 Shoji Kawakami Aso Iizuka Hospital, Japan A case of a CTO with severe calcification successfully passed through a guidewire Astato 9-40
P-10 C019 Dhananjay Kumar Bhagwan Mahair Medica Superspeciality Hospital, India Calcified LAD cto anterogade pci using rota-ablasion at LM trifurcation
P-11 C022 Yutaka Tadano Sapporo Cardio Vascular Clinic, Japan Minimalistic approach combined with tip-detection antegrade dissection and reentry in chronic total occlusion intervention
P-12 C025 Takayuki Ishihara Kansai Rosai Hospital, Japan Successful Percutaneous Coronary Intervention for Chronic Total Occlusion in Left Anterior Descending Artery with Intravascular Ultrasound Guidance and Directional Coronary Atherectomy
P-13 C026 Kiwamu Sudo Sakurabashi Watanabe Hospital, Japan A case of LCx CTO with severe calcified lesion
P-14 C027 Jin Jung The Catholic University of Korea, Korea Successful CTO PCI with large burr rotational atherectomy from recurrent ISR due to severe calcification
P-15 C028 Isamu Fukuizumi Nippon Medical School Musashikosugi Hospital, Japan A RCA CTO re-try case failed due to rare event
P-16 C029 Shinichiro Masuda Ageo Central General Hospital, Japan Successful Recanalization for Chronic Total Occlusion in Left Circumflex Artery with a Large Bifurcation Angle by Using Steerable Microcatheter


  • Pre-Registration Period: Tuesday, March 19 – Friday, June 7, 2024
  • On-Site Registration Period: Saturday, June 8– Saturday, June 22, 2024

*The 24th CTO Club is using a registration system of “Heartmeetings-plus.com”. You are required to create your user account at Heartmeetings-plus.com in order to complete registration.

Pre-Registration Fee (by Friday, June 7, 2024)
Medical JPY 20,000
Co-medical JPY  2,000
Industry JPY 20,000
On-site Registration Fee (from Saturday, June 8, 2024)
Medical JPY 25,000
Co-medical JPY  3,000
Industry JPY 25,000

Visa Information

You may be required a visa to enter Japan. It varies by nationality.
Please contact your local embassy or consulate of Japan and process your visa if necessary. We recommend you to have enough time for the visa procedure.
You could also obtain some information about the visa to enter Japan from the Ministry of Foreign Affairs of Japan Website (http://www.mofa.go.jp/j_info/visit/visa/index.html).

Invitation Letter

On request, CTO Club is pleased to offer a letter of invitation to participate in the 24th CTO Club. If you need the invitation letter and other documents for VISA application, please contact CTO Club Administration Office (cto@uproses.co.jp) with your registration number by May 31.
Please note that this letter of invitation does not commit CTO Club to any financial supports with regard to your attendance at the 24th CTO Club.
*24,200 JPY per person will be charged to issue the visa application documents other than the invitation letter.





JTB Corp. Western Japan MICE Branch
The 24th CTO Club Desk

JTB Bldg. 6F, 2-1-25, Kyutaro-machi Chuo-ku Osaka 541-0056
E-mail: westec_op3@jtb.com
Office Hours: 9:30-17:30 (weekdays only)

 Future Meetings

CTO Club supported by Complex Cardiovascular Therapeutics

The 25th CTO Club in 2025
June 13 Fri. – 14 Sat., 2025

Complex Cardiovascular Therapeutics (CCT)

October 24 Thu. - 26 Sat., 2024
Kobe International Exhibition Hall, Portopia Hotel, Kobe, Japan