CTO Club

Japanese Session: Simultaneous English interpretation available

Retrograde Summit

Co-sponsored by ASAHI INTECC Co., Ltd., ASAHI INTECC J-sales Co., Ltd., Boston Scientific Japan K. K.

Background

In order to improve the primary success rate of CTO, variety of techniques and devices have been contrived, and retrograde approaches including septal dilation technique invented in 2005 or CART technique enabled to treat conventionally impossible-to-handle CTO lesions with PCI, resulting in providing a dramatic improvement in the primary success rate, which used to be the weak point of CTO-PCI.

Also in recent years, various guidewires for the retrograde approach or “Corsair” catheter were invented and the retrograde approach became more familiar. However, there is a need to introduce how to enforce the retrograde approach securely and effectively because still now, not every CTO practitioners could operate the technique safely.

The purpose of this session is to promote the further improvement of retrograde approach against CTO-PCI, to establish this technique in the more secure and effective way, and to aim to improve the primary success rate in CTO-PCI by attempting appropriate education of the retrograde approach technique.

Date: Saturday, June 12 13:00-17:00

Room: Live Theater

13:00-13:40 Part 1: Clinical Results Update of Retrograde Approach

Chairs: Osamu Katoh, Nicolaus J. Reifart
13:00 From EU
Nicolaus J. Reifart
13:10 From US
TBA
13:20 From Japan
Eisho Kyo
13:30 Discussion

13:40-15:30 Part 2: Lessons from Live Case Transmission

  • Selection of Guiding Catheters
  • Selection of Guidewires and Channels
  • IVUS guide reverse CART
  • DES Implantation for CTO
  • Miscellaneous

Operator: Etsuo Tsuchikane

Sub-operator: Khalid Tammam
Chairs: Osamu Katoh, Takahiko Suzuki
Commentators: Yasumi Igarashi, Toshiya Muramatsu, Yoichi Nozaki, Satoru Otsuji, Masami Sakurada
Mini-lecture: Promus CTO registry
Yasumi Igarashi

15:30-17:00 Part 3: Lessons from failure cases

Chairs: Osamu Katoh, Takahiko Suzuki
Commentators: Mitsunori Abe, Yasushi Asakura, Eisho Kyo, Tetsuo Matsubara, Shigeru Nakamura,
Masahiko Ochiai, Satoru Sumitsuji, Kinzo Ueda, Masahisa Yamane

15:30 CTO with severe calcification
Masahiko Ochiai
15:40 GW position
Mitsunori Abe
15:50 GW crossing for collateral channels
Shigeru Nakamura
16:00 Corsair crossing
Ichiro Hamanaka
16:10 Anticoagulant therapy during retrograde PCI
Satoru Sumitsuji
16:20 CTO at the coronary ostium
Yasushi Asakura
16:30 Ischemia during retrograde PCI
Tetsuo Matsubara
16:40 GW externalization
Masahisa Yamane
16:50 The future direction of retrograde approach
Osamu Katoh
16:55 Closing remarks
Etsuo Tsuchikane