EUROACTOS 2025

Registration & Welcome brunch

Session I: "Diving into the live case 1"

Course Leader: Andrea Gagnor, Manfredi Arioti, Jorge Sanz Sanchez

• Cathlab organization and set up
• Angio first look
• Procedural planning
• Guidewire: basics and application
• “AWE pearl” from the expert
• “ADR pearl” from the expert

“Key topics and techniques: Parallel wire, Device based ADR, Move the cap, Carlino, IVUS guided re-entry”

Session II: "Diving into the live case 2"

Course Leader: Andrea Gagnor, Manfredi Arioti, Jorge Sanz Sanchez

• Angio first look
• Procedural planning
• Guidewires best choice to navigate into collaterals
• Microcatheters: basics and application
• “RWE & RDR pearl” from the expert
• Close the circle

“Key topics and techniques: reverse CART, Knuckle, Guidewire externalization, Septal crossing, Epicardial navigation, Tip-in, Snaring”

Registration

Session I: "From Istanbul to Rotterdam"

Chair: Roberto Diletti, Kambis Mashayekhi
Panel: Felix Woitek, Jaroslaw Wojcik, Sudhir Rathore, Ömer Göktekin
Discussants: Wijnand den Dekker, Koen Teeuwen, Mehmet Erturk, Björn Billmann
Young Facilitator: Pierfrancesco Agostoni

Welcome

EUROCTO Today: Building European Alliances in CTO Science, Education & Club Culture

LIVE CASE 1 - Amsterdam

How to do TDADR: Step by Step

LIVE CASE 2 - Sapporo: TDADR from Sapporo Heart Center

Cutting-Edge CTO Research: Is procedural outcome dependent on target vessel in proximal CTO PCI?

CTO Xperience: Learning from the past to build a successful CTO program

Poster Presentations I

Poster #1

Poster #2

Poster #5

Poster #6

Session II: "MCS in patients with CTOs"

Chair: Andrea Gagnor, Mohamed Ayoub
Panel: Myron Zaczkiewicz, Alexander Bufe, Nenad Bozinovic, Mohaned Egred
Discussants: Bas Scholzel, Sina Porouchani, Mihajlo Kovacic, Mohamed Aymen, Ben Abdessalem
Young Facilitator: Gorgulu Sevket

LIVE CASE 3 - Amsterdam

Tuomas Rissanen & Maksymilian Opolski

LIVE CASE 4 - Amsterdam

Andrew Ladwiniec & Gregor Leibundgut

CTO Xperience: MCS question marks: When, Why, How to use it

Valentina Cagnetta Domass & Carlo Zivelonghi

MCS in CTO PCI from evidence to strategy

Cutting-Edge CTO Research: Use of Mechanical circulatory Support in CTOPCI: The EuroCTO Consensus on MCS

Registration & Welcome brunch

Case Session I

Chair: Jo Dens, Carlo Tumscitz
Discussants: Novotny Vojtech, Valentina Cagnetta Domass, Shamim Rahman

'Rotation Overlap Method' for Angiographic 3D wiring without needing Orthogonal Projections

IVUS guided wiring with stick and swap technique for a CTO lesion with unclear distal path

Native LCx proximal in-stent CTO IVUS guided PCI in a patient with CABG who have diffuse disease of saphenous graft to OM

Recanalization of heavily calcified and uncrossable CTO using excimer laser

Open your eyes and follow the truth

A flush ostial LAD in-stent CTO in a CABG patient who occur LIMA failure

Session III: "IVUS in CTO PCI"

Chair: Roberto Garbo & Anja Oksnes
Panel: Pietro Mazzarotto, Dace Sondore, Leszek Bryniarski, David Rutigliano
Discussants: Maarten van Leeuwen, Bimmer Claessen, Larionov Anatolii, Artis Kalnins
Young Facilitator: Stephan Carlier

LIVE CASE 5 - Rotterdam

Roberto Diletti & Pierfrancesco Agostoni

LIVE CASE 6 - Amsterdam

Nicolas Boudou & Alexandre Avran

Cutting-Edge CTO Research: IVUS in CTO PCI: Insights from the Euro-CTO Registry

CTO Xperience: Open Discussion: Overcoming Challenges with IVUS in CTO Treatment

Jorge Sanz Sanchez

IVUS-controlled re-entry

Beyond IVUS and OCT: Redefining Intravascular Visualization in CTO-PCI

Poster Presentations II

Poster #7

Poster #8

Poster #9

Poster #10

Session IV: "BEST OF CTO PUBLICATIONS"

Chair: Carlo Di Mario, Evald Christansen
Panel: Gerald Werner, Juan Luis Gutierrez-Chico, Alfredo R. Galassi, Chan Yu Ho

JACC Interventions

Euro Interventions

Circ Interventions

CCI

General Assembly Euro CTO Club

Session V: "Joint Session with CTO Essentials on Complications Management"

Chair: Ömer Göktekin, Mohamed Sobhy
Panel: Amr Elhadidy, Ahmed Magdy, Hakan Uçar, Bashir Hanif
Discussants: Mahmut Uluganyan, Meruzhan Saghatelyan, Mohsen Mohandes, Nitin Sood
Young facilitator: Yasser Sadek

"Plugging the Leak" technical appraches to perforation control

"Stuck in the Challenge" management of material entrapment

"Collateral damage" Prevention and management of donor vessel complications

Case in a Box

Session VI: "Re-entry techniques in CTO PCI"

Chair: Elliot Smith, Daniel Weilenmann
Panel: Ahmed El Guindy, Sinisa Stojkovic, Novotny Vojtech, Alessio La Manna
Discussants: Aigars Lismanis, Alexander den Hartog, Eugenio La Scala, Rostislav Prog
Young facilitator: Jo Dens

LIVE CASE 7 - Amsterdam

LIVE CASE 8 - Rotterdam

CTO Xperience: Open Discussion: Re-entry strategies in CTO PCI (Parallel wire, ADR, HDR, IVUS based)

Is there room for improvement in the Global CTO crossing algorithm? – one year of experience using HDR as an upfront antegrade strategy

Protecting what matters: Reducing radiation without comprimising outcomes

Session VII: "Calcified CTO lesions"

Chair: Alexandre Avran, Pierfrancesco Agostoni
Panel: Adriaan Kraaijenveld, Carlo Tumscitz, Laurent Drogoul, Maurits Dirksen
Discussants: Jan-Peter van Kuijk, Simon Wilson, Jose Montero, Mehmet Erturk
Young facilitator: Claudiu Ungureanu

LIVE CASE 9 - Rotterdam

LIVE CASE 10 - Amsterdam

Cutting-Edge CTO Research: Calcific plaque modification devices for chronic total occlusions percutaneous coronary interventions: Trends and outcomes in the ERCTO registry

CTO Xperience: Open discussion: Managing Coronary Calcium: A Case-Based Discussion with Experts

Safety and performance of a new-generation sirolimus-eluting stent in complex percutaneous coronary interventions – interim subgroup analysis in chron

Case Session II

Chair: Pietro Mazzarotto, Hussein Sliman
Discussants: Nenad Bozinovic, Juan Luis Gutierrez-Chico, Shamim Rahman

Hybrid Strategy for a Hybrid Lesion: Tackling a chronic occlusion at the venous graft anastomosis

Retrograde RCA CTO with ambiguous cap successful intervention from completely occluded saphenous vein graft after failed septal crossing

A six hours CTO odyssey

A Time Bomb

Donor Vessel Microcatheter Rupture During CTO-PCI Causing Hemodynamic Collapse: A Coil of the Coil Issue

Success around the corner: Ostial circumflex CTO in arrhythmic storm and severe ventricular disfunction

Session VIII: "To stent or not to stent a CTO"

Chair: Gerald Werner, Tuomas Rissanen
Panel: Lesiak Maciej, Luca Grancini, Robert Jan van Geuns, Jurij Avramovic
Discussants: Sergey Furkalo, Tim Schäufele, Mustafa Kursat Tigen, Olli-Pekka Piira
Young Facilitator: Gregor Leibundgut

LIVE CASE 11 - Amsterdam

LIVE CASE 12 - Amsterdam

Cutting-Edge CTO Research: Drug-coated balloons in the European Registry of Chronic Total Occlusion (ERCTO)

CTO Xperience: Next-Gen live questions on DCB - Pros and cons

Val-CTO registry: Insights from a tertiary center in Spain

Closing Remarks

Rostislav Prog

Kempen, Germany

Stylianos Pyxaras

Fürth, Germany

Shamim Rahman

Birmingham, UK

Sunil Rao

New York, United States

Sudhir Rathore

Camberley, United Kingdom

Tuomas Rissanen

Joensuu, Finland

Davide Rutigliano

Bari, Italy

Yasser Sadek

Cairo, Egypt

Meruzhan Saghatelyan

Yerevan, Armenia

Jorge Sanz Sanchez

Valencia, Spain

Luis Savastano

San Francisco, United States

Tim Schäufele

Stuttgart, Germany

Bas Schölzel

Den Haag, The Netherlands

Georgios Sianos

Sharjah, United Arab Emirates

Hussein Sliman

Haifa, Israel

Elliot Smith

London, United Kingdom

Mohamed Sobhy

Alexandria, Egypt

Dace Sondore

Riga, Latvia

Nitin Sood

Völklingen, Germany

Sinisa Stojkovic

Belgrad, Serbien

Yutaka Tadano

Sapporo, Japan

Koen Teeuwen

Eindhoven, The Netherlands

Carlo Tumscitz

Ferrara, Italy

Hakan Uçar

Istanbul , Türkiye

Mahmut Uluganyan

Istanbul, Türkiye

Claudiu Ungureanu

La Louvière, Belgium

Guiseppe Vadala

Palermo, Italy

Robert-Jan van Geuns

Nijmegen , The Netherlands

Jan Peter van Kuijk

Niewegein, The Netherlands

Maarten van Leeuwen

Zwolle, The Netherlands

Michele Viscusi

Amsterdam, The Netherlands

Daniel Weilenmann

St. Gallen, Switzerland

Gerald Werner

Frankfurt, Germany

Adriaan Wilgenhof

Aalst, Belgium

Simon Wilson

London , United Kingdom

Felix Woitek

Dresden, Germany

Jaroslaw Wójcik

Lublin, Poland

Myron Zaczkiewicz

Lahr , Germany

Carlo Zivelonghi

Antwerp, Belgium