Scientific Program

08:00
10:40

07:00  Registrations

SESSION 1 – CTO PCI BASICS

Chairman: James Spratt
Panelists: Emmanouil Brilakis – Nicolaus Reifart – Mike Wyman

Provoker: Alexandre Avran

08:00  Introduction Alexandre Avran and Stéphane Rinfret
08:10  Why should we treat CTOs: impact on ischemia and LV function – Christopher Buller
08:30  Recent trials on CTO PCI: should it change practice? – Stéphane Rinfret
08:40  Coronary angiography in planning for CTO PCI – Laurent Quilliet
08:50  CTO angiographic analysis: scoring systems and algorithms – Marouane Boukhris
09:00  Requirements for initiation of CTO PCI program: Tools and set up – Thomas Hovasse

09:00 LIVE CASE #1

Long proximal LCx CTO with ipsilateral and controlateral visualization

 

 

Operators : William Nicholson, MD – Khalid Tammam, MD
IVUS commentator : Stéphane Carlier, MD

 

09:10 Live case Clinical presentation
09:20 Starting procedure

 

Parallel case-in-box
Wake up or close: tips & tricks for complications – Risto Jussila

10:10 Vascular access and guide selection for CTO PCI – Khaldoon Alaswad
10:20 Essential basic maneuvers for CTO PCI – Colm Hanratty
10:30  How to prevent common complications? – Javier Escaned
10:40  Radioprotection and contrast management – Nicolaus Reifart

10:50

Coffee break

11:15
13:10

SESSION 2 – ANTEGRADE CTO PCI BASICS

Chairman: Colm Hanratty
Panelists: Khaldoon Alaswad – Jo Dens – Javier Escaned

Provoker: Christopher Buller

11:15  Antegrade strategy with sequential wire escalation – James Spratt
11:30  Modern parallel wire technique – Daniel Weilenmann

11:45 LIVE CASE #2

Dominant LCx CTO with septal collateral channels

 

 

Operators : Satoru Sumitsuji, MD – Nicolas Boudou, MD
IVUS commentator : Stéphane Carlier, MD

 

11:45  Live case Clinical presentation
12:00  Starting procedure

 

Parallel case-in-box
Dangerous curves – Lorenzo Azzalini

13:00  How and when to use dual-lumen catheters – Nicolas Lhoest
13:10  How to improve guide catheter support – Benjamin Faurie

13:20

Lunch on Hyatt Terrace

14:30
18:05

SESSION 3 – RETROGRADE CTO PCI BASICS

Chairman: Benjamin Faurie
Panelists: Alexander Bufe – Artis Kalnins – Khalid Tammam

Provoker: Khaldoon Alaswad

14:30  Retrograde approach: step-by-step instructions – William Nicholson

14:45 LIVE CASE #3

Long mid RCA CTO with a good landing zone

 

 

Operators : Emmanouil Brilakis, MD – Michael Wyman, MD
IVUS commentator : Stéphane Carlier, MD

 

14:45 Live case Clinical presentation
15:00 Starting procedure

 

Parallel case-in-box
Ipsilateral epicardial retrograde CTO PCI over single radial access – Gregor Leibundgut

16:00  Reverse-CART technique – Masahisa Yamane
16:15  Dissection technique using knuckled wires: use and indication – Elliot Smith
16:25 Externalization and snaring techniques – Satoru Sumitsuji

16:40

Coffee break

Chairman: Stéphane Rinfret
Panelists: Sébastien Levesque – Sudhir Rathore – Masahisa Yamane

Provoker: Benjamin Faurie

17:10 INDUSTRY SESSION

17:30 “How would you approach that CTO?” An interactive session

Presenters : Sébastien Levesque and Masahisa Yamane

17:50
Debate: Tip injection should always be used to guide septal collateral crossing?
Pro : Sudhir Rathore
Con : Stéphane Rinfret

 

18:05 MLCTO career achievement interview with Dr Heinz Joachim Büttner

18:15

Closing remarks

20:30

ML CTO Dinner
at the Restaurant & Bar Lounge du Passable

(15, chemin de Passable, 06230 Saint-Jean-Cap-Ferrat)

Shuttles available from the Palais
de la Meditérranée (from main entrance venue) between 7:30 and 8:00pm
Dress code: History of Rock

Exclusive on Incathlab.com

Digital Extra of the Day

Lecture of Dr Antonio Serra : BVS implantation in chronically occluded vessels
bit.ly/mlctoDED

08:30
10:30

08:00  Registrations

SESSION 1 – ADVANCED ANTEGRADE TECHNIQUES

Chairman: Elliot Smith
Panelists: Marouane Boukhris – Omer Goktekin – Daniel Weilenmann

Provoker: Christopher Buller

08:30  Microcatheter overview: how to choose and use – Paul Knaapen
08:45  When you cannot cross the proximal cap with a microcatheter – Jonathan Hill

09:00 LIVE CASE #4

Dominant LCx CTO with ipsilateral collateral channels

 

 

Operators : Kambis Mashayekhi, MD – Alexander Bufe, MD
IVUS commentator : Stéphane Carlier, MD

 

09:00 Live case Clinical presentation
09:10 Starting procedure

 

Parallel case-in-box
Wire escalation tips & tricks -Thierry Lefèvre

10:30

Coffee break

11:00
13:30

SESSION 2 – ADVANCED PROCEDURAL GUIDANCE AND COMPLICATIONS MANAGEMENT

Chairman: Christopher Buller
Panelists: Heinz Joachim Büttner – Nicolas Lhoest – Khalid Tammam

Provoker: Stéphane Rinfret

11:00  IVUS during CTO PCI – Roberto Garbo
11:15 Principles of contrast modulation techniques – Mauro Carlino

11:30 LIVE CASE #5

Ostial LAD CTO with short left main and ipsilateral and contralateral collateral channels

 

 

Operators : Masahisa Yamane, MD – Alexandre Avran, MD
IVUS commentator : Stéphane Carlier, MD

 

11:30 Live case Clinical presentation
11:40 Starting procedure

 

Parallel case-in-box
RCA ostial CTO and snaring – Andrea Gagnor

13:00  How to manage ambiguous proximal cap without a retrograde option – Alexander Bufe
13:15  How to manage CTO PCI complications – Emmanouil Brilakis
13:30  Perforations: the complete toolbox and how to use it – Kambis Mashayekhi

13:45

Lunch on Hyatt Terrace

14:45
17:45

SESSION 3 – BASICS IN ANTEGRADE DISSECTION RE-ENTRY

Chairman: Max Amor
Panelists: Yangsoo Jang – Sanjog Kalra – Nicolaus Reifart

Provoker: Kambis Mashayekhi

14:45  Toolbox for effective dissection re-entry techniques – Jonathan Hill

15:00 LIVE CASE #6

LCx CTO with ambiguous proximal cap

 

 

Operators : Roberto Garbo, MD – Andrea Gagnor, MD
IVUS commentator : Stéphane Carlier, MD

 

15:00 Live case Clinical presentation
15:10 Starting procedure

 

Parallel case-in-box
Heavily calcified distal RCA CTO uncrossable with device neither retrogradely nor anterogradely – Meruzhan Saghatelyan

16:30

Coffee break

Chairman: Alexander Bufe
Panelists: Georges Sianos – Mauro Carlino – Paul Knaapen

Provoker: Thierry Lefèvre

17:00 INDUSTRY SUPPORTED SESSION

17:15 Device-based ADR: step-by-step instructions – Michael Wyman
17:30 Wire-based ADR: bailout indications and Mini-Star technique – Alfredo Galassi

17:45 “How would you approach that CTO?” An interactive session

Presenters: Lorenzo Azzalini and Mauro Carlino

18:00
19:00

SESSION 4 – CTO PCI FOR FELLOWS

Chairman: Alexandre Avran
Panelists: Nicolas Boudou – Emmanouil Brilakis – Stéphane Rinfret

18:00  The hybrid algorithm: choosing the right approach – Emmanouil Brilakis

18:15

Case presentations

18:45 The new Jedi meets Yoda: Q&A session
All Faculty members

19:00

Closing remarks

Exclusive on Incathlab.com

Digital Extra of the Day

Lecture of Dr Daniel Weilenmann : Management of septal complications
bit.ly/mlctoDED

08:30
10:55

SESSION 1 – RETROGRADE ADVANCED STRATEGIES

Chairman: Alfredo Galassi
Panelists: Philippe Durand – Andrea Gagnor – William Nicholson

Provoker: Elliot Smith

08:30  Solution for difficult retrograde re-entry – Yangsoo Jang

08:45 LIVE CASE #7

Blunt mid RCA CTO

 

 

Operators : Georges Sianos, MD – Jonathan Hill, MD
IVUS commentator : Stéphane Carlier, MD

 

08:45 Live case Clinical presentation
09:00 Starting procedure

 

Parallel case-in-box
Late acquired malapposition and sub-occlusive restenosis after reverse CART for ostially occluded LAD – Erion Xhepa

10:15 Wire crosses septal channel but microcatheter doesn’t follow: what to do? – Khalid Tammam
10:30  Retrograde approach through epicardial collateral channels – Kambis Mashayekhi
10:45  Ping-pong technique for retrograde approach – Nicolas Boudou

10:55

Coffee break

11:25
13:45

SESSION 2 – ANTEGRADE DISSECTION RE-ENTRY ADVANCED STRATEGIES

Chairman: Jonathan Hill
Panelists: Kambis Mashayekhi – Satoru Sumitsuji – Mike Wyman

Provoker: Alexandre Avran

11:25 “How would you approach that CTO?” An interactive session

Presenters: Kambis Mashayekhi and Alexandre Avran

11:45 Difficult ADR situations: how to handle? – Colm Hanratty
12:00 How to deal with ostial RCA CTOs – Alexandre Avran

12:15 LIVE CASE #8

RCA CTO with good landing zone

 

 

Operators : Christopher Buller, MD – James Spratt, MD
IVUS commentator : Stéphane Carlier, MD

 

12:15 Live case Clinical presentation
12:30 Starting procedure

 

Parallel case-in-box
Multivessel Disease with double CTO – Eugenio La Scala

13:45

Lunch on Hyatt Terrace

14:50
18:00

SESSION 3 – DIFFICULT CTO PCI, COSTS AND OUTCOMES

Chairman: Masahisa Yamane
Panelists: Max Amor – Laurent Drogoul – Risto Jussila

Provoker: Jonathan Hill

14:50 The RECHARGE registry: what have we learned? – Jo Dens
15:00 Specific issues with post-CABG CTOs – Heinz Joachim Büttner

15:15 LIVE CASE #9

Long and double RCA CTO in a post-CABG patient

 

 

Operators : Stéphane Rinfret, MD – Alexandre Avran, MD
IVUS commentator : Stéphane Carlier, MD

 

15:15 Live case Clinical presentation
15:30 Starting procedure

 

Parallel case-in-box
Previous CABG alter the native coronary disease nature – Albert Alahmar, MD

16:25 INDUSTRY SUPPORTED SESSION

16:45

Coffee break

Chairman: Omer Goktekin
Panelists: Colm Hanratty – Thomas Hovasse – Daniel Weilenmann

17:15  Supported CTO PCI using percutaneous left ventricular assist devices – Sanjog Kalra
17:30  Cost of CTO PCI: the cathlab manager perspective – Aurélie Fresselinat
17:40  How are they doing? Angiographic follow-up of last year cases – Laurent Drogoul
18:00 Take home messages and conclusion – Alexandre Avran and Stéphane Rinfret

Exclusive on Incathlab.com

Digital Extra of the Day

Lecture of Dr Sébastien Levesque : Overview of PERFECTO trial
bit.ly/mlctoDED

This session will be in French, without English translation.

Jeudi 29 juin

08:30  Ouverture de la journée
08:40  Pourquoi et comment démarrer un programme CTO ? – Hervé Faltot
Modérateurs : Dr Nicolas Lhoest – Hervé Faltot

08:50 Présentation clinique du live case

09:00 LIVE CASE N°1

10:00
14:30

SESSION 1 – LA DÉSOBSTRUCTION: ENJEUX ET OUTILS

Modérateurs : Dr Nicolas Lhoest – Hervé Faltot
10:00  Désobstruction des occlusions coronaires chroniques : Pourquoi ? Pour qui ? – Fanny Villanova
10:15  Les outils incontournables – Gilles Wilhelm
10:30 Techniques antérogrades de désobstruction – Dr Nicolas Lhoest

10:45

Pause café

Modérateurs : Dr Alexandre Avran – Hervé Faltot
11:30 Techniques rétrogrades de désobstruction – Dr Alexandre Avran

11:45 Présentation clinique du live case

12:00 LIVE CASE N°2

13:15

Déjeuner

Modérateurs : Dr Max Amor – Hervé Faltot

14:15 Présentation clinique du live case

14:30 LIVE CASE N°3

(inclus 30 minutes de préparation paramédicale)

15:45
16:30

SESSION 2 – MANAGEMENT ET SÉCURITÉ DU PATIENT

Modérateurs : Dr Max Amor – Hervé Faltot
15:45  Préparation en amont de la procédure – Nathalie Lattarico
16:00  Surveillance per-procédure – Rafik Lamari
16:15  Gestion post désobstruction – Sabrina Benmesbah
16:30 Take Home Messages

Com&Co, event agency

General Organization

Morgane Airaudi
Tel. +33 (0) 7 83 45 45 63
www.incathlab.com
morgane.airaudi@incathlab.com

Registration & Logistics

Marie Mettling
Tel. +33 (0) 4 91 09 70 53
Fax +33 (0) 4 96 15 33 08
marie@comnco.com

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18 European CME credits
The Multi-Level CTO Course is designated for a maximum of 18 hours of European external CME credits. Each medical specialist should claim only those hours of credit that he/she actually spent in the educational activity. The EACCME credit system is based on 1 ECMEC per hour with a maximum of 3 ECMECs for half a day and 6 ECMECs for a full-day event.

LEARNING POINTS

This meeting, translated in English and French, is divided by level of expertise and held over 3 days

Thursday, June 29th
FIRST STEPS IN CTO PCI

  • Starting a CTO program
  • Analysis of CTO angiographies
  • Guidewire selection
  • Prevention of complications
  • Choice of microcatheters
  • Basic antegrade CTO techniques: basics manoevers, wire escalation, parallel wire
  • Starting a retrograde approach
  • Septal collateral channels selection and crossing
  • Basic retrograde CTO techniques: reverse cart, knuckle wire, externalization and snaring

Friday, June 30th
IMPROVE YOUR SKILLS IN CTO PCI

  • Complex antegrade situations : ambiguous proximal cap, difficult proximal cap crossing with a microcatheter
  • Management of CTO complications
  • IVUS in CTOs
  • Starting an antegrade dissection re-entry (ADR)
  • Basics for ADR devices
  • Mini Star Technique
  • Hybrid algorithm

Saturday, July 1st
MASTERING CTO PCI

  • Solving difficult retrograde connection
  • Challenging septal connection
  • Ostial CTOs
  • Retrograde through epicardial collateral channels
  • Ping Pong technique
  • Post CABG CTOs
  • Complex complications of complex CTOs
  • Follow up on ML CTO 2016 cases

 

EthicalMedTech
CONFERENCE VETTING SYSTEM SUBMISSION : COMPLIANT
After submission for review by EthicalMedTech Conference Vetting System, we are pleased to announce that our 2017 ML CTO Edition has been found to be in compliance with the Eucomed Code of Ethical Business Practice in all categories. You may check here the confirmation of decision.