• CTO Phoenix Agenda

    Saturday, January 19, 2013

    *All times are local to the conference location. Agenda is subject to change.

     

    8:00 AM Introduction and Program Objectives David E. Kandzari, MD, PhD; William L. Lombardi, MD
    8:15 AM Indications for CTO PCI: Clinical Rationale and Appropriateness J. Aaron Grantham, MD
    8:45 AM How to Develop a CTO PCI Program
    • Volume Requirements and Establishment of Procedural Guidelines
    • Support Staff
    • Hospital Support
    • Expectations for Time to Develop
    • Financial Effects
    		 David E. Kandzari, MD, PhD
    9:15 AM The CTO “Toolbox”: Review of Hardware Design and Purpose
    1. Guidewires

    2. Catheters: Corsair, Bridgepoint, and Tornus
    3. Ancillary Equipment: Short Guides, Snares, Externalization Wires, and Guideliner


    William L. Lombardi, MD
    Dimitrios Karmpaliotis, MD
    Ashish Pershad, MD
    10:00 AM BREAK
    10:30 AM Getting Started: The Elements of CTO PCI
    • Dual Injection and Collateral Evaluation for Retrograde
    • “Base of Operations Concept”
    • Working In and Around the Subintimal Space
    		 Ashish Pershad, MD
    11:15 AM Antegrade / Retrograde / Hybrid: General Indications for Primary Strategy Decision-Making David E. Kandzari, MD, PhD
    11:30 AM Guidewire Strategy for Antegrade and Retrograde CTO PCI J. Aaron Grantham, MD
    11:45 AM Antegrade Dissection Re-Entry Tips and Tricks: How and When It Works Dimitrios Karmpaliotis, MD
    Noon LUNCH
    1:00 PM Antegrade Problem Solving: Case-Based Dilemmas and Solutions
    • Seeming "Simple" CTO But Ends Up Subintimal and Need Stingray Re-Entry
    • IVUS Guidance for Antegrade Identification of Sidebranch, Proximal Cap, Luminal Re-Entry
    • Algorithm for Successful Guidewire But Uncrossable With Device
    • Management of the Distal Cap with Side Branch When There Is No Retrograde Option


    William L. Lombardi, MD

    Ashish Pershad, MD


    David E. Kandzari, MD, PhD
    Dimitrios Karmpaliotis, MD
    2:00 PM Retrograde: How to Wire Collaterals and Establish Retrograde Base of Operations William L. Lombardi, MD
    2:30 PM Retrograde Dissection and Re-Entry
    • Reverse CART with Retrograde Re-Entry in Vessel and Advance through Receiving Guide Catheter
    • Reverse CART with Snare in Aorta

    • Reverse CART with Guideliner
    • CART

    Ashish Pershad, MD


    David E. Kandzari, MD, PhD
    J. Aaron Grantham, MD
    William L. Lombardi, MD
    3:15 PM BREAK
    3:45 PM Retrograde Problem Solving: Case-Based Dilemmas and Solutions
    • Reverse CART Failing, Can't Make Retrograde Wire Connection
    • What to Do When You Can't Externalize a Guidewire; Patient Not Tolerating Retrograde Gear Due To Ischemia


    Dimitrios Karmpaliotis, MD
    J. Aaron Grantham, MD
    4:45 PM Complications of CTO PCI and Considerations for Re-Attempt

    • Radiation

    • Perforation

    • Retrograde Complications
    		 Moderators: J. Aaron Grantham, MD; William L. Lombardi, MD

    Dimitrios Karmpaliotis, MD
    David E. Kandzari, MD, PhD
    Ashish Pershad, MD
    5:15 PM Conclusions David E. Kandzari, MD, PhD; William L. Lombardi, MD
    5:30 PM ADJOURN