How to successfully approach CTO interventions: a step-by-step approach - EuroPCR 2025

In this #europcr 2025 video, Elliot Smith, Thomas Hovasse, and Roberto Garbo present a structured, step-by-step approach to chronic total occlusion (CTO) interventions, starting from angiographic analysis through to strategy selection and technique adaptation. The discussion highlights the importance of anatomical assessment, initial antegrade strategies, and the decision-making process behind escalating to retrograde or dissection techniques. Key factors guiding the choice of approach are explored, alongside a review of the essential tools—guiding catheters, wires, and microcatheters—needed to manage these challenging cases. Practical insights are also shared on how to integrate CTO techniques into clinical practice, develop the required skill set over time, and recognise failure as a critical component of learning and progress in CTO interventions. Watch this discussion to explore current perspectives on how to build a safe and effective approach to CTO. More videos on PCRonline: https://www.pcronline.com/Cases-resou... #chronictotalocclusion, #cto, #antegrade, #angiography, #retrograde, #dissection, #guidingcatheter, #wire, #microcatheter