Course Directors
Yasushi Asakura
Satoru Otsuji
Kasai Shoikai Hospital
Higashi Takarazuka Satoh Hospital
Yuji Hamazaki
Etsuo Tsuchikane
School of Medicine, Showa University
Toyohashi Heart Center
Yasumi Igarashi
Kinzo Ueda
JCHO Hokkaido Hospital
Rakuwakai Marutamachi Hospital
Eisho Kyo
Masahisa Yamane
Kusatsu Heart Center
Saitama Sekishinkai Hospital
Masahiko Ochiai
Showa University,
Northern Yokohama Hospital
Honorary Co-directors
Osamu Katoh
Takahiko Suzuki
Toyohashi Heart Center
http://cct.gr.jp/ctoclub/
Supported by
Complex Cardiovascular Therapeutics
Remarkable progress in technology brought us the chance to tackle more and more complex
coronary lesions. Chronic Total Occlusion (CTO) is one of these complex coronary lesions that
we have been working on to conquer. Recent Japanese multicenter CTO registry data has
shown a gradually improving success rate and a very high success rate was achieved by some
expert operators. However, as the retrograde approach becomes an established method and
new device technology prevails widely, CTO PCI becomes not to be restricted to some expert
operators.
Greetings from the 16th CTO Club
Why do we fail in CTO PCI? The answer is clear. It is because we cannot see the route in the
CTO lesion. If we can see the route like in non-CTO lesions, we can surely trace the route
except anatomically impracticable lesions. Coronary MDCT provides us useful information
about the lesion. Even though using these imaging modalities, you sometimes see the best
expert (most experienced) operator being trapped in difficult situation during the procedure. It
happens when the image route moved away from the correct one. Several methods to lead the
wire to correct route, for example, parallel wire technique, reverse CART, and IVUS guided
reentry, have been applied. However, there seems to be rooms for technical innovation to
establish these methods.
The advent of DES and new anti-platelet therapy has reduced restenosis and reocclusion rates.
Due to this beneficial effect, recanalization of CTO improves LV function and provides better
long term outcome. Recent studies about STEMI with multivessel disease have shown that the
existence of CTO lesion is one of the most important factors of poor clinical outcome. It means
that it is significant to open the CTO vessel in various lesion subsets.
The purpose of CTO Club is to inform you useful and important technical innovations from
various aspects through dynamic live demonstration. CTO is challenging; therefore, worth
doing. Come to Nagoya and share various CTO cases. We are really looking forward to seeing
you at the 16th CTO Club in June, 2015.
1
Program at a glance
Friday, June
8:30
19
9:30
11:00
CTO
Live Transmission
Live Theater
Educational Consultation
Course
Room
Educational Theater
Saturday, June
Educational Theater
13:00
17:00
Fireside Session
CTO
Live Transmission
Luncheon
Seminar
18:00
19:00 19:30
until tired
Case
Proctorship Competition
Live
Cocktail Night
Meeting
Educational Course
20
8:30
Live Theater
12:00
12:00
CTO
Live Transmission
Special Program
Antegrade Approach & IVUS-Guided Reentry
13:00
15:00
16:30
Special Program
Luncheon
Seminar
Retrograde Summit 2015
Educational Course
The latest information and program details will be updated regularly on the CTO Club webpage:
http://cct.gr.jp/ctoclub/
2
Program Highlights
Special Program
Retrograde Summit 2015
Saturday, June 20 13:00-16:30 @ Live Theater
Initial results of CTO PCIs in domestic and foreign high volume centers
have improved, with success rates reaching more than 90 percent. The
biggest reason for this high success rate is the introduction of the
retrograde approach.
The retrograde approach was invented in 1995 and was standardized
with the availability recently developed and introduced devices.
Contemporary Reverse CART, which was introduced at last year’s CTO
Club, is a typical example of a technique made possible by this
innovation. In addition, regarding CIN which is considered as a problem
in CTO PCI, it has been reported that contrast medium usage could be
minimized by applying retrograde approach with utilization of IVUS,
mitigating CIN which has traditionally been seen as a problem in CTO
PCI. Furthermore, thanks to advancement in X-ray devices, treatments
with lower doses of radiation even in long-lasting treatments have
become available.
The introduction of J-CTO Score as an indicator of difficulty in CTO PCI,
and the possibility of achieving very high revascularization success
rates even in cases with high J-CTO Score by application of retrograde
approach is reported; however, retrograde approach requires an
existence of collateral channel suitable for intervention, which remains a
clear Achilles’ heel of this approach.
This year’s Retrograde Summit will provide not only the latest data
regarding retrograde approach, but also utility and usage of newly
developed or introduced devices along with a live case.
3
●Retrograde
●Multicenter
●J-Proctor
Summit General Registry
US Registry
2
●New
Tool : How to utilize
extension catheter
▶Double lumen catheter
▶Penetration catheter
▶New guidewire
▶X-ray system
▶Guide
●Live
Demonstration
●etc
Co-sponsored by: ASAHI INTECC CO., LTD.
Boston Scientific Japan K.K.
Live Theater
CTO Live Case Transmission
Friday, June 19 Higashi Takarazuka Satoh Hospital
Operators: Yasumi Igarashi
Satoru Otsuji
Kenya Nasu
Ryohei Yoshikawa
Atsunori Okamura
Saturday, June 20 Nagoya Heart Center
Operators: Yuji Hamazaki
Junji Yajima
Etsuo Tsuchikane
Masahisa Yamane
In the 16th CTO Club, our operators will demonstrate some exciting approaches by outlining every aspect of strategy and procedural detail from
beginning to end. Please attend to learn tips and tricks from the experts!
Fireside Session: Proctorship Live
Friday, June 19 17:00-18:00
In this Proctorship Live demonstration, the less experienced physician will act as the first operator, while the expert physician will act as the second
operator. The less experienced, younger physician, will of course have a strong desire to master CTO procedures and therefore will engage directly in
the case. Meanwhile, the expert physician will remain close by to advise throughout the procedure. By having the younger physician engage directly in
the procedure, he or she will be able to acquire the tips, tricks and techniques to complete the case successfully, and be educated on the common
pitfalls unique to young operators. Our goal is to share CTO knowledge, and teach techniques for successfully completing complex CTO cases with
high proficiency and safety.
Co-sponsored by: Boston Scientific Japan K.K.
Case Competition
Friday, June 19 18:00-19:00
“My tips and tricks for successful CTO PCI”
Among submitted cases, four exemplary cases will be selected as "oral presentation" at the Case Competition and other cases with honorable mention
will be selected as "poster presentation" during the 16th CTO Club. The best case of the Case Competition will receive an award and the presenter will
be invited to be a CTO Club faculty member in 2016.
Call
for
Cases
Free registration for case presenters.
Cases can be submitted in English or Japanese.
For details, please visit the CTO Club “Call for Cases” web page:
http://cct.gr.jp/ctoclub/case.html
Submission deadline: Friday, April 3, 2015
4
Educational Theater
Cocktail Night Meeting
Friday, June 19 19:30-until tired
“Review of the today’s cases and strategies for the tomorrow’s”
CTO experts will go the strategies and procedures in depth for the live cases on the first day and will discuss the next day's cases. This session provides
great opportunity for all attendees to know CTO PCI into devil's detail.
Welcome to the session and join-in our discussion.
Special Program “Antegrade Approach & IVUS-Guided Reentry”
Saturday, June 20 8:30-12:00
CTO PCI treatment focusing on antegrade approach and IVUS-guided reentry will be taken in this program. We look forward to your participation in this
new session!
The Consultation Room
Friday, June 19 11:00-12:00
“Almost successful but failed cases”
Do you have any doubts in your daily practice? "Was there a better alternative? Did I choose the best treatment?" In this session, CTO masters will
advice you by following up your case directly, and answer your questions regarding the case.
Co-sponsored by: Abbott Vascular Japan Co., Ltd.
Call
for
Cases
5
Free registration for case presenters.
Cases can be submitted in English or Japanese.
For details, please visit the CTO Club “Call for Cases” web page:
http://cct.gr.jp/ctoclub/case.html
Submission deadline: Friday, April 3, 2015
International Faculty Members
Ji Yan Chen
Guangdong Provincial People's Hospital,
Institute of Cardiovascular Diseases
[People's Republic of China]
Debabrata Dash
Junbo Ge
Shih-Chi Liu
Khalid Tammam
Lei Ge
Ashwin B. Mehta
Chong-Hiok Tan
Sundeep Mishra
Eugene Brian Wu
Zhongshan Hospital, Fudan University
[People's Republic of China]
Nanavati Superspeciality Hospital [India]
Zhongshan Hospital, Fudan University
[People's Republic of China]
Parag Doshi
Yong Huo
Chicago Cardiology Institute [USA]
Alfredo R. Galassi
First Hospital Peking University
[People's Republic of China]
Shin Kong Ho-Su Memorial Hospital
[Taiwan, R.O.C.]
Jaslok Hospital & Research Centre [India]
AIIMS, Delhi [India]
Seung-Woon Rha
International Medical Center, Jeddah
[Saudi Arabia]
Mount Elizabeth Hospital [Singapore]
Prince of Wales Hospital, Chinese University Hong Kong
[Hong Kong]
Sum Kin Leung
Cardiovascular Center,
Korea University Guro Hospital [Korea]
Jiro Ando
Koichi Kishi
Yoichi Nozaki
Yoshisato Shibata
Kazuhiro Ashida
Motomaru Masutani
Hirotaka Oda
Satoru Sumitsuji
Shinya Fujita
Tetsuo Matsubara
Akitsugu Oida
Tohru Takahashi
Tsutomu Fujita
Susumu Matsuda
Yuji Oikawa
Yoshihiro Takeda
Ichiro Hamanaka
Toshiya Muramatsu
Hisayuki Okada
Kaname Takizawa
Hiroaki Hirase
Makoto Muto
Masaharu Okada
Takafumi Tsuji
Keiichi Igarashi
Wataru Nagamatsu
Atsunori Okamura
Katsumi Ueno
Masashi Iwabuchi
Masato Nakamura
Shinya Okazaki
Yuichi Ujiie
Hiroki Kamiya
Shigeru Nakamura
Masaaki Okutsu
Junji Yajima
Kenji Kawajiri
Kenya Nasu
Masami Sakurada
Yoshito Yamamoto
Tomohiro Kawasaki
Yasunori Nishida
Tadaya Sato
Yoshinori Yasaka
Nozomu Kawashima
Hideo Nishikawa
Yoshitane Seino
Ryohei Yoshikawa
Yoshihisa Kinoshita
Yuichi Noguchi
Makoto Sekiguchi
Cannizzaro Hospital, University of Catania [Italy]
Kwong Wah Hospital [Hong Kong]
Japanese Faculty Members
The University of Tokyo Hospital
Yokohama Shintoshi Neurosurgical Hospital
Shizuoka Prefectural General Hospital
Sapporo Cardio Vascular Clinic
Rakuwakai Marutamachi Hospital
Takaoka City Hospital
JCHO Hokkaido Hospital
University of the Ryukyus
Nagoya Daini Red Cross Hospital
Matsubara Tokushukai Hospital
Shin-Koga Hospital
Sapporo Medical Center NTT-EC
Toyohashi Heart Center
Tokushima Red Cross Hospital
West Osaka Hospital
Toyohashi Heart Center
Shuto General Hospital
Saiseikai Yokohamashi Tobu Hospital
Saitama Cardiovascular and Respiratory Center
Hokusetsu General Hospital
Toho University Ohashi Medical Center
Kyoto Katsura Hospital
Toyohashi Heart Center
Takai Hospital
Mie Heart Center
Tsukuba Medical Center Hospital
Hokko Memorial Hospital
Niigata City General Hospital
Takase Clinic
The Cardiovascular Institute
Seirei Hamamatsu General Hospital
Shiga Medical Center for Adults
Sakurabashi Watanabe Hospital
Juntendo University
Nozaki Tokushukai Hospital
Tokorozawa Heart Center
Akita Medical Center
Hoshi General Hospital
Fukaya Red Cross Hospital
Miyazaki Medical Association Hospital
Osaka University
Iwate Prefectural Central Hospital
Rinku General Medical Center
Sendai Kousei Hospital
Kusatsu Heart Center
Matsunami General Hospital
Hoshi General Hospital
The Cardiovascular Institute Hospital
Iwaki Kyouritsu General Hospital
Himeji Cardiovascular Center
Sanda City Hospital
(Alphabetical order as of February 9, 2015)
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▶Important
Dates
Case Competition / The Consultation Room
case submission deadline:
Friday, April 3, 2015
*Free registration for case presenters.
Pre-registration period:
Monday, March 2, 2015 - Friday, May 29, 2015
Pre-registration fee (JPY)
Medical
20,000
25,000
2,000
3,000
20,000
25,000
Co-medical
Industry
On-site registration fee (JPY)
Case submission and pre-registration
are available on CTO Club webpage:
http://cct.gr.jp/ctoclub/
CTO Club Administration Office
1-1-5-2E, Maedaminami-machi, Toyohashi, Aichi 440-0851, JAPAN
TEL: +81-532-57-1276 FAX: +81-532-52-2883 E-mail: [email protected]