Course Objective

PCI for coronary CTO has gained an increased interest over recent years although it represents one of the most challenging lesion subsets. Recently there has been a rapid and continuous evolution of CTO techniques including the retrograde approach and ADR that have driven greater procedural success. However, recanalization of some CTO lesion subsets which include complex morphology (heavily calcified lesions, heavily tortuous lesions and long lesions) is still difficult and there are some pit falls during these procedures. To overcome the difficult situation during PCI for complex CTO lesions, improvement of operator’s skill and brush-up of technique and knowledge are very important.

CTO Club has pursued the best strategy and procedure for complex CTO lesions for almost 20 years. During the last few years, the interest and knowledge for CTO intervention have been widely spread all over the world and the half of participants of CTO Club came from outside of Japan. Therefore, in the 19th CTO Club in 2018, live demonstration from AP CTO Club and IJCTO will be demonstrated in addition to live demonstration from two Japanese sites.

The purpose of CTO Club is to inform all participants useful and important technical innovations. Various issues of CTO PCI will be discussed with experts from all over the world in all scientific sessions. We are looking forward to seeing you at the 19th CTO Club in 2018.

Kenya Nasu
The 19th CTO Club Representative Course Director

Course Directors

Yasushi Asakura
(Hakujikai Memorial Hospital)

Yuji Hamazaki
(School of Medicine, Showa University)

Yasumi Igarashi
(Tokeidai Memorial Hospital)

Eisho Kyo
(Kusatsu Heart Center)

Kenya Nasu
(Toyohashi Heart Center)

Masahiko Ochiai
(Showa University, Northern Yokohama Hospital)

Satoru Otsuji
(Higashi Takarazuka Satoh Hospital)

Etsuo Tsuchikane
(Toyohashi Heart Center)

Takafumi Tsuji
(Kusatsu Heart Center)

Kinzo Ueda
(Rakuwakai Marutamachi Hospital)

Masahisa Yamane
(Saitama Sekishinkai Hospital)

Honorary Co-Directors

Osamu Katoh

Takahiko Suzuki
(Toyohashi Heart Center)






Call for Cases

Case Competition “My most impressive case in CTO PCI”

Submission period: Thursday, February 1 – Tuesday, March 20, 2018

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 19th 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 2019.

*Free registration for case presenters.

*Cases can be submitted in English or Japanese.


Pre-registration period: Thursday, March 1 - Sunday, May 20, 2018

  Pre-registration fee (JPY) On-site registration fee (JPY)
Medical 20,000 (2-day ticket) 25,000 (2-day ticket)
Co-medical 2,000 (2-day ticket) 3,000 (2-day ticket)
Industry 20,000 (2-day ticket) 25,000 (2-day ticket)
*After the pre-registration deadline, you can make online registration with on-site registration fee.

Visa Information

You may be required a visa to enter Japan. It varies by nationality.
Please contact your local embassy or consulate of Japan and process your visa if necessary. We recommend you to have enough time for the visa procedure. You could also obtain some information about the visa to enter Japan from the Ministry of Foreign Affairs of Japan Website (

Invitation Letter

You are requested to complete the registration first to obtain the letter of invitation.
It will be issued on request upon receipt of your payment for the 19th CTO Club pre-registration.
If you need the invitation letter and other documents for VISA application, please contact CTO Club Administration Office ( by May 20. Please note that this letter of invitation does not commit CTO Club to any financial supports with regard to your attendance at the 19th CTO Club.
*5,400 JPY per person will be charged to issue the visa application documents other than the invitation letter.




Future Meetings

CTO Club

The 20th CTO Club in 2019

June 14 Fri. - 15 Sat. 2019

Complex Cardiovascular Therapeutics (CCT)

Complex Cardiovascular Therapeutics (CCT)



October 25 Thu.- 27 Sat. 2018
Kobe International Exhibition Hall, Portopia Hotel


October 24 Thu.- 26 Sat. 2019
Kobe International Exhibition Hall, Portopia Hotel