In recent years, the technology of CTO PCI has evolved dramatically. Since the CTO Club is a meeting specialized in CTO PCI, we can share more specialized live demonstrations introducing a detailed knowledge of the CTO devices, and learn techniques, technologies, and strategies in this field.
The program includes CTO live demonstrations, the latest research findings, case presentations, and educational sessions by expert operators from Japan and abroad, and we sincerely hope that an active discussion will be held while sharing your valuable experiences and opinions. We also hope to build a new network through this meeting and to deepen future collaboration in clinical practice and research of CTO PCI.
The 25th CTO Club will be held on June 13th and 14th, 2025. We believe that your participation will be an opportunity for you to spend quality time and contribute to the further development of CTO PCI.
We look forward to seeing you in Nagoya.
The 25th CTO Club Representative Course Director
Hiroyuki Tanaka (Kurashiki Central Hospital)
Maoto Habara
Toyohashi Heart Center
Yuji Hamazaki
Ootakanomori Hospital
Michiya Kageyama
Nasu Red Cross Hospital
Yoshifumi Kashima
Oita Cardiovascular Hospital
Hiromasa Katoh
Fukui Prefectural Hospital
Shunsuke Matsuno
The Cardiovascular Institute
Wataru Nagamatsu
Hokusetsu General Hospital
Kenya Nasu
Mie Heart Center
Yuji Oikawa
The Cardiovascular Institute
Atsunori Okamura
Sakurabashi Watanabe Advanced Healthcare Hospital
Kenichiro Shimoji
Saiseikai Utsunomiya Hospital
Hiroyuki Tanaka
Kurashiki Central Hospital
Takafumi Tsuji
Kusatsu Heart Center
Junji Yajima
The Cardiovascular Institute
Ryohei Yoshikawa
Sanda City Hospital
Emmanouil
Brilakis
Minneapolis Heart Institute,
USA
Jiyan
Chen
Guangdong Provincial People's Hospital, Institute of Cardiovascular Diseases,
People's Republic of China
Scott
Harding
Wellington Hospital,
New Zealand
Paul Hsien-Li
Kao
National Taiwan University Medical School & Hospital,
Taiwan, R.O.C.
Kambis
Mashayekhi
Heartcenter Lahr,
Germany
Eugene Brian
Wu
Prince of Wales Hospital,
Hong Kong
Yasushi
Asakura
Aqua Rehabilitation Hospital
Yasumi
Igarashi
Sapporo-Kosei General Hospital
Osamu
Katoh
Eisho
Kyo
Kusatsu Heart Center
Masahiko
Ochiai
Showa Medical University Northern Yokohama Hospital
Satoru
Otsuji
Higashi Takarazuka Satoh Hospital
Takahiko
Suzuki
Toyohashi Heart Center
Etsuo
Tsuchikane
Toyohashi Heart Center
Kinzo
Ueda
Takase Memorial Hospital
Masahisa
Yamane
Saitama Sekishinkai Hospital
Mohamed
Ayoub
University Heart Center Bad Oeynhausen,
Germany
Jung-Joon Cha
Korea University Anam Hospital, Korea
Chi-Jen
Chang
Chang Gung Memorial Hospital, Linkou,
Taiwan, R.O.C.
Chee Yang
Chin
National Heart Centre Singapore,
Singapore
Cheng-An
Chiu
Kaohsiung Medical University Chung-Ho Memorial Hospital,
Taiwan, R.O.C.
Yeon-Jik Choi
Eunpyeong St. Mary's Hospital College of Medicine, The Catholic University of Korea, Korea
Rustem
Dautov
The Prince Charles Hospital,
Australia
Hsiu-Yu
Fang
Jen-Ai Hospital,
Taiwan, R.O.C.
Lei
Ge
Zhongshan Hospital, Fudan University,
People's Republic of China
Jung-Kyu Han
Seoul National University Hospital, Korea
Cheuk Bong
Ho
Queen Elizabeth Hospital,
Hong Kong
Won Young
Jang
ST. Vincent's Hospital,
Korea
Arun
Kalyanasundaram
Promed Hospital,
India
Anek
Kanoksilp
Central Chest Institute of Thailand,
Thailand
Wirash
Kehasukcharoen
Central Chest Institute of Thailand,
Thailand
Jaikirshan
Khatri
NewYork-Presbyterian Weill Cornell Medical Center,
USA
Byeong-Keuk
Kim
Severance Cardiovascular Hospital, Yonsei University College of Medicine,
Korea
Hee Yeol
Kim
The Catholic University of Korea, Bucheon St. Mary's Hospital,
Korea
Do Hoi
Kim
SoonChunHyang University Hospital,
Korea
Feng Yu
Kuo
Veterans General Hospital, Kaohsiung,
Taiwan, R.O.C.
Jong-Young Lee
Samsung Kangbuk Hospital, Sungkyunkwan Univeristy School of Medicine, Korea
Jung-Hee Lee
Wonju severance Christian Hospital, Yonsei University Wonju College of Medicine, Korea
Nae Hee
Lee
SoonChunHyang University Hospital Bucheon,
Korea
Patrick
Lim
Khoo Teck Puat Hospital,
Singapore
Shih-Chi
Liu
Fu Jen Catholic University Hospital,
Taiwan, R.O.C.
Sidney Tsz Ho
Lo
Liverpool Hospital,
Australia
William
Lombardi
University of Washington,
USA
Adrian
Low
National University of Singapore,
Singapore
Tse-Min
Lu
Taipei Veterans General Hospital,
Taiwan, R.O.C.
Margaret B.
McEntegart
Newyork-Presbyterian/
Columbia University Irving Medical Center,
USA
Muenpetch
Muenkaew
Thammasat University Hospital, Pathumthani,
Thailand
Hun Sik
Park
Kyungpook National University Hospital,
Korea
Jie
Qian
Fu Wai Hospital,
People's Republic of China
Seung-Woon
Rha
Cardiovascular Center, Korea University Guro Hospital,
Korea
Jon Suh
Seoul National University Hospital, Korea
Cheng Chun
Wei
Shin Kong Memorial Hospital,
Taiwan, R.O.C.
James
Xu
Liverpool Hospital,
Australia
Hyuck Jun
Yoon
Keimyung University Dongsan Medical Center,
Korea
Lin
Zhao
Beijing Chaoyang Hospital,
People's Republic of China
Kazuhiro
Ashida
Seirei Yokohama Hospital
Takenori Domei
Kokura Memorial Hospital
Masaki
Fujita
Edogawa Hospital
Shinya
Fujita
Hamamatsu Medical Center
Rei
Fukuhara
Hyogo Prefectural Amagasaki General Medical Center
Ichiro
Hamanaka
Rakuwakai Marutamachi Hospital
Katsuyuki
Hasegawa
Higashi Takarazuka Satoh Hospital
Taishi
Hirai
Gifu Heart Center
Hiroaki Hirase
Takaoka Minami Heart Center
Fumitaka
Hosaka
Okamura Memorial Hospital
Shingo
Hosogi
Hosogi Hospital
Yusuke
Hosokawa
Nippon Medical School Musashi Kosugi Hospital
Shozo
Ishihara
Mimihara General Hospital
Masato
Ishikawa
Fujita Health University School of Medicine
Yoshiaki Ito
Saiseikai Yokohama-City Eastern Hospital
Seiji Kano
Mie Heart Center
Kenji Kawajiri
Matsubara Tokushukai Hospital
Shunsuke
Kitani
Sapporo-Kosei General Hospital
Norihiro
Kobayashi
Saiseikai Yokohama-City Eastern Hospital
Tomoko
Kobayashi
Kyoto Katsura Hospital
Yuichi
Kobori
Toda Chuo General Hospital
Hiroaki
Matsuda
Nagoya Heart Center
Koshi
Matsuo
Yao Tokushukai General Hospital
Takanobu Mitarai
Ooita Oka Hospital
Mitsunori
Mutou
Kikuna Memorial Hospital
Masakazu
Nagaoka
Ebina General Hospital
Yuya
Nakagawa
Hakodate Medical Association Hospital
Takeshi
Niizeki
Okitama Public General Hospital
Hisayuki
Okada
Seirei Hamamatsu General Hospital
Masaharu Okada
Omi Medical Center
Masaaki
Okutsu
Tokai University Hachioji Hospital
Makoto
Sekiguchi
Fukaya Red Cross Hospital
Takeshi Serikawa
Fukuoka Wajiro Hospital
Yoshinori
Shimooka
Hokkaido Medical Center
Satoshi
Suzuki
Kindai University Nara Hospital
Takahide
Suzuki
JA Hokkaido Asahikawa Kosei General Hospital
Kaname
Takizawa
JCHO Sendai Hospital
Masaki
Tanabe
Nozaki Tokushukai Hospital
Kota
Tanaka
Sakurabashi Watanabe Advanced Healthcare Hospital
Tomohiro
Yamaguchi
Osaka Metropolitan University Graduate School of Medicine
Masataka
Yoshinaga
Fujita Health University
2nd Announcement
(Updated: Apr. 21, 2025)
Young doctors, in particular, may encounter CTO cases that they do not know how to treat or that they have failed to treat. In the CTO Consultation Counter, experienced CTO Club directors and faculty members will review your case and provide advice and feedback through discussion with you. We are waiting for your application. If there is a slot available, you are also welcome to join for a consultation without an appointment.
Location: CTO Consultation Counter Booth, Exhibition, 5F, WINC Aichi
Language: English / Japanese
Participation Fee: Free (Registration for the 25th CTO Club is required.)
*Please prepare the angiogram of your planned treatment case or your unsuccessful case, along with a slide presentation (Summarized in one PowerPoint slide).
Capacity: 8 (1 person for 1 time slot. First come first served.)
| June 13 (Fri.) | June 14 (Sat.) | ||
|---|---|---|---|
| Time | Advisors | Time | Advisors |
| 10:30-11:30 | Yuji Hamazaki Hiromasa Katoh |
09:00-10:00 | Yuji Oikawa Yoshiaki Ito |
| 13:10-14:10 | Takafumi Tsuji Taishi Hirai |
10:30-11:30 | Wataru Nagamatsu Kazuhiro Ashida |
| 14:40-15:40 | Ryohei Yoshikawa Shunsuke Matsuno |
13:10-14:10 | Atsunori Okamura Michiya Kageyama |
| 16:10-17:10 | Kenya Nasu TBA |
14:40-15:40 | Junji Yajima Maoto Habara |
In recent years, the importance of setting two orthogonal working views (perpendicular views) has been reemphasized in order to improve the accuracy of CTO wiring. ESPELUX Edu is a software to find two views that are perpendicular to the target distal vessel and are orthogonal to each other based on angiograms. In this session, you will learn how to use ESPELUX Edu in real-world clinical practice through expert demonstrations and hands-on training. We look forward to seeing you in this session.
Location: ESPELUX Edu Hands-on Training Booth, Exhibition, 5F, WINC Aichi
Language: English / Japanese
Participation Fee: Free (Registration for the 25th CTO Club is required.)
*Please bring your CTO case angiograms (DICOM format) if possible.
Capacity: 15 (5 persons for 1 time slot. First come first served.)
| June 13 (Fri.) 13:10-14:10 |
June 14 (Sat.) 9:00-10:00 |
June 14 (Sat.) 10:30-11:30 |
|||
|---|---|---|---|---|---|
| Trainer: Kenichiro Shimoji | Trainer: Takafumi Tsuji | Trainer: Maoto Habara | |||
| Demonstration | 20min. | Demonstration | 20min. | Demonstration | 20min. |
| Hands-on (5 persons) |
40min. | Hands-on (5 persons) |
40min. | Hands-on (5 persons) |
40min. |
Recently, IVUS-guided CTO wiring using the tip detection method has become a hot topic in Japan and abroad. In this session, you can learn about Tip-detection Antegrade Wiring (TD-AW) and Antegrade Dissection Re-entry (TD-ADR) in detail through lectures by experts, including Dr. Okamura and Dr. Yoshikawa, as well as hands-on training using CTO simulation models. We are waiting for your participation.
Location: TD-AW & TD-ADR Hands-on Training Booth, Exhibition, 5F, WINC Aichi
Language: English / Japanese
Participation Fee: Free (Registration for the 25th CTO Club is required.)
*Please bring your CTO case angiograms (DICOM format) if possible.
Capacity: 24 (8 persons for 1 time slot. First come first served.)
| June 13 (Fri.) 13:10-14:40 |
June 14 (Sat.) 9:00-10:30 |
June 14 (Sat.) 10:30-12:00 |
|||
|---|---|---|---|---|---|
| Trainers: Ryohei Yoshikawa Masato Ishikawa |
Trainers: Atsunori Okamura Masato Ishikawa |
Trainers: Satoshi Suzuki Kota Tanaka |
|||
| Mini Lecture | 15min. | Mini Lecture | 15min. | Mini Lecture | 15min. |
| Hands-on (8 persons) |
75min. | Hands-on (8 persons) |
75min. | Hands-on (8 persons) |
75min. |
Physicians under 40 may submit one of their own clinical cases from the field of CTO. One case will be selected as the presenter at "Next-Generation Case Discussion" session duting the 25th CTO Club.
We are looking forward to your active submission.
[1] Session Date & Time
"Next-Generation Case Discussion"
June 13 (Fri.) 16:30-17:30 @ Educational Theater
[2] Submission period
Friday, May 2 – Friday, May 23, 2025(JST)
[3] Submission
Please submit a case body as well as angiograms / CT data in PowerPoint file. The reviewers will refer the both case information.
[4] Submission Notes *Please read carefully before submission.
[Age]
Physicians under 40 are eligible for case submission.
[Case Body]
Language: English/Japanese
Word limit: English 200 words / Japanese 700 letters
Using a table or chart is not acceptable.
[PowerPoint slide]
Please submit a summary of angiograms or CT of your case in movie files by a PowerPoint slide. Please note that slide file without your name will not be reviewed.
[5] Acceptance/Rejection Announcement
The 25th CTO Club Course Directors reserve the right to make final decision on acceptance/rejection. The result will be posted on CTO Club website and notified by e-mail by the end of May, 2025.
[6] Online submission form
[Contact]
CTO Club Administration Office
UP Roses Inc.
Tel: +81-532-21-5731, Email: cto@uproses.co.jp
| Case Competition "My most impressive case in CTO PCI" | |||||
|---|---|---|---|---|---|
| Saturday, June 14 9:00-10:10 @ Educational Theater | |||||
| Registered number |
Name | Institution | Country | Case Title | |
| C009 | Yuki Yamaguchi | Saiseikai Utsunomiya Hospital | Japan | A Case of Reattempted PCI for a Long CTO in the RCA with Severe Calcification, Tortuosity, and Anomalous Origin | |
| C010 | Kiwamu Sudo | Sakurabashi Watanabe Advanced Healthcare Hospital | Japan | LAD double CTO | |
| C013 | Ryusuke Yamamoto | Takaoka Minami Heart Center | Japan | A case of RCA CTO with severe tortuosity in the proximal portion | |
| C22428 | Sharath Reddy Annam | Medicover Hospitals | India | Retrograde RCA CTO PCI through LAD CTO Success after sneak peek and investment | |
| Poster Posting | |||||
| Friday, June 13 & Saturday, June 14 @ Poster Posting Booth | |||||
| Poster number |
Registered number |
Name | Institution | Country | Case Title |
| P-1 | C001 | Yuki Tanaka | Sapporo Kosei General Hospital | Japan | Successful wire crossing through the whole intraplaque route after failure of tip detection-antegrade dissection re-entry |
| P-2 | C003 | Shigeki Nishiyama | Saitama Sekishinkai Hospital | Japan | A case of primary retrograde approach treatment for an RCA CTO where a guide catheter could not be inserted. |
| P-3 | C004 | Hiroaki Nishida | Saiseikai Utsunomiya Hospital | Japan | Three‐Dimensional Vascular Wall Assessment Enables Move‐the‐Cap Technique via Retrograde Approach |
| P-4 | C005 | Anish Hirachan | Hospital Sultan Idris Shah | Malaysia | Rendezvous'- to the rescue in a failed RCA CTO antegrade PCI |
| P-5 | C006 | Akane Miyazaki | Fujita Health University Bantane Hospital | Japan | Using a SPOT ROI function to minimize radiation during chronic total occlusion percutaneous coronary interventions |
| P-6 | C011 | Dhananjay Kumar | Bhagwan Mahair Medica Superspeciality Hospital | India | RCA CTO anterograde PCI in severely calcified balloon uncrossable lesion using orbital atherectomy |
| P-7 | C012 | Aaron Sung Lung Wong | National Heart Centre Singapore | Singapore | Catastrophic Complication - Before Starting a CTO PCI Procedure |
| P-8 | C22413 | Nobuhiro Yoshijima | Saiseikai Utsunomiya Hospital | Japan | A severely calcified long RCA CTO treated with antegrade approach using ESPELUX Edu |
| P-9 | C22414 | Atthaphon Phaisitkriengkrai | Central Chest Institute of Thailand | Thailand | Learning from the failure. How to overcome the device uncrossable calcified CTO lesion. |
| P-10 | C22416 | Takayuki Ishihara | Kansai Rosai Hospital | Japan | Successful PCI for CTO in LAD with Repetitive Tip-Detection ADR |
| P-11 | C22418 | Sharath Reddy Annam | Medicover Hospitals | India | Ambiguous cap mid LAD CTO |
| P-12 | C22419 | Thitima Limjaroen | King Chulalongkorn Memorial Hospital | Thailand | Rapid Switching Strategies in Antegrade CTO-PCI Technique |
| P-13 | C22421 | Shih-hao Yu | Kaohsiung Medical University Hospital | Taiwan, R.O.C. | Rotational Atherectomy to Modify Proximal Cap for Successful CTO Wire Crossing |
| P-14 | C22422 | Hisanori Yui | Nagano Red Cross Hospital | Japan | Percutaneous Coronary Intervention for Chronic Total Occlusion of the Left Circumflex Artery Using HydroDynamic Contrast Recanalization (HDR) |
| P-15 | C22423 | Yutaka Tadano | Sapporo Cardio Vascular Clinic | Japan | A case of perforation during HDR with extraplaque-like staining, successfully rescued with TD-ADR |
| P-16 | C22424 | Tetsuya Yamamoto | Kobe University Graduate School of Medicine | Japan | Native Severe Calcified CTO and Fractured Stent Occlusion by Calcified Nodule in RCA |
| P-17 | C22425 | Takuma Tsuda | Nagoya Ekisaikai Hospital | Japan | RCA-CTO with calcified nodule |
| P-18 | C22426 | Yasuaki Koga | Oita Prefectural Hospital | Japan | Long-monorail balloon is the one of the solutions for not device passing after passing guidewire through CTO body retrogradely. |
| P-19 | C22427 | Tomoaki Haga | JA Aichi Koseiren Toyota Kosei Hospital | Japan | A case of LCx CTO treated with a bronchial-coronary artery |
| P-20 | C22429 | Shoji Kawakami | Aso Iizuka Hospital | Japan | A challenging case in which only one of the intravascular ultrasound and microcatheter could be advanced to the re-entry point due to calcification in the exit of chronic total occlusion during tip detection-antegrade dissection and re-entry |
| P-21 | C22430 | Isamu Fukuizumi | Nippon Medical School Musashi-Kosugi Hospital | Japan | A though-provoking LAD CTO case |
| P-22 | C22431 | Virag V Kushwaha | Prince of Wales Hospital, Sydney | Australia | The simplest solution is often the best |
| P-23 | C22432 | Ying-Chang Tung | Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan | Taiwan, R.O.C. | Beyond Tip Detection: The Real Challenge |
| P-24 | C22433 | Takushi Sugiyama | Dokkyo Medical University Nikko Medical Center | Japan | Complex CTO-PCI with Subintimal Wire Externalization |
| P-25 | C22434 | Koki Shishido | Shonan Kamakura General Hospital | Japan | A Case of Retrograde Chronic Total Occlusion PCI through Tortuous Ipsilateral Epicardial Channel |
| P-26 | C22435 | Jumpei Koike | Omi Medical Center | Japan | A Case of RCA CTO Treated by Switching the View of PPV OPV Method |
Pre-registration will start from April 1, 2025.
Contact:
JTB Corp. Western Japan MICE Branch
The 25th CTO Club Desk
JTB Bldg. 6F, 2-1-25, Kyutaro-machi Chuo-ku Osaka 541-0056
E-mail: westec_op5@jtb.com
Office Hours: 9:30-17:30 (weekdays only)
CTO Club supported by Complex Cardiovascular Therapeutics
The 26th CTO Club in 2026
June 26 Fri. - 27 Sat., 2026
WINC AICHI, Nagoya
Complex Cardiovascular Therapeutics (CCT)
CCT2025
October 23 Thu. - 24 Fri., 2025
Kobe International Exhibition Hall, Portopia Hotel, Kobe, Japan
CTO Club Administration Office: UP Roses, Inc.
Central Residence 201, 48 Higashiodawaracho, Toyohashi, Aichi 440-0886, JAPAN / TEL +81-532-21-5731 / FAX +81-532-52-2883 / E-MAIL cto@uproses.co.jp / 
