CTO Club

Course Objectives

Although we have not yet completely overcome COVID-19, we are moving forward after COVID-19 in Japan and the rest of the world. Currently, the number of COVID-19 cases in Japan remains high, and the situation in June of 2023 is still unpredictable. However, rather than staying in a mood of fear and self-restraint, we have decided to move forward and hold the on-site CTO Club in 2023 as same as before. Due to the new coronavirus pandemic, we have given up on hosting the CTO Club in 2020 and have hosted the conference on the website in 2021 and 2022. During these times, the CTO-PCI has achieved steady progress.

Although the success rate of CTO-PCI is now beyond 90% according to the data from the CTO Japanese expert registry, there are still challenges to overcome, such as highly calcified lesions, bending lesions and long lesions. The success rate of cases successfully treated with retrograde channel tracking is very high and satisfactory. However, the success rate for cases in which the retrograde approach is difficult, is still unsatisfactory. In Japan, techniques to improve the performance of the antegrade approach are now gaining prominence. The real-time IVUS-guided wiring technique (TD method) was introduced with the birth of the new IVUS (AnteOwl), and with the growing experience, recently, the antegrade dissection and re-entry (ADR) using the TD method has been introduced as well as the Stingray. Furthermore, the antegrade approach with the perpendicular view (PPV) method, etc. seems to be entering a new world.

At this year's CTO Club, we hope that we can introduce and disseminate new technologies and techniques from Japan to overcome challenges based on our accumulated experience and various approaches.
We look forward to seeing you in person at the 23rd CTO Club in Nagoya in 2023 after a long absence.

Ryohei Yoshikawa, MD (Sanda City Hospital)

まだ、我々はCOVID-19を完全に克服したとは言えない状況ではありますが、世界そして日本においてもafterコロナに向かって動き始めています。現状、日本においても感染者数は高止まりで推移しており、2023年の6月の状況はいまだ予想できません。しかしながら、いつまでも恐れ自粛ムードではなく前に向かって、2023年のCTO Clubは従来通り会場開催する事に決めました。

新型コロナのパンデミックから、我々は2020年の開催を諦め、2021年、2022年とweb開催してきました。この間もCTO-PCIは着実に進歩してきました。CTO Japanese expert registryからもCTOの成功率は90%を超える時代になっていますが、いまだ高度石灰化病変、屈曲病変、long病変など克服すべき課題は存在します。Retrograde approachが確立されてから随分月日が経ちました。Retrograde channel trackingに成功した症例の成功率は非常に高く満足に値する程の数値です。しかしながらRetrograde approachが困難な症例においてはいまだ、満足がいく程の成績になっていません。

今日本ではAntegrade approachの成績を高める手技が脚光を浴び始めています。Real time IVUS guided wiring (TD method)が新しいIVUS(AnteOwl)の誕生で紹介され、そして経験を深め、最近ではStingrayだけでは無く、TD methodを用いたAntegrade dissection re-entry (ADR)も紹介される様になりました。さらにPerpendicular view (PPV) 法など、Antegrade approachは新しい世界に入って行きそうな雰囲気です。

今回のCTO Clubでは今までの蓄積された経験を基に様々なアプローチで課題を克服すべく日本から新しい技術や手技をご紹介、発信出来ればと思います。
2023年の第23回CTO Club、久しぶりの名古屋でお会いできる事を楽しみにしています。

吉川糧平（三田市民病院）

Directors

Course Directors

Maoto Habara
Toyohashi Heart Center

Yuji Hamazaki
Ootakanomori 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 Hospital

Hiroyuki Tanaka
Kurashiki Central Hospital

Takafumi Tsuji
Kusatsu Heart Center

Junji Yajima
The Cardiovascular Institute

Ryohei Yoshikawa
Sanda City Hospital

International Course Directors

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]

Honorary Co-directors

Yasushi Asakura
Aqua Rehabilitation Hospital

Yasumi Igarashi
Sapporo-Kosei General Hospital

Osamu Katoh

Eisho Kyo
Kusatsu Heart Center

Masahiko Ochiai
Showa 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

Faculty

Japanese Faculty

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

Erito Furuse
Saiseikai Utsunomiya Hospital

Ichiro Hamanaka
Rakuwakai Marutamachi Hospital

Katsuyuki Hasegawa
Higashi Takarazuka Satoh Hospital

Hiroaki Hirase
Takaoka Minami Heart Center

Fumitaka Hosaka
Okamura Memorial Hospital

Shingo Hosogi
Hosogi Hospital

Shozo Ishihara
Mimihara General Hospital

Masato Ishikawa
Fujita Health University School of Medicine

Yoshiaki Ito
Saiseikai Yokohama-City Eastern Hospital

Michiya Kageyama
Nasu Red Cross Hospital

Seiji Kano
Mie Heart Center

Yoshifumi Kashima
Sapporo Cardio Vascular Clinic

Hiromasa Katoh
Fukui Prefectural Hospital

Kenji Kawajiri
Matsubara Tokushukai Hospital

Tomohiro Kawasaki
Shin-Koga Hospital

Shunsuke Kitani
Sapporo-Kosei General Hospital

Tomoko Kobayashi
Kyoto Katsura Hospital

Yuichi Kobori
Toda Chuo General Hospital

Tairo Kurita
Mie University

Hiroaki Matsuda
Nagoya Heart Center

Koshi Matsuo
Yao Tokushukai General Hospital

Mitsunori Mutou
Kikuna Memorial Hospital

Masakazu Nagaoka
Ebina General Hospital

Yuya Nakagawa
Hakodate Medical Association Hospital

Takeshi Niizeki
Okitama Public General Hospital

Yoichi Nozaki
Hokko Memorial Hospital

Hisayuki Okada
Seirei Hamamatsu General Hospital

Masaharu Okada
Omi Medical Center

Shinya Okazaki
Juntendo University School of Medicine

Masaaki Okutsu
New Tokyo Hospital

Hiroki Sakamoto
Shizuoka General Hospital

Makoto Sekiguchi
Fukaya Red Cross Hospital

Takeshi Serikawa
Fukuoka Wajiro Hospital

Kenichiro Shimoji
Saiseikai Utsunomiya Hospital

Yoshinori Shimooka
Hokushinkai Megumino Hospital

Satoru Sumitsuji
Freelance

Takahide Suzuki
JA Hokkaido Asahikawa Kosei General Hospital

Yoriyasu Suzuki
Nagoya Heart Center

Tohru Takahashi
Akita Prefectural Hospital Organization Akita Cerebrospinal and Cardiovascular Center

Kaname Takizawa
JCHO Sendai Hospital

Masaki Tanabe
Nozaki Tokushukai Hospital

Tomohiro Yamaguchi
Osaka Metropolitan University Graduate School of Medicine

Masataka Yoshinaga
Fujita Health University

International Faculty

Yu-Ho Chan
CUHK Medical Centre, Hong Kong

Ram Chitlangia
Jeevan Rekha Superspecialty Hospital, Jaipur, India

Jung Rae Cho
Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Korea

Rustem Dautov
The Prince Charles Hospital, Australia

J S Dugal
Jehangir Hospital, Pune, India

A. V. Ganesh Kumar
Dr. L. H. Hiranandani Hospital, India

Junbo Ge
Zhongshan Hospital, Fudan University, People's Republic of China

Lei Ge
Zhongshan Hospital, Fudan University, People's Republic of China

P K Goel
Medanta Heart Institute, India

Jung-Kyu Han
Seoul National University Hospital, Korea

Byung-Hee Hwang
Seoul St. Mary’s Hospital, Korea

Ji-Yong Jang
National Health Insurance Service ilsan Hospital, Korea

Jongheon Jeong
Dong-In Hospital, Korea

Byju Cheriya Kachery
HMS hospital, Kottakkal, Kerala, India

Arun Kalyanasundaram
Promed Hospital, India

Pannala Lakshmi Narasimha Kabardy
Care Hospitals, Hyderabad, India

Wirash Kehasukcharoen
Central Chest Institute of Thailand, Thailand

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

Hyungdon Kook
Hanyang University Medical Center, Korea

Dilip Kumar
Medica Hospital, Kolkata, India

Feng Yu Kuo
Kaohsiung Veterans General Hospital, Taiwan, R.O.C.

Jae-Hwan Lee
Chungnam National University Sejong Hospital, Korea

Nae Hee Lee
SoonChunHyang University Hospital Bucheon, Korea

Seung-Whan Lee
Asan Medical Center, Korea

Soo Teik Lim
National Heart Centre of Singapore, Singapore

Shih-Chi Liu
Fu Jen Catholic University Hospital, Taiwan, R.O.C.

Sidney Tsz Ho Lo
Liverpool Hospital, Australia

Fatt Hoe Adrian Low
National University Hospital, Singapore

Saurabh Mehrotra
PGIMER, Chandigarh, India

Prashant Mishra
Dinanath Mangeshkar Hospital, Pune, India

Muenpetch Muenkaew
Thammasat University Hospital, Pathumthani, Thailand

Kalyan Sopanrao Munde
JJ Hospital, Mumbai, India

Jalal Norouzi
Milad Hospital, Iran

Hun Sik Park
Kyungpook National University Hospital, Korea

Natarajapillai Pratap Kumar
Meditrina Hospital, India

Jie Qian
Fu Wai Hospital, People's Republic of China

V. Surya Prakasa Rao
Care Hospitals, Banjara hills, Hyderabad, India

A. Sharath Reddy
Medicaover Hospital, Hyderabad, India

Sodiqur Rifqi
Dr Kariadi Hospital, Indonesia

Priyen Kantilal Shah
Care Hospitals, Hyderabad, India

Jith Somaratne
Auckland City Hospital, New Zealand

Balashankar Saravanasubramanian
St Vincent Public hospital Melbourne, Australia

Khalid Tammam
International Medical Center, Jeddah, Saudi Arabia

Wasan Udayachalerm
King Chulalongkorn Memorial Hospital, Thailand

Somalaram Venkatesh
Aster RV Hospital, Bangalore , India

Raja Sekhar Varma
Aster Medicity, Cochin, India

Achmad Fauzi Yahya
Dr. Hasan Sadikin Central General Hospital, Indonesia

Cheng Chun Wei
Shin Kong Memorial Hospital,Taiwan, R.O.C.

Gerald S. Werner
Klinikum Darmstadt,Germany

Gerard Yong
Royal Perth Hospital, Australia

Young Won Yoon
Gangnam Severance Hospital, Yonsei University College of Medicine, Korea

Cheol Woong Yu
Anam Hospital, Korea University Medical Center, Korea

Chris Zambikides
Netcare Alberton Hospital, South Africa

Program

Updated: June 7, 2023

Luncheon Seminar @ Live Theater

June 9

June 10

Mini Lecture @ Live Theater

June 9

June 10

Call for Cases

Theme: "My most impressive case in CTO PCI"

Accepted Cases

Case Competition
Date & Time: Saturday, June 10 9:00-10:10 (JST) Venue: Educational Theater
Reg. No.		Name	Institution	Case Title
C005		Motosu Ando	Okamura Memorial Hospital, Japan	A case of refractory revascularization of severely calcified RCA CTO with bypass occlusion
C009		Takuma Tsuda	Nagoya Ekisaikai Hospital, Japan	Staged CTO-PCIs for lesions with anatomical difficulty after CABG
C016		Ryusuke Yamamoto	Takaoka Minami Heart Center, Japan	A case of LAD CTO difficult to treat due to severe calcification
C017		Keisuke Nakabayashi	Kasukabe Chuo General Hospital, Japan	Re-attempt percutaneous coronary intervention for the chronic total occlusion of the left anterior descending artery and left circumflex artery
Poster Presentation
Date & Time: Friday, June 9 - Saturday, June 10 (JST) Venue: Poster Posting Area, Exhibition Hall
Poster No.	Reg. No.	Name	Institution	Case Title
P-01	C001	Masataka Yoshinaga	Fujita Health University Hospital, Japan	RCA CTO of anomalies of origin that could be engage using virtual reality guided catheter simulation
P-02	C002	Dhananjay Kumar	Narayan Medical College and Hospital, India	Anterograde long rca calcified CTO PCI using rotational atherectomy and management of perforation.
P-03	C003	Shigeki Nishiyama	Saitama Sekishinkai Hospital, Japan	A case of LAD short CTO treated with direct cross from retrograde
P-04	C004	Shoji Kawakami	Aso Iizuka Hospital, Japan	A case of a CTO with bending, successfully passed through a guidewire by 3D wiring using IVUS-guided tip detection method
P-05	C006	Takayuki Ishihara	Kansai Rosai Hospital, Japan	Successful Antegrade Passage by a Novel Guidewire for Rotational Atherectomy: A Case of Severe Calcified Chronic Total Occlusion
P-06	C007	Tomoyuki Fukuzawa	Yokohama Rosai Hospital, Japan	Retrograde approach from Shepherd’s crook RCA for LAD mid CTO
P-07	C008	Ken-ichi Oota	Tachibanadai Hospital, Japan	A LAD-CTO case in which PWT could not be performed .
P-08	C010	Kiwamu Sudo	Kyoto Katsura Hospital, Japan	Successful revascularization for LAD double CTO
P-09	C019	Hidenari Matsumura	Saiseikai Utsunomiya Hospital, Japan	LAD CTO with ambiguous proximal cap
P-10	C020	Arvind Kumar Sharma	Rhythm Heart Institute , India	LMCA stenosis + RCA CTO in High risk frail patient
P-11	C021	Arvind Kumar Sharma	Rhythm Heart Institute , India	LAD CTO PCI via LCx epicardial collaterals
P-12	C022	Satoshi Suzuki	Kindai Nara Hospital, Japan	A case in which a lateral branch in a CTO lesion was recanalized without loss of branch by inducing the wire into the true lumen with tip detection ADR and performing a crush stent.
P-13	C023	Sanghoon Shin	Ewha Womans University Seoul Hospital, Korea	Successful CTO PCI under life-threatening circumstances with ECMO support

Registration

Registration Period 1: Wednesday, March 1 - Friday, May 26, 2023
Registration Period 2: Saturday, May 27 - Saturday, June 10, 2023

REGISTRAION
(English)

REGISTRATION
(Japanese)

*The 23^rd CTO Club is using a registration system of “Heartmeetings.com”.
You are required to create your user account at Heartmeetings.com in order to complete registration.

Registration Period 1 (by Friday, May 26)
Medical	JPY 20,000
Co-medical	JPY 2,000
Industry	JPY 20,000
Registration Period 2 (from Saturday, May 27)
Medical	JPY 25,000
Co-medical	JPY 3,000
Industry	JPY 25,000

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 (http://www.mofa.go.jp/j_info/visit/visa/index.html).

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 23rd CTO Club pre-registration.
If you need the invitation letter and other documents for VISA application, please contact CTO Club Administration Office (cto@uproses.co.jp) by May 19.
Please note that this letter of invitation does not commit CTO Club to any financial supports with regard to your attendance at the 23^rd CTO Club.
*24,200 JPY per person will be charged to issue the visa application documents other than the invitation letter.

Accommodation

Contact:

JTB Corp. Western Japan MICE Branch
The 23^rd CTO Club Desk

JTB Bldg. 6F, 2-1-25, Kyutaro-machi Chuo-ku Osaka 541-0056
E-mail: convention1@jtb.com
Office Hours: 9:30-17:30 (weekdays only)

Future Meetings

CTO Club supported by Complex Cardiovascular Therapeutics

The 24^th CTO Club in 2024
June 21 Fri. – 22 Sat., 2024
WINC AICHI, Nagoya

Complex Cardiovascular Therapeutics (CCT)

CCT2023
October 19 Thu. - 21 Sat., 2023
Kobe International Exhibition Hall, Portopia Hotel, Kobe, Japan

CCT2024
October 24 Thu. - 26 Sat., 2024
Kobe International Exhibition Hall, Portopia Hotel, Kobe, Japan