Percutaneous coronary intervention (PCI) for chronic total occlusion (CTO) lesions has shown improved clinical outcomes with advances in devices and techniques. However, particularly in highly complex cases, achieving an optimal balance between safety, procedural success, and efficiency - including cost and procedural time - remains a critical challenge. Improving the quality of CTO PCI requires a systematic understanding of the entire treatment process, including treatment strategy planning based on preprocedural assessment, intra-procedural decision-making and technique switching, and complication avoidance. In particular, the rationale behind intra-procedural decisions and strategy modifications is difficult to convey adequately through lectures or recorded videos alone.
At the CTO Club, we place a strong emphasis on live demonstrations of high-complexity CTO cases, through which the operator’s thought process is shared in real time. By visualizing how treatment strategies are developed, why specific techniques are selected, and when key decisions are made, we aim to provide highly reproducible educational opportunities. In addition, we will further discuss the important future challenge of standardizing treatment strategies and procedural techniques.
We cordially invite all physicians involved in CTO PCI to join us in Nagoya and participate in these discussions of high educational value that directly translate into daily clinical practice.
The 26th CTO Club Representative Course Director
Wataru Nagamatsu (Hokusetsu General 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
Medical Corporation Foundation Tokureikai
Masahisa
Yamane
Saitama Sekishinkai Hospital
Alimi Ahmad Hatib
Woodlands Health,
Singapore
Jung-Joon Cha
Korea University Anam Hospital,
Korea
Yu-Ho
Chan
Chinese University Hong Kong Medical Center,
Hong Kong
Chi-Jen
Chang
Chang Gung Memorial Hospital, Linkou,
Taiwan, R.O.C.
Yeh-Peng Chen
China-Medical University Hospital,
Taiwan, R.O.C.
Chee Yang
Chin
National Heart Centre Singapore,
Singapore
Cheng-An
Chiu
Kaohsiung Medical University Hospital,
Taiwan, R.O.C.
Thunnop
Chotivanawan
Thammasat University Hospital,
Thailand
Rustem
Dautov
The Prince Charles Hospital,
Australia
A. V. Ganesh Kumar
Dr. L. H. Hiranandani Hospital,
India
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
Farrel
Hellig
Sunninghill Hospital, Sunward Park Hospital,
South Africa
Han-Young
Jin
Inje University, Busan Paik Hospital,
Korea
Anek
Kanoksilp
Central Chest Institute of Thailand,
Thailand
Yu-Cheng Kao
Cheng Hsin General Hospital,
Taiwan, R.O.C.
Wirash
Kehasukcharoen
Central Chest Institute of Thailand,
Thailand
Byeong-Keuk Kim
Yonsei University Severance Cardiovascular Hospital,
Korea
Dong-Kie
Kim
Inje University Haeundae Paik Hospital,
Korea
Tian Hai
Koh
National Heart Centre of Singapore,
Singapore
Feng Yu Kuo
Kaohsiung Veterans General Hospital,
Taiwan, R.O.C.
Jung-Hee Lee
Yonsei University Wonju Severance Christian Hospital,
Korea
Nae Hee Lee
Soonchunhyang University Bucheon Hospital,
Korea
Seung-Jun Lee
Severance Cardiovascular Hospital, Yonsei University College of Medicine,
Korea
Seung-Whan
Lee
Asan Medical Center,
Korea
Soo Teik
Lim
National Heart Centre of Singapore,
Singapore
Zhan Yun 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
Adrian
Low
National University Hospital,
Singapore
Randal
Low
Woodlands Health,
Singapore
Tse-Min
Lu
Taipei Veterans General Hospital,
Taiwan, R.O.C.
Muenpetch
Muenkaew
Thammasat University Hospital, Pathumthani,
Thailand
Gavin
Ng
National University Hospital,
Singapore
Maksymilian
Opolski
National Institute of Cardiology,
Poland
Sanjay C. Porwal
KLE’s Dr. Prabhakar Kore Hospital & MRC,
India
Natarajapillai
Pratap Kumar
Meditrina Hospital,
India
V. Surya Prakasa Rao
Care Hospitals,
India
Attuluri Ravikumar
Vijaya’s Ravi Heart Care Centre,
India
Avadhesh
Saraswat
Sir Charles Gairdner Hospital,
Australia
Goh Yew
Seong
Changi General Hospital,
Singapore
Jawaid Akbar
Sial
Sindh Institute of Cardiovascular Disease,
Pakistan
Jon Suh
SoonChunHyang University Bucheon Hospital,
Korea
Ying-Chang
Tung
Chang Gung Memorial Hospital, Linkou,
Taiwan, R.O.C.
Wasan
Udayachalerm
King Chulalongkorn Memorial
Hospital, Chulalongkorn University,
Thailand
Bernard
Wong
North Shore Hospital,
New Zealand
James
Xu
Liverpool Hospital,
Australia
Hyuck Jun Yoon
Keimyung University Dongsan Hospital,
Korea
Chris Zambakides
Chris Hani Baragwanath Hospital,
South Africa
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
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
Chuno Kosei Hospital
Koshi
Matsuo
Yao Tokushukai General Hospital
Takanobu
Mitarai
OOITA OKA Hospital
Mitsunori
Mutou
Kikuna Memorial Hospital
Masakazu
Nagaoka
Ebina General Hospital
Hiroshi
Nakagata
Sendai City 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
Hideto
Sangen
Hakujikai Memorial 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
Misugikai Satoh Hospital
Kota
Tanaka
Sakurabashi Watanabe Advanced Healthcare Hospital
Yusuke
Tanigaito
Mie Prefectural General Medical Center
Takayuki
Yabe
Toho University Omori Medical Center
Tomohiro
Yamaguchi
Osaka Metropolitan University Graduate School of Medicine
Ryusuke
Yamamoto
Takaoka Minami Heart Center
Masataka
Yoshinaga
Fujita Health University
(Updated: April 8, 2026)
Young doctors, in particular, may encounter CTO cases that they do not know how to treat or that have been unsuccessfully treated. 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 encourage you to apply. If there is a slot available, you are also welcome to join for a consultation without an appointment.
*Please prepare the angiogram of your planned treatment case or your unsuccessful case, along with a slide presentation (Summarized in one PowerPoint slide).
Schedule
Venue
Exhibition, WINC AICHI 5F
Language
English / Japanese
Registration Fee
Free (*Registration for the 26th CTO Club is required.)
| Case Competition | |||||
|---|---|---|---|---|---|
| Saturday, June 27 10:40-11:50 | |||||
| Registered number |
Name | Institution | Country | Case Title | |
| C10002 | Kiwamu Sudo | Sakurabashi Watanabe Advanced Healthcare Hospital | Japan | IVUS guided move the cap technique for heavily calcified LCX ostial CTO | |
| C10010 | Taito Nagai | Misato Central General Hospital | Japan | RCA ostial CTO with severe calcification | |
| C10017 | Takushi Sugiyama | Dokkyo Medical University Nikko Medical Center | Japan | A Case of LAD CTO with an Unexpected Clinical Course | |
| C10034 | Shinichiro Masuda | Ageo Central General Hospital | Japan | Combined Antegrade and Retrograde HydroDynamic Contrast Recanalization for a Long RCA CTO | |
| Poster Posting | |||||
| Friday, June 26 - Saturday, June 27 | |||||
| Poster number |
Registered number | Name | Institution | Country | Case Title |
| P-01 | C10001 | Shigeki Nishiyama | Saitama Sekishinkai Hospital | Japan | A case of RCA CTO complicated with heart failure, in which revascularization was performed while using IABP during treatment |
| P-02 | C10003 | Sho Nagamine | Edogawa Hospital | Japan | RCA CTO treated by retrograde approach via SVG-RCA graft in the patient after CABG and TAVI |
| P-03 | C10004 | Akane Miyazaki | Fujita Health University Bantane Hospital | Japan | Successful Combination of the Slipstream and the Tip Detection-Antegrade Dissection and Re-Entry Techniques for Chronic Total Occlusion |
| P-04 | C10005 | Tomoaki Haga | JA Aichi Koseiren toyota Kosei Hospital | Japan | A Case of Successful Revascularization of a Left Circumflex CTO Using a Combination of the Tip Detection Method and the Slip-Stream Technique |
| P-05 | C10006 | Tetsuya Yamamoto | Kobe University Graduate School of Medicine | Japan | Retrograde Direct Crossing for Severely Calcified Ostial LAD CTO Guided by IVUS |
| P-06 | C10007 | Jiunn-Wen Lin | Buddhist Dalin Tzu Chi General Hospital | Taiwan, R.O.C. | From Broken Guidewire to Breakthrough Recanalization: Progressive RCA CTO Following Failed PCI With a Retained Guidewire Fragment |
| P-07 | C10008 | Takao Konishi | National Defense Medical College | Japan | Covert coronary artery perforation caused by the edge of a drug-eluting stent |
| P-08 | C10009 | Shih-hao Yu | Kaohsiung Medical University Hospital | Taiwan, R.O.C. | Direct RG3 Entry into a Guide Extension Catheter after RA(Rotational Atherectomy) Assisted Retrograde Approach for Ostial LCx CTO |
| P-09 | C10014 | Cheng Yu Ko | National Cheng Kung University Hospital | Taiwan, R.O.C. | A Long RCA CTO with Anomalous Origin, Involving Multiple Bifurcations |
| P-10 | C10015 | Ryutaro Waku | Dokkyo Medical University Hospital | Japan | A case successfully externalized easily using the aortic arch-assisted Tip-in technique. |
| P-11 | C10016 | Shojiro Hirano | Toho University | Japan | Sequential RCA CTO After CABG: Retrograde Failure and Successful IVUS-Guided Re-entry |
| P-12 | C10019 | Prashant Kumar Panda | Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh | India | Successfully Ostial LAD CTO PCI with wire de escalation strategy |
| P-13 | C10020 | Toku Sakashita | IMS Fujimi General Hospital | Japan | PCI for a Bifurcation Lesion with CTO of the LAD |
| P-14 | C10021 | Kenichi Inoue | The Cardiovascular Institute | Japan | Successful Complete Revascularization of a CTO at the Distal RCA Bifurcation using T-DADR and Retrograde Approach |
| P-15 | C10022 | Makio Muraishi | Tokyo Bay Urayasu Ichikawa Medical Center | Japan | Successful recanalization of RCA CTO under ECPELLA support in a patient with ventricular fibrillation storm |
| P-16 | C10023 | Wongwaris Aphijirawat | Queen Sirikit Naval Hospital | Thailand | Fail, Invest and Win : An intentional half-way stenting to facilitate final CTO LAD recanalization |
| P-17 | C10024 | Sinji Imura | Okamura Memorial Hospital | Japan | IVUS-Guided ADR for a Severely Calcified and Tortuous LAD CTO without Usable Collaterals |
| P-18 | C10025 | Yutaka Tadano | Sapporo Cardio Vascular Clinic | Japan | Tip Detection IVUS-guided intraplaque tracking utilizing HDR (TD-HDR) |
| P-19 | C10027 | Amit Kumar | K-Care Hospital | India | When Coronary Meets Renal: A Challenging Antegrade CTO Angioplasty Complicated by Stent Migration |
| P-20 | C10028 | Takuma Tsuda | Nagoya Ekisaikai Hospital | Japan | Uncrossable and Undilatable LCX-CTO |
| P-21 | C10031 | Narathip Chunhamaneewat | Siriraj Hospital, Mahidol University | Thailand | Complete recovery of hibernating myocardium by RCA CTO PCI in the patient with left main coronary artery disease and aortic stenosis |
| P-22 | C10032 | Anton Staferov | Federal Scientific and Clinical Center for Specialized Types of Medical Care and Medical Technologies of the Federal Medical and Biological Agency of Russia | Russian Federation | Complex recanalization of a calcified RCA CTO using an antegrade-retrograde approach and rotational atherectomy. |
| P-23 | C10033 | Dhananjay Kumar | Bhagwan Mahavir Manipal Hospital | India | LAD cto pci in acase of critical left main disease protected by Impella CP complicated by accidental wire removal in a dissected segment ,re-entry using real time ivus |
| P-24 | C10035 | Hetan C. Shah | Jaslok Hospital and Research Center | India | Double Vessel Challenging CTO - Donor and Recipient |
Contact:
JTB Corp. Western Japan MICE Branch
The 26th CTO Club Desk
JTB Bldg. 6F, 2-1-25, Kyutaro-machi Chuo-ku Osaka 541-0056
E-mail: westec_op3@jtb.com
Office Hours: 9:30-17:30 (weekdays only)
CTO Club supported by Complex Cardiovascular Therapeutics
The 27th CTO Club in 2027
June 18 Fri. - 19 Sat., 2027
WINC AICHI, Nagoya
Complex Cardiovascular Therapeutics (CCT)
CCT2026
October 23 Thu. - 24 Fri., 2025
Kobe International Exhibition Hall, Portopia Hotel, Kobe, Japan
