June 12, 2021

Key language of Channel 1 (Live Theater) is Japanese. Japanese ⇔ English simultaneous interpretation is available in all sessions.

 Morning Session: Live Case Pre-discussion Session

 07:50-08:25 (JST)

Chair: Yuji Oikawa

Commentators: Takeshi Serikawa, Kenichiro Shimoji, Yoriyasu Suzuki

We are going to discuss live case treatments of the day in the morning. Let's start your day by learning strategies and exchanging opinions about live cases of the day.

 CTO Live Case Transmission: Sakurabashi Watanabe Hospital

Operators: Atsunori Okamura, Ryohei Yoshikawa

Imaging Commentators: Katsuyuki Hasegawa, Tomoko Kobayashi

 Live Case Transmission 5

 08:30-10:25 (JST)

Chairs: Yasumi Igarashi, Junji Yajima, Paul Hsien-Li Kao

Supervisor: Eisho Kyo

Commentators: Takenori Domei, Shinya Fujita, Hiroaki Hirase, Hisayuki Okada, Makoto Sekiguchi

Mini Lecture: Resolute Onyx™ Stent Talks

Lecturer: Wataru Nagamatsu

Mini Lecture: Co-sponsored by Medtronic Japan Co., Ltd.

 Live Case Transmission 6

 10:30-11:50 (JST)

Chairs: Yuji Hamazaki, Etsuo Tsuchikane, Jiyan Chen

Supervisor: Masahiko Ochiai

Commentators: Ichiro Hamanaka, Yuichi Kobori, Hiroaki Matsuda, Shinya Okazaki, Satoru Sumitsuji, Yoshihiro Takeda

Focus Live: Co-sponsored by Abbott Medical Japan LLC.

In the 21st 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!

 Luncheon Seminar

 12:00-13:00 (JST)

New Concept for CTO-PCI "PPV" - Toward The Next Chapter

Chair: Yoshifumi Kashima

Supervisor: Osamu Katoh

Lecturer: Kenya Nasu

Co-sponsored by: ASAHI INTECC CO., LTD.

 Special Live Session: The new concept of guide wire operation

 13:10-16:30 (JST)

 Part 1

 13:10-14:50 (JST)

Chairs: Shigeru Nakamura (Kyoto Katsura Hospital, Japan), Takafumi Tsuji

Supervisor: Osamu Katoh

Commentators: Katsuyuki Hasegawa, Yoshifumi Kashima, Shunsuke Matsuno, Kenichiro Shimoji, Kambis Mashayekhi

Special Lecture: Problems of CTO-PCI from European point of view [13:10-13:25]

Lecturer: Kambis Mashayekhi

Live Demonstration Part 1 [13:25-14:50]

Operator: Kenya Nasu

 Part 2

 14:50-16:30 (JST)

Chairs: Shigeru Nakamura (Kyoto Katsura Hospital, Japan), Takafumi Tsuji

Supervisor: Osamu Katoh

Commentators: Katsuyuki Hasegawa, Yoshifumi Kashima, Shunsuke Matsuno, Kenichiro Shimoji, Eugene Brian Wu

Special Lecture: Report of today’s CTO-PCI from AP CTO – CTO Global Algorithm [14:50-15:05 (JST)]

Lecturer: Eugene Brian Wu

Live Demonstration Part 2 [15:05-16:30 (JST)]

Operator: Wataru Nagamatsu

Co-sponsored by: ASAHI INTECC CO., LTD.

It is common knowledge that success in guide wire crossing is the key to overall success of the PCI procedure. In the recent 10 years, the performance of guide wires have remarkably improved, and various methods of guide wire manipulation have been introduced and embraced for clinical practice.

However, the overall success rate of CTO-PCI has been remaining flat recently following the wide spread of Retrograde approach, and there has been no remarkable economic improvement such as reduction in the operation time or the number of devices used. The gap between the technical and logical progress of CTO-PCI and improvement in its clinical result is yet to be filled.

Until now, operators have been required the substantial practical experience and knowledge to operate CTO-PCI since its dawning. There is no doubt that CTO-PCI operation is the culmination of not only guide wire manipulation, but also for the overall PCI technique and knowledge, which is the reason many operators are interested in this field. Therefore, it is crucial that we overcome the technical challenges by building up a logic that offers high reproducibility in the coming years.

In this special program, we will present a new method of guide wire manipulation and discuss its effects and its remaining problems as of the present through the live case transmission following the luncheon seminar. In addition, we would like to report the latest trend of CTO-PCI worldwide.

Session in English: Case Competition / International Joint Session: K-CTO@CTO Club
Session in Japanese: Luncheon Seminar: PCI balloon crossing techniques in Complex CTO lesion / Effective usage of IVUS for CTO cases
Simultaneous interpretation is not available in Channel 2.

 Case Competition

 09:00-10:10 (JST)

Chairs: Kazuhiro Ashida, Ichiro Hamanaka

Judges: Shingo Hosogi, Kenji Kawajiri, Makoto Muto, Scott Harding, Seung Whan Lee


A case of retrograde approach which was difficult to select the septal branch Yutaka Yonezawa (Dokkyo Medical University Hospital, Japan)
Complicated bail-out of RCA-CTO Takuma Tsuda (Nagoya Ekisaikai Hospital, Japan)
A case of severe calcified RCA-CTO recanalized by using IVUS-guided ADR technique Yoshinori Tsubakimoto (Japanese Red Cross Kyoto Daini Hospital, Japan)
Bail-out technique facing to compromise side branch due to hematoma Munenori Okubo (Gifu Heart Center, Japan)

Among submitted cases, four exemplary cases was selected as "oral presentation" at the Case Competition. The best case of the Case Competition will receive an award and the presenter will be invited as a CTO Club faculty member in 2022.

 International Joint Session: K-CTO@CTO Club

 10:20-11:50 (JST)

Chairs: Takafumi Tsuji, Cheol Woong Yu

Supervisor: Satoru Otsuji

Panelists: Yoshifumi Kashima, Kenichiro Shimoji, Jung Rae Cho, Jae-Hwan Lee, Chang-Hwan Yoon


1. Role of coronary CTA in CTO-PCI:
Who benefits from CTA? 'In-depth analysis of the CT-CTO trial Byeong-Keuk Kim
Standardization of Japanese style CT utilization for CTO-PCI Masaaki Okutsu
2. Use of IVUS in CTO-PCI:
IVUS guided stent optimization: Which parameter is important for long-term outcome? Seung Whan Lee
IVUS guided CTO-PCI : How does IVUS work in difficult situation? Shozo Ishihara
3. My memorable CTO case of the year:
In-stent CTO, not as easy as it looks Kook-Jin Chun
RCA CTO with isolated bifurcation Hiromasa Katoh

In this session, we will focus on imaging devices of CTO-PCI and provide lectures as well as discussions by experts from Korea and Japan about practical use of coronary CT angiography and IVUS.

 Luncheon Seminar: PCI balloon crossing techniques in Complex CTO lesion.

 12:00-13:00 (JST)

Chair: Junji Yajima

Consideration and Evaluation of CTO Balloons
Lecturer: Wataru Nagamatsu

My Best "ZINRAI" Casebook
Lecturer: Hiroaki Matsuda


 Effective usage of IVUS for CTO cases

 13:10-14:10 (JST)

Chair: Tetsuo Matsubara (Toyohashi Heart Center, Japan)

IVUS guided wiring for CTO cases
Lecturer: Hirokazu Konishi (Toyohashi Heart Center, Japan)

The Comparison of the efficacy between rotational IVUS and phased array IVUS
Lecturer: Takanori Kusuyama (Tsukazaki Hospital, Japan)

Co-sponsored by: Philips Japan, Ltd.

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