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ML CTO 2026
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Foundations of CTO PCI: Operator Judgment, Imaging Guidance and Antegrade Strategies

08:30
08:50

ML CTO 2026 – INTRODUCTION | Involving the next generation

Alexandre Avran, Kambis Mashayekhi & Stéphane Rinfret

08:50
10:05

SESSION 1 –  It’s all about self-reflection

Veteran:
Artis Kalnins
Rookie:
Louis Verreault-Julien
Coach:
Ricardo Santiago
  • Managing my learning journey to become a better operator, Claudiu Ungureanu
  • Managing adverse consequences of CTO PCI, Nicolas Boudou
  • Case management in constraint economics: my experience, Ali El Sayed
  • Managing my ego: when should I stop, Roberto Garbo
  •  Lucky draw for live case #3 – Eastern Europe teams

10:05
10:35

Coffee break & Exhibition visit

10:35
11:00

Didactical lectures 

  • Can ischemic cardiomyopathy be an iatrogenic disease? Stéphane Rinfret
  • Curating the Perfect Complication, Ganeev Malhotra

11:00
13:00

SESSION 2 –  It’s all about tools

Veteran:
Paul Knaapen
Rookie:
Manfredi Arioti
Coach:
Thomas Hovasse
Referee:
Amr El Hadidy

LIVE CASE #1 – AFRICA TEAM 

From Polyclinique Saint-George, Nice

Players: Marouane Boukhris & Dirk Pretorius
IVUS Commentator: Olga Toleva

With unrestricted support of

  • From ambiguity to accuracy: IVUS in complex CTO intervention, Roberto Garbo   
  • Wires for CTOs: old and newer stuff, Gregor Leibundgut
  • Microcatheters for CTOs: old and new stuff, Mihai Cocoi
  • New tools in complex PCI, Benjamin Faurie
  • Imaging the Way Out: HD-IVUS-guided problem solving in a complicated LAD CTO, Ram Vijayraghavan
  • Stent sizing for CTOs: criteria and pitfalls, Stéphane Carlier

13:00
14:00

Lunch break & Exhibition visit

14:00
16:20

SESSION 3 –  It’s all about antegrade approach

Veteran:
Ioannis Tsiafoutis
Rookie:
Sina Porouchani
Coach:
Emmanouil Brilakis
Referee:
Mohaned Egred

LIVE CASE #2 – NORTH AMERICA TEAM #1

From Centre Cardio-Thoracique, Monaco
Players: Allison Hall & Luiz F. Ybarra
IVUS Commentator: Stéphane Carlier

With unrestricted support of

LIVE CASE #3 – EASTERN EUROPE TEAM 

From Polyclinique Saint-George, Nice

Players: Vojtěch Novotný & Artis Kalnins
IVUS Commentator: Olga Toleva

With unrestricted support of

  • My approach for antegrade wiring, Andrea Gagnor
  • The new Zolution wiring, Eugene Wu
  • My approach for an ambiguous proximal cap, Raja Hatem
  • The wire crossed but the MC cannot follow: what’s next? Alexander Nap

16:20
16:50

Coffee break & Exhibition visit

16:50
18:45

SESSION 4 –  It’s all about cases

Veteran:
Andrea Gagnor
Rookie:
Veronica Lio
Coach:
Claudiu Ungureanu
Referee:
Khaldoon Alaswad

LIVE CASE #4 – CENTRAL AMERICA TEAM

From Centre Cardio-Thoracique, Monaco
Players: Ricardo Santiago & Neisser Morales
IVUS Commentator: Stéphane Carlier

With unrestricted support of

  • Lucky draw for live case #6 – Middle East team
  • The mystery CTO: which vessel will it be? Mohamed Ayoub 
  • Intraplaque micro-injection of contrast, Salman Arain
  • When metal is not the answer: A DEB approach in complex coronary disease, Gregor Leibundgut Cordis
  • Post-Bypass long CTO lesion in a diabetic patient, Benjamin Faurie & Paul Knaapen   
  • When AI meets complex CTO PCI: a match played in three halves, Richard Gervasoni 
  • A walk with the fantastic 4: Mid-term Angiographic Outcomes of the Four CTO-ARC Crossing Techniques – ACTOR study, Jasim Hasan

18:45

Adjournment

Advanced CTO PCI: Retrograde Recanalization, Re-entry and Cross-Disciplinary Innovation

08:45
11:00

SESSION 5 –  It’s all about retrograde

Veteran:
Nicolas Boudou
Rookie:
Allison Hall
Coach:
Gregor Leibundgut
Referee:
Eugene Wu

LIVE CASE #5 – WESTERN EUROPE TEAM #1

From Centre Cardio-Thoracique, Monaco

Players: Mohamed Ayoub & Kambis Mashayekhi
IVUS Commentator: Stéphane Carlier

With unrestricted support of

  • My approach to retrograde pathway selection, Masahisa Yamane
  • My approach to retrograde CTO PCI through epicardial collaterals, Paul Hsien-Li Kao

LIVE CASE #6 – MIDDLE EAST TEAM

From Polyclinique Saint-George, Nice
Players: Ahmed ElGuindy & Ali El Sayed
IVUS Commentator: Olga Toleva

With unrestricted support of

  • Crossing the occlusion from the retrograde approach, Tarek Rashid
  • When should I externalize: snaring, tip-in, rendez-vous…? Sina Porouchani
  •  Lucky draw for live case #8 – Western Europe team #2

11:00
11:30

Coffee break & Exhibition visit

11:30
13:15

SESSION 6 – It’s all about dissection re-entry

Veteran:
Edouard Koifman
Rookie:
Myron Zaczkiewicz
Coach:
Ignacio Amat-Santos
Referee:
Alexander Nap

LIVE CASE #7 – ASIA PACIFIC TEAM #1

From Centre Cardio-Thoracique, Monaco
Players: Arun Kalyanasundaram & Claudia Cosgrove
IVUS Commentator: Stéphane Carlier

With unrestricted support of

  • Classical and modern approach to ADR, Emmanouil Brilakis
  • Last hope for uncrossable lesion, Alexandre Avran  Shunmei
  • Severe calcium, smarter preparation: a stepwise lesion modification strategy, Roberto Garbo IVascular

CONTROVERSY – Stenting a dissection plan: my approach:
– I do, Paul Knaapen
– I personally don’t stent, Myron Zaczkiewicz

13:15
14:15

Lunch break & Exhibition visit

14:15
16:30

SESSION 7 – BREAKING SILOS

Veteran:
Roberto Garbo
Rookie:
Bilal Iqbal
Coach:
Ram Vijayraghavan
Referee:
Elliot Smith

LIVE CASE #8 – WESTERN EUROPE TEAM #2

From Polyclinique Saint-George, Nice
Players: Manfredi Arioti & Claudiu Ungureanu
IVUS Commentator: Olga Toleva

With unrestricted support of

  • The role of minimally invasive surgery in the treatment of CTOs, Marc Ruel

LIVE CASE #9 – ASIA PACIFIC TEAM #2

From Centre Cardio-Thoracique, Monaco
Players: Paul Hsien-Li Kao & Eugene Wu
IVUS Commentator: Stéphane Carlier

With unrestricted support of

  • Clinical case: under pressure, Stéphane Rinfret  SIS Medical
  • Redefining the treatment of complex calcium: next-generation IVL, Gregor Leibundgut    Shockwave

16:30
17:00

Coffee break & Exhibition visit

17:00
18:30

SESSION 8 – Under 40 ML CTO World Cup: Final

Veteran:
Antonio Serra
Rookie:
Luiz F. Ybarra
Coach:
Sanjog Kalra
Referee:
Ahmed ElGuindy

LIVE CASE #10 – NORTH AMERICA TEAM #2

From Wellspan York Hospital, USA
Players: Rhian Davies & Dhruv Mahtta

With unrestricted support of

SEMI-FINAL 1:

  • When the usual roads are closed: a journey a stubborn CTO, Mohamed Aymen Ben Abdessalem tunisia
  • RCA CTO complicated by Iatrogenic ostial dissection: airmail wiring, Eduardo Silveirabrazil

SEMI-FINAL 2:

  • Directed energy meets imaging precision. CT guided electro-cautery assisted re-entry (ECART) for ostial RCA CTO, Harsh Thakkar united-kingdom
  • Post CABG CTO PCI, Mikko Minkkinen denmark

UNDER 40 ML CTO WORLD CUP WINNERS

18:30

Adjournment

Mastering CTO PCI: Complex Case Planning, Procedural Troubleshooting and Expert Take-Home Messages

09:00
10:15

SESSION 9 –  It’s all about mastering CTOs

Veteran:
Ali El Sayed
Rookie:
Sliman Hussein
Coach:
Salman Arain
  • It’s not over until it’s covered, Thomas Hovasse
  • Case planning and problem solving in a sick patient with bad RV/LV dysfunction, Sanjog Kalra
  • Spetal or epicardials navigating the gray zone – Roberto Diletti
  • Living on the Edge without MCS, Khaldoon Alaswad

10:15
10:45

Coffee break & Exhibition visit

10:45
12:45

SESSION 10 –  ML CTO Family FEUD

Veteran:
Yamane Masahisa
Rookie:
Claudia Cosgrove
Coach:
Raja Hatem
Referee:
Paul Hsien-Li Kao

LIVE CASE #11 – WESTERN EUROPE TEAM #3

From Centre Cardio-Thoracique, Monaco

Players: Ignacio Amat Santos & Elliot Smith
IVUS Commentator: Stéphane Carlier

With unrestricted support of

  • Jurassic graft: extinction of a giant, Maximilian Will

> ML CTO “Family FEUD” Game <

13:00

ML CTO 2026 – Lunch closing

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