ML CTO 2026
Stay tuned, the replay will be available soon!
Choose the right day below
Thursday, June, 25th
Friday, June, 26th
Saturday, June, 27th
Thursday, June, 25th
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
Artis Kalnins
Louis Verreault-Julien
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
Paul Knaapen
Manfredi Arioti
Thomas Hovasse
Amr El Hadidy
- 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
Ioannis Tsiafoutis
Sina Porouchani
Emmanouil Brilakis
Mohaned Egred
- 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
Andrea Gagnor
Veronica Lio
Claudiu Ungureanu
Khaldoon Alaswad
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

- 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
Friday, June, 26th
Advanced CTO PCI: Retrograde Recanalization, Re-entry and Cross-Disciplinary Innovation
08:45
11:00
SESSION 5 – It’s all about retrograde
Nicolas Boudou
Allison Hall
Gregor Leibundgut
Eugene Wu
Players: Mohamed Ayoub & Kambis Mashayekhi
IVUS Commentator: Stéphane Carlier
- My approach to retrograde pathway selection, Masahisa Yamane
- My approach to retrograde CTO PCI through epicardial collaterals, Paul Hsien-Li Kao
11:00
11:30
Coffee break & Exhibition visit
11:30
13:15
SESSION 6 – It’s all about dissection re-entry
Edouard Koifman
Myron Zaczkiewicz
Ignacio Amat-Santos
Alexander Nap
- Classical and modern approach to ADR, Emmanouil Brilakis
- Last hope for uncrossable lesion, Alexandre Avran

- Severe calcium, smarter preparation: a stepwise lesion modification strategy, Roberto Garbo

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
Roberto Garbo
Bilal Iqbal
Ram Vijayraghavan
Elliot Smith
- The role of minimally invasive surgery in the treatment of CTOs, Marc Ruel
- Clinical case: under pressure, Stéphane Rinfret

- Redefining the treatment of complex calcium: next-generation IVL, Gregor Leibundgut

16:30
17:00
Coffee break & Exhibition visit
17:00
18:30
SESSION 8 – Under 40 ML CTO World Cup: Final
Antonio Serra
Luiz F. Ybarra
Sanjog Kalra
Ahmed ElGuindy
SEMI-FINAL 1:
- When the usual roads are closed: a journey a stubborn CTO, Mohamed Aymen Ben Abdessalem

- RCA CTO complicated by Iatrogenic ostial dissection: airmail wiring, Eduardo Silveira

SEMI-FINAL 2:
- Directed energy meets imaging precision. CT guided electro-cautery assisted re-entry (ECART) for ostial RCA CTO, Harsh Thakkar

- Post CABG CTO PCI, Mikko Minkkinen

UNDER 40 ML CTO WORLD CUP WINNERS
18:30
Adjournment
Saturday, June, 27th
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
Ali El Sayed
Sliman Hussein
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
Yamane Masahisa
Claudia Cosgrove
Raja Hatem
Paul Hsien-Li Kao
- Jurassic graft: extinction of a giant, Maximilian Will
> ML CTO “Family FEUD” Game <
13:00
ML CTO 2026 – Lunch closing








