ML CTO 2026 – 25th-27th JUNE
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








