Top Tweets for #CTOplus
What is HARD CTO you ask?
ππΌ #HDR facilitated Atherectomy to Recanalize calcifieD CTOs, of course!
π₯ @SomPSingh presented this at #CTOPlus last year, #JACCCaseReports published it last month!
π₯ @SripalBangalore does it, @Laserrman does it, we do it often, now you can too! πππΌ
72M with refractory angina underwent revascularization of a calcified ramus intermedius #CTO. Heavy calcium and left main flush occlusion required antegrade/retrograde HDR, followed by RA to complete the case. https://t.co/88lvafMc0O #JACCCaseReports
Parallel #HDR courtesy of the brilliant @SripalBangalore! π€©
π₯ Just in time for #CTOPlus 2026 β a twist on the βcap re-punctureβ technique.
My notes:
π The 1st path can be marked (wire/EP stain) or blocked (MC/Sapphire)
π Orthogonal views help
π Can also be done intra-CTO!
1/ As a prelude to #CTOplus, here is a case of parallel HDR from my files. Pt with 3VD, NSTEMI, EF 15%, offered CABG, turned down. Enrolled in P-IV. Impella supported IVUS guided PCI of prox LAD, AWE and PCI of LCX CTO, returns for staged RCA CTO. @realarainmd @stefan_harb
1/ As a prelude to #CTOplus, here is a case of parallel HDR from my files. Pt with 3VD, NSTEMI, EF 15%, offered CABG, turned down. Enrolled in P-IV. Impella supported IVUS guided PCI of prox LAD, AWE and PCI of LCX CTO, returns for staged RCA CTO. @realarainmd @stefan_harb
Mark your calendar! The premier CTO conference returns to NYC! π½
ποΈ February 13β14, 2026 | π New York Marriott Marquis
Get ready for two days of world-class education taught by CTO PCI masters. #CTO2026 registration and call for science open this fall. Stay tuned for updates! https://t.co/oX209BcIn3
#CardioX #CardioTwitter #CardioEd #CardioResearch @esbrilakis @djc795 @DrBillLombardi @mbmcentegart @JWMoses @wjn_md @jgranadacrf @MartyBLeon @wjn_md @PopmaJeffrey @triciarawh @TCTConference
Another great conference at #ACC25!
This month has been so educational: #CTOPlus NY, followed by #CRT25 Washington, #PCIManualsLive in Minneapolis, and now #ACC25 Chicago.
Bringing fresh ideas and inspiration back to @MHIF_Heart and beyond!
Great to connect with colleagues from around the world here in Chicago!
@esbrilakis at #ACC25, giving a quick rundown of our morning presentations!
@MHIF_Heart @ACCinTouch @ACCMinnesota
Which is better to treat: the diseased SVG or the native CTO?
Join @LAzzaliniMD at #CRT2025 as he presents the latest evidence, with @esbrilakis moderating!
From #CTOPlus last week in NY to #CRT2025 in Washington DC β great faculty and expert guidance on CTO #PCI.

One of our #HDR cases at @TeamRVH, βHydrodynamic Contrast Recanalization of Chronically Occluded In-stent Restenosisβ was presented at #CTOplus 2025!
https://t.co/EUowpxkBR1
#cariology #IVUS #CTO #PCI #CaseReport #CTOPCI #medtwitter #cardiotwitter #CTO2025
@PCRonline @SCAI @TCTMD @crfheart @SCC_CCS @ACCI_CAIC @TeamRVH @mmamas1973 @Laserrman @OpolskiMP @LAzzaliniMD @mirvatalasnag @nsharmaMD @drrahulpsharma @wfearonmd @docjohnnyg @RinfretStephane @hwijeysundera @realarainmd @DrBIqbal @evandrofilhobr @SKuramitsu0511 @hamayela
A potential paradigm shift on the horizon? Great presentation by @yadersandoval at #CTOPlus about the benefits of CCTA for pre-PCI procedural planning -- especially in calcified lesions

It was a pleasure and honor to meet @Laserrman and @tadano98 #Sensei #HDR #TdADR #CTO #CTOplus #CTO2025 Stay Connected... π₯π₯ππΎββοΈππΎπ²π½π―π΅ @crfheart @jedicath @MauroCarlino3 @yadersandoval @evandrofilhobr @realarainmd
https://t.co/g9rIbCuZ28
Stay connected during #CTO2025 Complex CTO & Higher Risk PCI @DrDarshanDoshi @rickytiago #CTO #CTOPlus #CHIP @swissCTO @dantheman6559 @LAzzaliniMD @crfheart

A comprehensive coronary calcium overview by Dr. @perc_surgeon last weekend at #CTOplus featuring the recently published @SCAI consensus statement regarding calcium modification.
US Rx only. ISI https://t.co/x46wohk9Gd
#CardioTwitter @crfheart #CTO2024
Dr. Riley is a paid consultant.

Congratulations to @RempakosT who won Best Abstract award at the Award Winning Abstracts session at #CTOPlus! π₯
Congratulations to @AllanaSalman who won Best Case award at the Award Winning Cases session second year in a row at #CTOPlus!! π₯
@crfheart @MHIF_Heart

Excited that our paper, recently published in the @AmJCardio, received widespread discussion on the first day of #CTOPlus!
https://t.co/m9lYeOvMZq
@LAzzaliniMD @esbrilakis @MHIF_Heart

I feel alive when Iβm surrounded by people who do what I do. π€πΎ
#WICC #WIC #womenincardiology #interventionalcardiology #CTOplus #blackinmedicine #BLM #highriskPCI #CTO @crfheart
Excellent wrap-up for the #CHIP #CTO PCI studies in 2023 presented by @LAzzaliniMD! #CTOPlus @crfheart

Our ASAHI Gaia Next & Gladius Mongo guide wires were a hit at this year's #CTOplus
Want to see what all the buzz is about? DM us to book a hands-on demo & training session.
Dont miss out on enhancing your #PTCA and #CTO medical toolkit! #medicaldevices #cardiotwitter

A nice trick to deliver uncrossable microcatheters described by @jay_sreenivasan and Yousif Ahmad.
Flushing the MC and lubricating it with @csi360 Viperslide before insertion.
Will definitely keep it in mind for the next time
#CTO2023 #CTOplus
#My_4_slides on the best tricks I learned this year at #CTO2023 #CTOplus
A concept mentioned by @JTiwanaMD on choosing microcatheters in #ECART according to insulation properties. Lit search showed the most consistent success was Finecross!
Appreciate input from experts!
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