About this event

  • Date and time Wed 28 Apr 2021 from 1:00pm to 4:00pm
  • Location Online
  • Organised by Cardiology

This webinar will update trainees on the latest guidance regarding the indications, planning, techniques, and outcomes for Chronic Total Occlusion (CTO) PCI, and also how to deal with their complicationsAn expert faculty will share up-to-date guidance, clinical cases, and their experience in this field.

The key learning objectives will be as follows: 

  • Understand the indications for CTO PCI and the possible clinical outcomes
  • Recognise typical collateral filling patterns in CTOs, and be able to apply this when acquiring and reviewing coronary angiograms 
  • Learn the antegrade and retrograde CTO PCI techniques
  • Gain insight into the management of CTO PCI complications

This webinar will delve into particulars such as pre-procedural planning, hybrid algorithm for CTP PCI and much more. 

A CPD certificate with CPD credit will be issued to those joining the webinar live as well as those who watch the recording afterwards. Certificates will be issued 7 days after the webinar to those who watch it live and after 30 days for those that watch the recording. 

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Key speakers

Professor James Spratt

Consultant Cardiologist, Professor of Interventional Cardiology, Cardiovascular Clinical Academic Group, St George's Hospital NHS Foundation Trust, London

Speaker's biography

Professor James Spratt is a Consultant Cardiologist and Professor of Interventional Cardiology in the Cardiology Care Group and the Cardiovascular Clinical Academic Group at St George's Hospital NHS Foundation Trust in London. 

Prof Spratt has built an international reputation in complex percutaneous coronary intervention (PCI) and is one of the most experienced cardiologists in the world who deals with complex coronary disease. He has performed live operative demonstrations internationally and has introduced innovative surgical techniques to help patients with this disease. 

He has been working as a leader and educating in this field for more than 10 years, in over 100 hospitals worldwide. He currently leads the complex coronary and academic cardiology intervention services at St George’s Hospital in London. 

Dr Elliot Smith

Consultant, Barts Heart Center, Interventional Cardiologist, Royal Free Hospital

Speaker's biography

Dr Smith was appointed as a consultant in 2008 and works at Barts Heart Centre (Barts Health NHS Trust) and Royal Free Hospitals Foundation Trust as an interventional Cardiologist. He has a strong interest in the training and education of future heart specialists and is a founder and Director of the Cardiovascular Training Institute at Barts Health NHS Trust. 

His dedication to training the next generation of cardiovascular specialists has led him to set up and lead the Cardiovascular Training Institute at Barts Health NHS Trust, where he is also the director of training for interventional cardiology, and the director of the Barts Interventional Group (BIG). 

He is widely-recognised as a national expert in complex angioplasty procedures, including rotational atherectomy and minimally invasive treatment of chronic total occlusions. 

Dr Jonathan Hill 

Clinical Senior Lecturer, Consultant Cardiologist, The Royal Brompton Hospital


Speaker's biography

Dr Jonathan Hill was appointed as Clinical Senior Lecturer and Consultant Cardiologist at King's College London in 2005. He was later appointed as Clinical Senior Lecturer and Consultant Cardiologist at the Royal Brompton Hospital 

In 1999 he was awarded the first National Heart, Lung and Blood Institute Bench to Bedside award and trained in basic science and interventional research within the Cardiovascular Branch of the National Institutes of Health in Bethesda.  

Dr Jonathan Hill has clinical expertise in interventional cardiology, cardiovascular risk assessment and cardiac CT. He has a special interest in acute myocardial infarction and new biological therapy. Dr Jonathan Hill continues his research programme relating to stem and progenitor cells in cardiovascular disease.  

Dr Hill's thesis work at National Institutes of Health related to the development of novel assays for measuring endothelial progenitor cells and the use of magnetic resonance imaging for tracking the engraftment and trafficking of stem and progenitor cells in acute myocardial infarction. He has published a number of manuscripts in this field in high-impact journals including New England Journal of Medicine, Proceedings of the National Academy of Sciences, Circulator, Circulation Research and Blood. 

Dr Claudia Cosgrove

Interventional Cardiologist, St George’s Hospital, London

Speaker's biography

Dr Claudia Cosgrove is an interventional cardiologist working at St George’s Hospital in London. She trained in Australia before undertaking a fellowship in complex and CTO PCI at St George's. She is involved in research in calcific coronary artery disease, left main stem PCI and intravascular imaging. 


View programme

Welcome and introduction

Professor James Spratt, St George's Hospital

Indications for CTO PCI - Symptoms, ischaemia or viability?

Dr Rupert Williams, St George's Hospital

Why do CTO PCI?

Dr Claudia Cosgrove, St George's Hospital

CTO planning and strategy

Dr Simon Wilson, St George's Hospital

Antegrade CTO PCI Techniques

Professor James Spratt, St George's Hospital

Retrograde CTO PCI Techniques

Dr Jonathan Hill, Royal Brompton Hospital

CTO complications

Dr Elliot Smith, St Bart's Hospital

Closing remarks

Professor James Spratt, St George's Hospital