Complex Cardiovascular Therapeutics 2O24

2O24Dates

October 24 thu.- 26 sat., 2024

Venues

Kobe International Exhibition Hall
Portopia Hotel, Kobe, Japan

CCT2O24
Coronary Course Directors

As we eagerly anticipate CCT2024, we take great pride in reflecting on the substantial

Kazuhiro Ashida

growth of our congress, which has now become a highly esteemed international live

Seirei Yokohama Hospital

Maoto Habara

demonstration event in the field of complex PCI. We have weathered the storm of theToyohashi Heart Center

COVID-19 pandemic, and thanks to the determination of the medical community, we have

Ichiro Hamanaka

re-established the vital conduits of international exchange. Last year, CCT2023 thrived

Rakuwakai Marutamachi Hospital

Yuji Hamazaki
Ootakanomori Hospitalwith the participation of doctors from around the world, which is a testament to ourcollective commitment to progress.

Yasumi Igarashi

Sapporo-Kosei General Hospital

Ken Ishibashi

Our field is characterized by rapid advancements, particularly in CTO treatment, whereTsuchiya General Hospital

innovative techniques such as the Penetration Plane Method and IVUS-guided Tip

Yoshifumi Kashima

Detection Method have emerged from our homeland. CCT2024 is dedicated toSapporo Cardio Vascular Clinic

Hiromasa Katoh

showcasing these advancements, serving as a platform for sharing Japan's contributions

Fukui Prefectural Hospitalwith the international community. Additionally, we are keen to introduce our local medical

Tomoko Kobayashi

professionals to the latest treatment techniques and devices from all over the worldShunsuke Matsuno

through live broadcasts and joint sessions with international forums.

Wataru Nagamatsu

CCT represents the pinnacle of opportunity for professional development as a place toKenya Nasu

master new skills through live demonstrations, to expand one's knowledge during

Takeshi Niizeki

comprehensive approach positions CCT as a premier learning and networking event.

Kyoto Katsura Hospital

The Cardiovascular Institute

Hokusetsu General HospitalMie Heart Center

Okitama Public General Hospital

Yuji Oikawa

The Cardiovascular InstituteAtsunori Okamura

Scientific Sessions, and to foster global connections through Joint Sessions. ThisWe are looking forward to the involvement of doctors both near and far, as their

Sakurabashi Watanabe Advanced Healthcare Hospitalengagement is crucial to the success and vibrancy of the congress. CCT2024 stands

Takeshi Serikawa

ready to welcome you to an event that promises to blend education, innovation, andFukuoka Wajiro Hospital

Hiroyuki Tanaka

international fellowship.

Kurashiki Central Hospital

Takafumi Tsuji
Kusatsu Heart CenterJunji Yajima

The Cardiovascular Institute

Masaru Yamaki

Sapporo-Kosei General Hospital

Ryohei Yoshikawa
Sanda City Hospital2

Let us come together once more for CCT2024, to advance the field of complex PCI inunity and collaboration.

Takafumi Tsuji, M.D.
CCT2024 Representative Coronary Course Director

*Session language will be English unless indicated.
There will be no simultaneous interpretation.

Program at a glance

Japanese
onlyJapanese only

Thursday, October 24
8:00

9:00

Morning

10:00

11:00

12:00

14:00

The Cardiovascular Institute

15:00

16:00

18:00

19:00

20:00

21:00

18:00

19:00

20:00

21:00

19:00

20:00

21:00

Ootakanomori Hospital
Klinikum Darmstad, Germany

Coronary Theater 2

ChineseENCORE
Perspectives
SEOUL onLive Case@CCT Transmission

APCTO Club@CCT

Coronary Theater 3

Technical Session-CTO PCI

Complication

Complication

Coronary Theater 4

CCTI@CCT

POPAI@CCT

VR-Guide CatheterSimulation

Coronary Theater 5

17:00

PCI Live Case Transmission

Luncheon
Seminar

PCI Live Case Transmission

Main Theater Session

13:00

APCTO Young Session
Fellow Course

Japanese
only

Case Competition

IJCTO@CCT

CoffeeBreakSeminar

CIAT@CCTDCB Symposium

Case Competition

Friday, October 25
8:00

Main Theater

9:00

10:00

11:00

12:00

13:00

Saint Luke's Mid
PCI Live Case Transmission
America Heart
Institute, USA Sakurabashi Watanabe Advanced Medical HospitalCoronary Theater 2

ISIC@CCT

Coronary Theater 3

CHIP Intervention

Coronary Theater 4

Calcified

Fellow Course

Coronary Theater 5

15:00

16:00

17:00

PCI Live Case Transmission

Sakurabashi Watanabe Advanced Medical Hospital
Luncheon
Seminar

TTT@CCT

14:00

Chinese Perspectives
on Live Case
Transmission

Japanese
only

Bifurcation

Stentless PCICTO Debate Session

InternationalSession

Case Competition

Japanese
only

CCT Live
Playback Session
CoffeeBreakSession

Taiwan CTO Club
@CCTSlender Club@CCT

Case Competition

Saturday, October 26
8:00

MorningMain Theater Session

9:00

10:00

11:00

12:00

PCI Live Case Transmission

Luncheon
Seminar

Toyohashi Heart CenterJapanese
only

CoffeeBreakSeminar

13:00

Chinese Perspectives
on Live Case
Transmission

14:00

15:00

Coronary Theater 3

Complex PCI Video LiveImagingCTO

Coronary Theater 4

J-WINC@CCT

CTOCC@CCT

Middle EastSession

Coronary Theater 5

Case Competition

18:00

Toyohashi Heart Center

CCT Live
Playback Session

Japanese
only

17:00

PCI Live Case Transmission

Coronary Theater 2

Fellow Course

16:00

CIT@CCT
Fellow Course

Case Competition*As of August 22, 2024. This program is subject to change.

3Live Case Transmissions
PCI Live Case Transmissions
We strive to provide an incomparable live demonstration course that is more challenging and ambitious every year.
Operators will demonstrate outstanding techniques and strategies exciting approaches by outlining every aspect ofstrategy and procedural details for complex cases. We are convinced that you can learn a variety of prominenttechniques founded by CCT by attending this live course.
Thursday, October 24

Friday, October 25

Saturday, October 26

The Cardiovascular InstituteSaint Luke's Mid America Heart Institute, USA

Toyohashi Heart Center

Operators:

Operator:

Operators:

Yuji Oikawa
Junji Yajima

J. Aaron Grantham

Klinikum Darmstadt, Germany

Sakurabashi Watanabe Advanced Medical Hospital
Operators:

Maoto Habara
Yoshifumi Kashima
Kenya Nasu
Shunsuke Matsuno

Wataru Nagamatsu
Atsunori Okamura
Ryohei Yoshikawa

Operator:

Gerald S. Werner

Ootakanomori Hospital
Operators:

Yuji Hamazaki
Hiromasa Katoh

Scientific Programs
CCT Live Playback Session

Japanese
only

Coordinator: Takafumi Tsuji (Kusatsu Heart Center, Japan)

The unique “CCT Live Playback Session” by CCT is a special opportunity where the director analyzes live
cases and shares detailed strategies and tactics with the participants. The session is designed to help theyounger generation of physicians understand live cases from different angles and thoroughly discuss
strategies with the directors. Live case operators from CCT will also participate to delve into the thoughtprocess of choosing tactics and devices. This forum will emphasize learning from more experienced
physicians but will also welcome new perspectives from younger physicians.
This participatory session emphasizes "passing on the technology and the spirit of CCT" and aims to enhance
the PCI technology and spirit of CCT by facilitating lively dialogue among all participants. A free and open
atmosphere will be created through on-stage discussions and the exchange of ideas from the participants'seats. Ultimately, the session aims to ensure everyone's active participation and to pass on CCT's technology
and spirit to the future!

CHIP Intervention
Coordinator: Maoto Habara (Toyohashi Heart Center, Japan)

In recent years, CHIP (Complex Higher-risk Indicated Patients) interventions have become increasingly
popular around the world. However, a wealth of know-how and skills is required to safely perform thisadvanced and high-risk procedure. This session will explain approaches to maximize the safety andeffectiveness of CHIP interventions, including the appropriate use of various mechanical support devices. Inaddition, specialists from around the world will gather to discuss the current status and future prospects ofCHIP interventions. This is a rare opportunity to share cutting-edge knowledge with participants, enablingthem to gain insights that will be useful in their practice. We hope you will join this session.

4

Scientific Programs
Complex PCI Video Live
Coordinator: Wataru Nagamatsu (Hokusetsu General Hospital, Japan)

We have planned a complex PCI video live demonstration for young physicians. We have asked young
physicians who will lead the next generation, both from Japan and overseas, to be operators for this video live
demonstration. We hope that young physicians attending this session will feel a kinship with the youngoperators. How far can I go? What kind of decisions would I make? We encourage you to think about thesequestions as you participate in the session. In addition, we have invited discussants from several countries toparticipate in this session. We would like to deepen the discussion from an international perspective,
including the keyword "young physicians," and to share and standardize techniques. We look forward to yourparticipation.

Complications around the world “Nightmare beyond nightmare”
Coordinator: Shunsuke Matsuno (The Cardiovascular Institute, Japan)

Because lesion characteristics, procedural styles, and available devices vary from country to country andregion to region, there are also differences in the complications that occur during PCI procedures and how
they are handled. In this session, experts from around the world will gather to share PCI complications fromdifferent countries and regions and discuss prevention and bailout methods.

CTO Debate Session
Coordinator: Shunsuke Matsuno (The Cardiovascular Institute, Japan)Although it is said that CTO PCI has become standardized in recent years, there is still diversity among
countries, regions, and operators regarding the details of the procedure. In this session, experts with different
views on the three topics of guidewire manipulation, selection of bail-out strategies, and how to finalize after
guidewire passage in CTO PCI will exchange their opinions. We aim to clarify the differences and underlying
commonalities among the experts. We hope that this session will offer a good opportunity for participants tolearn about various ways of thinking and methods and to gain a broader perspective.

Deep dive into CTO technique <when & how>
Coordinator: Maoto Habara (Toyohashi Heart Center, Japan)

CTO (Chronic Total Occlusion) treatment techniques that have evolved independently in each region during
the COVID-19 pandemic are now coming together in one place. CCT2024 will capture this wave of innovation
with a special session, "Deep Dive into CTO Technique <When & How>," which will delve into the latest
trends and theories of CTO techniques. This session will bring together the skills and know-how thatspecialists from around the world have honed in their respective areas to present the most effectivetechniques. In addition to understanding basic techniques, specialists will also explain detailed tips and tricks
to increase success rates. A question-and-answer session will follow the lectures for the participants, allowing
us to directly address their questions and comments. Don't miss this rare opportunity to experience theforefront of CTO technology. We look forward to seeing many participants at this session.

5

Scientific Programs
Overcome under-expanded STENT in heavily calcified lesions
Coordinator: Yoshifumi Kashima (Sapporo Cardio Vascular Clinic, Japan)

Calcified lesions are one of the most difficult lesions to treat. Against this background, various devices for thetreatment of calcified lesions have emerged, and their use and combinations have been discussed
extensively. However, at least, there seems to be a consensus on the importance of lesion preparation in thetreatment of calcified lesions. Regardless of the acute and chronic phases, the under-expanded stent due tostent underexpansion or recoil is highly iatrogenic due to inappropriate and inadequate lesion preparation. In
addition, there are currently no effective treatment strategies for under-expanded stents. Therefore, in thisyear's calcification session, we focused on "Overcoming under-expanded stents" and invited leading lecturers
and panelists. The session was designed to provide a forum for discussion of the latest knowledge thatshould be acquired by all generations and levels of operators. We hope that many attendees will participate
in the session and engage in heated discussions.

Stentless PCI
Coordinator: Hiromasa Katoh (Fukui Prefectural Hospital, Japan)

Since the advent of the second-generation drug-eluting stent, its position as a finalized device has been wellestablished. On the other hand, as the clinical condition of eruptive calcified nodules becomes widely
recognized, the necessity for stentless PCI is also being reconsidered. However, it is also necessary tocarefully identify cases in which stentless approaches should really be warranted (such as theaforementioned eruptive calcified nodules and RCA ostium lesions), cases in which stentless is acceptable asa result of lesion preparation, and cases in which stentless should not be used. In this session, we would liketo discuss the criteria for safely completing the procedure with a stentless approach, and the optimal methods
for lesion preparation and modification, based on case studies, in order to deepen understanding andstandardize the treatment.

6Fellow Course

CCT Supervisory Director:

那須賢哉（三重ハートセンター）

CCT2024のFellow Courseでは、Complex PCIを行う術者が学ぶべき基礎的な知識やTips and tricksを網羅しています。
病変評価にとって欠かせないイメージング、日常臨床において分岐部病変、石灰化病変、CTO病変の中でもより難易度の高い病変を安全にそして効果的に治療するノウハウを学ぶ機会を提供したいと考えています。
同時に一定の確率で遭遇しうる合併症に対するマネジメントと予防を学ぶコースもご用意しております。日常臨床へのフィードバックへの材料として、是非ご活用ください。

Fellow Course: イメージング
企画担当：武藤Japaneseonly

光範（菊名記念病院）

CTO、石灰化病変、分岐部病変など複雑病変の治療において、論理的に手技を進め治療を成功に導くためにはイメージングデバイスは必須で、またそれにより再現性のあるPCIとなります。IVUSとOCTではそれぞれのメリットとデメリットがあり、病変に応じてIVUSでは何を見るべきか、OCTでは何を見るべきかを考慮して読影することが大切です。また何を見るべきかによってIVUSを選択するかOCTを選択するかを判断するべきとも言えます。CTOや高度石灰化などイメージングデバイスが通過しない病変においては、事前のCTから得られる情報はComplex PCIに非常に有益なものとなります。また石灰化病変や屈曲病変などの複雑病変や、高度石灰化によるステント不完全拡張の状況などではIVUSがstuckすることもありえます。
本セッションでは、複雑病変に対するPCIにおいてIVUS, OCT, CTをどのように用いて治療を成功に導くか、また複雑病変であるからこそIVUSがstuckしてしまった場合のベイルアウト方法を御講演頂きます。
多くの先生方のお越しをお待ちしております。

Fellow Course: 合併症
企画担当：道明Japanese
only武範（小倉記念病院）

PCI術者にとって合併症はある一定の確率で発生するものと心得ておく必要があり、その対処法に精通しておくことは必須事項である。
手技の難易度は患者背景や病変の複雑性に依存するところが多いため、手技を完了するにはある程度のリスクを覚悟した上で手技を進める必要がある症例にも遭遇する。
しかし難易度が高い手技であっても合併症が起こるシチュエーションを予見しえるものも多く、リスクがどこに潜んでいるのか、どうすれば避けることができるのか、また不運にも起こってしまった際にどのように対処するのかを、事前に熟考の上、準備し臨むことでクリティカルな合併症を防ぐことが可能となる。
その一方、合併症に遭遇する経験は多くはなく、個人の経験のみでは十分な対処法を身につけることは困難である。
そのため、本セッションでは、エキスパートの術者より実際の症例を共有いただき、合併症に対する事前の予見できるか、合併症が起こった場合にどう対処すればよいか について議論する形で合併症の見識を深めたいと考えています。

7

Fellow Course
Fellow Course: 分岐部
企画担当：石原Japanese
only隆行（関西労災病院）

薬剤溶出性ステントなどのデバイスの進歩によって、PCIは冠動脈狭窄に対する標準的治療法としての地位を確立しました。
しかし、全体の10-15％を占める冠動脈分岐部病変の治療成績は、依然として満足のいくものではありません。石灰化病変、CTO病変と並んで、分岐部病
変はPCIに残された最後の“アキレス腱”です。血管内イメージングを用いたPCIが本邦のPCIの特徴の一つですが、まずその血管内イメージングを用いた分岐部病変に対する治療戦略についてご講演頂きます。その後最も重要な分岐部であるLMT分岐部病変に対する治療戦略と治療に難渋する高度石灰化を伴う分岐部病変に対する治療戦略についてご講演頂きます。そして、最も治療の難易度の高いCTOを伴う分岐部病変に対する治療戦略をご講演頂き、最後にまだエビデンスの十分でないDCBを用いた分岐部病変に対する治療戦略について述べさせて頂きます。分岐部病変の中でも難易度の高い病変群に対するComplex PCIについて網羅できる内容となっています。ぜひ多くの先生方のご参加をお待ちしています。

Fellow Course: CTO
企画担当：景山倫也（那須赤十字病院循環器内科）

CTO-PCIは今も昔もcomplex PCIの代表格であり、PCIの総合力が必要となります。以前にはライブデモンストレーションやワークショップでしか学ぶことが出来なかったような手技も、昨今、webカンファレンスなどの媒体を通して学ぶことが出来るようになりました。その結果、
CTO-PCIの敷居は10年前と比べると明らかに下がっており、どこの施設であっても年代に関係なく行うことが出来るようになっています。
しかしながら、一定以上の困難病変に対しては、CTO-PCIの根本的な原理、基本的なシステム構築や手順をしっかりと理解しなくては成功に導くことは出来ません。それらの問題に立ち向かうべく、今回のFellow courseでは、CTO-PCIの中でも特に難易度の高いと言われている病変へのアプローチについて、根本的な原理と手順を基本から解説いたします。また、日本の強みであるCT、IVUSの活用法につき、基本から応用までポイントを絞って解説いたします。CCTだからこそ出来る内容となっています。皆様、奮ってご参加ください。

8Registration
Pre-registration

July 25 (Thu.) - September 30 (Mon.), 2024 (JST)Regular Registration

October 1 (Tue.) - October 26 (Sat.), 2024 (JST)https://cct.gr.jp/2024/registration.html

Access
Kyoto
Osaka International Airport

Limousineb
us

SubwayKobe

Shin
OsakaShinKobe

JR Shinkansen

Sannomiya

Himeji

JRJR

Osaka

Port Liner

Port IslandJR

Shimin Hiroba St.
Portopia Kansai
Hotel International
Airport
Kobe Airport

Kobe International
Exhibition HallContact
CCT Administration OfficeCentral Residence 201, 48 Higashiodawaracho, Toyohashi, Aichi, 440-0886, Japan
TEL +81-532-57-1275 FAX +81-532-52-2883
E-mail：secretariat@cct.gr.jp