LINC 2013 live case guide

Find all Live Cases and operators listed below.

Münster

8 livecase(s)
  • Thursday, January 24th: - , Technical Forum

    Case 47 – Persistent Type II endoleak with aneurysm growth

    Center:
    Münster
    Case 47 – MÜN 01: male, 82 years (B-S)
    Operators:
    • Arne Schwindt,
    • Konstantinos Donas
    Clinical data
    3/2013 EVAR (main body Zenith Flex, iliac extensions Zenith spiral COOK)
    CT-control 11/12: axial diameter increase from initially 53 mm to 58 mm

    Procedural steps
    1. Right femoral approach
    - 5F 10 cm sheath (TERUMO)

    2. Cannulation right ileolumbar artery
    - 0.035" Glidewire, 5F Glidecath MP (TERUMO)

    3. Cannulation Endoleak
    - 0.014" Choice PT II (BOSTON SCIENTIFIC) and
    - 0.014" Echelon™ Microcatheter (COVIDIEN)

    4. Embolisation inflow and outflow vessel with Ethylene-Vinyl-Alcohol

    5. Copolymer Onyx® 34 (COVIDIEN)
  • Thursday, January 24th: - , Global Expert Exchange

    Case 58 – Calcified stenosis right CFA, distal SFA stenosis

    Center:
    Münster
    Case 58 – MÜN 02: female, 75 years (W-M)
    Operators:
    • Arne Schwindt
  • Friday, January 25th: - , Technical Forum

    Case 78 – Occlusion right superficial femoral artery

    Center:
    Münster
    Case 78 – MUE 05: female 89 years (S-E)
    Operators:
    • Arne Schwindt,
    • Konstantinos Donas
    Clinical data
    Recurrent PAOD, Rutherford 4, right leg

    Procedural steps
    1. Left femoral approach 5F 10 cm sheath (TERUMO)

    2. 7F 45 cm Destination x-over sheath via Advantage 0,035 wire (TERUMO)

    3. Cannulation Stenosis 0.014 Choice PT2 (BOSTON SCIENTIFIC)

    4. Placement 5mm Spiderfilter FX via 0,035 Trailblazer support catheter (COVIDIEN)

    5. Atherectomy with large tip Turbohawk smoothcutter (COVIDIEN)

    6. Post PTA with 4-5 x 120 IN.PACT Admiral balloon (MEDTRONIC)
  • Friday, January 25th: - , Technical Forum

    Case 80 – Occlusion left common iliac artery, stenosis common femoral artery

    Center:
    Münster
    Case 80 – MUE 07: male, 64 years, (H-P)
    Operators:
    • Arne Schwindt,
    • Konstantinos Donas
    Clinical data
    PAOD Rutherford III left leg, ABI 0,5
    PTA/ BES right CIA 11/2012, frustrane retrograde recanalisation attempt left CIA
    Arterial hypertension, CAD; COPD

    Procedural steps
    1. Surgical TEA left CFA

    2. Transbrachial Recanalisation left CIA
    - 6F 90 cm Shuttle sheath (COOK)

    3. Recanalisation
    - 0.035" Quickcross (SPECTRANETICS) and
    - 0.035" Glidewire stiff (TERUMO)

    4. Primary stenting
    - 8 mm Dynamic Balloon expandable stent (BIOTRONIK)
  • Friday, January 25th: - , Main Arena 2

    Case 74 – Infrarenal abdominal aortic aneurysm

    Center:
    Münster
    Case 74 – MUE 03: male, 78 years (W-E)
    Operators:
    • Martin Austermann,
    • Bernd Gehringhoff
    Clinical data
    CAD, CABG 2001
    Art. hypertension
    Hostile abdomen after colon resection
    Aneurysm diameter 55 cm
    Very short neck

    Procedural steps
    1. Percutanous approach both groins Prostar XL (Abbott) and 14 F sheath (COOK)

    2. Placement of the Endurant bifurcated endograft (Medtronic) just below the renal arteries.

    3. Additional fixation of the Endograft with HeliFXTM
    Aortic Securement System (Aptus)
  • Friday, January 25th: - , Main Arena 2

    Case 75 – Pararenal abdominal aortic aneurysm

    Center:
    Münster
    Case 75 – MUE 04: male, 78 years (W-HH)
    Operators:
    • Martin Austermann,
    • Bernd Gehringhoff
    Clinical data
    Arterial hypertension, atrial fibrillation with oral anticoagulation
    Diabetes mellitus, impaired renal function, shrinkage of right kidney
    Aneurysm diameter 64 cm
    Narrow and calcified iliac arteries

    Procedural steps
    1. Percutanous approach left groin Prostar XL (Abbott), 14 F sheath (COOK)

    2. Percutanous approach right groin 8 F sheath (COOK)

    3. Cannulation of the SMA and the left renal artery (8F shuttle sheath, COOK) via left axillary a (cut down)

    4. Deployment of three Endurant tube endografts (Medtronic) just below the celiac trunk

    5. Placement of chimney stent-grafts (Advanta V12, Atrium) in the SMA and left renal artery
  • Saturday, January 26th: - , Main Arena 1

    Case 89 – Type A dissection with growing thoraco-abdominal false lumen aneurysm

    Center:
    Münster
    Case 89 – MUE 08: male, 57 years (M-G)
    Operators:
    • Martin Austermann,
    • Bernd Gehringhoff
    Clinical data
    Dilatative cardiomyopathy with impaired left ventricular function, CAD
    Chronic obstructive pulmonary disease (GOLD 4)
    Replacement aortic valve and ascending aorta 2003
    Aortic arch replacement with elefant trunk 2008
    TEVAR 2009
    TIA 2004
    Diabetes mellitus, arterial hypertension, obesity
    Hostile abdomen

    Procedural steps
    1. 14 F sheath (COOK) both groins and cannulation of the true lumen

    2. Placement of three 5F sheaths in the 14F sheath on the left side and precannulation of both renal arteries and SMA

    3. Implantation of a tapered thoracic endograft

    4. Deployment of a preloaded thoraco-abdominal Zenith-endograft (COOK) with four fenestrations via the right side

    5. Cannulation of celiac trunk, SMA and renal arteries through the branches and implantation of the bridging stentgafts (Advanta-Atrium) and flairing

    6. Implantation of the iliac branched device (ZBIS – COOK) on the right side

    7. Placement of the aortic bifurcated device through the left side

    8. Placement of the bridging limb through the right side
  • Saturday, January 26th: - , Main Arena 1

    Case 89 – Type A dissection with growing thoraco-abdominal false lumen aneurysm

    Center:
    Münster
    Case 89 – MUE 08: male, 57 years (M-G)
    Operators:
    • Martin Austermann
    Clinical data
    Dilatative cardiomyopathy with impaired left ventricular function, CAD
    Chronic obstructive pulmonary disease (GOLD 4)
    Replacement aortic valve and ascending aorta 2003
    Aortic arch replacement with elefant trunk 2008
    TEVAR 2009
    TIA 2004
    Diabetes mellitus, arterial hypertension, obesity
    Hostile abdomen

    Procedural steps
    1. 14 F sheath (COOK) both groins and cannulation of the true lumen

    2. Placement of three 5F sheaths in the 14F sheath on the left side and precannulation of both renal arteries and SMA

    3. Implantation of a tapered thoracic endograft

    4. Deployment of a preloaded thoraco-abdominal Zenith-endograft (COOK) with four fenestrations via the right side

    5. Cannulation of celiac trunk, SMA and renal arteries through the branches and implantation of the bridging stentgafts (Advanta-Atrium) and flairing

    6. Implantation of the iliac branched device (ZBIS – COOK) on the right side

    7. Placement of the aortic bifurcated device through the left side

    8. Placement of the bridging limb through the right side