LINC 2013 live case guide

Find all Live Cases and operators listed below.

Berne

4 livecase(s)
  • Wednesday, January 23rd: - , Main Arena 1

    Case 05 – Chronic Critical Limb Ischemia

    Center:
    Berne
    Case 05 – BER 01
    Operators:
    • Dai-Do Do
    Clinical data
    PAOD Rutherford 4, pretibial skin ulcers
    CAD, MI 2008; TIA, DVT right calf 2011
    10/2012: elsewhere successful PTA of the left SFA,
    however failure to recanalize the left popliteal artery
    Arterial hypertension, hyperlipidemia, GFR 50 ml/min

    Procedural steps
    1. Antegrade left femoral access and sheath insertion
    - 6F 10 cm Radiofocus Introducer (TERUMO)

    2. Passage of the lesion
    - 4 F Berenstein (MERIT MEDICAL)
    - 0.018" Connect Flex (ABBOTT)
    - Re-entry device OUTBACK (CORDIS) on indication
    - 0.014" HT Command (ABBOTT)

    3. Predilatation and Dilatation
    - Armada 14, Fox SV (ABBOTT)

    4. Stenting on indication
    - Absolute (above knee), Xpert (below knee) selfexpanding nitinol stents (ABBOTT)

    5. Retrograde access via ATA, if antegrade access fails
  • Wednesday, January 23rd: - , Main Arena 2

    Case 14 – Iliofemoral venous intervention

    Center:
    Berne
    Case 14 – BER 02: male, 60 years (Z-H)
    Operators:
    • Nils Kucher,
    • Gerard O'Sullivan
    Clinical data
    Severe post-thrombotic syndrome of the right leg with
    Venous claudication, varicose veins, leg swelling
    History of acute iliofemoral DVT right leg & massive
    PE 6 months ago
    DVT treated with anticoagulation & compression
    PE treated with catheter assisted thrombolysis

    Procedural steps
    1. Popliteal venous access with ultrasound guidance (7F-sheath)

    2. Phlebography

    3. Wire crossage
    - Astato 20 0.014"; Astato 30 0.018"; Conquest 0.014" (ASAHI)

    4. Predilation of lesion
    - Amphirion 0.014" 1.5-2.0 mm (MEDTRONIC)
    - Fox SV 0.018" 3.0-6.0 mm (ABBOTT)

    5. Implantation of dedicated venous stents over Terumo angled wire 0.035
    - Iliac veins: Sinus-Venous 14-18 mm (OPTIMED), Zilver Vena 14-16 mm (COOK)
    - Common femoral vein: Sinus-Super-Flex 12 mm (OPTIMED), Wallstent 12 mm (BOSTON SCIENTIFIC)

    6. High-pressure post-dilation of stents
    - Fox Cross 0.035" 8.0-12.0 (ABBOTT)
  • Wednesday, January 23rd: - , Main Arena 2

    Case 15-1 – Iliofemoral venous intervention

    Center:
    Berne
    Case 15 – BER 03: male, 50 years (B-F)
    Operators:
    • Nils Kucher,
    • Gerard O'Sullivan
    Clinical data
    Chronic venous insufficiency (C5-6EsAd9Po) right leg with
    – Recurrent venous ulcers
    – Leg swelling despite compression
    Pelvic Vein Thrombosis 01/1995
    Right Renal Vein Thrombosis 1962
    – Nephrectomy right kidney 1963
    Suspected coagulation disorder treated with
    Permanent oral anticoagulation
    PTS treated with compression hosiery

    Procedural steps
    1. Bilateral popliteal venous access with ultrasound guidance
    (10F-sheath), may use additional jugular vein access (6F-sheath), general anaesthesia

    2. Phlebography

    3. Wire crossage
    - Astato 20 0.014"; Astato 30 0.018"; Conquest 0.014" (ASAHI)

    4. Predilation of lesion
    - Amphirion 0.014" 1.5-2.0 mm (MEDTRONIC)
    - Fox SV 0.018" 3.0-6.0 mm (ABBOTT)

    5. Implantation of dedicated venous stents over Terumo angled wire 0.035
    - Iliac veins: Sinus-Venous 14-18 mm (OPTIMED), Zilver Vena 14-16 mm (COOK),
    - Common femoral vein: Sinus-Super-Flex 12 mm (OPTIMED), Wallstent 12 mm (BOSTON SCIENTIFIC),
    - IVC: Optimed XL 18-22 mm (OPTIMED)

    6. High-pressure post-dilation of stents
    - Fox Cross 0.035" 8.0-12.0 (ABBOTT)
  • Wednesday, January 23rd: - , Main Arena 2

    Case 17 – Iliofemoral venous intervention

    Center:
    Berne
    Case 17 – BER 04: female, 73 years (A-P)
    Operators:
    • Nils Kucher,
    • Gerard O'Sullivan
    Clinical data
    Recurrent left sided varicosis with
    – Leg & groin discomfort
    – Swelling of the leg
    Recurrent PE’s & femoro-popliteal DVT’s treated with anticoagulation & compression
    Symptomatic varicose veins
    Stripping of left GSV

    Procedural steps
    1. Popliteal venous access with ultrasound guidance (7Fr-sheath)

    2. Phlebography

    3. Wire crossage
    - Terumo angled wire 0.035", may use Astato 0.018" 30 (ASAHI)

    4. IVUS only if angiographic significance of lesion is doubtful

    5. Implantation of dedicated venous stent over Terumo angled wire 0.035
    - Iliac vein: Sinus-Venous 14-18 mm (OPTIMED), or Zilver Vena 14-16 mm (COOK)

    6. High-pressure post-dilation of stent
    - Fox Cross 0.035" 10.0-12.0 (ABBOTT)