Case 02 – Asymptomatic high grade stenosis right internal carotid artery
Center:
Mercogliano
Case 02 – MER 01: male, 69 years (Z-G)
Operators:
Paolo Rubino,
Giovanni Sorropago,
Eugenio Stabile
Clinical data
Hypertension, COPD, hyperlipidaemia, former smoker
Duplex
Fibrotic plaque determining severe stenosis of the right ICA (3.4 m/sec.)
Procedural steps
1. Navigation of a diagnostic catheter into the Right ECA
- 5F JR diagnostic catheter, 100 cm (CORDIS)
- 0.035" Radifocus Terumo angled soft guide-wire, 180 cm (TERUMO)
2. Introduction of the cerebral protection device and endovascular clamping
- 9F–25 cm Radifocus Introducer II (TERUMO)
- 0.035" Supra Core guide-wire, 300 cm (ABBOTT)
- Endovascular Clamping Device – MoMa Ultra (MEDTRONIC)
3. Passing of the lesion and stenting
- 0.014" Balance Middle Weight guide-wire, 190 cm (ABBOTT)
- 3.5/20 mm Falcon Bravo RX PTA Balloon Catheter (MEDTRONIC)
- 8.0/40 mm Precise PRO Rx Carotid Stent (CORDIS)
Case 08 – Diffuse In stent restenosis of the right SFA
Center:
Mercogliano
Case 08 – MER 02: male, 62 years (D-A)
Operators:
Eugenio Stabile,
Vittoro Ambrosini,
Grigor Popusoi
Clinical data
PAOD, Rutherford 3, PTA/Stent right and left SFA 2010
Claudication right limb
Arterial hypertension, COPD, former smoker, hyperlipidaemia
Diabetes mellitus
CAD (Previous Anterior AMI and PCI LAD)
Duplex
Severe in stent stenosis right SFA (3.4 m/sec; PSVR: 4.67)
Procedural steps
1. Contralateral access and placement of a cross-over sheath
- 5F JR4 Radifocus Angiographic Catheter (TERUMO)
- 0.035" Radifocus Terumo angled soft guide-wire, 180 cm (TERUMO)
- 0.035" Supra Core guide-wire, 300 cm (ABBOTT)
- 8F – 45 cm Destination Guiding Sheath (TERUMO)
2. Passage of the lesions
- 0.014" Balance Middle Weight guide-wire, 300 cm (ABBOTT)
4. Drug Eluting Balloon Dilation
- 5/120 mm Admiral IN.PACT Balloon Catheter (MEDTRONIC)
Wednesday, January 23rd:
-
,
Global Expert Exchange
Case 23 – Left critical limb ischemia due to anterior tibial artery occlusion and tibioperoneal trunk stenosis
Center:
Mercogliano
Case 23 – MER 05: male, 47 years (C-C)
Operators:
Angelo Cioppa,
Luigi Salemme,
Linda Cota
Clinical data
PAOD, Rutherford 4
Arterial hypertension, former smoker, hyperlipidaemia, diabetes mellitus
CAD (CABG 2009 and PCI 2011)
Duplex
Fibrotic Plaque determining severe stenosis of the tibioperoneal trunk and occlusion of the anterior tibial artery
Procedural steps
1. Contralateral access and placement of a cross-over sheath
- 5F JR4 Radiofocus Angiographic Catheter (TERUMO)
- 0.035" Radiofocus Terumo angled soft guide-wire, 180 cm (TERUMO)
- 0.035" Supra Core guide-wire, 300 cm (ABBOTT)
- 6F-90 cm Destination Guiding Sheath (TERUMO)
2. Passage of the lesions and predilation
- 0.014" Balance Middle Weight guide-wire, 300 cm (ABBOTT)
- 3/80 mm Amphirion DEEP Balloon Catheter (MEDTRONIC)
3. Drug Eluting Balloon Dilation, Intravascular Ultrasound Assessment and Bail-Out Stenting
- 3/80 mm Amphirion IN.PACT Balloon Catheter (MEDTRONIC)
- Eagle Eye Platinum RX digital IVUS Catheter (VOLCANO)
- Stenting on indication Inperia Advance (CID)
Wednesday, January 23rd:
-
,
Technical Forum
Case 21 – Asymptomatic high grade in stent restenosis right internal carotid artery
Center:
Mercogliano
Case 21 – MER 03: male, 57 years (G-G)
Operators:
Stephen Ramee,
Eugenio Stabile,
Tullio Tesorio
Clinical data
Hypertension, hyperlipidaemia, NIDDM
03/99 AMI and CABG; 10/12 PCI RCA
10/01 Right CEA; 02/02 Right CAS
08/09 PAD (Aorto – Right CFA Graft)
Duplex
Fibrotic hyperplasia determining severe stenosis of the left ICA (3.2 m/sec.)
Procedural steps
1. Introduction of the carotid guiding sheath and cerebral protection device
- 6F-90 cm Destination Carotid Guiding Sheath (TERUMO)
- 0.035" Supra Core guide-wire, 300 cm (ABBOTT)
- 0.014" Balance Middle Weight guide-wire, 190 cm (ABBOTT)
- 5.0 Spider Fx Embolic Protection System (ev3)
2. Passing of the lesion, intravascular ultrasound evaluation and stenting
- 0.014" Balance Middle Weight guide-wire, 190 cm (ABBOTT)
- Eagle Eye Platinum RX digital IVUS Catheter (VOLCANO)
- 3.5/20 mm Falcon Bravo RX PTA Balloon Catheter (MEDTRONIC)
- 8.0 – 10.0 / 40 mm XACT Carotid Stent System (ABBOTT)
Case 22 – Symptomatic high grade stenosis of ostial left CCA and proximal left ICA
Center:
Mercogliano
Case 22 – MER 04: female, 75 years (E-A)
Operators:
Giovanni Sorropago,
Paolo Rubino,
Eugenio Stabile
Clinical data
12/12 TIA (Dysarthria and right hand paresis)
Hypertension, hyperlipidaemia, NIDDM
06/12 ACS – PCI LM (DES)
Duplex
Fibrolipidic Plaque determining severe stenosis of the Left ICA (1.8 m/sec)
Calcific plaque determining severe stenosis of the ostial left CCA
Procedural steps
1. Introduction of the Carotid Guiding Catheter and cerebral protection device
- 8F JR4 4.0 Launcher Guiding Catheter (TERUMO)
- 4.0 – 7.0 Emboshield NAV Embolic Protection System (ABBOTT)
2. Stenting the lesions
- 3.5/20 mm Falcon Bravo RX PTA Balloon Catheter (MEDTRONIC)
- 8.0/19 mm PALMAZ GENESIS Peripheral Stent (CORDIS) for CCA
- 8.0/40 mm Precise PRO Rx Carotid Stent (CORDIS) for ICA
Thursday, January 24th:
-
,
Global Expert Exchange
Case 53
Center:
Mercogliano
Case 53 – MER 09: female, 83 years (C-M)
Operators:
Eugenio Stabile,
Giovanni Sorropago,
Paolo Rubino
Thursday, January 24th:
-
,
Main Arena 2
Case 37
Center:
Mercogliano
Case 37 – MER 07: female, 70 years (DP-A)
Operators:
Marco Manzi,
Luigi Salemme,
Armando Pucciarelli
Thursday, January 24th:
-
,
Main Arena 1
Case 28 – Severe restenosis of calcific superficial femoral artery
Center:
Mercogliano
Case 28 – MER 06: male, 70 years (M-A)
Operators:
Angelo Cioppa,
Luigi Salemme,
Grigor Popusoi
Clinical data
PAOD Rutherford 3, claudication right leg
PTA right SFA with DEB 2011
PTA/Stent left ICA 10/12
Hypertension, COPD, former smoker, hyperlipidaemia,
Diabetes mellitus
Duplex
Fibroclacific plaque determining severe restenosis PSV: 4.9 m/sec
Procedural steps
1. Contralateral access and placement of a cross-over sheath
- 5F JR4 Radiofocus Angiographic Catheter (TERUMO)
- 0.035" Radiofocus angled soft guide-wire M, 180 cm (TERUMO)
- 0.035" Supra Core guide-wire, 300 cm (ABBOTT)
- 6F–45 cm Destination Guiding Sheath (TERUMO)
2. Passage of the lesions and predilation
- 0.018" V-18™ Control Wire® Guide Wire 300 cm (BOSTON)
- 5/100 mm Pacific Balloon Catheter (Medtronic)
3. Endovascular graft implantation
- 6/150 mm 6 F VIABAHN® Endoprosthesis (GORE)
- 6/120 mm Pacific Balloon Catheter (Medtronic)
Thursday, January 24th:
-
,
Global Expert Exchange
Case 56 – Right critical limb ischemia due to anterior tibial artery occlusion and tibioperoneal trunk stenosis
Center:
Mercogliano
Case 56 – MER 10: male, 75 years (DP-C)
Operators:
Luigi Salemme,
Vittoro Ambrosini,
Linda Cota
Clinical data
PAOD Rutherford 4, rest pain right limb
Hypertension, former smoker, hyperlipidaemia, diabetes mellitus
Duplex
Fibrotic plaque determining severe stenosis of the tibioperoneal trunk and occlusion of the posterior tibial artery
Procedural steps
1. Contralateral access and placement of a cross-over sheath
- 5F JR4 Radiofocus Angiographic Catheter (TERUMO)
- 0.035" Radiofocus angled soft guide-wire M, 180 cm (TERUMO)
- 0.035" Supra Core guide-wire, 300 cm (ABBOTT)
- 6F-90 cm Destination Guiding Sheath (TERUMO)
2. Passage of the lesions and distal embolic protection positioning
- 0.014" Balance Middle Weight guide-wire, 300 cm (ABBOTT)
- 4.0 Spider Fx Embolic Protection Sysytem (COVIDIEN)
3. Lesion debulking
- Turbo-Hawk small vessel Peripheral Plaque Excision System Catheter (COVIDIEN)
4. Drug Eluting Balloon Dilation, Intravascular Ultrasound Assessment and Bail-Out Stenting
- 4/80 mm Amphirion IN.PACT Balloon Catheter (MEDTRONIC)
- Eagle Eye Platinum RX digital IVUS Catheter (VOLCANO)
- Stenting on indication Inperia Advance (CID)
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