LINC 2014 live case guide

Find all Live Cases and operators listed below.

São Paulo

1 livecase(s)
  • Tuesday, January 28th: - ,

    Case 10 – Multilevel-disease left leg

    Center:
    São Paulo
    Case 10 – LEI 07: male, 63 years (H-T)
    Operators:
    • Arne Schwindt,
    • Michael Piorkowski,
    • Bruno Freitas
    Clinical data
    Rutherford 5, chronic, minor gangrene left dig 3/4
    Painfree walking distance 150 meters
    ABI left 0.44
    Chronic heartfailure, EF 35%,
    CAD, MI 11/2012, PTCA, repeat coronary angiography 1/2014
    Atrial fibrillation,
    Renal insufficiency (GFR 54 ml/min)

    Risk factors
    Art. hypertension, diabetes mellitus

    Angio
    Left: stenosis CFA, occlusion distal SFA, stenosis P2 and P3

    Procedural steps
    1. Right groin retrograde cross-over approach with 7F sheath
    - 7F Check-Flo Performer 55 cm (COOK)

    2. Passage of the SFA-occlusion and positioning of a protection-systeme
    - 0.018" 18g Victory guidewire, 300 cm (BOSTON SCIENTIFIC)
    - TrailBlazer Support-Catheter, 135 cm (COVIDIEN)
    - Spider-Filter 6 mm (COVIDIEN)

    3. Atherectromy
    - CFA and SFA: L-SC, large-vessel TurboHawk 6 cm-tip (COVIDIEN)
    - Popliteal artery: S-SM, Small-vessel TurboHawk (COVIDIEN)

    4. Drug-eluting balloon treatment
    - Lutonix DEB (BARD)
    View image