LINC 2014 live case guide

Find all Live Cases and operators listed below.

Conference day 4

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    Case 99 – Abdominal aortic aneurysm 54 mm

    Case 99 – MUN 08: male, 63 years (N-H)
    Operators:
    • Bernd Gehringhoff
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    Case 102 – Occlusion of the aortic bifurcation and iliac arteries

    Case 102 – LEI 15: male, 54 years (E-R)
    Operators:
    • Dierk Scheinert,
    • Michael Piorkowski,
    • Saulius Korsakas
    Clinical data
    PAOD Rutherford 3, walking capacity 50 meters
    Severe claudication bilateral buttock, thigh, calf
    CAD, PTCA 10/2013

    Risk factors
    Diabetes mellitus type 2, smoker, hyperlipidaemia

    Procedural steps
    1. Left brachial approach
    - 6F-90 cm Flexor Check-Flo Sheath (COOK)

    2. Passage of the occlusion from brachial
    - 5F Multipurpose 125 cm diagnostic catheter (CORDIS)
    - 0.035" angled stiff Terumo 260 cm (TERUMO)

    3. Snaring of the Terumo via 7F groin sheath bilateral
    - 7F and 11F 25 cm Introducer Sheath (TERUMO)

    4. Exchange to
    - 0.035" SupraCore 300cm guidewires via groin-access (ABBOTT)

    5. PTA of the occlusion
    - Admiral 5/80 mm (MEDTRONIC)

    6. Stenting
    - Aorta: Advanta 12 Covered Stent 12/61 mm (MAQUET)
    - Iliac arteries: Advanta 12 Covered Stents 7/59 mm (MAQUET)
    - EIA bilateral: Complete 9/120 (MEDTRONIC)
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    Case 100 – Typ I a endoleak after EVAR

    Case 100 – LEI 34: male, 63 years (A-S)
    Operators:
    • Andrej Schmidt,
    • Michael Piorkowski
    Clinical data
    Type I a endoleak after EVAR 10/2013
    Abdominal aneurysm 75mm
    CAD, MI 12/2010, PTCA
    Permanent arterial fibrillation
    Pulmonary hypertension
    Renal insufficiency (GFR 65ml/min)

    Risk factors
    Smoker, hyperlipidaemia

    Procedural steps
    1. Right groin access
    - 16F 30 cm sheath (COOK)

    2. Guidewire
    - 0.035" Lunderquist 180 cm (COOK)

    3. Endovascular Stapler (APTUS)
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    Case 103 – Symptomatic occlusion of the left subclavian artery

    Case 103 – LEI 36: male, 57 years (N-J)
    Operators:
    • Sven Bräunlich,
    • Matthias Ulrich,
    • Sabine Steiner
    Clinical data
    Subclavian steal syndrom
    Vertigo and claudication both arms, left >> right
    RR brachial right: 180 mmHg systolic
    RR brachial left: 110 mmHg systolic
    Hypertension, hyperlipidemia, diabetes mellitus 2

    Procedural steps
    1. Right femoral access and placement of an 8F sheath
    - 8F Judkins Right guiding catheter (MEDTRONIC)

    2. Left brachial access and placement of a 6F sheath
    - 6F Flexor Check-Flo Performer Introducer Sheath, 55 cm (COOK)

    3. Wiring the occlusion
    - 0.018" Victory 12 or 18 g guide wire, 300 cm (BOSTON SCIENTIFIC)
    - 0.035" Radiofocus Terumo angled stiff guide-wire, 260 cm (TERUMO)

    4. PTA and stent implantation
    - 5.0/40 Mustang balloon (BOSTON SCIENTIFIC)
    - 8.0/28 mm Omnilinc Ballon-Expandable Stent (ABBOTT)
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    Case 101 – Juxtarenal aortic aneurysm 54 mm narrow iliac arteries

    Case 101 – MUN 09: male, 60 years (G.-O.L.)
    Operators:
    • Martin Austermann,
    • Bernd Gehringhoff
    Clinical data
    Art. hypertension
    MS
    CAD

    Procedural steps
    1. Percutanous approach both groins
    - Prostar XL (Abbott)

    2. 14F sheath (Cook)

    3. Cut down left axillary artery and double puncture

    4. Placement of two 7F shuttle sheaths

    5. Cannulation of both renal arteries
    - 7F shuttle sheath (Cook)

    6. Placement of Endurant bifurcated endograft (Medtronic) just below the SMA

    7. Placement of the chimney stent-grafts (Advanta-Atrium) in both renal arteries
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    Case 104 – Occlusion left SFA

    Case 104 – LEI 37: male, 71 years (W-B)
    Operators:
    • Andrej Schmidt,
    • Michael Piorkowski,
    • Saulius Korsakas