LINC 2015 live case guide

Find all Live Cases and Live Case Centers listed below.

Münster

12 livecase(s)
  • Wednesday, January 28th: - , Main Arena 2

    Case 47 – Infrarenal abdominal aneurysm 61 mm / Severe calcified and stenosed iliac arteries

    Center:
    Münster
    Case 47 – MUN 02: male, 82 years (F-F)
    Operators:
    • Bernd Gehringhoff,
    • Martin Austermann,
    • Arne Schwindt
    CLINICAL DATA
    CAD
    Art. Hypertension
    Nephrectomy left side

    PROCEDURAL STEPS
    1. Percutaneous approach both groins
    - Prostar XL (ABBOTT)
    - 14F sheath (COOK)

    2. Possibly predilatation of the iliacs

    3. Placement of the "ultra low profile" Incraft bifurcated endograft (14F CORDIS) below the renal arteries
    View image
  • Wednesday, January 28th: - , Main Arena 2

    Case 48 – Juxtarenal aortic aneurysm 73 mm

    Center:
    Münster
    Case 48 – MUN 03: male, 73 years old (W.W.)
    Operators:
    • Bernd Gehringhoff,
    • Martin Austermann
  • Wednesday, January 28th: - , Main Arena 2

    Case 48 – Juxtarenal aortic aneurysm 73 mm

    Center:
    Münster
    Case 48 – MUN 03: male, 73 years old (W.W.)
    Operators:
    • Bernd Gehringhoff,
    • Martin Austermann
  • Wednesday, January 28th: - , Technical Forum

    Case 56 – Persistent type II endoleak after EVAR

    Center:
    Münster
    Case 56 – MUN 04: male, 78 years old (O. H. J.)
    Operators:
    • Arne Schwindt,
    • N. Abu-Bakr
  • Wednesday, January 28th: - , Technical Forum

    Case 57 – Type II endoleak with aneurysm growth

    Center:
    Münster
    Case 57 – MUN 05: female, 79 years
    Operators:
    • Arne Schwindt,
    • Konstantinos Stavroulakis
    CLINICAL DATA
    EVAR 2009 with Talent prothesis, in followup visits perstent Type II endoleak via lumbar arteries, axial aneurysm growth of 8 mm

    RISK FACTORS
    Hypertension, hyperlipidemia

    PROCEDURAL STEPS
    1. Left transbrachial approach
    - 5F 90 cm shuttle sheath (COOK) to left common iliac artery

    2. Cannulation of left hypogastric
    - 0.035" Glidewire and 4F 120 cm Glidecath (TERUMO)

    3. Cannulation of left ileolumbar artery
    - 0.014" Choice PTII wire (BOSTON SCIENTIFIC)

    4. Cannulation of endoleak
    - 0.014" Echelon or 0.010 Marathon microcatheter (COVIDIEN)

    5. Embolisation of Endoleak with alcohol-copolymer
    - Onyx (COVIDIEN)
    View image
  • Wednesday, January 28th: - , Main Arena 1

    Case 46 – In-stent occlusion right A. poplitea

    Center:
    Münster
    Case 46 – MUN 01: female, 55 years (N-K)
    Operators:
    • Arne Schwindt,
    • Konstantinos Stavroulakis
    CLINICAL DATA
    PAOD Rutherford 4, intermittend rest pain,claudication right calf at 20 meters
    PTA and Stent right popliteal 2009, Stent left CIA 2/2011

    RISK FACTORS
    NIDDM, hypertension, hyperlipidemia

    PROCEDURAL STEPS
    1. Left femoral approach
    - 5F 10 cm sheath (TERUMO)

    2. Cross-over manoeuvre
    - Insertion 6F 45 cm Destination sheath (TERUMO) via 0.035 Advantage wire (TERUMO)

    3. True lumen recanalization right A. pop.
    - Ocelot PIXL (AVINGER)

    4. Directional atherectomy popliteal artery
    - Turbohawk LSM (COVIDIEN)

    5. Postdilation
    - In.Pact paclitaxel eluting balloon (MEDTRONIC)
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  • Thursday, January 29th: - , Main Arena 1

    Case 63 - SFA occlusion left SFA TASC II D

    Center:
    Münster
    Case 63 – MUN 06: female - 73 years
    Operators:
    • Arne Schwindt,
    • N. Abu-Bakr
    CLINICAL DATA
    - Claudication left leg with pain free walking distance of 150m (Rutherford III)
    - CVRF: hypertension, former smoker
    - high grade stenosis promixal SFA
    - 12 cm CTO distal SFA
    - Mild Ca+

    ABI LEFT
    - 0.6

    PROCEDURAL STEPS
    - Crossed using the Ocelot Catheter (AVINGER, Redwood City, CA)
    - Real time confirmation of true lumen crossing (avoided disruption of medial/adventitial border)
    - Reduced fluoroscopy using only OCT for crossing)
    - Cap to cap standalone crossing
    - OCT guided Atherectomy using the Pantheris Catheter (not approved for sale, currently under FDA IDE Clinical Trials) (AVINGER, Redwood City, CA)
    - Real time directional cutting targeting plaque
    - Histology of plaque sample reveals 0% adventitia
    - Reduced fluoroscopy using OCT for atherectomy
    - Post Atherectomy DEB using In.Pact Admiral Balloon (MEDTRONIC, Minneapolis, MN)

    POST PROCEDURAL ABI LEFT
    - 1.2
    View image
  • Thursday, January 29th: - , Main Arena 2

    Case 74 – Thoraco-abdominal aortic aneurysm 84 mm

    Center:
    Münster
    Case 74 – MUN 08: female, 76 years old (P. I.)
    Operators:
    • Martin Austermann,
    • Bernd Gehringhoff
  • Thursday, January 29th: - , Main Arena 2

    Case 77 – Juxtarenal aortic aneurysm 83 mm

    Center:
    Münster
    Case 77 – MUN 09: male, 70 years old (N. H.)
    Operators:
    • Martin Austermann,
    • Bernd Gehringhoff,
    • Konstantinos Donas
  • Thursday, January 29th: - , Main Arena 1

    Case 70 – High grade left internal carotid artery stenosis

    Center:
    Münster
    Case 70 – MUN 07: female, 72 years
    Operators:
    • Arne Schwindt,
    • Simone Hartmann
    CLINICAL DATA
    Asymptomatic, 90% ICA stenosis, vmax in CCD 280cm/sec
    Type III aortic arch

    RISK FACTORS
    Hypertension

    PROCEDURAL STEPS
    1. Femoral approach
    - Cannulation of left common carotid artery with 6F 90 cm Shuttle sheath (COOK) in telescope technique with 5,4 VTEK Slipcath (COOK).

    2. Passage of lesion
    - Epifilterwire (BOSTON SCIENTIFIC)

    3. Implantation of Roadsaver dual layer carotid stent (TERUMO)

    4. Postdilation
    - Sterling RX balloon (BOSTON SCIENTIFIC)
    View image
  • Thursday, January 29th: - , Main Arena 2

    Case 78 – Thoraco-abdominal aortic nbeurysm 62 mm

    Center:
    Münster
    Case 78 – MUN 10: male, 74 years old (S. C.)
    Operators:
    • Martin Austermann,
    • Bernd Gehringhoff
  • Friday, January 30th: - , Main Arena 1

    Case 89 – Thoracoabdominal aortic aneurysm type IV

    Center:
    Münster
    Case 89 – MUN 11: male, 75 years (S-H)
    Operators:
    • Martin Austermann,
    • Bernd Gehringhoff
    CLINICAL DATA
    CAD 3VD
    Art. Hypertension
    Impaired renal function
    DM 2

    DUPLEX
    Thoraco-abdominal aortic aneurysm 62mm
    - Crawford Type IV with aneurysms of both common iliac arteries
    - occlusion of the left hypogastric artery
    - replaced infrarenal aorta

    PROCEDURAL STEPS
    1. Percutaneous approach both groins
    - Prostar XL (ABBOTT)
    - 14F (COOK) both groins

    2. Left axillary access
    - 5F TERUMO sheath,later 12/8F sheath

    3. Placement of a CMD
    - Zenith-endograft (COOK) with three branches

    4. Implantation of the distal bifurcated endograft and a IBD on the right side

    5. Closure of the groins

    6. Cannulation of the SMA, renal arteries and the right hypogastric artery through the branches and implantation of the bridging stentgafts
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