LINC 2015 live case guide

Find all Live Cases and Live Case Centers listed below.

Heidelberg

6 livecase(s)
  • Wednesday, January 28th: - , Technical Forum

    Case 54 – Hepatocellular carcinoma (HCC)

    Center:
    Heidelberg
    Case 54 – HEI 02: male, 83 years
    Operators:
    • Boris Radeleff,
    • Nikolas Kortes,
    • Natalie Tessendorf,
    • Björn Bliesener
    CLINICAL DATA
    Multifocal hepatocellular carcinoma ED: 07/14
    Child A liver cirrhosis
    After 1. DEB-TACE (3 ml 75 μm Tandem loaded with 150 mg doxorubicin
    plus 11 μml unloaded Embozene 250 μm; CELONOVA, USA) 11.12.2014
    Today: 2. DEB-TACE of the first cycle

    PROCEDURAL STEPS
    1. Transfemoral approach right groin

    2. Short 4F sheath Radifocus (TERUMO)

    3. 0.035" 180 cm J-wire

    4. 4F 110 cm 4F Sidewinder Typ I (CORDIS)

    5. 2,8F Microcatheter Progreat (TERUMO)

    6. Embolisation
    - 75μm Tandem DEB-particles (CELONOVA); loaded with 150 mg of doxorubicin
    View image
  • Wednesday, January 28th: - , Main Arena 2

    Case 50 – Asymptomatic AAA 5.3 cm

    Center:
    Heidelberg
    Case 50 – HEI 01: male, 76 years (G-Z)
    Operators:
    • Alexander Hyhlik-Dürr,
    • Dittmar Böckler,
    • Drosos Kotelis
    CLINICAL DATA
    Asymptomatic progressive AAA 53 mm

    RISK FACTORS
    Art. hypertension, history of smoking

    PROCEDURAL STEPS
    1. Fusion imaging (2D-3D registration)
    - Artis Zeego/Leonardo (SIEMENS)

    2. Bifemoral cut-down

    3. Guidewire positioning
    - Lunderquist GW 180 cm (COOK)

    4. Implantation of a bifurcated stentgraft
    - Endurant II (MEDTRONIC)

    5. Postdilation
    - Reliant balloon (MEDTRONIC)

    6. Contrast enhanced Dyna-CT
    - Artis Zeego/Leonardo (SIEMENS)
    View image
  • Wednesday, January 28th: - , Main Arena 2

    Case 50 – Asymptomatic AAA 5.3 cm

    Center:
    Heidelberg
    Case 50 – HEI 01: male, 76 years (G-Z)
    Operators:
    • Alexander Hyhlik-Dürr,
    • Dittmar Böckler,
    • Drosos Kotelis
    CLINICAL DATA
    Asymptomatic progressive AAA 53 mm

    RISK FACTORS
    Art. hypertension, history of smoking

    PROCEDURAL STEPS
    1. Fusion imaging (2D-3D registration)
    - Artis Zeego/Leonardo (SIEMENS)

    2. Bifemoral cut-down

    3. Guidewire positioning
    - Lunderquist GW 180 cm (COOK)

    4. Implantation of a bifurcated stentgraft
    - Endurant II (MEDTRONIC)

    5. Postdilation
    - Reliant balloon (MEDTRONIC)

    6. Contrast enhanced Dyna-CT
    - Artis Zeego/Leonardo (SIEMENS)
    View image
  • Wednesday, January 28th: - , Technical Forum

    Case 60 – TIPS

    Center:
    Heidelberg
    Case 60 – HEI 03: male, 52 years
    Operators:
    • Boris Radeleff,
    • Ulrike Stampfl,
    • Karl-Heinz Weiss,
    • Nikolas Kortes,
    • Natalie Tessendorf,
    • Björn Bliesener
    CLINICAL DATA
    Pat. on waiting list for LTx
    Cryptogenic liver cirrhosis, child A
    Refractory ascites
    Previous episode of hep. encephalopathy

    PROCEDURAL STEPS
    1. Transjugular venous access right side
    - 9F 20 cm sheath (Arrows)

    2. Puncture attempt: right liver vein --> right PV
    - TIPS-set (OPTIMED) 30Æ or 60Æ angled

    3. 0.035" superstiff wire (BOSTON SCIENTIFIC)

    4. Predilatation
    - 8 x 80 mm MARS® balloon (OPTIMED)

    5. 10F Sheath (Checkflow, COOK) 38-45 cm, straight / angled

    6. Stentgraft implantation
    - Viatorr®-Stentgraft (GORE)

    7. Planning
    - Puncture: right LV right PV
    - Needle type: 30Æ angled
    - Shunt: 10 mm Viatorr (GORE) 10/6/2 or 10/7/2
    View image
  • Thursday, January 29th: - , Main Arena 2

    Case 75 – Asymptomatic AAA 5.4 cm

    Center:
    Heidelberg
    Case 75 – HEI 04: male, 79 years (G-K)
    Operators:
    • Dittmar Böckler,
    • Alexander Hyhlik-Dürr,
    • Drosos Kotelis
    CLINICAL DATA
    Asymptomatic AAA 54 mm!
    Asymptomatic aneurysm of the left common iliac artery 26 mm
    Left SFA occlusion

    RISK FACTORS
    Art. hypertension, history of smoking

    PROCEDURAL STEPS
    1. Bifemoral cut-down

    2. 8F sheath placement (TERUMO)

    3. Fusion imaging for endograft navigation using 2-D – 3-D registration

    4. Guidewire insertion (TERUMO)
    - Lunderquist GW 180 cm (COOK)

    5. Stentgraft positioning and deployment
    - 2 Nellix systems (ENDOLOGIX)

    6. Endobag prefilling with saline, angiography

    7. Endobag filling with polymer

    8. Optional secondary fill
    View image
  • Thursday, January 29th: - , Main Arena 2

    Case 75 – Asymptomatic AAA 5.4 cm

    Center:
    Heidelberg
    Case 75 – HEI 04: male, 79 years (G-K)
    Operators:
    • Dittmar Böckler,
    • Alexander Hyhlik-Dürr,
    • Drosos Kotelis
    CLINICAL DATA
    Asymptomatic AAA 54 mm!
    Asymptomatic aneurysm of the left common iliac artery 26 mm
    Left SFA occlusion

    RISK FACTORS
    Art. hypertension, history of smoking

    PROCEDURAL STEPS
    1. Bifemoral cut-down

    2. 8F sheath placement (TERUMO)

    3. Fusion imaging for endograft navigation using 2-D – 3-D registration

    4. Guidewire insertion (TERUMO)
    - Lunderquist GW 180 cm (COOK)

    5. Stentgraft positioning and deployment
    - 2 Nellix systems (ENDOLOGIX)

    6. Endobag prefilling with saline, angiography

    7. Endobag filling with polymer

    8. Optional secondary fill
    View image