LINC 2015 live case guide

Abano Terme

• Wednesday, January 28th: 16:30 - 18:00, Technical Forum

  Case 61 – AT/PT and lateral plantar recanalization

  Center:

  Abano Terme

  Case 61 – ABT 01: male, 60 years (Z-M)

  Operators:

  • Marco Manzi,
  • Luis Mariano Palena

  CLINICAL DATA
  DM, neurovasculopathy
  
  RISK FACTORS
  Right pre-tibial II-III D lesion, right foot rest pain. TcPO2: 17 mmHg
  Hypertension
  Ischemic heart disease (previous PTcA)
  
  PROCEDURAL STEPS
  1. Right Groin antegrade US guided approach
  - 6F 11 cm sheath (TERUMO)
  
  2. Antegrade wiring of AT and arch
  - 4F BER 2, 100 cm (CORDIS)
  - 0.014" Pilot 200, 300 cm (ABBOTT)
  
  3. Antegrade passage of the PT/lateral plantar occlusion
  - 4F BER 2 100 cm (CORDIS), V18 CW (BOSTON SCIENTIFIC)
  
  4. Wires rendez-vous through arch and lateral plantar artery
  
  5. Predilatation
  - Armada XT, 1,5 mm x 20 mm (ABBOTT)
  
  6. Definitive dilatation
  - Armada 14, 2,5 mm x 200 mm (ABBOTT)

  View image
• Thursday, January 29th: 8:00 - 11:00, Technical Forum

  Case 79 – PT and lateral plantar/dorsalis paedis/arch revascularization

  Center:

  Abano Terme

  Case 79 – ABT 02: male, 65 years (S-G)

  Operators:

  • Marco Manzi,
  • Luis Mariano Palena

  CLINICAL DATA
  DM, neurovasculopathy
  
  RISK FACTORS
  I° toe gangrene and calcanear Tuc 1 c lesion; TcPO2: 8 mmHg.
  Hypertension, dyslipidemia
  Ischemic heart disease (previous PTcA)
  
  PROCEDURAL STEPS
  1. Antegrade US guided left groin approach
  - 6F 11 cm sheath (TERUMO)
  - 4F 110 cm Flexor sheath (COOK) option
  
  2. Antegrade/retrograde trans tarsal loop passage of the PT occlusion
  - 0.018" V18 300 cm (BOSTON SCIENTIFIC)
  - Pilot 200, 300 cm (ABBOTT)
  
  3. Wires rendez-vous
  
  4. Predilatation
  - Ultraverse 1.5 mm x 20 mm (BARD)
  - Ultraverse 2.0 mm x 300 mm (BARD)
  
  5. Definitive dilatation
  - Lutonix 2.5 mm x 150 mm (BARD)

  View image
• Thursday, January 29th: 13:30 - 16:30, Technical Forum

  Case 85 – Distal AT, dorsalis paedis, arch and lateral plantar revascularization

  Center:

  Abano Terme

  Case 85 – ABT 03: male, 83 years (T-D)

  Operators:

  • Marco Manzi,
  • Luis Mariano Palena

  CLINICAL DATA
  DM, neurovasculopathy
  
  RISK FACTORS
  Right CLI, diffuse onycodisthrophia, I° and II° TUC 1c, TcPO2=22 mmHg
  Hypertension, dyslipidemia, ischemic heart disease, CAF, previous left CFA surgical endoatherectomy
  
  PROCEDURAL STEPS
  1. Right groin US guided antegrade approach
  - 6F 11 cm sheath (TERUMO)
  
  2. Antegrade passage of the distal AT/dorsalis paedis occlusion
  - 4F Ber 2, 100 cm (CORDIS),
  - 0.018" 300 cm V18 CW (BOSTON SCIENTIFIC)
  - 0.014" 300 cm V14 (BOSTON SCIENTIFIC)
  - retrograde distal I° digital puncture after failure
  - arch evaluation and possible trans-loop retrograde lateral plantar recanalization
  
  3. Predilatation
  - Coyote ES 1.5 mm/2 mm x 20 mm
  
  4. Definitive dilatation
  - Coyote 2.5 mm x 200 mm

  View image