LINC 2015 live case guide

Find all Live Cases and Live Case Centers listed below.

Dendermonde

4 livecase(s)
  • Tuesday, January 27th: - , Main Arena 1

    Case 04 – Long SFA occlusion

    Center:
    Dendermonde
    Case 04 – DEN 01: male, 66 years (J-V)
    Operators:
    • Koen Deloose,
    • Lieven Maene
    CLINICAL DATA
    2008: CABG
    2009: Adenocarcinoma right colon (pT3N1): resection + adj. chemo smoking

    PRESENT STATE
    Claudication right > left after 100 m since 6 months
    DUS: Bilateral SFA occlusion
    CT angio

    PROCEDURAL STEPS
    1. Left CFA retrograde access

    2. Crossover procedure
    - RIM Catheter (COOK) + Roadrunner Uniglide 0.035"/260 cm stiff curved (COOK)

    3. Flexor sheath 6F, 45 cm (COOK)

    4. Roadrunner Uniglide 0.018"/260 cm (COOK) + 0.018" curved CXI Catheter 90 cm (COOK)

    5. Recanalization
    - by preference intraluminal (Plan B: subintimal)

    6. Predilatation
    - Advance 18LP balloon (COOK)

    7. Popliteal artery
    - DCB Advance PTX 0.018" balloon (COOK)

    8. SFA
    - Zilver PTX stent (COOK)
    View image
  • Tuesday, January 27th: - , Main Arena 1

    Case 07 – Long SFA occlusion right

    Center:
    Dendermonde
    Case 07 – DEN 02: male, 83 years (E-V)
    Operators:
    • Koen Deloose,
    • Lieven Maene
    CLINICAL DATA
    1992: Aortobifemoral bypass
    2003: left CAS
    severe COPD
    smoking, hypercholesterolemia, arterial hypertension

    PRESENT STATE
    claudication right leg since 6 months, 50 m
    DUS: bilateral SFA occlusions
    MR angio

    PROCEDURAL STEPS
    1. Right CFA access anterograde
    - 6F BriteTip Sheath (CORDIS) 12 cm

    2. Predilatation
    - Passeo-18 (BIOTRONIK)

    3. Dilatation
    - DCB Passeo-Lux 0.018" (BIOTRONIK)

    4. Stenting
    - Pulsar-18 (BIOTRONIK)
    View image
  • Wednesday, January 28th: - , Technical Forum

    Case 53 – Occlusion right EIA & CFA + occlusion left CFA

    Center:
    Dendermonde
    Case 53 – DEN 04: male, 80 years (A-V)
    Operators:
    • Koen Deloose,
    • Joren Callaert
    CLINICAL DATA
    PTCA in 2007
    COPD
    Hypercholesterolemia, ex-smoker

    PRESENT STATE
    Claudication in both legs with 100 m walking distance since 3 months.

    DUPLEX
    Weak monophasic signals in both groins with on the left side complete absence of flow.

    PROCEDURAL STEPS
    1. Left brachial access
    - 6F GlideWire 0.035" curved stiff (TERUMO)
    - Internal mammaria catheter 5F (CORDIS)
    - Destination 6F 90 cm (TERUMO)

    2. PLAN A: Anterograde recanalization
    - GlideWire 0.035"/280 cm curved stiff (TERUMO), alternative: Advantage GlideWire 0.018" (TERUMO)
    - supported by CXI 0.035"/0.018" 150 cm (COOK)

    3. PLAN B: Retrograde recanalization with SFA puncture(s)

    4. Predilatation
    - Armada 0.035" (ABBOTT VASCULAR)

    5. Stenting
    - Supera VMI (ABBOTT VASCULAR)
    View image
  • Wednesday, January 28th: - , Main Arena 1

    Case 38 – In-stent reocclusion right SFA and high grade stenosis left CIA

    Center:
    Dendermonde
    Case 38 – DEN 03: male, 62 years (E-V)
    Operators:
    • Koen Deloose,
    • Joren Callaert
    CLINICAL DATA
    2008: PTA+S right CIA & EIA, left SFA
    prostatic cancer, treated with radiotherapy
    8/JAN/15: PTA+S left EIA & SFA
    hypercholesterolemia, smoking

    PRESENT STATE
    Rest pain (Rutherford 4) right angiography

    PROCEDURAL STEPS
    1. Left CFA access, 6F

    2. Crossover procedure
    - RIM Catheter (COOK) + GlideWire 0.035" (TERUMO)
    - Destination 7F 45 cm sheath (TERUMO)

    3. In-stent recanalization
    - GlideWire 0.035"/0.018" (TERUMO)
    - Berenstein 4F 100 cm (CORDIS) CXI 0.035"/0.018" catheter (COOK)

    4. Predilatation
    - Armada 0.035" (ABBOTT VASCULAR)

    5. Stenting
    - Viabahn Endoprosthesis (GORE)

    6. Left CIA stenosis stenting
    - BeGraft balloon-expandable stent-graft (BENTLEY INNOMED)
    View image