LINC 2015 live case guide

Find all Live Cases and Live Case Centers listed below.

Teaneck

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

    Case 58 – Iliac vein compression prior EVLT

    Center:
    Teaneck
    Case 58 – TEA 03: male, 71 years old
    Operators:
    • Kevin Herman,
    • John Rundback,
    • Amish Patel
  • Wednesday, January 28th: - , Technical Forum

    Case 59 – Chronic femoral DVT initial therapy

    Center:
    Teaneck
    Case 59 – TEA 04: male, 46 years
    Operators:
    • John Rundback,
    • Amish Patel
    CLINICAL DATA
    46-year-old gentleman with a history of chronic DVT for several years, first seen in June 2013. He has persistent progressive symptoms with left leg swelling and ankle pain, despite reliable use of graded compression stockings and other conservative measures. This is interfering with his work as an electrician. His medications are aspirin 81 mg only.

    PROCEDURAL STEPS
    1. US guided popliteal puncture
    - Sono-site ultrasound, Micropuncture set (COOK)
    - Upsize to 7F sheath (TERUMO)

    2. Lesion crossing
    - 0.035" Glidewire advantage (TERUMO)
    - Glidecatheter

    3. Balloon venoplasty
    - Charger (BOSTON SCIENTIFIC) or Admiral (MEDTRONIC)

    4. Positioning of EKOS thrombolytic infusion catheter (per chronic DVT trial)
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  • Wednesday, January 28th: - , Main Arena 1

    Case 43 – Left renal artery stenosis

    Center:
    Teaneck
    Case 43 – TEA 01: female, 73 years
    Operators:
    • John Rundback,
    • Joseph Manno
    CLINICAL DATA
    73-year-old woman with known bilateral severe renal artery stenosis
    from a CTA on 10/16/2013 with atrophy in the left kidney.
    She has not had congestive heart failure.
    She was a former smoker; stopped approximately two years ago.
    She has a history of coronary artery disease with myocardial infarction
    and coronary stents in 2012. She does not have dyslipidemia or diabetes.

    Current blood pressure medications are clonidine 0.1 b.i.d., Toprol 12.5 daily,
    and losartan/hydrochlorothiazide 50/12.5 daily. She also takes Zocor 40,
    Plavix 75, and aspirin 81.

    VITAL SIGNS
    Blood pressure, was 178/67 mmHg in the right arm and 161/70 mm Hg in the left arm.

    LABS
    GFR 66 ml/min.1.73m2

    PROCEDURAL STEPS
    1. Right femoral puncture and insertion of 7F RDC guide sheath (CORDIS)

    2. Selective catheterization of left renal artery
    - Spartacore wire (ABBOTT)

    3. Possible Buddy Wire and pressures
    - Radi wire (VOLCANO)

    4. Renal artery stenting
    - Formula 414 stents (COOK)
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  • Wednesday, January 28th: - , Main Arena 1

    Case 44 – Celiac artery aneurysm

    Center:
    Teaneck
    Case 44 – TEA 02: male, 57 years
    Operators:
    • Kevin Herman,
    • John Rundback,
    • Joseph Manno
    CLINICAL DATA
    Patient is a 57-year-old gentleman with history of hypertension sleep apnea and obesity who presented to emergency room for 3 days history of sudden onset severe left abdominal pain and worse during inspiration and sometimes radiating to his left shoulder. An abdominal CT scan showed a splenic infarct 2.5 cm celiac artery aneurysm.

    RISK FACTORS
    History of a cardiomyopathy with negative cardiac catheterization, nonischemic left bundle branch block, renal insufficiency Echocardiogram showed LVEF 40% without atrial or ventricular thrombus.

    PROCEDURAL STEPS
    1. US guided radial puncture
    - Sono-site ultrasound, Micropuncture set (COOK)
    - Adminstration of NTG and Verapamil
    - Insertion of 6F Slender Sheath (TERUMO)
    - Traverse arch, wire descending thoracic aorta and exchange for 5F Shuttle Sheath (COOK)

    2. Select celiac access, subselect and coil proximal splenic artery
    - Interlock coils (BOSTON SCIENTIFIC)

    3. Possible subselect and coil embolize left gastric artery

    4. Advance 0.018" Platinum plus wire into hepatic artery

    5. Exclude celiac aneurysm with ICast stent grafts (Atrium) or Viabahn stent grafts (GORE)
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