LINC 2015 live case guide

Find all Live Cases and Live Case Centers listed below.

Sapporo

3 livecase(s)
  • Tuesday, January 27th: - , Global Expert Exchange

    Case 31 – Long CTO of left SFA

    Center:
    Sapporo
    Case 31 – SAP 02: male, 64 years (Y-S)
    Operators:
    • Kazushi Urasawa,
    • M. Tan
    CLINICAL DATA
    PAOD Rutherford 3, claudication both legs
    PTA and stenting at bi-lateral iliac arteries at 2009
    Claudication appeared again early last year
    Stenting for bi-lateral EIA and right SFA at 12/2014

    RISK FACTORS
    Ischemic heart disease, hypertension,
    diabetes mellitus type 2, dyslipidemia,
    CKD (hemodialysis dependent)

    ABI
    Right 1.15, left 0.87 (after EVT)

    PROCEDURAL STEPS
    1. Left common femoral access and ipsi-lateral antegrade approach
    - 6F Guiding sheath, Parent-Plus 23 cm (MEDIKIT)

    2. Retrograde puncture of the left distal SFA
    - 20G Introducer Needle (MEDIKIT)
    - Cruise 0.014" 225 cm (NEOS)
    - Promenent-NEO2 60 cm (TOKAI MEDICAL PRODUCTS)

    3. Antegrade wiring
    - 0.014" Harberd (Asahi Intec) supported by Prominent-NEO 135 cm

    4. Retrograde wiring
    - 0.014" Chevalier floppy (CORDIS Endovascular)
    - Wire rendez-vous technique within SFA-CTO

    5. PTA / stenting from antegrade
    - Coyote 3.0 x 220 mm (BOSTON SCIENTIFIC)
    - Sterling 5.0 x 220 mm (BOSTON SCIENTIFIC)
    - Smart Control (CORDIS)
    View image
  • Tuesday, January 27th: - , Technical Forum

    Case 26 – Re-occlusion of left distal SFA and popliteal artery (POP)

    Center:
    Sapporo
    Case 26 – SAP 01: male, 53 years (M-T)
    Operators:
    • Kazushi Urasawa,
    • T. Haraguchi
    CLINICAL DATA
    POAD Rutherford 3, claudication left carf at less than 100 meters
    Stenting for left SFA and PTA for left POP 1/2014
    Claudication appeared again at 12/2014

    DUPLEX
    Dyslipidemia, diabetes mellitus type 2
    ABI: right 1.15, left unmeasureable
    CT images of left femoral artery

    PROCEDURAL STEPS
    1. Left common femoral access and ipsi-lateral antegrade approach
    - 6F Guiding sheath, Parent-Plus 23 cm (MEDIKIT)

    2. Retrograde puncture of the left distal PTA
    - 20G Introducer Needle (MEDIKIT)
    - Cruise 0.014" 225 cm (NEOS)
    - Promenent-NEO2 60 cm (TOKAI MEDICAL PRODUCTS)

    3. Antegrade wiring
    - 0.035" Redifocus small-J (TERUMO) supported by 4F angiographic catheter (CORDIS)
    - 0.014" Astatto XS9-12 (Asahi Intec) supported by Prominent-NEO 135cm (TOKAI MEDICAL PRODUCTS)

    4. Retrograde wiring
    - 0.014" Chevalier floppy (CORDIS Endovascular)
    - Wire rendez-vous technique within CTO lesion

    5. Thrombus aspiration
    - TVAC aspiration catheter (NIPRO)
    - Distal protection by external pressure cuff

    6. PTA/stenting from antegrade
    - Coyote 3.0 x 220 mm (BOSTON SCIENTIFIC)
    - Sterling 5.0 x 220 mm (BOSTON SCIENTIFIC)
    - Smart Control, if necessary (CORDIS)
    View image
  • Tuesday, January 27th: - , Technical Forum

    Case 27 – SFA CTO

    Center:
    Sapporo
    Case 27 – SAP 01A: male, 91 years (H-Y)
    Operators:
    • Kazushi Urasawa,
    • Ryoji Koshida
    CLINICAL DATA
    PAOD Rutherford 2, claudication right calf at 300 meters

    RISK FACTORS
    Old cerebral infarction

    ABI
    Right 0.69, left 0.92

    PROCEDURAL STEPS
    1. Right common femoral access and ipsi-lateral antegrade approach
    - 6F guiding sheath, Parent-Plus 23 cm (MEDIKIT)

    2. Antegrade wiring
    - 0.014" Halberd (ASAHI INTEC) supported by Prominent-NEO 135 cm (TOKAI MEDICAL PRODUCTS)
    - 0.014" Astato XS9-12 (ASAHI INTEC)

    3. Retrograde wiring
    - 0.014" Cruise (Neos) supported by Prominent 135 cm (TOKAI MEDICAL PRODUCTS)
    - Guidewire rendez-vous technique within SFA-CTO

    4. PTA/Stenting from antegrade
    - Coyote 3.0 x 220 mm (BOSTON SCIENTIFIC)
    - Sterling 5.0 x 220 mm (BOSTON SCIENTIFIC)
    - Smart control, if necessary (CORDIS)
    View image