LINC 2016 live case guide


Find all live cases and live case centers listed below.

 

 

Münster

11 livecase(s)
  • Wednesday, January 27th: - , Room 2 - Main Arena 2

    Case 43 – MUN 01: EVAR with Sandwich left acc. RA

    Center:
    Münster
    Case 43 – MUN 01: male, 72 years (K-V)
    Operators:
    • Bernd Gehringhoff,
    • M. Bosiers
    CLINICAL DATA
    Juxtarenal aneurysm 59 mm max. below a left acc. RA

    RISK FACTORS
    CAD, art. hypertension, hypertensive heart disease, LE 12/15

    PROCEDURAL STEPS
    - Percutanous approach both groins Prostar XL (ABBOTT).
    - Placement of 14F sheaths (COOK).
    - Placement of Endurant bifurcated endograft (MEDTRONIC) just below the LRA.
    - Cannulation of the lower left renal artery and placement of the sandwich graft (GORE-Viabahn).
    - Extension of the the aortic endograft with an Endurant-tubegraft (MEDTRONIC) in order to complete the sandwich-repair.
    - Closure of the groins.
    View image
  • Wednesday, January 27th: - , Room 3 - Technical Forum

    Case 51 – MUN 03: Persisting Type II Endoleak via AMI with aneurysm enlargement

    Center:
    Münster
    Case 51 – MUN 03: male, 83 years (H-K)
    Operators:
    • Arne Schwindt,
    • N. Varcoe Varcoe
    CLINICAL DATA
    EVAR for AAA 2013 with bifurkated stentgraft, initial diameter of AAA 56 mm, in follow-up
    CT-angiograms persisting Type II Endoleak via lumbar arteries and inferior mesenteric
    artery (IMA). In 2015 enlargement of AAA to 70 mm in maximum axial diameter.

    RISK FACTORS
    Art. hypertension, former smoker, CHD

    PROCEDURAL STEPS
    1. Left transbrachial approach
    - 6F 70 cm Raabe sheath (COOK) insertion into ostium of superior mesenteric artery

    2. Cannulation of middle colic artery
    - 0,035" Glidewire and 4F 120 cm Glidecath (TERUMO)

    3. Cannulation of IMA and Endoleak
    - 0,014" Choice PT II wire (BOSTON SCIENTIFIC)

    4. Catheter insertion
    - 0,014" Echelon or 0,010" Marathon microcatheter into Endoleak and following angiogram

    5. Embolisation of Endoleak with alcohol-colymer
    - Onyx 34/34L (MEDTRONIC)

    6. After microcatheter removal final angiogram via IMA and hypogastric artery to confirm complete Endoleak embolisation
    View image
  • Wednesday, January 27th: - , Room 3 - Technical Forum

    Case 52 – MUN 04: Endoleak embolisation of iliac artery aneurysm after iliac-sidebranch endograft

    Center:
    Münster
    Case 52 – MUN 04: male, 63 years (F-D. P.)
    Operators:
    • Arne Schwindt,
    • N. Varcoe Varcoe
    CLINICAL DATA
    2013 Complex EVAR for aorto-biiliac AAA with Zentih bifurcated endograft and bilateral Zenith iliac-sidebranch endografts, 2013 embolisation of Type II Endoleak via AMI. In CT-angiogram aneurysm enlargement of left iliac aneurysm from initially 55mm to 65 mm and persisting type II EL via left deep circumflex iliac artery.

    RISK FACTORS
    Arterial hypertension, CHD, RCX-PTCA 2012, hyperlipidemia

    PROCEDURAL STEPS
    1. Access via retrograde left femoral puncture
    - Insertion of 5F 10 cm sheath (TERUMO)

    2. Cannulation of deep circumflex iliac artery
    - 0,035 Glidewire and 4F 90 cm Glidecath (TERUMO)

    3. Cannulation of Endoleak
    - 0,014 Choice PT II wire (BOSTON SCIENTIFIC) via the pelvic collaterals

    4. Catheter insertion
    - 0,014" Echelon microcatheter (MEDTRONIC) into Endoleak and following angiogram

    5. Embolisation of Endoleak
    - Alcohol-colymer Onyx 34/34L (MEDTRONIC)

    6. After microcatheter removal final angiogram via deep circumflex iliac artery to confirm complete Endoleak embolisation
    View image
  • Wednesday, January 27th: - , Room 2 - Main Arena 2

    Case 45 – MUN 02: Endovascular aortic repair of an abdominal aneurysm

    Center:
    Münster
    Case 45 – MUN 02: male 64 years (H-H)
    Operators:
    • Bernd Gehringhoff,
    • M. Bosiers
    CLINICAL DATA
    66 mm rapid growing AAA

    RISK FACTORS
    Hypertension, obesity, hypercholesterinemia
    Anxiety disorder Krea 0,9 mg/dl

    PROCEDURAL STEPS
    Percutanous approach both groins
    - Prostar XL (ABBOTT)
    - 14F sheath (COOK)

    - Placement of a pigtail catheter via the left groin
    - Lunderquist wire right side

    - Placement of the main body through the right side directly below the renals - Treovance-Endograft (BOLTON-MEDICAL)
    - Probing and positioning of the iliac limb extension contralateral
    - Ipsilateral positioning of the iliac endograft

    - Postballooning
    - Final angiography
    - Closing access with Prostar (preclose technique)
    View image
  • Thursday, January 28th: - , Room 2 - Main Arena 2

    Case 76 – MUN 07

    Center:
    Münster
    Case 76 – MUN 07
    Operators:
    • Piergiorgio Cao,
    • Bernd Gehringhoff,
    • Martin Austermann,
    • M. Bosiers
    New patient! Information will follow in due time. Thank you for your understanding.
    View image
  • Thursday, January 28th: - , Room 1 - Main Arena 1

    Case 66 – MUN 05

    Center:
    Münster
    Case 66 – MUN 05
    Operators:
    • Arne Schwindt,
    • S. Stahlhoff
    New patient! Information will follow in due time. Thank you for your understanding.
  • Thursday, January 28th: - , Room 1 - Main Arena 1

    Case 67 – MUN 06

    Center:
    Münster
    Case 67 – MUN 06
    Operators:
    • Arne Schwindt,
    • S. Stahlhoff
    New patient! Information will follow in due time. Thank you for your understanding.
  • Thursday, January 28th: - , Room 2 - Main Arena 2

    Case 79 – MUN 08: EVAR with chimney both renal arteries

    Center:
    Münster
    Case 79 – MUN 08: male, 71 years (H-M)
    Operators:
    • Martin Austermann,
    • Bernd Gehringhoff,
    • M. Bosiers
    CLINICAL DATA
    Juxtarenal growing aneurysm 62 mm
    PAD with severe calcified and stenosed iliac arteries
    Common ostium of the CT and SMA

    RISK FACTORS
    Art. hypertension
    CAD

    PROCEDURAL STEPS
    1. Percutanous approach both groins
    - Prostar XL (ABBOTT)
    - Placement of 14F sheath (COOK)

    2. Cut down left axillary artery and double puncture

    3. Placement of two 7F Shuttle sheaths from above. Cannulation of both renal arteries with a 7F shuttle sheath (COOK)

    4. Placement of Endurant bifurcated endograft (MEDTRONIC) just below the SMA

    5. Placement of the chimney stent-grafts (Advanta-MAQUET) in both renal arteries

    6. Closure of the groin
    View image
  • Friday, January 29th: - , Room 1 - Main Arena 1

    Case 87 – MUN 10: LP-branched endovascular aortic repair – Part 1

    Center:
    Münster
    Case 87 – MUN 10: female, 61 years (W-H)
    Operators:
    • Martin Austermann,
    • Bernd Gehringhoff,
    • M. Bosiers
    CLINICAL DATA
    Thoracoabdominal aortic aneurysm
    Narrow iliac arteries

    RISK FACTORS
    Art. hypertension
    Panarteritis nodosa

    PROCEDURAL STEPS
    1. Percutanous approach both groins
    - Prostar XL (ABBOTT)
    - 14F (COOK) both groins

    2. Left axillary access 5F sheath via cut down

    3. Placement of a LP-CMD - Zenith-endograft (COOK) with four branches and closure of the groins to avoid SCI

    4. Cannulation of celiac trunk, SMA and renal arteries through the branches and implantation of the bridging stentgafts

    5. Final angiography

    6. Closure left axillary access
    View image
  • Friday, January 29th: - , Room 1 - Main Arena 1

    Case 87 – MUN 10: LP-branched endovascular aortic repair – Part 2

    Center:
    Münster
    Case 87 – MUN 10: female, 61 years (W-H)
    Operators:
    • Martin Austermann,
    • Bernd Gehringhoff,
    • M. Bosiers
    CLINICAL DATA
    Thoracoabdominal aortic aneurysm
    Narrow iliac arteries

    RISK FACTORS
    Art. hypertension
    Panarteritis nodosa

    PROCEDURAL STEPS
    1. Percutanous approach both groins
    - Prostar XL (ABBOTT)
    - 14F (COOK) both groins

    2. Left axillary access 5F sheath via cut down

    3. Placement of a LP-CMD - Zenith-endograft (COOK) with four branches and closure of the groins to avoid SCI

    4. Cannulation of celiac trunk, SMA and renal arteries through the branches and implantation of the bridging stentgafts

    5. Final angiography

    6. Closure left axillary access
    View image
  • Friday, January 29th: - , Room 1 - Main Arena 1

    Case 88 – MUN 11

    Center:
    Münster
    Case 88 – MUN 11
    Operators:
    • Martin Austermann,
    • Bernd Gehringhoff,
    • M. Bosiers
    New patient! Information will follow in due time. Thank you for your understanding.
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