LINC 2017 live case guide


Find all live cases and live case centers listed below.

 

 

Conference day 1

  • - , Room 2 - Main Arena 2

    Case 10 – Complex venous intervention of IVC and iliac vein

    Center:
    Bern
    Case 10 – BER 01: male, 37 years, (D-P)
    Operators:
    • Nils Kucher,
    • Torsten Fuß
    CLINICAL DATA
    Iliofemoral DVT right side in 2014
    Currently no anticoagulation therapy
    Moderate renal insufficiency (atrophic left kidney)

    RISK FACTORS
    Venous claudication while standing and walking (works as a chef de cuisine)
    Leg swelling right > left
    Hyperpigmentation right lower leg

    PROCEDURAL STEPS
    1. Venous access with ultrasound guidance in both femoral and right IJ veins
    - 10F sheath

    2. Wire crossage
    - TERUMO 0.035" stiff angled

    3. Phlebography, IVUS

    4. Predilation
    - Atlas Balloon 14–20 mm (C.R. BARD)

    5. Implantation of dedicated Iliac vein stents
    - IVC: Sinus XL 22–24 mm (OPTIMED)
    - Sinus-XL Flex 14 mm (OPTIMED)

    6. High-pressure postdilatation of stents
    - Atlas balloon 14–20 mm (C.R. BARD)
  • - , Room 1 - Main Arena 1

    Case 01 – LEI 01: Severely calcifed SFA-occlusion right

    Center:
    Leipzig, Dept. of Angiology
    Case 01 – LEI 01: male, 68 years
    Operators:
    • Andrej Schmidt,
    • Matthias Ulrich
    CLINICAL DATA
    Severe claudication right calf, walking capacity 60 meters
    ABI right 0.65
    COPD, GOLD B
    Permanent atrial fibrillation

    RISK FACTORS
    Arterial hypertension, smoker

    ANGIO
    Angiography elsewhere: total occlusion right SFA, calcified

    PROCEDURAL STEPS
    1. Left groin retrograde and cross-over approach
    - 0.035" SupraCore guidewire 190 cm (ABBOTT)
    - 7F-40 cm Balkin Up&Over Sheath (COOK)

    2. Guidewire passage and PTA of the occlusion right SFA
    - 4.0/120 mm Armada 35 balloon (ABBOTT)
    - 0.035" Radiofocus soft angled guidewire, 260 cm (TERUMO)
    - 6.0/40 mm Armada 35 balloon (ABBOTT)
    - Conquest high pressure balloon (C.R. BARD)

    In case of failure to pass from antegrade:
    3. Retrograde approach via the distal SFA right
    - 21 Gauge 9 cm Micropuncture needle (COOK)
    - 0.018" Connect guidewire 300 cm (ABBOTT)
    - 0.018" QuickCross support catheter 90 cm (SPECTRANETICS)

    4. Stenting
    - 5.0 or 6.0/150 mm Supera Interwoven Selfexpanding Nitinol stent (ABBOTT)
    - Stenting of the SFA-ostium: 7.0/40 mm Absolute stent (ABBOTT)
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  • - , Room 2 - Main Arena 2

    Case 11 – Galway

    Center:
    Galway
    Case 11 – GAL 01: female, 74 years
    Operators:
    • Gerard O'Sullivan
    Information will follow in due time.
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  • - , Room 1 - Main Arena 1

    Case 02 – SFA - PRESTO Technique

    Center:
    Dendermonde
    Case 02 – DEN 01: male, 79 years
    Operators:
    • Koen Deloose,
    • Joren Callaert
    Information will follow in due time.
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  • - , Room 3 - Technical Forum

    Case 22 – Cotignola

    Center:
    Cotignola
    Case 22 – COT 02: female, 73 years
    Operators:
    • Fausto Castriota,
    • Antonio Micari
    Information will follow in due time.
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  • - , Room 2 - Main Arena 2

    Case 12 – Acute on chronic ischemia right leg

    Center:
    Leipzig, Dept. of Angiology
    Case 12 – LEI 05: male, 78 years (M-M)
    Operators:
    • Sven Bräunlich,
    • Matthias Ulrich
    CLINICAL DATA
    Very short walking capacity right since few weeks
    Persistent atrial fibrillation
    Diabetes mellitus, type 2
    Nicotin abuse

    IMPORTANT ITEMS
    Angiography: Thrombotic/embolic occlusion right popliteal artery
    Chronic BTK-disease

    1. Right antegrade femoral access
    - 6F 55 cm Check-Flo Performer, Raab Modification (COOK)

    2. GW-passage and thrombectomy
    - Rotarex 6F (STRAUB MEDICAL)

    3. PTA and stenting on indication
    - Lutonix DCB (C.R. BARD)
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  • - , Room 2 - Main Arena 2

    Case 13 – Treatment of Toskana III ISR popliteal artery with rotarex & DEB

    Center:
    Münster
    Case 13 – MUN 02: male, 84 years
    Operators:
    • Arne Schwindt,
    • Stefan Stahlhoff
    Information will follow in due time.
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  • - , Room 2 - Main Arena 2

    Case 14 – Iliofemoral venous intervention

    Center:
    Bern
    Case 14 – BER 02: female, 37 years (E-B)
    Operators:
    • Nils Kucher,
    • Torsten Fuß
    CLINICAL DATA
    Acute left-sided iliofemoral deep vein thrombosis in 04/2008

    RISK FACTORS
    Long distance flight, estrogen-containing contraceptives, no known thrombophilia (negative testing)
    Chronic venous insufficiency leg with Villalta Score: 9 points

    PROCEDURAL STEPS
    1. Venous access with ultrasound guidance in left popliteal vein
    - 10F sheath

    2. Reconstruction of iliac veins

    3. Predilation
    - Atlas balloon 12–14 mm (C.R. BARD)

    4. Implantation of dedicated iliac vein stents
    - MT stent: Sinus obliquus 14 mm (OPTIMED)
    - Iliac veins: Sinus-XL Flex 14 mm (OPTIMED)

    5. High-pressure post-dilation of stents
    - Atlas balloon 14 mm (C.R. BARD)
  • - , Room 1 - Main Arena 1

    Case 03 – TASC D SFA CTO left

    Center:
    Dendermonde
    Case 03 – DEN 02: male, 78 years
    Operators:
    • Koen Deloose,
    • Joren Callaert,
    • Lieven Maene
    Information will follow in due time.
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  • - , Room 2 - Main Arena 2

    Case 15 – Galway

    Center:
    Galway
    Case 15 – GAL 02: male, 50 years
    Operators:
    • Gerard O'Sullivan
    Information will follow in due time.
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  • - , Room 3 - Technical Forum

    Case 23 – Tripple protection approach in a high-grade left ICA stenosis

    Center:
    Berlin
    Case 23 – BLN 01: female, 80 years (Z-C)
    Operators:
    • Ralf Langhoff,
    • Andrea Behne
    CLINICAL DATA
    Coronary heart disease, aortocoronary bypass
    PAD, PTA left SFA 2011, right SFA 2015

    RISK FACTORS
    Hypertension, hyperlipidemia

    PROCEDURAL STEPS
    1. Transfemoral retrograde approach
    - 8F short sheath (TERUMO)
    - Diagnostic 5F catheter Weinberg shape (COOK)
    - TERUMO stiff angled 0.035" wire into left ECA

    2. Exchange to
    - Vista Brite Tip IG guiding catheter MPA1 shape into left CCA (CORDIS)

    3. Distal protection
    - Filter Wire EZ (BOSTON SCIENTIFIC) into distal ICA left

    4. Stenting
    - Roadsaver Carotid Micromesh stent (TERUMO) 8 x 25 mm

    5. Carotid postdilatation
    - 5 x 20 mm Paladin balloon with integrated embolic protection (40 micron pore size) (CONTEGO-MEDICAL)

    6. Paladin filter closure and combined filter/balloon-system removal
    - removal of the distal EPD-Filter Wire EZ
    - removal of guiding catheter (wire controlled)

    7. Closure of puncture site
    - Angioseal 8F
    - transfer patient to ICU
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  • - , Room 1 - Main Arena 1

    Case 04 – Treatment of 9 cm long SFA CTO with drug eluting stent

    Center:
    Münster
    Case 04 – MUN 01: female, 76 years (K-M)
    Operators:
    • Arne Schwindt,
    • Özgun Sensebat
    CLINICAL DATA
    PAOD Rutherford IV left leg, rest pain at night, walking distance limited to 50 m
    ABI: right leg 0,9; left leg 0,6

    RISK FACTORS
    CVRF: hyperlipidemia, hypertension, nicotin
    Carotid surgery 2013
    MR-Angiogram: bilateral iliac stenosis, CTO of left SFA 9 cm long

    PROCEDURAL STEPS
    1. Right femoral access and crossover
    - Insertion of 6F 45 cm Destination sheath (TERUMO)

    2. Stent PTA
    - Stent PTA common iliac artery bilateral (Dynamic/BIOTRONIK)

    3. Recanalization left SFA
    - v18 wire (BOSTON SCIENTIFIC) and Quick-cross catheter (SPECTRANETICS)

    4. Predilation
    - 5 x 120 balloon (Advance 18/COOK)

    5. Stent implantation
    - Zilver-PTX drug eluting stent (COOK)

    6. Puncture site closure with CELT 6F VCD
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  • - , Room 2 - Main Arena 2

    Case 14 – Iliofemoral venous intervention

    Center:
    Bern
    Case 14 – BER 02: female, 37 years (E-B)
    Operators:
    • Nils Kucher,
    • Torsten Fuß
    CLINICAL DATA
    Acute left-sided iliofemoral deep vein thrombosis in 04/2008

    RISK FACTORS
    Long distance flight, estrogen-containing contraceptives, no known thrombophilia (negative testing)
    Chronic venous insufficiency leg with Villalta Score: 9 points

    1. Venous access with ultrasound guidance in left popliteal vein
    - 10F sheath

    2. Reconstruction of iliac veins

    3. Predilation
    - Atlas balloon 12–14 mm (C.R. BARD)

    4. Implantation of dedicated iliac vein stents
    - MT stent: Sinus obliquus 14 mm (OPTIMED)
    - Iliac veins: Sinus-XL Flex 14 mm (OPTIMED)

    5. High-pressure post-dilation of stents
    - Atlas balloon 14 mm (C.R. BARD)
  • - , Room 2 - Main Arena 2

    Case 15 – Galway

    Center:
    Galway
    Case 15 – GAL 02
    Operators:
    • Gerard O'Sullivan
    Information will follow in due time.
    View image
  • - , Room 2 - Main Arena 2

    Case 16 – Removal of tilted IVC filter (aortic penetration) and reconstruction of the IVC and iliac veins

    Center:
    Bern
    Case 16 – BER 03: female, 48 years (T-B)
    Operators:
    • Nils Kucher,
    • T. Gregory Walker
    CLINICAL DATA
    Protein S deficiency and factor V Leiden mutation
    Ongoing anticoagulation therapy
    Recurrent ilio-femoral thrombosis despite medical therapy
    Implantation of permanent Simon™ filter (2004/USA)

    RISK FACTORS
    Chronic venous insufficiency both legs with:
    venous claudication, varicose veins, hyperpigmentation, leg swelling
    Villalta-score: 6 points

    PROCEDURAL STEPS
    1. Venous access
    - Venous access with ultrasound guidance in both femoral veins (10F sheath)
    - Venous access IJ (18F sheath)

    2. Filter extraction with endobronchial forceps from IJ access
    - Forceps Alligator 2.5 mm x 55 cm hard foreign body double action (KARL STORZ)

    3. Reconstruction of IVC and iliac veins

    4. Predilatation
    - Atlas balloon 14–20 mm (C.R. BARD)

    5. Implantation of dedicated IVC and Iliac vein stents
    - IVC: Sinus XL 22 mm (OPTIMED)
    - Iliac veins: Sinus-XL Flex 14 mm (OPTIMED)

    6. High-pressure postdilatation of stents
    - Atlas balloon 14–20 mm (C.R. BARD)
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  • - , Room 2 - Main Arena 2

    Case 17 - Galway

    Center:
    Galway
    Case 17 – GAL 03: female, 82 years
    Operators:
    • Gerard O'Sullivan
    Information will follow in due time.
    View image
  • - , Room 3 - Technical Forum

    Case 24 – Flush-occlusion right SFA after CEA right groin

    Center:
    Leipzig, Dept. of Angiology
    Case 24 – LEI 06: male, 57 years (H-F)
    Operators:
    • Andrej Schmidt,
    • Sven Bräunlich
    CLINICAL DATA
    Severe claudication right calf, walking capacity 50 meters
    CEA and patch-plastic 9/2014 right groin
    Stenting right SFA 2009
    PTA left SFA (Lithoplasty)
    CAD, MI and PTCA 2009
    Art. hypertension, former smoker

    ANGIO
    Flush-occlusion right SFA, stent within the SFA-occlusion right
    ABI right 0,57

    PROCEDURAL STEPS
    1. Left groin retrograde and cross-over approach
    - IMA-diagnostic 5F-catheter (CORDIS/CARDINAL HEALTH)
    - 0.035" angled soft Radiofocus guidewire, 190 cm (TERUMO)
    - 0.035" SupraCore guidewire, 190 cm (ABBOTT)
    - 7F Balkin Up&Over Sheath, 40 cm (COOK)

    2. Right SFA CTO-puncture (stent-puncture)
    - 18 Gauge 7 cm needle
    - 0.035" stiff angled Glidewire, 190 cm (TERUMO)
    - 6F – 10 cm Radiofocus-Introducer (TERUMO)

    3. Passage of the CTO
    Retrograde passage into the right CFA:
    - Pioneer-Plus Reentry-system (VOLCANO)
    - 0.014" Floppy ES Guidewire, 300cm (ABBOTT)
    - Snaring if the retrograde guidewire into the the cross-over-sheath

    Final guidewire-passage into the popliteal artery from antegrade:
    - 0.035" siff angled Glidewire 260 cm (TERUMO)

    4. PTA/stenting
    - Armada 35 5.0/100 mm balloon (ABBOTT)
    - Supera Interwoven Nitinol stent (ABBOTT)
    - SFA-ostium: Viabahn 7.0/50 mm (GORE) or Absolute stent (ABBOTT)
    View image
  • - , Room 3 - Technical Forum

    Case 25 – Severe left iliac and femoropopliteal disease in a critical limb ischaemia patient

    Center:
    Cotignola
    Case 25 – COT 03: female, 74 years
    Operators:
    • Antonio Micari
    Information will follow in due time.
    View image
  • - , Room 1 - Main Arena 1

    Case 05 – Chronic total occlusion right SFA, CLI

    Center:
    Leipzig, Dept. of Angiology
    Case 05 – LEI 02: male, 64 years (P-S)
    Operators:
    • Sven Bräunlich,
    • Johannes Schuster
    CLINICAL DATA
    Critical limb ischemia right, ulceration dig 4, Rutherford class 5
    Severe claudication right calf, walking capacity 50 meters, PTA/stenting left SFA 12/2015 for CLI left
    Diabetes mellitus, type 2, art. hypertension, former smoker
    ABI right: 0.2

    ANGIO
    Angiography (during PTA left):
    long CTO right SFA, minimal calcification

    PROCEDURAL STEPS
    1. Left groin retrograde and cross-over approach
    - IMA-diagnostic 5F catheter (CORDIS/CARDINAL HEALTH)
    - 0.035" angled soft Radiofocus guidewire, 190 cm (TERUMO)
    - 0.035" SupraCore guidewire, 190 cm (ABBOTT)
    - 6F Balkin Up&Over Sheath, 40 cm (COOK)

    2. Passage of the occlusion left SFA
    - 0.035" Radiofocus angled stiff guidewire, 260 cm (TERUMO)
    - 0.035" TrailBlazer supportcatheter, 135 cm (MEDTRONIC)
    - Exchange to 0.018" SteelCore guidewire (ABBOTT)

    3. PTA
    - 5.0/120mm Pacific Plus PTA catheter, 130 cm (MEDTRONIC)
    - 6.0/120 mm In.Pact Pacific DCB (MEDTRONIC)

    4. Stenting on indication
    - In case of dissections: provisional placement of nitinol Tacks (INTACT VASCULAR)
    - In case of residual stenosis: Complete-Stent (MEDTRONIC)
    View image
  • - , Room 5 - Global Expert Exchange

    Case 30 – Popliteal reocclusion with impaired single vessel run-off

    Center:
    Berlin
    Case 30 – BLN 03: male, 81 years (HJ-S)
    Operators:
    • Ralf Langhoff,
    • Andrea Behne
    CLINICAL DATA
    PAOD, Rutherford 3–4, ABI 0.63 right, 0.93 left, stenting of the distal SFA and P3-segment 2015, peripheral bBypass surgery left leg

    RISK FACTORS
    Art. hypertension, severe atherosclerosis of the aorta, severly impaired walking distance

    PROCEDURAL STEPS
    1. Antegrade access right common femoral
    - 5F Terumo Destination 45 cm

    2. Recanalisation of the occluded stent in the P3 segment

    3. PTA and stenting
    - Cr8 BTK 4 x 38 mm DES (ALVIMEDICA)

    4. Recanalisation of the ATA and peroneal, PTA with 2.5 and 3 mm balloon


    5. Back-up: retrograde access via peroneal artery

    6. Closure of puncture site by manual compression
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  • - , Room 5 - Global Expert Exchange

    Case 31 – Calcified SFA-CTO right

    Center:
    Leipzig, Dept. of Angiology
    Case 31 – LEI 08: male, 64 years (F-B)
    Operators:
    • Sven Bräunlich,
    • Johannes Schuster
    CLINICAL DATA
    Severe claudication right calf, walking capacity 100 meters
    PTA/stent left SFA 12/2015
    Diabetes mellitus, type 2, insulin-dependent
    Art. hypertension, former smoker

    ANGIO
    Angiography right SFA during PTA/stent left SFA:
    short, moderately calcified SFA-CTO right
    ABI right 0.61

    PROCEDURAL STEPS
    1. Left groin retrograde and cross-over approach
    - IMA-diagnostic 5F catheter (CORDIS/CARDINAL HEALTH)
    - 0.035" angled soft Radiofocus guidewire, 190 cm (TERUMO)
    - 0.035" SupraCore guidewire, 190 cm (ABBOTT)
    - 6F 55 cm Flexor Check-Flo Introducer, Raabe Modifcation (COOK)

    2. Guidewire passage and PTA of the occlusion right SFA
    - 4.0/40 mm Pacific Plus balloon (MEDTRONIC)
    - 0.018" Connect 250 T guidewire, 300 cm (ABBOTT)

    3. Stenting
    - NitiDES drug-eluting stent (ALVIMEDICA)
    View image
  • - , Room 1 - Main Arena 1

    Case 06 – Long segment left SFA occlusion - directional atherectomy and DCB therapy

    Center:
    New York
    Case 06 – NY 01: female, 83 years
    Operators:
    • Prakash Krishnan,
    • Vishal Kapur,
    • Karthik Gujja,
    • Farhan Majeed,
    • Rheoneil Lascano
    Information will follow in due time.
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  • - , Room 2 - Main Arena 2

    Case 18 – Carotid artery stenting in high grade asymptomatic right ICA stenosis

    Center:
    Münster
    Case 18 – MUN 03: male, 87 years (S-W)
    Operators:
    • Arne Schwindt,
    • Özgun Sensebat
    CLINICAL DATA
    CVRF: hypertension
    CHD, RCA-PTCA 2016 with DES
    Aortic valve stenosis

    RISK FACTORS
    In CC-Duplex high grade right ICA stenosis with vmax of 290 cm/sec.
    MR-Angiogram: Type II aortic arch, 90% right ICA stenosis

    PROCEDURAL STEPS
    - Right femoral access, aortic arch angiogram, canulation of right common carotid artery with 0,035 Advantage wire (TERUMO) and insertion of 6F 90cm shuttle-sheath (COOK)

    - Angiogram of lesion, placement of 0,014 Choice PT wire (BOSTON SCIENTIFIC) distal to lesion

    - Delivery of Nanoparasol filter (TERUMO) distal to lesion

    - Implantation of Roadsaver micromesh stent (TERUMO)

    - Postdilation of stent (Sterling RX, BOSTON SCIENTIFIC)

    - Filter capture and final angiogram
    View image
  • - , Room 3 - Technical Forum

    Case 26 – Long SFA occlusion right

    Center:
    Berlin
    Case 26 – BLN 02: male , 81 years (D-S)
    Operators:
    • Ralf Langhoff,
    • M. Boral
    CLINICAL DATA
    PAOD Rutherford 3, claudication right calf at 50 meters
    Recanalization SFA stent and PTA with DCB for claudication 11/2016

    RISK FACTORS
    Coronary heart disease, aortocoronary bypass
    Hypertension, hyperlipidimia, diabetes type II
    ABI 0,6 right, 1,0 left after intervention

    ANGIOGRAPHY
    Distal SFA occlusion right side

    PROCEDURAL STEPS
    1. Left femoral access and cross-over approach
    - 6F 45 cm cross-over sheath Fortress (BIOTRONIK)

    2. Recanalisation right SFA
    - 0.018" Advantage glidewire (TERUMO)
    - 0.018" CXI support catheter (COOK)

    Back-up material:
    - Connect 250T CTO-wire (ABBOTT)
    - Outback reentry system (CORDIS)

    3. PTA
    - Passeo18 ballon 3 x 150 mm (BIOTRONIK)
    - 5 mm Passeo18 Lux DEB (BIOTRONIK)

    4. Stenting
    - Pulsar18 stent 5 x 200 mm (BIOTRONIK)

    5. Postdilatation
    - 5 x 200 mm Passeo1 8 balloon (BIOTRONIK)

    6. Puncture site closure
    - Angioseal 6F (TERUMO)
    View image
  • - , Room 1 - Main Arena 1

    Case 07 – Leipzig

    Center:
    Leipzig, Dept. of Angiology
    Case 07 – LEI 03: female, 72 years
    Operators:
    • Andrej Schmidt,
    • Matthias Ulrich
    CLINICAL DATA
    Restpain left foot, Rutherford class 4
    Severe claudication, walking capacity 50 m
    ABI left 0.42
    CAD, PTCA 10/16
    TAVI 03/16

    RISK FACTORS
    Arterial hypertension

    PROCEDURAL STEPS
    - Right croin retrograde and cross-over approach
    - Passage and predilatation of the SFA-occlusion left
    - PTA/Stenting SFA left (ELUVIA)
    View image
  • - , Room 3 - Technical Forum

    Case 27 – Dendermonde

    Center:
    Dendermonde
    Case 27 – DEN 03
    Operators:
    • Koen Deloose,
    • Joren Callaert,
    • Lieven Maene
    Information will follow in due time.
    View image
  • - , Room 2 - Main Arena 2

    Case 19 – Rapid progression of asymptomatic right carotid artery disease

    Center:
    Cotignola
    Case 19 – COT 01: male, 66 years
    Operators:
    • Antonio Micari,
    • Fausto Castriota
    Information will follow in due time.
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  • - , Room 2 - Main Arena 2

    Case 20 – Thoracic inlet syndrome with instent thrombosis

    Center:
    Bern
    Case 20 – BER 04: female, 46 years (D-C)
    Operators:
    • Nils Kucher,
    • Torsten Fuß
    CLINICAL DATA
    Primary (spontaneous) upper extremity deep vein thrombosis 06/15
    (Paget-Schroetter syndrome) --> lysis and anticoagulant therapy
    Known bony exostosis of the first rib and the clavicula --> resection the the first rib and stenting of the subclavian vein in 12/15
    Recurrent swelling of the right arm --> thrombus aspiration in a tertiary care hospital (11/16)

    PRESENT STATE
    Swelling of the right arm since several weeks

    PROCEDURAL STEPS
    1. Venous access with ultrasound guidance in right femoral vein
    - 10F sheath

    2. Wire crossage
    - Terumo 0.035" stiff angled

    3. Phlebography

    4. Predilatation
    - Dorado balloon 10 mm (C.R. BARD)

    5. Implantation of dedicated vein stent (stent-in-stent)

    6. High pressure postdilatation of stent
    - Atlas balloon 12 mm (C.R. BARD)
    View image
  • - , Room 2 - Main Arena 2

    Case 21 – Galway

    Center:
    Galway
    Case 21 – GAL 04: female, 36 years
    Operators:
    • Gerard O'Sullivan
    Information will follow in due time.
    View image
  • - , Room 3 - Technical Forum

    Case 28 – Symptomatic left ICA disease in a patient with challenging access routes

    Center:
    Cotignola
    Case 28 – COT 04: male
    Operators:
    • Fausto Castriota
    Information will follow in due time.
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  • - , Room 3 - Technical Forum

    Case 29 – Progressive, asymptomatic internal carotid stenosis right

    Center:
    Leipzig, Dept. of Angiology
    Case 29 – LEI 07: male, 71 years (M-Z)
    Operators:
    • Andrej Schmidt,
    • Sven Bräunlich
    CLINICAL DATA
    Progressive ICA-stenosis right, peak systolic velocity 5.8 m/sec.
    CAD with CABG 2000
    PTCA stent 12/2016
    Recurrent supraventricular arrythmia, left atrial ablations 2014/2015
    CEA left ICA 2010
    Former smoker

    ANGIOGRAPHY
    Angiography during PTCA 12/2016, short, high-grade stenosis right ICA

    PROCEDURAL STEPS
    1. Right groin access
    - 9F 25 cm Radiofocus Introducer (TERUMO)
    - 5F Judkins Right diagnostic catheter (CORDIS/CARDINAL HEALTH)
    - 0.035" soft angled Glidewire, 190 cm (TERUMO)
    - 0.035" SupraCore 190 cm guidewire (ABBOTT)

    2. Cerebral protection
    - MoMa proximal protection system (MEDTRONIC)

    3. Predilatation and stenting
    - 3.5/20 mm MiniTrek Monorail balloon (ABBOTT)
    - 8/30 mm CGuard stent (InspireMD)

    4. Postdilatation
    - Paladin® Carotid Post-Dilatation balloon with integrated embolic protection (CONTEGO MEDICAL)

    5. Aspiration and declamping with the Paladin-filter in place

    6. Retrieval of the Paladin-system
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  • - , Room 1 - Main Arena 1

    Case 08 – Severely calcified SFA-CTO right

    Center:
    Leipzig, Dept. of Angiology
    Case 08 – LEI 04: male, 69 years (R-P)
    Operators:
    • Andrej Schmidt,
    • Matthias Ulrich
    CLINICAL DATA
    Severe claudication right calf, walking capacity 150 meters
    Thromendartherectomy both groins 2014
    Stenting/PTA left SFA 11/2016
    CAD, PTCA 2000, CABG 2000
    Art. hypertension, former smoker

    ANGIOGRAPHY
    Severely calcified distal SFA-CTO right
    ABI right 0.51

    PROCEDURAL STEPS
    1. Left groin retrograde and cross-over approach
    - IMA-diagnostic 5F catheter (CORDIS/CARDINAL HEALTH)
    - 0.035" angled soft Radiofocus guidewire, 190 cm (TERUMO)
    - 0.035" SupraCore guidewire, 190 cm (ABBOTT)
    - 7F 55cm Flexor Check-Flo Introducer, Raabe Modifcation (COOK)

    2. Passage of the distal SFA-CTO
    - 0.018" Connect 250 T guidewire, 300 cm (ABBOTT)
    - 0.018" QuickCross support catheter 135 cm (SPECTRANETICS)

    3. Angioplasty
    - 6.0/60 mm Lithoplasty balloon (SHOCKWAVE MEDICAL)

    4. Stenting only on indication
    - Supera Interwoven Nitinol stent (ABBOTT)
    View image
  • - , Room 1 - Main Arena 1

    Case 09 – Heavily calcified severe right SFA disease

    Center:
    New York
    Case 09 – NY 02: female, 78 years old (S-P)
    Operators:
    • Prakash Krishnan,
    • Vishal Kapur,
    • Karthik Gujja,
    • Farhan Majeed,
    • Rheoneil Lascano
    CLINICAL DATA
    Patient presents with right lower extremity ischemic rest pain
    Rutherford grade 2, category 4
    Fontaine stage III
    Symptoms have been getting progressively worse over the last few weeks
    No ischemic ulcers noted.
    ABI: Right ABI 0.38.

    RISK FACTORS
    Hypertension, hyperlipidemia, diabetes mellitus, previous history of tobacco use

    PROCEDURAL STEPS
    1. Left groin access with retrograde cross over approach
    - UF 4F diagnostic catheter (ANGIODYNAMICS)
    - 0.035" SupraCore guidewire, 300 cm (ABBOTT)
    - 7 F – 45 cm Pinnacle Sheath (TERUMO)

    2. Passage through the right SFA calcified stenosis
    - 0.018" Trailblazer Vert support catheter, 135 cm (MEDTRONIC)
    - 0.014" Fielder guidewire, 300 cm (ASAHI)

    3. Filter placement
    - Exchange to a Barewire through the support catheter (ABBOTT)
    - Emboshield Nav 6 filter placement (ABBOTT)

    4. Jetstream atherectomy of the right SFA calcified disease
    - Jetstream 2.4/3.4 mm atherectomy (BOSTON SCIENTIFIC)

    5. PTA with a non-compliant balloon
    - Dorado 6 x 200 mm balloon (C.R. BARD)

    6. Stenting and postdilatation
    - 5.5 x 150 mm Supera interwoven self-expanding Nitinol stent (ABBOTT)
    - Dorado 6 x 150 mm balloon (C.R. BARD)
    View image

Live case transmission centers

During LINC 2017 more than 90 live cases will be performed from 13 national and international centers.

All live case transmissions are coordinated, filmed, and produced by the mediAVentures crew, using the latest in high definition television and wireless technology.

• University Hospital Leipzig, Division of Interventional Angiology, Leipzig, Germany
University Hospital Leipzig, Department of Radiology, Leipzig, Germany
• Policlinico Abano Terme, Abano Terme, Italy
• Heartcenter Bad Krozingen, Bad Krozingen, Germany
• Sankt-Gertrauden-Hospital, Berlin, Germany
• Bern University Hospital, Heart- and Vascular Center, Bern, Switzerland
• OhioHealth Research Institute, Columbus, USA
• Villa Maria Cecilia, Cotignola, Italy
• AZ Sint-Blasius, Dendermonde, Belgium
• Galway University Hospitals, Galway, Ireland
• University Hospital Jena, Jena, Germany
• Centre Hospitalier Régional Universitaire de Lille, Lille, France
• St. Franziskus Hospital, Münster, Germany
• Mount Sinai Hospital, New York, USA