LINC 2017 live case guide


Find all live cases and live case centers listed below.

 

 

Münster

14 livecase(s)
  • Tuesday, January 24th: - , 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.
    View image
  • Tuesday, January 24th: - , 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
    View image
  • Tuesday, January 24th: - , 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
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  • Wednesday, January 25th: - , Room 2 - Main Arena 2

    Case 41 – Münster

    Center:
    Münster
    Case 41 – MUN 05: male, 84 years
    Operators:
    • Theodosios Bisdas,
    • Martin Austermann,
    • Stefan Stahlhoff
    Information will follow in due time.
    View image
  • Wednesday, January 25th: - , Room 3 - Technical Forum

    Case 47 – Embolization of persistent type II Endoleak via superior-inferior mesenteric artery and hypogastric artery with alcohol-copolymer

    Center:
    Münster
    Case 47 – MUN 07: male, 69 years (N-K)
    Operators:
    • Arne Schwindt,
    • Özgun Sensebat
    CLINICAL DATA
    EVAR with INCRAFT-Endograft 12/2015 – in follow up aneurysm expansion from initially 53 mm to up to date 58 mm

    IMPORTANT ITEMS
    Mitral and aortic valve insufficency grade 1
    CVRF: arterial hypertension
    Angio-CT 12/2016: persisting flow in the aneurysm sac via IMA and lumbars L4

    PROCEDURAL STEPS
    1. Left transbrachial access, aortic angiogram in oblique projection, canulation of superior mesenteric artery

    2. Insertion of 6F 90 cm shuttle sheath (COOK) into SMA, canulation of middle colic artery with 4F 120 cm glidecath (TERUMO) and choice PT wire (BOSTON SCIENTIFIC)

    3. Insertion of Echelon microcatheter (MEDTRONIC) into endoleak, preparation of catheter with DMSO, embolization of endoleak with Onyx L 34 (MEDTRONIC)

    4. Retrival of microcatheter, selective angiogram of right hypogastric artery; if neccessary selective embolization of lumbar arteries L4 with Onyx L34 in case of remaining endoleak
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  • Wednesday, January 25th: - , Room 1 - Main Arena 1

    Case 34 – Viabahn endprosthesis for de novo SFA occlusion

    Center:
    Münster
    Case 34 – MUN 04: male, 79 years
    Operators:
    • Theodosios Bisdas
    Information will follow in due time.
    View image
  • Wednesday, January 25th: - , Room 2 - Main Arena 2

    Case 44 – 3-fenestrated endovascular repair of a type Ia Endoleak after EVAR 2008 with preloaded delivery system

    Center:
    Münster
    Case 44 – MUN 06: male, 88 years (E-K-H)
    Operators:
    • Martin Austermann,
    • Theodosios Bisdas,
    • Giovanni Torsello
    CLINICAL DATA
    Rapidly growing abdominal aneurysm up to 9 cm in diameter after EVAR 2008

    RISK FACTORS
    PAD, renal impairment, obesity, art. Hypertension

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

    2. First angiography through the right groin and use of the fusion technique.
    Changing of the left 14F sheath for a 20F sheath in order to test the access

    3. Placement of the 3-fenestrated Zenith-tube-endograft with a double wide scallop (COOK) via the left groin

    4. Cannulation of the renal arteries through the delivery-system by means of the preloaded wire
    Cannulation of the SMA through the fenestration from the right groin

    5. Advancement of 7F sheath into the SMA
    Removal of the preloaded wire and advancement of the 6F sheath into the RA`s

    6. Complete release of the endograft and stenting of the fenestrations with covered stents (Advanta V12, MAQUET) and flairing

    7. Closure of the accesses. (Prostar XL, ABBOTT)
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  • Thursday, January 26th: - , Room 3 - Technical Forum

    Case 74 – Hybrid operation for ilio-femoral occlusion

    Center:
    Münster
    Case 74 – MUN 13: male, 58 years (H-H)
    Operators:
    • Theodosios Bisdas,
    • Martin Austermann,
    • Stefan Stahlhoff
    CLINICAL DATA
    Rutherford 3 right limb, ABI:0.4, no peripheral pulses

    RISK FACTORS
    Arterial hypertension, hyperlipidemia, current smoker (30 p/y)

    PROCEDURAL STEPS
    1. Cut down right groin, Puncture of the CFA and recanalization of the EIA occlusion with a 0.035" wire (Advantage, TERUMO) or an 0.018" wire (V18, BOSTON SCIENTIFIC)
    Use of a Quick Cross catheter (SPECTRANETICS)

    2. Arteriotomy and endarterectomy of CFA and proximal SFA
    Use of a ring stripper and a Forgarty catheter for endarterectomy of the EIA

    3. Stenting of the EIA with a 7 x 80 mm Complete stent (MEDTRONIC)

    4. Patchplasty of the CFA with a Dacron Patch (MAQUET) and control angiography

    5. Wound closure
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  • Thursday, January 26th: - , Room 1 - Main Arena 1

    Case 61 – Münster

    Center:
    Münster
    Case 61 – MUN 08: male, 61 years
    Operators:
    • Arne Schwindt,
    • Stefan Stahlhoff
    Information will follow in due time.
    View image
  • Thursday, January 26th: - , Room 2 - Main Arena 2

    Case 69 – Endovascular repair of an AAA with Endurant Endograft and additional proximal fixation with Heli-FX EndoAnchors

    Center:
    Münster
    Case 69 – MUN 10: female, years (H-R)
    Operators:
    • Martin Austermann,
    • Özgun Sensebat,
    • Stefan Stahlhoff
    CLINICAL DATA
    Growing abdominal aortic aneurysm with conical neck from 4,5 cm to 5,5 cm
    PAD with severe calcified and stenosed iliac arteries

    RISK FACTORS
    CAD – PTCA and PM-Implantation 5/16, chronic heart failure,
    carotid stenosis both sides, PAD – venous bypass 11/06

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

    2. Placement of Endurant bifurcated endograft (MEDTRONIC) just below the RA`s

    3. Additional fixation of the proximal sealing zone
    - Heli-FX Endoanchors (MEDTRONIC)

    4. Closure of the groin
    - Prostar XL (ABBOTT)
    View image
  • Thursday, January 26th: - , Room 2 - Main Arena 2

    Case 70 – Münster

    Center:
    Münster
    Case 70 – MUN 11: male, 88 years
    Operators:
    • Theodosios Bisdas,
    • Stefan Stahlhoff
    Information will follow in due time.
    View image
  • Thursday, January 26th: - , Room 1 - Main Arena 1

    Case 64 – Münster

    Center:
    Münster
    Case 64 – MUN 09: female, 60 years
    Operators:
    • Arne Schwindt,
    • Stefan Stahlhoff
    Information will follow in due time.
    View image
  • Thursday, January 26th: - , Room 2 - Main Arena 2

    Case 72 – Münster

    Center:
    Münster
    Case 72 – MUN 12: female, 52 years (S-M)
    Operators:
    • Martin Austermann,
    • Theodosios Bisdas,
    • Giovanni Torsello
    Information will follow in due time.
    View image
  • Friday, January 27th: - , Room 1 - Main Arena 1

    Case 80 – 4-fenestrated endovascular repair of a 7 cm post-dissection TAAA

    Center:
    Münster
    Case 80 – MUN 14: male, 76 years, (W-H)
    Operators:
    • Martin Austermann,
    • Theodosios Bisdas,
    • Stefan Stahlhoff
    CLINICAL DATA
    Post-dissection thorakoabdominal aneurysm with a diameter of 7 cm
    Aszendens and aortic arch repair by frozen elefant trunk in the acute phase and endovascular extension to open the true lumen but still increase of the still perfused false lumen.

    RISK FACTORS
    Art. hypertension, CAD

    PROCEDURAL STEPS
    1. Percutanous approach both groins (Prostar XL, ABBOTT) 14F (COOK) both groins
    Careful cannulation of the true lumen

    2. Angiogaphy to locate CT, SMA and RRA coming out of the true lumen and use of fusion technology

    3. Changing the left 14F sheath for a 22F sheath
    Placement of three 5F sheaths into the 22F sheath and pre-cannulation of the right renal artery and SMA by using fusion technology.

    4. Placement of the 4-fenestrated Zenith-endograft (tube) (COOK) via the right groin
    Cannulation of the SMA and RRA through the fenestrations

    5. Advancement of 7 and 8F sheaths into the target vessels
    Complete release of the endograft and stenting of the fenestrations for the SMA and RRA with covered stents (Advanta V12-MAQUET) and flairing
    Cannulation of the CT and stenting

    6. Cannulation of the fenestration for the LRA, perforation of dissectionmembrane and cannulation of the LRA coming out of the false lumen and implantation of another bridging stentgraft (Advanta V12)

    7. Placement of the distal bifurcated graft and the iliac extensions
    Closure of the accesses
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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