LINC 2017 live case guide


Find all live cases and live case centers listed below.

 

 

Bad Krozingen

7 livecase(s)
  • Thursday, January 26th: - , Room 3 - Technical Forum

    Case 73 – Stent reconstruction of aortic bifurcation in a patient with Leriche syndrome

    Center:
    Bad Krozingen
    Case 73 – BK 06: female, 55 years (B-I-M)
    Operators:
    • Thomas Zeller,
    • Elias Noory
    CLINICAL DATA
    Bilateral buttock and leg claudication after 50 to 100 meters (PAOD Rutherford 2 / Fontaine IIb) since a couple of months

    PRESENT STATE
    CVRF: arterial hypertension, ex nicotine
    ABI at rest: right leg: 0.8; left leg: 0.8; post exercise 0.6 / 0.6
    Duplex: distal occlusion of infrarenal abdominal aorta and the origins of both CIAs
    Patent inferior mesenteric artery, bilateral internal and external iliac arteries

    PROCEDURAL STEPS
    1. Retrograde access
    - Insertion of 6F 90 cm shuttle sheath via left brachial artery and insertion of a 23 cm long 7F sheath into each CFA

    2. Antegrade crossing attempt of the aortic occlusion
    - 5F vertebral catheter, 0.035'' Gluidewire (TERUMO) into one of the CIAs

    3. Predilatation
    - 5 mm Admiral balloon (MEDTRONIC)

    4. Retrograde crossing attempt of the contralateral CIA

    5. Predilatation
    - 5 mm Powerflex balloon (CORDIS)

    6. Stenting of distal abdominal aorta
    - Smart 14/40 mm stent (CORDIS)

    7. Stenting of both CIAs
    - Restorer balloon expandable stents (iVASCULAR)
  • Thursday, January 26th: - , Room 1 - Main Arena 1

    Case 58 – Excimer laser assisted drug coated balloon recanalisation of popliteal ISR

    Center:
    Bad Krozingen
    Case 58 – BK 01: male, 66 years (K-K)
    Operators:
    • Thomas Zeller
    CLINICAL DATA
    Calf claudication left leg after 100m since 3 months (PAOD Fontaine IIb/Rutherford 3)
    Stent recanalisation left popliteal artery 2012
    DCB angioplasty and stent-in-stent angioplasty of left popliteal ISR 01/2016

    PRESENT STATE
    CVRF: arterial hypertension, ex nicotine, hypercholesterinemia
    ABI at rest: right leg: 1.1; left leg: 0.3
    Duplex: instent reocclusion of left popliteal artery

    PROCEDURAL STEPS
    1. Antegrade access, 6F, left CFA

    2. Crossing attempt of the popliteal artery occlusion
    - 0.014'' Advantage 14 GW (TERUMO)

    3. Laser debulking of the occlusion

    - Turbo elite, 2.3 mm (SPECTRANETICS)

    4. Postdilatation
    - 5/100 mm Stellarex DCB (SPECTRANETICS)
  • Thursday, January 26th: - , Room 2 - Main Arena 2

    Case 68: Bad Krozingen

    Center:
    Bad Krozingen
    Case 68 – BK 05: male, 60 years
    Operators:
    • Martin Czerny
    Information will follow in due time.
  • Thursday, January 26th: - , Room 1 - Main Arena 1

    Case 60 – Stent angioplasty of le5 distal SFA with implanta on of a 3-dimensional helical stent

    Center:
    Bad Krozingen
    Case 60 – BK 02: male, 70 years (EW)
    Operators:
    • Elias Noory,
    • P. Krause
    CLINICAL DATA
    Calf claudication left leg after 200m (PAOD Fontaine IIb / Rutherford 3
    Stentangioplastie left renal artery 11/2016
    Rekanalisation (stent & DCB) right SFA 7/2015
    Stent angioplasty CIA&EIA both sides and PTA IIA right 09/201

    PRESENT STATE
    Ex-Nicotine
    Hypertension
    Hypercholesterinemia
    Diabetes mellitus type II
    ABI at rest: 0.5 / 0.6
    Oscillometry: Reduced amplitudes right tigh, calf & ankle
    Reduced amplitudes left calf & ankle
    Duplex:Calcified high grade stenosis of left distal SFA

    PROCEDURAL STEPS
    1. Antegrade access, 6F, left CFA

    2. Crossing of the SFA lesion with a 0.035’’ Glidewire (TERUMO)

    3. Predilatation of distal SFA (Powerflex 5mm, CORDIS)

    4. Implantation of a BioMimics stent 6 or 7 mm (VERYAN)

    5. Postdilatation (6/20mm Powerflex, CORDIS)

    View image
  • Thursday, January 26th: - , Room 3 - Technical Forum

    Case 78 – Combined antegrade and retrograde recanalisation of right ATA & PTA

    Center:
    Bad Krozingen
    Case 78 – BK 07: male, 62 years, (B-N)
    Operators:
    • Thomas Zeller
    CLINICAL DATA
    Non-healing crural ulcer right calf (PAOD Fontaine IV / Rutherford 5)
    11/2016 recanalisation of right SFA, popliteal artery & TPT
    11/2014 recanilsation of right SFA, popliteal artery & TPT (DCB and spot stenting)
    DVT right leg 10/2014

    RISK FACTORS
    CVRF: hyperlipidemia, obesity
    ABI at rest: right leg: 0.6; left leg: 1.0
    Duplex: persistent occlusion of right ATA /& PTA

    PROCEDURAL STEPS
    1. Antegrade sheath insertion 6F, right CFA
    Insertion of a 5F Envoy guiding catheter (CORDIS)

    2. Attempt to antegradely recanalise the PTA (predilatation followed by DCB, Chocolate touch, TRIREME)

    3. Retrograde recanalisation of ATA (predilatation followed by DCB)

    4. Sheath removal in the groin with Femoseal (TERUMO)
    View image
  • Thursday, January 26th: - , Room 1 - Main Arena 1

    Case 63 – Stentgraft reconstruction of ISR of aortic bifurcation

    Center:
    Bad Krozingen
    Case 63 – BK 03: female, 41 years (G-A)
    Operators:
    • Elias Noory,
    • Aljoscha Rastan
    CLINICAL DATA
    Bilateral PAOD Rutherford 2 / Fontaine IIa
    Bilateral CIA stent-angioplasty 10/2014
    Bilateral chronic venous insufficiency

    PRESENT STATE
    CVRF: ex-smoker, hyperlipidemia, obesity
    ABI at rest: right leg: 0.8; left leg: 0.6
    Duplex: Bilateral high grade ISR at the origin of the CIA

    PROCEDURAL STEPS
    1. Bilateral retrograde access
    - 23 cm long 7F sheath into the CFA (CORDIS)

    2. Crossing of ISR
    - 0.035'' guidewire (TERUMO)

    3. Bilateral stentgraft implantation in a modified kissing stent fashion
    - BeGraft 8 mm (BENTLEY)

    4. Sheath removal
    - Femoseal (TERUMO)
    View image
  • Thursday, January 26th: - , Room 1 - Main Arena 1

    Case 65 – Directional atherectomy & DCB of right CFA

    Center:
    Bad Krozingen
    Case 65 – BK 04: female, 56 years (B-M)
    Operators:
    • Aljoscha Rastan,
    • Thomas Zeller
    CLINICAL DATA
    PAOD Rutherford 2 / Fontaine IIb right leg
    Recanalisation left CIA 12/2016
    Stent reconsruction of aortic bifurcation 2014

    PRESENT STATE
    CVRF: ex-smoker, hyperlididemia
    ABI right leg: 0.6; left leg: 1.0
    Duplex: high grade stenosis of right CFA

    PROCEDURAL STEPS
    1. Left transbrachial retrograde access
    - 6F 90 cm shuttle sheath (COOK)

    2. Filter placement
    - 6 mm Spider filter (MEDTRONIC) distal right SFA

    3. Directional atherectomy
    - Turbohawk SX-C (MEDTRONIC)

    4. Drug coated balloon angioplasty
    - 7/40 mm Inpact Pacific (MEDTRONIC)

    5. Stenting on indication
    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