LINC 2017 live case guide


Find all live cases and live case centers listed below.

 

 

Bern

5 livecase(s)
  • Tuesday, January 24th: - , 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)
  • Tuesday, January 24th: - , 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)
  • Tuesday, January 24th: - , 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)
  • Tuesday, January 24th: - , 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)
    View image
  • Tuesday, January 24th: - , 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

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