LINC 2017 live case guide


Find all live cases and live case centers listed below.

 

 

Leipzig, Dept. of Radiology

2 livecase(s)
  • Wednesday, January 25th: - , Room 3 - Technical Forum

    Case 46 – Chemosaturation of liver metastases

    Center:
    Leipzig, Dept. of Radiology
    Case 46 – LEI 15: male, 82 years (N-C)
    Operators:
    • Jochen Fuchs,
    • Michael Moche
    CLINICAL DATA
    Uveal melanoma 07/2013, enucleation of the right eye 08/2013,
    unresectable liver metastases 03/2016,
    chemosaturation 04/2016, 06/2016, 11/2016, 12/2016

    RISK FACTORS
    Type 2 diabetes mellitus, hypertension

    PROCEDURAL STEPS
    1. Evaluation procedure (some days) prior to treatment:
    - Anatomical mapping
    - Embolization (to avoid reflux or infusion into GI or visceral arteries)

    2. US-guided venous and arterial access to avoid multiple punctures
    Establishment of 10F jugular venous return sheath, 18F femoral venous sheath for the venous isolation catheter and 4F femoral arterial sheath

    3. Full Heparinization (about 30.000 IE) with ACT control (> 450 sec!)
    Arterial catheter placement for Infusion into hepatic artery
    Connection and start of extracorporeal circuit

    4. Isolation of the hepatic veins by inflation of the double balloon catheter
    Check for proper isolation with DSA (no leakage!) and fixation the catheter

    5. Closing the Bypass-line to bring the filters of the extracorporeal circuit online
    CAVE: Watch out for blood pressure drop

    6. Start of arterial infusion of Melphalan (3 mg/kg) with injector (25 ml/min)
    Check intermittently for arterial spasms (if any consider nitroglycerin)
    After Melphalan is fully injected, 30 min wash-out period is applied

    7. Deflation of the balloons and disconnection of the filters
    Removal of arterial and venous catheters
    Removal of the sheaths after coagulation status has been normalized
    View image
  • Wednesday, January 25th: - , Room 3 - Technical Forum

    Case 49 – Coiling of lumbal arteries and inferior mesenteric artery befor EVAR

    Center:
    Leipzig, Dept. of Radiology
    Case 49 – LEI 16: male, 68 years
    Operators:
    • Michael Moche,
    • Jochen Fuchs
    CLINICAL DATA
    Incidental finding of an eccentric infrarenal AAA with 5.1 cm diameter
    4.5 mm IMA
    3 mm lumbal artery 3 (already embolised)
    4 mm lumbal artery 5 with common trunc
    Art. hypertension, hyperlipidemia, former smorker

    CT-SCAN
    AAA with max. 51 mm diameter, eccentric, potentially old containt rupture

    PROCEDURAL STEPS
    1. Right groin access
    - 4F sheath CFA
    - 4F sidewinder cath.

    2. Embolisation of IMA
    - 4F sidewinder cath.
    - 5 mm Amplatzer Vascular Plug4 (ST. JUDE/ABBOTT)

    3. Embolisation of lumbal arteries 5
    - VortX Diamond Coils (BOSTON SCIENTIFIC)
    - POD Anchor Coil (PENUMBRA)
    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