LINC 2020 live case guide

During the Leipzig Interventional Course 2020
more than 70 interventional and surgical live cases
are scheduled to be performed and transmitted
to the auditorium.

 

 

LINC 2020 live case guide


Find all live cases and live case centers listed below.

 

 

Conference day 1

  • - , Room 1 - Main Arena 1

    Case 01 – Long SFA-reocclusion right

    Center:
    Leipzig, Dept. of Angiology
    Case 01 – LEI 01: male, 59 years (K-A)
    Operators:
    • Sven Bräunlich,
    • Matthias Ulrich
    CLINICAL DATA
    PAOD Rutherford 3, severe claudication right calf,
    walking capacity 150m, ABI right 0.65
    PTA with DCBs 10/18
    Osteoporosis

    RISK FACTORS
    Arterial hypertension, hyperlipidemia, current smoker (40PY)

    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
    – Command 18 and Armada 18 balloon (ABBOTT) or
    – 0.035'' Radiofocus soft angled guidewire, 260 cm (TERUMO)
    3. In case of failure to pass the CTO
    – GoBackTM Crossing Catheter (Upstream Peripheral)
    4. PTA
    – 4.0 – 6.0 mm Armada 35 balloon (ABBOTT)
    – Conquest high pressure balloon on indication (BARD)
    5. Stenting
    – 5.0 or 6.0/150 mm Supera Interwoven Selfexpanding Nitinol stent (ABBOTT)
    View image
  • - , Room 2 - Main Arena 2

    Case 09 – Pelvic congestion syndrome

    Center:
    Zürich
    Case 09 – ZUE 01: female, 38 years (B-S)
    Operators:
    • Nils Kucher,
    • Dai-Do Do,
    • F. Baumann
    CLINICAL DATA
    Left lower abdominal pain radiating to left proximal thigh; aggravated by menstrual cycle
    Painful varicose veins vulva and left thigh
    Left-sided venous claudication

    IMAGING
    Ultrasound & MR findings:
    - May-Thurner compression
    - Retrograde flow left internal iliac vein
    - No evidence for nutcracker anatomy
    - Left pudendal vein feeding varicose thigh veins

    PROCEDURAL STEPS
    1. Local anesthesia left groin, supine position
    2. Ultrasound-assisted venous access (common femoral vein), insertion 10F sheath
    3. Phlebography / IVUS
    4. Sinus obliquus stent (OPTIMED)
    View image
  • - , Room 1 - Main Arena 1

    Case 02 –Calcified CTO of the left distal SFA and left popliteal artery

    Center:
    Leipzig, Dept. of Angiology
    Case 02 – LEI 02: male, 67 years (H-F)
    Operators:
    • Andrej Schmidt,
    • Axel Fischer
    CLINICAL DATA
    PAOD Rutherford III left, painfree walking distance 10 m, ABI left: 0.3
    CAD, CABG 2017, terminal kidney disease (dialysis)

    RISK FACTORS
    Arterial hypertension, hyperlipidemia

    PROCEDURAL STEPS
    1. Right groin retrograde and cross-over approach
    – 0.035'' SupraCore guidewire 190 cm (ABBOTT)
    – 7F 40 cm Balkin Up&Over sheath (COOK)
    2. Guidewire passage
    – Command 18 and Armada 18 balloon (ABBOTT) or
    – 0.035'' Radiofocus soft angled guidewire, 260 cm (TERUMO)
    3. In case of failure to pass the CTO
    – Retrograde approach via left peroneal artery
    4. Vessel preparation/ PTA
    – 4.0 – 6.0 mm Armada 35 balloon (ABBOTT)
    – Conquest high pressure balloon on indication (BARD/ BD)
    5. Stenting
    – 5.5/120 mm Supera Interwoven Selfexpanding Nitinol stent (ABBOTT)
    View image
  • - , Room 2 - Main Arena 2

    Case 10 – Acute left leg DVT

    Center:
    Galway
    Case 10 – GAL 01: female, 54 years (P-C)
    Operators:
    • J. Ward,
    • Gerard O'Sullivan
    CLINICAL DATA
    54 year old lady, normally fit and well, acute onset left leg pain – actually started in the groin, moved inferiorly, went to see family doctor in am; immediately referred to radiology

    IMAGING
    US scan shows acute left leg DVT, CTPA clear, CTV images to follow

    PROCEDURAL STEPS
    1.Prone, 10F sheath
    2.Initial very gentle venography – 10 cc of dilute contrast
    3. IVUS, then stiff glide wire (Merit Medical) into IVC
    4.Deploy VETEX (VETEX Medical) thrombectomy device, cranial to caudal action x 2
    5.Aspiration – 8F 55 cm Hockey Stick (CORDIS) +/- 7F 90 cm desitination catheter (TERUMO)
    6.IVUS to identify remaining thrombus v underlying lesion
    7.Balloon angioplasty BARD/BD Atlas 14 mm diameter, 60 mm long; to 14 atm for 14 seconds
    8.Stents 14 - 16 mm diameter (BARD/BD Venovo, or COOK Zilver Vena or MEDTRONIC ABRE or Veniti Vici or Optimed Sinus Venous)
    9.Balloon angioplasty BARD/BD Atlas 14 mm diameter, 60 mm long; to 14 atm for 14 seconds
    10.IVUS and one final venogram
    View image
  • - , Room 2 - Main Arena 2

    Case 11 – Chronic occlusion of the abdominal aorta, Leriche-Syndrome

    Center:
    Leipzig, Dept. of Angiology
    Case 11 – LEI 06: female, 59 years (M-P)
    Operators:
    • Andrej Schmidt,
    • Matthias Ulrich
    CLINICAL DATA
    PAOD Rutherford 5 left, ulceration Dig. 5 left, ABI right 0.22, left 0.33
    Severe claudication both calves, absolute walking capacity 30–50 meters

    RISK FACTORS
    Art. hypertension, diabetes mellitus type 2, nicotine abuse (35PY)

    CT
    Chronic, thrombus-containing occlusion of the infrarenal aorta and severe stenosis both iliac arteries

    PROCEDURAL STEPS
    1. Transbrachial approach
    – 6F 90 cm Check-Flo performer sheath (COOK)
    – 5F 125 cm diagnostic Judkins Right catheter (CORDIS/CARDINAL HEALTH)
    – SupraCore 300 cm 0.035'' guidewire (ABBOTT)
    2. Passage of the occlusions
    – Stiff angled 0,035'' guidewire, 260 cm (TERUMO)
    – Together with 5F 125 cm Judkins Right catheter
    3. Bilateral groin access
    – 7F 10 cm Radiofocus sheath (TERUMO)
    – Snaring of the antegrade guidewire from above into the groin-sheath or
    – Into 6F-Judkins-Right
    4. PTA/ thrombectomy via the groin access bilateral
    – Rotarex 10F thrombectomy (STRAUB MEDICAL)
    – SupraCore 300 cm 0,035'' guidewire (ABBOTT)
    – Admiral balloon 6.0/120 mm bilateral (MEDTRONIC)
    5. Implantation of covered stents
    – VBX covered stents for both renal arteries (GORE)
    – VBX covered stents bilateral in kissing technique (GORE)
    View image
  • - , Room 3 - Technical Forum

    Case 17 – Symptomatic high-risk carotid artery disease

    Center:
    Bergamo
    Case 17 – BG 03: male, 82 years (P-R)
    Operators:
    • Fausto Castriota,
    • Antonio Micari
    CLINICAL DATA
    No relevant prior vascular history
    One month ago transient ischemic attack with left-sided hemyparesis

    RISK FACTORS
    Hypertension, hypercholesterolemia

    IMAGING
    DUS: 85% RICA stenosis with significant flow acceleration
    CT angio: sub-occlusive right ICA disease with presence of thrombus

    PROCEDURAL STEPS
    1. Right femoral access (9F)
    2. Selective right carotid cannulation
    – JR4 guiding cathether (CORDIS/CARDINAL HEALTH)
    3. Proximal protection
    – MOMA 9F (MEDTRONIC)
    4. Lesion crossing
    – 0.014‘‘ guidewire
    5. Direct stenting
    – C-Guard double mesh stent (Inspire MD)
    6. Postdilatation
    – 5.0 mm Ultrasoft balloon (BOSTON SCIENTIFIC)
    7. Debris aspiration (if any)
  • - , Room 2 - Main Arena 2

    Case 12 – Chronic post thrombotic syndrome left leg

    Center:
    Galway
    Case 12 – GAL 02: female, 51 years (E-C)
    Operators:
    • J. Ward,
    • Gerard O'Sullivan
    CLINICAL DATA
    DVT x 3; Factor V Leiden deficiency; venous claudication on hills at 50 m; weight gain 9 kg, no ulcers, minimal oedema when wearing stockings; fully anticoagulated

    RISK FACTORS
    Factor V Leiden

    PROCEDURAL STEPS
    1. 3 point access RIJV, L FV, R CFV
    2. General anaesthetic, urethral catheter
    3. Full anticoagulation
    4. Cross lesion using multiple obliques – Cxi (COOK), Rubicon (BSCI); Roadrunner wire (COOK)
    5. IVUS to confirm position and to confirm dominant inflow inferiorly
    6. Balloon angioplasty – Atlas high pressure (BARD/BD) – straight to 14 mm @ 14 atm for 14 s minimum
    7. Stents 14 – 16 mm diameter (COOK Zilver Vena or MEDTRONIC ABRE or Veniti Vici or Optimed Sinus Venous or Bard Venovo)
    8. Balloon angioplasty – Atlas high pressure (BARD/BD) – straight to 14 mm @ 14 atm for 14 s minimum
    9. IVUS to confirm full stent expansion
    10. One final venogram to show rapid flow
    View image
  • - , Room 1 - Main Arena 1

    Case 03 – Subacute occlusion of the right SFA

    Center:
    Leipzig, Dept. of Angiology
    Case 03 – LEI 03: male, 63 years (A-F)
    Operators:
    • Sven Bräunlich,
    • Andrej Schmidt
    CLINICAL DATA
    PAOD Rutherford 3, walking capacity 100 m, ABI right 0.49
    PTA/stent left SFA 12/2019

    RISK FACTORS
    Arterial hypertension, hyperlipidemia, former smoker (30PY)

    PROCEDURAL STEPS
    1. Left groin and cross-over approach
    – Judkins Right 5F diagnostic catheter (CORDIS/CARDINAL HEALTH)
    – 0.035'' SupraCore guidewire 30 cm (ABBOTT)
    – 7F - 40 cm Balkin Up&Over sheath (COOK)
    2. Guidewire passage of the occlusion
    – 0.018'' Command 18 300 cm (ABBOTT)
    – 0.035'' QuickCross support catheter, 135 cm (PHILIPS)
    – Exchange to a 0.014'' Floppy ES guidewire 300 cm (ABBOTT)
    – Confirm intraluminal position with Vision PV 0.14 IVUS (PHILIPS)
    3. Laser atherectomy
    – 7F Turbo Power Laser with Turbo Elite 2.3 mm catheter (PHILIPS)
    4. PTA with DCBs
    – Stellarex 5.0/120 mm or 6.0/120 mm DCBs (PHILIPS)
    5. Stenting on indication:
    - Tack Endovascular System (INTACT VASCULAR INC.)
    View image
  • - , Room 2 - Main Arena 2

    Case 13 – Heart failure and post-thrombotic syndrome

    Center:
    Zürich
    Case 13 – ZUE 02: male, 66 years, (P-vM)
    Operators:
    • Nils Kucher,
    • Dai-Do Do,
    • F. Baumann
    CLINICAL DATA
    High-risk PE requiring CPR and systemic thrombolysis following hernioplasty, 03/2019
    Complications: active retroperitoneal bleeding, sepsis, renal failure, IVC Optease filter thrombosis with massive bilateral DVT of entire deep veins below the IVC filter
    Current medical condition: Dyspnea NYHA II-III, post-thrombotic syndrome with permanent leg swelling and venous claudication (particularly left side)

    IMAGING
    Echocardiography 11/2019: Normal LV function, normalized RV size and function, no indirect signs of pulmonary hypertension
    Ultrasound 11/2019 and Chest-CT 07/2019: Patent common femoral veins, patent external iliac veins, post-thrombotic common iliac veins, occluded infrarenal IVC, patent suprarenal IVC

    PROCEDURAL STEPS
    Cardiopulmonary exercise test 11/2019: Max VO2: 53%

    PROCEDURAL STEPS
    1. General anesthesia, urinary catheter, supine position
    2. Ultrasound-assisted access from:
    bifemoral
    – common femoral vein: left 10F sheath, right 16F sheath
    right jugular vein
    – 10F sheath
    3. Angioplasty of iliac veins and infrarenal IVC
    4. Extraction Optease Filter
    5. Reconstruction IVC and iliac veins
    – Venovo stents (BARD/ BD)
    View image
  • - , Room 3 - Technical Forum

    Case 18 – Progressive carotid artery stenosis left, high grade bilateral vertebral stenosis

    Center:
    Berlin
    Case 18 – BLN 02: male, 79 years (W-G)
    Operators:
    • Ralf Langhoff,
    • Andrea Behne
    CLINICAL DATA
    Stenting of the right carotid artery in 2007 without any restenosis
    Known carotid artery stenosis on the left side with rapid progression within 6 months from 60 to 80%

    RISK FACTORS
    Art. hypertension, hypercholesterinemia

    DUPLEX
    PSVR >4 m/s left ICA, no restenosis in the right CAS

    PROCEDURAL STEPS
    1. Transfemoral access
    – short 8F TERUMO sheath right
    2. Selective engaging of the left CCA
    – Weinberg Catheter (COOK)
    3. Teleskoping of the left ECA
    – Stiff glidewire 260 cm, angled tip (TERUMO)
    – 8F Vista Brite TIP IG MP shape guiding catheter (CORDIS)
    4. Distal protection
    – Filterwire EZ (BOSTON SCIENTIFIC)
    5. Predilatation
    – Maverick 3.0 x 20 mm balloon (BOSTON SCIENTIFIC)
    6. Stenting
    – 8 x 25 mm Roadsaver Micromesh stent (TERUMO)
    7. Postdilatation
    – 5 x 20 mm Emerge balloon (BOSTON SCIENTIFIC)
    8. Postprodecural DAS
    9. Vessel closure
    – Angioseal 8F (TERUMO)
    View image
  • - , Room 1 - Main Arena 1

    Case 03b – LEI 03b

    Center:
    Leipzig, Dept. of Angiology
    Case 03b – LEI 03b
    Operators:
    • Andrej Schmidt,
    • Matthias Ulrich
    Detailed information will be shown in the video itself!
  • - , Room 3 - Technical Forum

    Case 19 – Multifocal SFA lesions and popliteal occlusion, left

    Center:
    Berlin
    Case 19 – BLN 03: male, 59 years (T-S)
    Operators:
    • Ralf Langhoff,
    • David Hardung
    CLINICAL DATA
    Stenting of a left side, high-grade CIA stenosis in 2019
    Still dramatically impaired walking distance due to popliteal occlusion
    ABI: 0.5 left, ABI: 0.9 right

    RISK FACTORS
    Arterial hypertension, smoking, hyperlipidemia

    IMAGING
    Duplex and Angio show popliteal occlusion and SFA stenosis

    PROCEDURAL STEPS
    1. Antegrade access
    – 6F short Prelude Introducer sheath (Merit medical)
    2. Wire passage
    – 0.018''Advantage wire (TERUMO)
    – Backup: Halberd wire 0.018'' or 0.014'' (Asahi)
    3. Support catheter
    – Carnelian 0.018'' (BIOTRONIK)
    4. Predilatation
    – 3 x 150 mm PTA balloon (vessel preparation)
    5. P TA in the SFA and popliteal
    – Sequent OTW 5 x 150 mm balloon (B.Braun)
    6. Focal/ spot stenting of SFA and Politeal artery
    – Multi-LOC Stent as needed (6 stents maximum) (B.BRAUN)
    or using the new 2-LOC
    or 3-LOC in 30 or 40 mm length as a focal stent
    7. Postdilation with a standard PTA balloon
    8. Vessel closure
    – Angioseal 6F (TERUMO)
    View image
  • - , Room 1 - Main Arena 1

    Case 05 –Symptomatic occlusive early restenosis of right SFA

    Center:
    Bergamo
    Case 05 – BG 02: male, 67 years, (G-B)
    Operators:
    • Antonio Micari,
    • Fausto Castriota
    CLINICAL DATA
    No CV history
    Previous right SFA PTA with plain balloon
    During the last 3 months severe right leg claudication (walking distance 70 m)

    RISK FACTORS
    Hypertension, hypercholesterolemia, previous history of smoking

    DUPLEX
    Distal right SFA occlusion with flow demodulation in BTK vessels

    PROCEDURAL STEPS
    1. Femoral access (7F)
    2. Lesion crossing
    – 0.018‘‘ Control Wire + BerII 4F catheter
    3. Wire exchange
    – 0.018‘‘ wire with 0.014‘‘ wire Choice PT (BOSTON SCIENTIFIC)
    4. Embolic protection
    – Distal 6.0 mm Spider FX (MEDTRONIC)
    5. Directional atherectomy
    – HawkOne (MEDTRONIC)
    6. Balloon dilatation
    – 5.0 mm Inpact Admiral drug-coated balloon (MEDTRONIC)
    7. Postdilatation if needed
    View image
  • - , Room 3 - Technical Forum

    Case 20 – CTO of the proximal SFA right

    Center:
    Leipzig, Dept. of Angiology
    Case 20 – LEI 07: male, 68 years, (V-S)
    Operators:
    • Matthias Ulrich,
    • Axel Fischer
    CLINICAL DATA
    PAOD Rutherford 3 right, walking capacity 150m
    DCB-PTA right 11/2017, ABI right 0.66
    Multiple interventions left SFA (stent, PTA, DCB) COPD

    RISK FACTORS
    Arterial hypertension, hyperlipidemia, nicotin abuse (50PY)

    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. Passage of the occlusion right SFA
    – 0.035'' Radiofocus angled stiff guidewire, 260 cm (TERUMO)
    – 0.035'' CXC support catheter, 135 cm (COOK)

    In case of failure guidewire passage from antegrade:
    3. Retrograde approach via distal SFA
    – 7 cm 21 Gauge needle (COOK)
    – 0.018'' V-18 Control guidewire, 300 cm (BOSTON SCIENTIFIC)
    – 4F 10 cm Radiofocus introducer (TERUMO)
    – Pacific Plus 4.0/40 mm balloon, 90 cm (MEDTRONIC)
    4. Vessel preparation
    – Pacific 2.0/120 mm balloon (MEDTRONIC)
    – VascuTrak 5.0/120 mm balloon (BARD/BD)
    5. Stenting on indication
    – 5 mm or 6 mm Biomimics 3D stent (VERYAN MEDICAL)
    View image
  • - , Room 1 - Main Arena 1

    Case 06 – 3-vessel disease BTK right

    Center:
    Leipzig, Dept. of Angiology
    Case 06 – LEI 04: male, 78 years (A-T)
    Operators:
    • Andrej Schmidt,
    • Matthias Ulrich
    CLINICAL DATA
    Critical limb ischemia right, rest-pain right forefoot
    Walking capacity 50 meters, ABI right 0.49

    Imaging
    Duplex: occlusion of all BTK-arteries
    DSA: TPT-occlusion, long occlusions of the ATA and PTA

    PROCEDURAL STEPS
    1. Antegrade access right
    – 6F 55 cm sheath Flexor Check-Flo Introducer Raabe Modification (COOK)
    2. Guidewire passage of the TPT
    – 0.014'' Command ES (ABBOTT) or
    – 0.014'' Winn 200 T (ABBOTT)
    3. Atherectomy of the TPT
    – TurboHawk SX-C (MEDTRONIC)
    potentially also atherectomy of the ATA-origin
    4. Balloon dilatation of the TPT and ATA
    – Amphirion Deep (MEDTRONIC)
    5. Stenting on indication:
    - Tack Endovascular System (INTACT VASCULAR INC.)
    View image
  • - , Room 3 - Technical Forum

    Case 21 – Symptomatic right carotid artery disease in a patient with known history of cardiovascular disease

    Center:
    Bergamo
    Case 21 – BG 04: female, 69 years, (A-M)
    Operators:
    • Fausto Castriota,
    • Antonio Micari
    CLINICAL DATA
    Previous CABG (LIMA to LAD, VG to posterolateral branch) + ascending aorta repalcament (2015)
    Previous multiple PCI (the last one in 2017 to LCx artery)
    Currently asymptomatic for angina, negative stress echo in 2019
    In December 2019 episode of left-sided hemiparesis with full neurological recovery

    RISK FACTORS
    Hypertension, hypercholesterolemia

    IMAGING
    DUS: severe right carotid artery stenosis with flow acceleration up to 473 cm/sec

    PROCEDURAL STEPS
    1. Radial access (6F)
    2. Right carotid artery selective cannulation
    – IM guiding catheter
    3. Support guidewire
    – 0.035‘‘ Supracore wire in ECA
    4. Sheath placement
    – Destination 6F long 90 cm sheath (TERUMO)
    5. Filter placement
    – Spider FX filter (MEDTRONIC) in RICA
    6. Direct stenting
    – Roadsaver double mesh stent (TERUMO)
    7. Postdilatation
    – 5.5 mm Ultraverse balloon (BOSTON SCIENTIFIC)
    View image
  • - , Room 1 - Main Arena 1

    Case 07 – LEI 05

    Center:
    Leipzig, Dept. of Angiology
    Case 07 – LEI 05
    Operators:
    • Andrej Schmidt,
    • Axel Fischer
    Detailed information will be shown in the video itself!
  • - , Room 2 - Main Arena 2

    Case 15 – Pelvic congestion and post-thrombotic syndrome

    Center:
    Zürich
    Case 15 – ZUE 03: female, 43 years (S-K)
    Operators:
    • Nils Kucher,
    • F. Baumann
    CLINICAL DATA
    Pregnancy-induced right-sided iliofemoral DVT 01/2018
    Conservative treatment with LMWH and compression stockings
    Persistant venous claudication and leg swelling as well as lower abdominal pain with aggravation during menstruation cycle
    Endovascular reconstruction of right ilio-femoral veins 11/2019 using Venovo & BlueFlow stents

    PRESENT STATE
    Follow-up in outpatient clinic 12/2019:
    Leg symptoms completely resolved
    Lower abdominal pain unchanged

    IMAGING
    Duplex: confirmed patency of venous stents
    MR-imaging: enlarged ovarian veins

    PROCEDURAL STEPS
    1. Local anesthesia right jugular vein, supine position
    2. Ultrasound-assisted access
    – 5F sheath
    3. Venography of ilio-femoral stents
    4. Selective Valsalva venography left ovarian and parauterine veins
    – 5F Kobra catheter (COOK)
    5. Selective injection of Aethoxysclerol (3%) foam to parauterine veins during Valsalva
    6. Coil embolization of left ovarian vein
    – Nester 12 mm coils (COOK)
    7. Final venogram to confirm ovarian vein occlusion
    View image
  • - , Room 2 - Main Arena 2

    Case 16 – GAL 04

    Center:
    Galway
    Case 16 – GAL 04
    Operators:
    • J. Ward,
    • Gerard O'Sullivan
    Detailed information will be shown in the video itself!
  • - , Room 3 - Technical Forum

    Case 22 – Total occlusion of the left CIA and EIA

    Center:
    Leipzig, Dept. of Angiology
    Case 22 – LEI 08: female, 55 years (B-A)
    Operators:
    • Sven Bräunlich,
    • Matthias Ulrich
    CLINICAL DATA
    PAOD Rutherford 3, claudication left calf, walking capacitiy 50m, ABI left 0.45

    RISK FACTORS
    Arterial hypertension, hyperlipidemia, nicotine abuse (35PY)

    PROCEDURAL STEPS
    1. Left femoral access
    – 7F 25 cm Radiofocus Introducer (TERUMO)
    – 0.035'' SupraCore guidewire 300 cm (ABBOTT)
    Left brachial approach:
    – 6F 90 cm Check-Flo Performer (COOK)
    2. Antegrade and retrograde guidewire passage
    brachial:
    v5F Judkins Right diagnostic catheter 125 cm (CORDIS/CARDINAL HEALTH)
    from femoral:
    – 5F Multipurpose diagnostic catheter 80 cm (CORDIS/CARDINAL HEALTH)
    – 0.035'' stiff angled glidewire, 260 cm (TERUMO)
    3. Predilatation and stenting of the aorto-iliac bifurcation
    – Ultraverse or Dorado balloon (BARD/BD)
    – LifeStream covered stent 8/58 mm bilateral common iliac arteries in kissing-technique (BARD/BD)
    – Covera Plus vascular covered stent for the external iliac artery (BARD/BD)
    View image
  • - , Room 3 - Technical Forum

    Case 23 – Severe right leg claudication in a patient with history of heavy smoking

    Center:
    Bergamo
    Case 23 – BG 05: male, 69 years (G-Z)
    Operators:
    • Fausto Castriota,
    • Antonio Micari
    CLINICAL DATA
    Previous coronary angiogram (abnormal stress test) showing unobstructed coronary arteries
    Severe right leg claudication (90 m) much impairing quality of life
    Quit smoking 1 year ago

    RISK FACTORS
    Mild hypertension, dyslipidemia

    IMAGING
    DUS: flow demodulation in right CFA compatible with iliac occlusion
    Angio MRI: right distal common iliac occlusion

    PROCEDURAL STEPS
    1. Left femoral access (6F)
    2. Cross-over approach
    – 45 cm Destination sheath (TERUMO)
    3. Right femoral access
    – Back-up, 4F sheath
    4. Lesion crossing from cross-over system
    – 0.018‘‘ Control wire or hydrophilic 0.035‘‘ wire (TERUMO)
    5. Predilatation
    6. Stenting with self-expandable stent
    – Everflex (MEDTRONIC)
    7. Postdilatation
    View image
  • - , Room 1 - Main Arena 1

    Case 08 – BLN 01

    Center:
    Berlin
    Case 08 – BLN 01
    Operators:
    • Ralf Langhoff,
    • Mehmet Boral
    Detailed information will be shown in the video itself!