LINC 2017 live case guide


Find all live cases and live case centers listed below.

 

 

Conference day 2

  • - , Room 1 - Main Arena 1

    Case 32 – ATA recanalization and dexamethason-injection with a Bullfrog-Device

    Center:
    Leipzig, Dept. of Angiology
    Case 32 – LEI 09: female, 75 years (R-K)
    Operators:
    • Andrej Schmidt,
    • Yvonne Bausback
    CLINICAL DATA
    Critical limb ischemia left forefoot, ulceration dig I left
    PTA of a tibioperoneal trunk stenosis left 12/2015, only minor healing tendency
    Diabetes mellitus, type 2

    ANGIOGRAPHY
    Total occlusion of the anterior tibial artery

    PROCEDURAL STEPS
    1. Left antegrade access
    - 6F 55 cm Flexor Check-Flo Introducer, Raabe Modification (COOK)

    2. Guidewire passage of the ATA-CTO
    - 0.014" Command ES guidewire, 300 cm (ABBOTT)
    - 3.5/120 mm Armada 14 balloon (ABBOTT)

    3. Arterial wall-injection of dexamethason
    - BullFrog Micro-Infusion-Device (MERCATOR MEDSYSTEMS)

    4. In case of dissections: placement of nitinol-Tacks (INTACT VASCULAR)
    View image
  • - , Room 5 - Global Expert Exchange

    Case 53 – Total occlusion of the common iliac artery

    Center:
    Leipzig, Dept. of Angiology
    Case 53 – LEI 18: male, 62 years
    Operators:
    • Sven Bräunlich,
    • Johannes Schuster
    CLINICAL DATA
    - Severe claudication right leg, Rutherford class 3
    - Walking capacity 20 meters
    - Diabetes mellitus, type 2
    - ABI right 0.37

    RISK FACTORS
    - Arterial hypertension
    - Diabetes mellitus
    - Smoker

    PROCEDURAL STEPS
    1. Left brachial and bilateral femoral approach
    2. Guidewire passage
    3. Kissing stent (LIFESTREAM covered stant)
    View image
  • - , Room 3 - Technical Forum

    Case 45 – TACE in HCC

    Center:
    Jena
    Case 45 – JEN 01: male, 80 years (M-H)
    Operators:
    • René Aschenbach,
    • F. Bürckenmeyer
    CLINICAL DATA
    80 years old male with weight loss
    CT and MRI proofed HCC in central right liver lobe

    HISTORY
    Child B cirrhosis

    PROCEDURAL STEPS
    1. Canulation celiac trunk with guiding catheter

    2. Large FOV – Dyna-CT for feeder evaluation

    3. Chemoembolisation with doxorubicin
    - Embozene Tandem 40μm
    View image
  • - , 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
  • - , Room 1 - Main Arena 1

    Case 32 – ATA recanalization and dexamethason-injection with a Bullfrog-Device

    Center:
    Leipzig, Dept. of Angiology
    Case 32 – LEI 09: female, 75 years (R-K)
    Operators:
    • Andrej Schmidt,
    • Yvonne Bausback
    CLINICAL DATA
    Critical limb ischemia left forefoot, ulceration dig I left
    PTA of a tibioperoneal trunk stenosis left 12/2015, only minor healing tendency
    Diabetes mellitus, type 2

    ANGIOGRAPHY
    Total occlusion of the anterior tibial artery

    PROCEDURAL STEPS
    1. Left antegrade access
    - 6F 55 cm Flexor Check-Flo Introducer, Raabe Modification (COOK)

    2. Guidewire passage of the ATA-CTO
    - 0.014" Command ES guidewire, 300 cm (ABBOTT)
    - 3.5/120 mm Armada 14 balloon (ABBOTT)

    3. Arterial wall-injection of dexamethason
    - BullFrog Micro-Infusion-Device (MERCATOR MEDSYSTEMS)

    4. In case of dissections: placement of nitinol-Tacks (INTACT VASCULAR)
    View image
  • - , 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
  • - , Room 2 - Main Arena 2

    Case 42 – Progressive abdominal aneurysm

    Center:
    Leipzig, Dept. of Angiology
    Case 42 – LEI 14: male, 65 years
    Operators:
    • Andrej Schmidt,
    • Daniela Branzan
    CLINICAL DATA
    - Progressive aneurysm of the infrarenal aortic aneurysm, now max. diameter 58 mm
    - Small caliber external iliac arteries bilateral
    - Coiling of lumbar arteries and AMI 01/16
    - Chronical pancreatitis with pseudocysts

    RISK FACTORS
    - Arterial hypertension
    - Current smokera

    PROCEDURAL STEPS
    1. Bifemoral percutaneous approch in local anaesthesia and preclosing with 2 Proglide closure devices
    2. Guidewire positioning
    3. Implantation of a bifurcational stentgraft (OVATION STENTGRAFT)
    4. Postdilatation
    View image
  • - , 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
    View image
  • - , Room 1 - Main Arena 1

    Case 33 – SFA occlusion right

    Center:
    Leipzig, Dept. of Angiology
    Case 33 – LEI 10: male, 70 years
    Operators:
    • Sven Bräunlich
    CLINICAL DATA
    Severe claudication right calf, walking capacity 150 meters
    ABI right 0.7

    RISK FACTORS
    - Arterial hypertension
    - Current smoker
    - Hyperlipidemia

    PROCEDURAL STEPS
    - Left groin retrograde and cross-over approach
    - Guidewire passage
    - Predilation with low profile ballon
    - PTA with drug coated ballon
  • - , 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
  • - , Room 3 - Technical Forum

    Case 48 – Pre-operative uterine fibroid embolisation

    Center:
    Jena
    Case 48 – JEN 02: female, 44 years (G-D)
    Operators:
    • René Aschenbach,
    • F. Bürckenmeyer
    CLINICAL DATA
    Abdominal pain and abnormal intermenstrual bleeding

    IMAGING
    MRI proofed a 4 cm right-sided uterine fibroid

    PROCEDURAL STEPS
    1. Canulation of both uterine arteries
    - RIM-catheter
    - 2.7F Progeat Microcatheter (TERUMO)

    2. Embolisation
    - Gelatine Sponge/Gelbeads 500-700 μm (VASCULAR SOLUTIONS)
    View image
  • - , Room 5 - Global Expert Exchange

    Case 54 – SFA-occlusion right

    Center:
    Leipzig, Dept. of Angiology
    Case 54 – LEI 19: female, 71 years (E-D)
    Operators:
    • Sven Bräunlich,
    • Matthias Ulrich
    CLINICAL DATA
    Severe claudication right leg, walking capacity 100 meters
    PTA/stenting left SFA 12/2016
    PTA iliac left 12/2015
    Art. hypertension, current smoker

    ANGIOGRAPHY
    During PTA left SFA 12/2016: Long SFA-occlusion right, moderately calcified

    PROCEDURAL STEPS
    1. Left groin retrograde and cross-over approach
    - IMA-diagnostic 5F catheter (CORDIS/CARDINAL HEALTH)
    - 0.035" angled soft Radiofocus guidewire, 190 cm (TERUMO)
    - 0.035" SupraCore guidewire, 190 cm (ABBOTT)
    - 6F Balkin Up&Over Sheath, 40 cm (COOK)

    2. Passage of the occlusion right SFA
    - 0.035" Radiofocus angled stiff guidewire, 260 cm (TERUMO)
    - 0.035" TrailBlazer support catheter, 135 cm (MEDTRONIC)
    - Exchange to 0.018" SteelCore guidewire (ABBOTT)

    3. PTA and stenting on indication
    - Luminor DCB 5.0/120 mm (iVASCULAR)
    - VascuFlex Multi-LOC (B. BRAUN)
    View image
  • - , Room 1 - Main Arena 1

    Case 35 – In-Stent reocclusion right SFA

    Center:
    Leipzig, Dept. of Angiology
    Case 35 – LEI 11: male, 71 years (D-K)
    Operators:
    • Andrej Schmidt,
    • Matthias Ulrich
    CLINICAL DATA
    Severe claudication right calf, walking capacity 150 meters
    PTA with DCB and spotstenting right SFA 12/2014
    PTA and stenting left SFA 11/2014
    CAD with PTCA 2003
    Art. hypertension, current smoker

    ANGIOGRAPHY
    SFA-reocclusion right, Nitinol stent within the occlusion

    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
    GW-passage from antegrade:
    - 0.035" stiff angled Glidewire, 260 cm (TERUMO)
    - 4.0/120 mm Admiral balloon (MEDTRONIC)
    in case of failure to pass from antegrade:
    - puncture of the occluded SFA-stent:
    - same wire and 0.035" TrailBlazer support catheter, 90 cm (MEDTRONIC)
    - snaring of the guidewire into the cross-over sheath and finalization guidewire passage of the occlusion from antegrade

    3. PTA and stenting
    - 6.0/80 mm Admiral balloon (MEDTRONIC)
    - 6.0/250 mm Viabahn (GORE)
    - 6.0/100 mm Tigris stent (GORE)
    View image
  • - , Room 2 - Main Arena 2

    Case 43 – EVAR + left iliac branched device

    Center:
    Lille
    Case 43 – LIL 01: male, 63 years, (L-D)
    Operators:
    • Stephan Haulon
    CLINICAL DATA
    Incidental finding of AAA during work-up for intermittent claudication
    CTA: AAA 51 mm, aneurysm proximal right CIA, dilatation distal left CIA
    Plan: EVAR + left iliac branched device + embolisation right IIA

    RISK FACTORS
    Former smoker, hypertension

    HISTORY
    Aortic valve stenosis, CVA, bilateral inguinal hernia repair, lumbar herniated disc repair

    PRESENT STATE
    Duplex supra-aortic vessels: normal
    Cardiac ultrasound: EF 74%, AS (3.13 cm2), Ao asc 45 mm

    PROCEDURAL STEPS
    1. L: 10F sheath, Lunderquist, dilators (up to 20F) 50 U/kg Heparin

    2. R: 5F55 sheath, TERUMO, SIM, AMI embolized (Amplatzer 6 mm)

    3. R: 10F Right IIA embolized (Coils 10 mm)

    4. R: 10F sheath, wire exchange: starter, TERUMO, Rosen-GW stiff wire (COOK), 12F sheath, 45cm; tip positioned above aortic bifurcation

    5. L: ZBIS advanced into distal aorta, unsheath until preloaded catheter of ZBIS appears; exchange wire of preloaded catheter for 260 cm TERUMO

    6. R: Snare through-and-through (tat)-wire (TERUMO, 0.035") – advance dilator of 12F sheath

    7. R: 12F dilator connects to tip of preloaded catheter – secure both ends with clamps

    8. Position C-arm and open branch of ZBIS (COOK)

    9. Advance 12F dilator into ZBIS (pull & push, 'nobody holds the wire')

    10. Puncture valve of 12F TERUMO/catheter to catheterize IIA, angio

    11. Wire exchange/Rosen

    12. Over Rosen, advance 55 cm 7F sheath into 12F to IIA, tat-wire under tension

    13. Advance bridging stentgraft in 7F sheath

    14. Remove tat-wire

    15. Pull down ZBIS, depending on angle of IIA

    16. Pull back 7F sheath and inflate bridging stent

    17. Advance 7F sheath again into stentgraft – dilate distal seal if required – Angio

    18. Finish deployment of Zbis – release trigger wires

    19. Secure branch/stentgraft with balloon while removing nose cone

    20. Continue with EVAR

    21. R: release proximal stent

    22. L: iliac angiogram

    23. L: contralateral limb insertion holding the main body, deployment

    24. R: finish bifurcated endograft deployment + distal attachment release

    27. R: ipsilateral limb insertion & deployment + IIE stenting (Nitinol stent LUMINEX 10*60 mm)

    28. R+L: CODA balloon (COOK)

    29. L: Long angio catheter/Angiogram +/- non-contrast CBCT

    30. R+L: sheaths retrieval + close groins
    View image
  • - , 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
  • - , Room 3 - Technical Forum

    Case 50 – Columbus

    Center:
    Columbus
    Case 50 – COL 04: male, 89 years
    Operators:
    • Mitchell Silver
    Information will follow in due time.
    View image
  • - , Room 3 - Technical Forum

    Case 50b – Columbus

    Center:
    Columbus
    Case 50b – COL 05b: female, 62 years
    Operators:
    • Gary Ansel,
    • Charles Botti jr.
    Information will follow in due time.
  • - , Room 1 - Main Arena 1

    Case 36 – Total occlusion left SFA

    Center:
    Leipzig, Dept. of Angiology
    Case 36 – LEI 12: female, 60 years
    Operators:
    • Sven Bräunlich,
    • Andrej Schmidt
    CLINICAL DATA
    Severe claudication left calf, walking capacity 10 meters, rest pain
    ABI left 0.31
    PTA of the right EIA 11/16
    Stroke 1995 with residual incomplere hemiparesis left

    RISK FACTORS
    - Arterial hypertension
    - Hyperlipidemia

    ANGIOGRAPHY
    Long SFA and P1-segment occlusion left, moderately calcified

    PROCEDURAL STEPS
    1. Right groin retrograde and cross-over approach
    2. Guidewire passage
    3. Angioplasty (VASCUTAK)
    4. Stenting on indication
    - In case of dissections: provisional placement of nitinol Tackts (INTACT)
    - In case of residual stenosis after DCB: LifeStent
    View image
  • - , Room 1 - Main Arena 1

    Case 37 – Columbus

    Center:
    Columbus
    Case 37 – COL 01: male, 75 years
    Operators:
    • Gary Ansel,
    • Mitchell Silver
    Information will follow in due time.
    View image
  • - , Room 1 - Main Arena 1

    Case 38 – Columbus

    Center:
    Columbus
    Case 38 – COL 02: female, 56 years
    Operators:
    • Gary Ansel,
    • Charles Botti jr.,
    • J. Phillips
    Information will follow in due time.
    View image
  • - , Room 5 - Global Expert Exchange

    Case 55 – Treatment of the left GSV with ELVeS Radial slim™

    Center:
    Leipzig, Dept. of Angiology
    Case 55 – LEI 20: male, 26 years old, (N-S)
    Operators:
    • Matthias Ulrich,
    • Christina Julia Harzendorf
    CLINICAL DATA
    Chronic venous disease C2EpAs2Pr (CEAP)
    Symptoms: feeling of heaviness and dysesthesia in the left leg

    DUPLEX
    Complete insufficiency of the left great saphenous vein Hach 2
    Side branch varicose veins below the left knee
    Competent deep veins
    No Thrombosis

    PROCEDURAL STEPS
    1. Puncture of the distal GSV with 16G Introducer
    Puncture of sidebranches with 18G Introducer
    Introducing of Laser Fiber (ELVeS Radial slim™ BIOLITEC)
    Ultrasound control of the tip position at GSV junction

    2. Application of the tumescent anesthesia around the left great saphenous vein

    3. Treatment of the left GSV with 10 W/70Joul/cm

    4. Foam sklerotherapy of sidebranches with Aethoxysklerol

    5. Applying compression bandage left leg

    6. Injection of a LMWH for thrombosis prophylaxis
    View image
  • - , Room 3 - Technical Forum

    Case 51 – Restenosis right SFA after DCB-treatment

    Center:
    Leipzig, Dept. of Angiology
    Case 51 – LEI 17: female, 78 years
    Operators:
    • Andrej Schmidt,
    • Yvonne Bausback
    CLINICAL DATA
    - CLI with ulcer Dig 2 right and restpain
    - PTA with DCBs 3/2016 right SFA
    - PTA left SFA 2/2015
    - CAD, PTCA 2012

    RISK FACTORS
    - Diabetes mellitus, type 2
    - Arterial hypertension
    - Chronic renal impairment (GFR 56 ml/min)

    PROCEDURAL STEPS
    1. Left femoral retrograde and cross-over approach
    2. Guidewire passage of the SFA-restenosis and filter positioning (WIRION protection system)
    3. Atherectomy (JETSTREAM) and PTA with DCBs
    View image
  • - , Room 1 - Main Arena 1

    Case 39 – Total chronic occlusion left SFA

    Center:
    Leipzig, Dept. of Angiology
    Case 39 – LEI 13: female, 57 years (B-B)
    Operators:
    • Sven Bräunlich,
    • Matthias Ulrich
    CLINICAL DATA
    Severe claudication left SFA, walking capacity 100 meters
    PTA with stenting right SFA 1/2016
    PTA with DCBs for restenosis right SFA 12/2016
    PTA/stenting iliac arteries bilateral 2009
    Art. hypertension, smoker

    ANGIOGRAPHY
    During PTA right SFA: total occlusion left SFA
    ABI left 0.67

    PROCEDURAL STEPS
    1. Right groin retrograde and cross-over approach
    - IMA-diagnostic 5F catheter (CORDIS/CARDINAL HEALTH)
    - 0.035" angled soft Radiofocus guidewire, 190 cm (TERUMO)
    - 0.035" SupraCore guidewire, 190 cm (ABBOTT)
    - 6F Balkin Up&Over Sheath, 40 cm (COOK)

    2. Passage of the occlusion left SFA
    - 0.035" Radiofocus angled stiff guidewire, 260 cm (TERUMO)
    - 0.035" CXC support catheter, 135 cm (COOK)
    - Exchange to 0.018" SteelCore guidewire (ABBOTT)

    3. PTA and stenting on indication
    - Luminor DCB 5.0/120 mm (iVASCULAR)
    - VascuFlex Multi-LOC (B. BRAUN)
    View image
  • - , 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)
    View image
  • - , Room 1 - Main Arena 1

    Case 40 – Columbus

    Center:
    Columbus
    Case 40 – COL 03: male, 79 years
    Operators:
    • Gary Ansel,
    • Michael Jolly
    Information will follow in due time.
    View image
  • - , Room 3 - Technical Forum

    Case 52 – Jena

    Center:
    Jena
    Case 52 – JEN 03: male, 57 years
    Operators:
    • Ulf Teichgräber,
    • René Aschenbach
    Information will follow in due time.

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