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 3

  • - , Room 1 - Main Arena 1

    Case 52 – ABT 01

    Center:
    Abano Terme
    Case 52 – ABT 01
    Operators:
    • Marco Manzi,
    • Cesare Brigato,
    • Efrem Gomez Jabalera
    Detailed information will be shown in the video itself!
  • - , Room 3 - Technical Forum

    Case 67 – Long, moderately calcified SFA-occlusion left

    Center:
    Leipzig, Dept. of Angiology
    Case 67 – LEI 26: male, 61 years, (K-W)
    Operators:
    • Sven Bräunlich,
    • Matthias Ulrich
    CLINICAL DATA
    PAOD Rutherford 3, claudication left calf, walking capacity 150m, ABI left 0.63

    RISK FACTORS
    Hyperlipidemia, current smoker

    PROCEDURAL STEPS
    1. Right groin and cross-over access
    – IMA-diagnostic 5F catheter (CORDIS/ CARDINAL HEALTH)
    – 0.035'' angled soft Radiofocus guidewire, 190 cm (TERUMO)
    – 0.035'' SupraCore guidewire, 190 cm (ABBOOTT)
    – 6F Balkin Up&Over sheath, 40 cm (COOK)
    2. Passage of the occlusion left SFA
    – 0.018'' Advantage guidewire (TERUMO)
    – 0.018'' CXI support catheter (COOK)
    in case of failure:
    – GoBack crossing catheter (UPSTREAM PERIPHERAL)
    3. Vessel preparation left SFA with scoring balloon
    – UltraScore 5.0/300 mm balloon (BARD/BD)
    4. Primary stenting
    – 6 mm Eluvia DES (BOSTON SCIENTIFIC)
    View image
  • - , Room 2 - Main Arena 2

    Case 62 – MUN 05

    Center:
    Münster
    Case 62 – MUN 05
    Operators:
    • Martin Austermann,
    • S. Mühlenhöfer,
    • Y. Khatadba
    Detailed information will be shown in the video itself!
  • - , Room 1 - Main Arena 1

    Case 53 – CTO of the right anterior tibial artery, CLI-patient

    Center:
    Leipzig, Dept. of Angiology
    Case 53 – LEI 19: male, 76 years (W-M)
    Operators:
    • Andrej Schmidt,
    • Sven Bräunlich
    CLINICAL DATA
    Critical limb ischemia, ulceration dig 2 right,
    restpain and severe claudication right, ABI right 0.2
    PTA/stent right popliteal artery 12/19 with no clinical improvement
    CAD, AMI 2010, CABG 2010

    RISK FACTORS
    Arterial hypertension, diabetes mellitus type 2, hyperlipidemia

    PROCEDURAL STEPS
    1. Antegrade approach right groin
    – 6F 55 cm sheath (COOK)
    2. Guidewire passage antegrade into anterior tibial artery
    – 0.014'' Command (ABBOTT)
    – 0.014'' PT2 guidewire 300 cm (BOSTON SCIENTIFIC)
    In case of failure: retrograde approach
    3. PTA
    – Vessel preparation – scoring balloon (VascuTrak, BARD/ BD)
    – Lutonix BTK DCB (BARD/ BD)
    4. Stenting on indication:
    - Tack Endovascular System (INTACT VASCULAR INC.)
    View image
  • - , Room 1 - Main Arena 1

    Case 54 – Chronic in-stent reocclusion left SFA

    Center:
    Leipzig, Dept. of Angiology
    Case 54 – LEI 20: male, 70 years (P-H)
    Operators:
    • Sven Bräunlich,
    • Johannes Schuster
    CLINICAL DATA
    Severe claudication left, ABI 0.65; walking capacity 100 meters
    Rutherford class 3
    PTA/stenting left CIA and left SFA 07/19
    Stroke 1997

    RISK FACTORS
    Heavy smoker (50PY), arterial hypertension, hyperlipidemia

    PROCEDURAL STEPS
    1. Right groin retrograde and cross-over approach
    – 8F Balkin Up&Over sheath (COOK)
    2. Guidewire passage
    – 0.018'' Command 18 guidewire, 300 cm (ABBOTT)
    – 0.018'' Quick-Cross support catheter, 135 cm (PHILIPS)
    3. Thrombectomy
    – Rotarex 8F (STRAUB MEDICAL)
    4. PTA with DCBs
    – Ranger DCB 5 mm (BOSTON SCIENTIFIC)
    View image
  • - , Room 3 - Technical Forum

    Case 68 – ABT 03

    Center:
    Abano Terme
    Case 68 – ABT 03
    Operators:
    • Marco Manzi,
    • Cesare Brigato,
    • Efrem Gomez Jabalera
    Detailed information will be shown in the video itself!
  • - , Room 1 - Main Arena 1

    Case 55 – LEI 21

    Center:
    Leipzig, Dept. of Angiology
    Case 55 – LEI 21
    Operators:
    • Sven Bräunlich,
    • Matthias Ulrich
    Detailed information will be shown in the video itself!
  • - , Room 2 - Main Arena 2

    Case 63 – PAR 03

    Center:
    Paris
    Case 63 – PAR 03
    Detailed information will be shown in the video itself!
  • - , Room 1 - Main Arena 1

    Case 56 – LEI 22

    Center:
    Leipzig, Dept. of Angiology
    Case 56 – LEI 22
    Operators:
    • Andrej Schmidt,
    • Daniela Branzan
    Detailed information will be shown in the video itself!
  • - , Room 2 - Main Arena 2

    Case 64 – MUN 06

    Center:
    Münster
    Case 64 – MUN 06
    Operators:
    • Martin Austermann,
    • S. Mühlenhöfer,
    • Y. Khatadba
    Detailed information will be shown in the video itself!
  • - , Room 1 - Main Arena 1

    Case 57 – CLI, deep vein arterialization of a "desert foot" right

    Center:
    Leipzig, Dept. of Angiology
    Case 57 – LEI 23: male, 76 years (E-K)
    Operators:
    • Daniela Branzan,
    • Andrej Schmidt
    CLINICAL DATA
    PAOD Rutherford 5, non-healing forefoot ulcerations, mediasclerosis, ABI > 1.4
    PTA right popliteal artery 12/19 and proximal ATA
    Cholangiocarcinoma with metastasis 02/18

    RISK FACTORS
    Arterial hypertension, hyperlipidemia, diabetes mellitus type 2

    PROCEDURAL STEPS
    1. Right groin antegrade access
    – 7F 55 cm Flexor Check-Flo sheath, Raabe Modification (COOK)
    2. Right distal venous tibial retrograde access
    – 5F sheath Introducer 2¨ (TERUMO)
    3. Arteriography and phlebography to define the optimal level for arterio-venous crossing
    4. Crossing from artery to vein
    – LimFlow Arterial Catheter 7F (LIMFLOW)
    – LimFlow Venous Catheter 5F (LIMFLOW)
    – LimFLow Ultrasound System (LIMFLOW)
    – PT2 0.014'' guidewire to pass from artery into vein (BOSTON SCIENTIFIC)
    – Predilatation with MiniTrek 3.5/20 mm, OTW coronary balloon (ABBOTT)
    5. Guidewire passage through vein and vein preparation
    – PT2 0.014'' guidewire (BOSTON SCIENTIFIC) or
    – Command 18 guidewire (ABBOTT)
    – Push Valvulotome 4F (LIMFLOW)
    – 4.0/120 mm Pacific ballon (MEDTRONIC)
    6. Implantation of covered stentgrafts
    – LimFlow Extension stentgrafts 7F 5.5 mm x 150 mm (LIMFLOW) for vein coverage
    – LimFLow Crossing stentgraft 7F 3.5 x 60 mm (LIMFLOW) for connection artery to vein
    View image
  • - , Room 3 - Technical Forum

    Case 69 – ABT 04

    Center:
    Abano Terme
    Case 69 – ABT 04
    Operators:
    • Marco Manzi,
    • Cesare Brigato,
    • Efrem Gomez Jabalera
    Detailed information will be shown in the video itself!
  • - , Room 3 - Technical Forum

    Case 70 – Severely calcified CTO of the left distal SFA and left popliteal artery, "pave and crack"-technique

    Center:
    Leipzig, Dept. of Angiology
    Case 70 – LEI 27: male, 73 years (K-W)
    Operators:
    • Andrej Schmidt,
    • Matthias Ulrich
    CLINICAL DATA
    PAOD Rutherford III left, painfree walking distance 100 m, ABI left: 0.45
    Multiple interventions right SFA and popliteal artery, D1-amputation right 10/19
    CAD, ICM (EF 20%), AMI 2001, CABG 2001, ICA-occlusion left

    RISK FACTORS
    Arterial hypertension, current smoker, diabetes mellitus type 2, hyperlipidemia

    PROCEDURAL STEPS
    1. Right groin retrograde and cross-over approach
    – IMA 5F diagnostic catheter (CORDIS/ CARDINAL HEALTH)
    – 0.035'' soft angled Radiofocus guidewire, 190 cm (TERUMO)
    – 0.035'' SupraCore guidewire 190 cm (ABBOTT)
    – 7F 55 Check-Flo Performer sheath, Raabe Modification (COOK)
    2. Antegrade guidewire passage
    – 0.035'' stiff angled glidewire, 260 cm (TERUMO)
    – CXC 0.035'' support catheter, 135 cm (COOK)
    3. Retrograde guidewire passage
    Access via the proximal anterior tibial artery:
    – 9 cm 20 Gauge Spinal Needle (BD)
    – 0.018'' V-18 Control guidewire, 300 cm (BOSTON SCIENTIFIC)
    – 4F 10 cm Radiofocus Introducer (TERUMO)
    – GoBack crossing catheter (UPSTREAM PERIPHERAL)
    4. PTA and Stenting
    – 5.0/20 mm and 6.0/20 mm Admiral Xtreme balloon (MEDTRONIC)
    – 6.0/20 Conquest non-compliant high pressure balloon (BARD/BD)
    In case of inability to open the balloons fully:
    – Implantation of a Viabahn 6.0/150 mm (GORE)
    – Relining with Supera Interwoven Nitinol stent (ABBOTT)
    View image
  • - , Room 1 - Main Arena 1

    Case 58 – LEI 24

    Center:
    Leipzig, Dept. of Angiology
    Case 58 – LEI 24
    Operators:
    • Andrej Schmidt,
    • Johannes Schuster
    Detailed information will be shown in the video itself!
  • - , Room 1 - Main Arena 1

    Case 59 – OCT-guided atherectomy of popliteal stent ISR followed by DCB

    Center:
    Münster
    Case 59 – MUN 04: male, 52 years (W-K)
    Operators:
    • Arne Schwindt,
    • Angeliki Argyriou,
    • A. Sohr
    CLINICAL DATA
    1990 Luxation trauma of right knee with emergency distal origin saphenous vein bypass, knee TEP Oct/2018, Sept 2019 Rutherford IV right leg, advanced ante- & retrograde recanalization of chronic occluded popliteal bypass and stent PTA with three 5.5 mm Supera stents

    PRESENT STATE
    After symptom free interval recurrent claudication and restpain right leg, CCDuplex shows TOSAKA II ISR of the popliteal vein graft with vmax of 350 cm/sec, drop of ABI from >1 in September to 0.4 right leg January 2020

    PROCEDURAL STEPS
    1. Duplex guided antegrade puncture of right CFA, insertion of 5F 10 cm sheath (TERUMO) angiogram of right leg
    2. Change to 7F 40 cm sheath (Destination, TERUMO), placement of 4 mm filter in TP trunc (Spider, MEDTRONIC)
    3. OCT-guided directional atherectomy of ISR with 7F Pantheris (Avinger)
    4. Antirestenotic therapy with Passeo Lux DCB (Biotronik)
    5. Filter recovery and closure of access site with Angioseal VCD (TERUMO) - 10 mm CONQUEST high pressure balloon
    View image
  • - , Room 2 - Main Arena 2

    Case 65 – FEVAR for type 5 thoraco abdominal aortic aneurysm

    Center:
    Paris
    Case 65 – PAR 04: male, 85 years
    Operators:
    • Stéphan Haulon,
    • D. Fabre,
    • P. Charbonneau,
    • A. Girault
    CLINICAL DATA
    Lumbar spine surgery for herniated disc (1993)
    Aorto bi-femoral bypass for an infrarenal AAA (1998)
    Bilateral femoral arteries angioplasty and stenting, L CFA endarterectomy (2012)
    Urothelial cancer resected in 2011, colon polypectomy in 2003
    Chronic kidney disease (GFR 48 ml/min), hypertension, dyslipidemia

    PRESENT STATE
    ASA 3, ECG: sinus, TTE: LVEF: 65%, normal

    PROCEDURAL STEPS
    1. L: Advance 16F 30 cm GORE Dryseal sheath in the LCFA over Lunderquist – 2x 6F-55 cm COOK Ansel sheaths
    100 U/kg Heparin (Target ACT³250)
    L (through one of the 6F): advance long pigtail catheter
    R: 10F sheath/Lunderquist/ dilators up to 20
    2. R: Deployment of proximal TEVAR, just above the celiac trunk
    3. Fluoroscopy to locate fenestrations gold markers
    R: Advanced fenestrated endograft – Aortic angiogram – fenestrated endograft deployment
    4. R: Rosen wire advanced through preloaded catheter – Exchange preloaded catheter for a 6F-90 cm COOK Ansel Shuttle sheath – Exchange Rosen for a Stealcore 0.018- 300 cm wire – Retrieve 6F to the level of the fenestration – Retrieve the 6F dilator – Puncture valve – DAV + TERUMO/Roadrunner through 6F for renal artery catheterisation – Renal angiogram – Exchange TERUMO for Rosen – Retrieve Stealcore wire – Advance 6F into the renal artery – Advance BENTLEY Begraft bridging stent to parking position
    5. Same for controlateral renal artery
    6. L: Through 6F sheath advance BER + TERUMO to catheterize fenestrated endograft lumen – Advance 6F below the fenestration (SMA/CT) – USL + TERUMO/ Roadrunner through 6F sheath to catheterise target vessel (SMA/CT) – Vessel angiogram – Exchange TERUMO for Rosen wire – Advance 6F into target vessel – Advance BENTLEY Begraft bridging stent to parking position
    7. R: Release diameter-reducing ties – proximal and distal attachments – Nose retrieval under fluoroscopy
    8. L: SMA/CT stent deployment (3-4 mm protruding in the aortic lumen) after 6F retrieval – Flare the aortic portion of stent with 10-20 mm balloon – Advance 6F in the SMA/CT stent/angiogram (SMA: exchange Rosen for TERUMO wire)
    9. R: Renal artery stent deployment (3-4 mm protruding in aortic lumen) after 6F retrieval – Flare the aortic portion of stent with 9-20 mm balloon – Advance 6F back into the renal stent – angiogram
    10. R: Remove nose under fluoroscopy / Remove fenestrated device delivery system
    L: Withdraw 6F sheath in 16F – Insert and deploy bifurcated device and iliac limbs
    11. CODA balloon to mold overlaps and distal sealing zones
    Pigtail catheter – Angiogram + non-contrast CBCT
    View image
  • - , Room 1 - Main Arena 1

    Case 60 – Calcified occlusion of the left SFA

    Center:
    Leipzig, Dept. of Angiology
    Case 60 – LEI 25: male, 62 years (R-A)
    Operators:
    • Andrej Schmidt,
    • Johannes Schuster
    CLINICAL DATA
    PAOD Rutherford 3 left, walking capacity 100 m, claudication left calf, ABI left 0.57
    PTA of a 8 cm long profunda femoris occlusion right 10/2019 and right SFA 12/19
    CAD, ICM (EF 35%), CABG and aortic valve replacement 09/19, atrial fibrillation, pacemaker 09/19

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

    PROCEDURAL STEPS
    1. Right 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. Antegrade guidewire passage
    – 0.035'' stiff angled glidewire, 260 cm(TERUMO)
    – CXC 0.035'' support catheter, 135 cm (COOK)
    3. Retrograde guidewire passage access via occluded SFA
    – 7 cm 18 Gauge needle (COOK)
    – 0.018'' V-18 Control guidewire, 300 cm (BOSTON SCIENTIFIC)
    – 4F-10 cm Radiofocus Introducer (TERUMO)
    – GoBack crossing catheter (UPSTREAM PERIPHERAL)
    4. PTA with normal and high pressure balloons
    – 6.0/ 20 mm Admiral Xtreme balloon (MEDTRONIC)
    – 7.0/ 20 mm Conquest non-compliant high pressure balloon (BARD/ BD)
    5. Stenting
    – In case of inability to open the balloons fully implantation of a Viabahn 7.0/100 mm (GORE)
    – Relining with Supera Interwoven Nitinol stent (ABBOTT)
    – Eluvia drug-eluting stent for proximal SFA (BOSTON SCIENTIFIC)
    View image
  • - , Room 1 - Main Arena 1

    Case 61 – ABT 02

    Center:
    Abano Terme
    Case 61 – ABT 02
    Operators:
    • Marco Manzi,
    • Cesare Brigato,
    • Efrem Gomez Jabalera
    Detailed information will be shown in the video itself!
  • - , Room 2 - Main Arena 2

    Case 66 – MUN 07

    Center:
    Münster
    Case 66 – MUN 07
    Operators:
    • Martin Austermann,
    • E. Beropoulis,
    • Y. Shehada
    Detailed information will be shown in the video itself!