LINC 2017 live case guide


Find all live cases and live case centers listed below.

 

 

Conference day 3

  • - , Room 1 - Main Arena 1

    Case 56 – Multilevel disease with CLI right

    Center:
    Leipzig, Dept. of Angiology
    Case 56 – LEI 21: male, 72 years (P-F)
    Operators:
    • Andrej Schmidt,
    • Yvonne Bausback
    CLINICAL DATA
    Critical limb ischemia right leg, restpain, Rutherford class 4
    PTA SFA and popliteal artery right and failed antegrade recanalization
    of a tibioperoneal trunk occlusion right elsewhere 12/2015
    Persistent atrial fibrillation

    ANGIOGRAPHY
    high-grade stenosis SFA and popliteal artery right,
    occlusion of the tibioperoneal trunk
    ABI 0,21

    PROCEDURAL STEPS
    1. Left groin retrograde and cross-over approach
    - 0.035" SupraCore guidewire 190 cm (ABBOTT)
    - 6F-40 cm Balkin Up&Over Sheath (COOK)

    2. Guidewire-passage of the SFA/popliteal stenoses and PTA
    - predilatation with 0.014" NanoCross balloon (MEDTRONIC)

    After failed antegrade GW-passage:
    3. Retrograde passage via the peroneal artery
    - 21 Gauge 7 cm needle (COOK)
    - 0.018" V-18 Controll-GW 300 cm (BOSTON SCIENTIFIC)
    - 0.018" QuickCross support catheter 90 cm (SPECTRANETICS)

    4. PTA with a drug-coated balloon
    - Chocolate Touch 6.0/120 mm (TRIREME MEDICAL)
    View image
  • - , Room 3 - Technical Forum

    Case 73 – Stent reconstruction of aortic bifurcation in a patient with Leriche syndrome

    Center:
    Bad Krozingen
    Case 73 – BK 06: female, 55 years (B-I-M)
    Operators:
    • Thomas Zeller,
    • Elias Noory
    CLINICAL DATA
    Bilateral buttock and leg claudication after 50 to 100 meters (PAOD Rutherford 2 / Fontaine IIb) since a couple of months

    PRESENT STATE
    CVRF: arterial hypertension, ex nicotine
    ABI at rest: right leg: 0.8; left leg: 0.8; post exercise 0.6 / 0.6
    Duplex: distal occlusion of infrarenal abdominal aorta and the origins of both CIAs
    Patent inferior mesenteric artery, bilateral internal and external iliac arteries

    PROCEDURAL STEPS
    1. Retrograde access
    - Insertion of 6F 90 cm shuttle sheath via left brachial artery and insertion of a 23 cm long 7F sheath into each CFA

    2. Antegrade crossing attempt of the aortic occlusion
    - 5F vertebral catheter, 0.035'' Gluidewire (TERUMO) into one of the CIAs

    3. Predilatation
    - 5 mm Admiral balloon (MEDTRONIC)

    4. Retrograde crossing attempt of the contralateral CIA

    5. Predilatation
    - 5 mm Powerflex balloon (CORDIS)

    6. Stenting of distal abdominal aorta
    - Smart 14/40 mm stent (CORDIS)

    7. Stenting of both CIAs
    - Restorer balloon expandable stents (iVASCULAR)
  • - , Room 3 - Technical Forum

    Case 74 – Hybrid operation for ilio-femoral occlusion

    Center:
    Münster
    Case 74 – MUN 13: male, 58 years (H-H)
    Operators:
    • Theodosios Bisdas,
    • Martin Austermann,
    • Stefan Stahlhoff
    CLINICAL DATA
    Rutherford 3 right limb, ABI:0.4, no peripheral pulses

    RISK FACTORS
    Arterial hypertension, hyperlipidemia, current smoker (30 p/y)

    PROCEDURAL STEPS
    1. Cut down right groin, Puncture of the CFA and recanalization of the EIA occlusion with a 0.035" wire (Advantage, TERUMO) or an 0.018" wire (V18, BOSTON SCIENTIFIC)
    Use of a Quick Cross catheter (SPECTRANETICS)

    2. Arteriotomy and endarterectomy of CFA and proximal SFA
    Use of a ring stripper and a Forgarty catheter for endarterectomy of the EIA

    3. Stenting of the EIA with a 7 x 80 mm Complete stent (MEDTRONIC)

    4. Patchplasty of the CFA with a Dacron Patch (MAQUET) and control angiography

    5. Wound closure
    View image
  • - , Room 1 - Main Arena 1

    Case 57 – Diffuse occlusion of P3, BTK, and BTA

    Center:
    Abano Terme
    Case 57 – ABT 01: male, 77 years
    Operators:
    • Marco Manzi,
    • Luis Mariano Palena,
    • Cesare Brigato
    Information will follow in due time.
    View image
  • - , Room 2 - Main Arena 2

    Case 67 – TEVAR of a subacute Type B aortic dissection

    Center:
    Leipzig, Dept. of Angiology
    Case 67 – LEI 25: male, 64 years
    Operators:
    • Andrej Schmidt,
    • Daniela Branzan
    CLINICAL DATA
    Acute Type-B dissection 6 weeks ago, since then intermittend thoracic pain
    CT 4 weeks later: diameter-increase of the descending aorta of 5 mm
    Coiling of intercostal arteries to reduce the risk of spinal cord ischemia during TEVAR
    Art. hypertension, former smoker

    CT-SCAN
    2 focal dissections of the descending thoracic aorta,
    both have an entry without reentry,
    max. diameter of the aorta 46m

    PROCEDURAL STEPS
    1. Bilateral femoral access
    - Preloading of Proglide-Systems right (ABBOTT)

    2. Positioning of guidewire
    - LunderQuist 0.035" 260 cm (COOK)

    3. Implantation of 2 thoracic stentgrafts
    - Ankura thoracic graft (LIFETECH)
    - Stengraft from left subclavian artery to the celiac trunk
    View image
  • - , Room 3 - Technical Forum

    Case 75 – Abano Terme

    Center:
    Abano Terme
    Case 75 – ABT 02: female, 82 years
    Operators:
    • Marco Manzi,
    • Luis Mariano Palena,
    • Cesare Brigato
    Information will follow in due time.
    View image
  • - , Room 3 - Technical Forum

    Case 76 – CLI, popliteal artery occlusion

    Center:
    Leipzig, Dept. of Angiology
    Case 76 – LEI 26: male, 81 years (H-L)
    Operators:
    • Andrej Schmidt,
    • Sven Bräunlich
    CLINICAL DATA
    Critical limb ischemia with gangrene dig 4/5 left, Rutherford 5
    Failed recanalization of a popliteal occlusion left
    CEA left femoral bifurcation 1/2017
    CAD, PTCA 2004
    Chronic heart failure, EF 40%
    Diabetes mellitus, type 2
    Chronic renal insufficiency with GFR 55 ml/min

    PRESENT STATE
    Angiography before CEA left groin
    ABI left 1.3, mediasclerosis

    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 55 cm Check-Flow Performer, Raabe Modification (COOK)

    2. Guidewire passage
    second attempt from antegarde:
    - 0.018" Connect Flex guidewire, 300 cm (ABBOTT)
    - 0.018" Seeker support catheter, 135 cm (C.R. BARD)

    In case of failure of GW-passage from antegrade:
    3. Retrograde approach via the posterior tibial artery
    - 2.9F sheath (pedal puncture set) (COOK)
    - 0.014" CTO-Approach 25 gramm guidewire, 300 cm (COOK)
    - 0.018" CXI support catheter 90 cm (COOK)
    - Advance Micro-Balloon 3.0/120 mm, 90 cm (COOK)

    4. PTA of the distal SFA/popliteal artery occlusion
    - AngioSculpt 4.0/100 mm Scoring balloon (SPECTRANETICS)
    - Stellarex 4.0 or 5.0/120 mm DCB (SPECTRANETICS)

    5. Stenting on indication
    - Supera Interwoven Nitinol stent (ABBOTT)
    View image
  • - , Room 1 - Main Arena 1

    Case 58 – Excimer laser assisted drug coated balloon recanalisation of popliteal ISR

    Center:
    Bad Krozingen
    Case 58 – BK 01: male, 66 years (K-K)
    Operators:
    • Thomas Zeller
    CLINICAL DATA
    Calf claudication left leg after 100m since 3 months (PAOD Fontaine IIb/Rutherford 3)
    Stent recanalisation left popliteal artery 2012
    DCB angioplasty and stent-in-stent angioplasty of left popliteal ISR 01/2016

    PRESENT STATE
    CVRF: arterial hypertension, ex nicotine, hypercholesterinemia
    ABI at rest: right leg: 1.1; left leg: 0.3
    Duplex: instent reocclusion of left popliteal artery

    PROCEDURAL STEPS
    1. Antegrade access, 6F, left CFA

    2. Crossing attempt of the popliteal artery occlusion
    - 0.014'' Advantage 14 GW (TERUMO)

    3. Laser debulking of the occlusion

    - Turbo elite, 2.3 mm (SPECTRANETICS)

    4. Postdilatation
    - 5/100 mm Stellarex DCB (SPECTRANETICS)
  • - , Room 1 - Main Arena 1

    Case 59 – Diffuse subtotal stenosis distal SFA / popliteal artery

    Center:
    Leipzig, Dept. of Angiology
    Case 59 – LEI 22: male, 71 years
    Operators:
    • Sven Bräunlich,
    • Matthias Ulrich
    CLINICAL DATA
    Restpain and Severe claudication left leg, Rutherford class 4
    CAD, PTCA 2012, Chronic heart failure, EF 35%
    Diabetes mellitus, type 2
    Art. hypertension, former smoker

    DUPLEX
    Left distal SFA and popliteal artery with long subtotal stenosis,
    Moderately calcified, diffuse BTK-stenoses
    ABI left 0.32

    PROCEDURAL STEPS
    1. Right groin retrograde and cross-over approach
    - 6F 55 cm Check-Flo Performer, Raabe Modification (COOK)

    2. Guidewire passage
    - PT2 0.014” 300cm guidewire (BOSTON SCIENTIFIC)
    - QuickCross support catheter (SPECTRANETICS)

    3. PTA

    - AngioSculpt scoring balloon 5.0/100 mm (SPECTRANETICS)
    - Exchange to a 0.035" SupraCore guidewire (ABBOTT)
    - Stellarex DCB (SPECTRANETICS)
  • - , Room 2 - Main Arena 2

    Case 68: Bad Krozingen

    Center:
    Bad Krozingen
    Case 68 – BK 05: male, 60 years
    Operators:
    • Martin Czerny
    Information will follow in due time.
  • - , Room 1 - Main Arena 1

    Case 60 – Stent angioplasty of le5 distal SFA with implanta on of a 3-dimensional helical stent

    Center:
    Bad Krozingen
    Case 60 – BK 02: male, 70 years (EW)
    Operators:
    • Elias Noory,
    • P. Krause
    CLINICAL DATA
    Calf claudication left leg after 200m (PAOD Fontaine IIb / Rutherford 3
    Stentangioplastie left renal artery 11/2016
    Rekanalisation (stent & DCB) right SFA 7/2015
    Stent angioplasty CIA&EIA both sides and PTA IIA right 09/201

    PRESENT STATE
    Ex-Nicotine
    Hypertension
    Hypercholesterinemia
    Diabetes mellitus type II
    ABI at rest: 0.5 / 0.6
    Oscillometry: Reduced amplitudes right tigh, calf & ankle
    Reduced amplitudes left calf & ankle
    Duplex:Calcified high grade stenosis of left distal SFA

    PROCEDURAL STEPS
    1. Antegrade access, 6F, left CFA

    2. Crossing of the SFA lesion with a 0.035’’ Glidewire (TERUMO)

    3. Predilatation of distal SFA (Powerflex 5mm, CORDIS)

    4. Implantation of a BioMimics stent 6 or 7 mm (VERYAN)

    5. Postdilatation (6/20mm Powerflex, CORDIS)

    View image
  • - , Room 1 - Main Arena 1

    Case 61 – Münster

    Center:
    Münster
    Case 61 – MUN 08: male, 61 years
    Operators:
    • Arne Schwindt,
    • Stefan Stahlhoff
    Information will follow in due time.
    View image
  • - , Room 1 - Main Arena 1

    Case 61b - Total ATA-occlusion, CLI left forefoot

    Center:
    Leipzig, Dept. of Angiology
    Case 61b - LEI22b: male, 72 years (W-J)
    Operators:
    • Andrej Schmidt,
    • Sven Bräunlich
    CLINICAL DATA
    Critical limb ischemia left, gangrene Dig 2-4,
    CAD, PTCA 2012, chronic heart failure, NYHA II-III
    Art. Hypertension, diabetes mellitus type 2
    Previous PTA / stenting BTK for CLI 2010
    Failed recanalization-attempt 1/2017

    ANGIOGRAPHY
    from previous unsuccessful recanalization attempt

    PROCEDURAL STEPS
    1. Left antegrade access
    - 6Fr-55cm Check-Flo Sheath, Raabe Modification (COOK)

    2. Retrograde access via dorsalis pedis artery
    - 2.9 Pedal Introducer Access Set (COOK)

    3. Passage of the occlusion (retrograde)
    - CXI support-catheter, 0.018”, 90 cm (COOK)
    - Hydro-ST 0.014” Guidewire, 300cm (COOK)
    - Approach CTO 25gramm Guidewire, 300cm (COOK)

    4. PTA (BTK-bifurcation in kissing technique)
    - retrograde: Advance Micro Balloon 3.0/120mm, 90cm (COOK)
    - antegrade: Advance LP 3.0/40mm Balloon (COOK)
    View image
  • - , Room 1 - Main Arena 1

    Case 61c – Leipzig

    Center:
    Leipzig, Dept. of Angiology
    Case 61c – LEI 22c: male, 66 years
    Operators:
    • Andrej Schmidt,
    • Sven Bräunlich
    CLINICAL DATA
    - CLI, Ulceration D5 right
    - ABI right 0.4

    RISK FACTORS
    - Arterial hypertension
    - Former smoker
    - Diabetes mellitus, type 2

    PROCEDURAL STEPS
    1. Right groin antegrade access
    3. Recanalization of the anterior tibial artery
    3. Retrograde access 3F: dorsalis pedis artery
  • - , Room 1 - Main Arena 1

    Case 62 – Total occlusion of the common iliac artery left

    Center:
    Leipzig, Dept. of Angiology
    Case 62 – LEI 23: female, 70 years (C-L)
    Operators:
    • Sven Bräunlich,
    • Andrej Schmidt
    CLINICAL DATA
    Severe claudication left, walking capacity 50-100 meters
    Art. hypertension, nicotine-abuse
    CAD, PTCA 11/2015

    ANGIOGRAPHY ELSEWHERE
    Common iliac artery occlusion left moderately calcified

    PROCEDURAL STEPS
    1. Left femoral access
    - 7F 25 cm Radiofocus Introducer (TERUMO)
    - 0.035" SupraCore guidewire 300 cm (ABBOTT)
    Left brachial approach:
    - 7F 90 cm Check-Flo Performer (COOK)

    2. Antegrade and retrograde guidewire passage
    brachial:
    - 5F 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
    - Armada 35 6/40 mm ballon (ABBOTT)
    - LifeStream covered stent 7/58 bilateral in kissing-technique (C.R. BARD)
    View image
  • - , Room 3 - Technical Forum

    Case 77 – Extremely calcified SFA CTO left, "pave and crack"-technique

    Center:
    Leipzig, Dept. of Angiology
    Case 77 – LEI 27: male, 69 years (S-F)
    Operators:
    • Andrej Schmidt,
    • Matthias Ulrich
    CLINICAL DATA
    Restpain during night and severe calcification left, Rutherford 4
    Failed recanalization attempt left leg 11/2015
    PTA/stenting right SFA-CTO 12/2016
    Art. hypertension, diabetes mellitus, type 2
    Former smoker

    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:
    - 7 cm 21 Gauge needle (COOK)
    - 0.018" V-18 Control guidewire, 300 cm (BOSTON SCIENTIFIC)
    - 4Fr-10cm Radiofocus Introducer (TERUMO)
    - Pacific Plus 4.0/40 mm balloon, 90 cm (MEDTRONIC)

    4. PTA and stenting
    - 6.0/20mm Admiral Xtreme Balloon (MEDTRONIC)
    - 7.0/20 Conquest non-compliant high-pressure balloon (C.R. BARD)
    - 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)
    View image
  • - , Room 3 - Technical Forum

    Case 78 – Combined antegrade and retrograde recanalisation of right ATA & PTA

    Center:
    Bad Krozingen
    Case 78 – BK 07: male, 62 years, (B-N)
    Operators:
    • Thomas Zeller
    CLINICAL DATA
    Non-healing crural ulcer right calf (PAOD Fontaine IV / Rutherford 5)
    11/2016 recanalisation of right SFA, popliteal artery & TPT
    11/2014 recanilsation of right SFA, popliteal artery & TPT (DCB and spot stenting)
    DVT right leg 10/2014

    RISK FACTORS
    CVRF: hyperlipidemia, obesity
    ABI at rest: right leg: 0.6; left leg: 1.0
    Duplex: persistent occlusion of right ATA /& PTA

    PROCEDURAL STEPS
    1. Antegrade sheath insertion 6F, right CFA
    Insertion of a 5F Envoy guiding catheter (CORDIS)

    2. Attempt to antegradely recanalise the PTA (predilatation followed by DCB, Chocolate touch, TRIREME)

    3. Retrograde recanalisation of ATA (predilatation followed by DCB)

    4. Sheath removal in the groin with Femoseal (TERUMO)
    View image
  • - , Room 3 - Technical Forum

    Case 79 – POP-BTK and foot vessels occlusion

    Center:
    Abano Terme
    Case 79 – ABT 03: male, 68 year
    Operators:
    • Marco Manzi,
    • Luis Mariano Palena,
    • Cesare Brigato
    Information will follow in due time.
    View image
  • - , Room 3 - Technical Forum

    Case 79b – AT-PT and arch occlusion

    Center:
    Abano Terme
    Case 79b – ABT 03b: male, 76 years
    Operators:
    • Marco Manzi
    Information will follow in due time.
  • - , Room 2 - Main Arena 2

    Case 69 – Endovascular repair of an AAA with Endurant Endograft and additional proximal fixation with Heli-FX EndoAnchors

    Center:
    Münster
    Case 69 – MUN 10: female, years (H-R)
    Operators:
    • Martin Austermann,
    • Özgun Sensebat,
    • Stefan Stahlhoff
    CLINICAL DATA
    Growing abdominal aortic aneurysm with conical neck from 4,5 cm to 5,5 cm
    PAD with severe calcified and stenosed iliac arteries

    RISK FACTORS
    CAD – PTCA and PM-Implantation 5/16, chronic heart failure,
    carotid stenosis both sides, PAD – venous bypass 11/06

    PROCEDURAL STEPS
    1. Percutanous approach both groins
    - Prostar XL (ABBOTT)
    - Placement of 14F sheath (COOK)

    2. Placement of Endurant bifurcated endograft (MEDTRONIC) just below the RA`s

    3. Additional fixation of the proximal sealing zone
    - Heli-FX Endoanchors (MEDTRONIC)

    4. Closure of the groin
    - Prostar XL (ABBOTT)
    View image
  • - , Room 1 - Main Arena 1

    Case 63 – Stentgraft reconstruction of ISR of aortic bifurcation

    Center:
    Bad Krozingen
    Case 63 – BK 03: female, 41 years (G-A)
    Operators:
    • Elias Noory,
    • Aljoscha Rastan
    CLINICAL DATA
    Bilateral PAOD Rutherford 2 / Fontaine IIa
    Bilateral CIA stent-angioplasty 10/2014
    Bilateral chronic venous insufficiency

    PRESENT STATE
    CVRF: ex-smoker, hyperlipidemia, obesity
    ABI at rest: right leg: 0.8; left leg: 0.6
    Duplex: Bilateral high grade ISR at the origin of the CIA

    PROCEDURAL STEPS
    1. Bilateral retrograde access
    - 23 cm long 7F sheath into the CFA (CORDIS)

    2. Crossing of ISR
    - 0.035'' guidewire (TERUMO)

    3. Bilateral stentgraft implantation in a modified kissing stent fashion
    - BeGraft 8 mm (BENTLEY)

    4. Sheath removal
    - Femoseal (TERUMO)
    View image
  • - , Room 2 - Main Arena 2

    Case 70 – Münster

    Center:
    Münster
    Case 70 – MUN 11: male, 88 years
    Operators:
    • Theodosios Bisdas,
    • Stefan Stahlhoff
    Information will follow in due time.
    View image
  • - , Room 2 - Main Arena 2

    Case 71 – FEVAR for dissecting TAAA

    Center:
    Lille
    Case 71 – LIL 02: male, 61, years (H-M)
    Operators:
    • Stephan Haulon
    CLINICAL DATA
    2013: type B aortic dissection, conservative treatment
    Acute tubular necrosis and occlusion right renal artery with atrophic right kidney
    2014 aneurysmatic evolution infrarenal aorta: Open AAA tubular repair
    Aneurysmatic evolution descending thoracic and thoraco-abdominal aorta,
    with a maximum diameter 61 mm
    November 2016: TEVAR
    January 2017: FEVAR

    RISK FACTORS
    Smoker, hypertension

    HISTORY
    Gastric ulcers, pancreatitis, OSA, GORD

    PRESENT STATE
    At present asymptomatic
    Renal function: creatinine 12 mg/l, GFR 64
    Cardiac ultrasound: normal EF, mild AI, otherwise normal
    Duplex carotid arteries: normal
    Spirometry: mild obstructive pattern

    PROCEDURAL STEPS
    1. L: 7F sheath/Lunderquist/dilators (up to 20F) + 100 U/kg Heparin (Target ACT≥250)
    2. L: 20F sheath above the aortic bifurcation
    3. L (through 20F): Two 7F sheaths, one 6F sheath
    4. L (through 20F): Advance marked angio catheter through 7F sheath
    5. R: 10F sheath/Lunderquist/dilators up to 20F
    6. Fluoroscopy to locate fenestrated endograft markers
    7. R: Advanced fenestrated endograft (COOK)
    8. Aortic angiogram/fenestrated endograft deployment
    9. L: Catheterization of the fenestrated endograft lumen through 6F sheath with C2/KMP catheter and TERUMO wire
    10. Advance 6F sheath to the endograft lumen
    11. C2/RIM/DAV + TERUMO/Roadrunner through 6F for renal artery catheterisation
    12. Renal angiogram +/- nitro injection
    13. Exchange TERUMO for a Rosen
    14. Advance 6F to the renal artery
    15. Advance stent into the parking position
    16. L: Through last 7F sheath advance C2+ TERUMO to catheterize fenestrated endograft lumen
    17. Advance 7F below the fenestration of SMA
    18. C2/VS1 + TERUMO/Roadrunner through 7F sheath to catheterize SMA
    19. Vessel angiogram to check position in main trunk
    20. Exchange TERUMO for Amplatz (BOSTON SCIENTIFIC) wire
    21. Advance 7F in the target vessel
    22. Advance stent into parking position
    23. 16-19 for the coeliac trunk
    24. R: Release reducing ties / proximal attachment and distal attachment
    25. R: Nose capture & retrieval under fluoroscopy/Molding with CODA balloon (COOK)
    26. L: Renal artery stent deployment (1/3 aortic lumen) after 6F retrieval
    27. L: Flare the stent inside the aortic portion with 10–20 mm balloon
    28. L: Advance 6F in the renal stent/selective angiogram
    29. L: SMA stent deployment (1/3 aortic lumen) after 7F retrieval
    30. L: CT stent deployment (1/3 aortic lumen) after 7F retrieval
    31. L: Flare the stent inside the aortic portion with 10-20 mm balloon
    33. R: Remove fenestrated device delivery system
    34. L: Pull back 20F sheath in common iliac
    35. Continue with EVAR procedure
    36. CODA balloon at the level of overlaps (COOK)
    37. L: Long angio catheter/Angiogram +/- non-contrast CBCT
    View image
  • - , Room 1 - Main Arena 1

    Case 64 – Münster

    Center:
    Münster
    Case 64 – MUN 09: female, 60 years
    Operators:
    • Arne Schwindt,
    • Stefan Stahlhoff
    Information will follow in due time.
    View image
  • - , Room 1 - Main Arena 1

    Case 65 – Directional atherectomy & DCB of right CFA

    Center:
    Bad Krozingen
    Case 65 – BK 04: female, 56 years (B-M)
    Operators:
    • Aljoscha Rastan,
    • Thomas Zeller
    CLINICAL DATA
    PAOD Rutherford 2 / Fontaine IIb right leg
    Recanalisation left CIA 12/2016
    Stent reconsruction of aortic bifurcation 2014

    PRESENT STATE
    CVRF: ex-smoker, hyperlididemia
    ABI right leg: 0.6; left leg: 1.0
    Duplex: high grade stenosis of right CFA

    PROCEDURAL STEPS
    1. Left transbrachial retrograde access
    - 6F 90 cm shuttle sheath (COOK)

    2. Filter placement
    - 6 mm Spider filter (MEDTRONIC) distal right SFA

    3. Directional atherectomy
    - Turbohawk SX-C (MEDTRONIC)

    4. Drug coated balloon angioplasty
    - 7/40 mm Inpact Pacific (MEDTRONIC)

    5. Stenting on indication
    View image
  • - , Room 2 - Main Arena 2

    Case 72 – Münster

    Center:
    Münster
    Case 72 – MUN 12: female, 52 years (S-M)
    Operators:
    • Martin Austermann,
    • Theodosios Bisdas,
    • Giovanni Torsello
    Information will follow in due time.
    View image
  • - , Room 1 - Main Arena 1

    Case 66 – Popliteal occlusion left

    Center:
    Leipzig, Dept. of Angiology
    Case 66 – LEI 24: female, 79 years (A-M)
    Operators:
    • Andrej Schmidt,
    • Matthias Ulrich
    CLINICAL DATA
    Restpain left foot, Rutherford class 4
    PTA/stenting aortic bifurcation 11/2016
    D iabetes mellitus, type 2
    Art. Hypertension

    ANGIOGRAPHY
    During PTA of the aortic bifurcation:
    moderately calcified distal SFA/P1-occlusion left

    PROCEDURAL STEPS
    1. Antegrade approach left
    - 7F 55 cm Check-Flo Sheath, Raabe Modification (COOK)

    2. Guidewire passage
    - 5.0/40 mm Pacific Plus balloon, 90 cm (MEDTRONIC)
    - 0.018" Victory guidewire, 18 gramm, 30 cm (BOSTON SCIENTIFIC)

    3. PTA and stenting
    - 6.0/40mm Pacific Plus balloon, 90 cm (MEDTRONIC)
    - Supera Interwoven Nitinol stent (ABBOTT)
    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