LINC 2013 live case guide

Find all Live Cases and operators listed below.

Hamburg

8 livecase(s)
  • Friday, January 25th: - , Technical Forum

    Case 77 – Complex AAA Aorto-Iliac Obstruction

    Center:
    Hamburg
    Case 77 – HAM 06: female 73 years
    Operators:
    • Hans Krankenberg,
    • P. Burchardt
    Clinical data
    POD Rutherford 4 left side / right side 5, little lesion dig. 1 right
    RF: current smoker, arterial hypertension, Apoplex,
    DVT left side 10/2012

    Angio
    Occlusion of infrarenal aorta, bilateral common/external iliac arteries

    Duplex
    Bilateral monophasic flow CFA
    ABI: left 0.5 / right not detectable

    Procedural steps
    1. Transbrachial approach left side
    - 6F Flexor Check Flo Performer Introducer
    Sheath, 90 cm (COOK)
    - 5F Pigtail diagnostic catheter, 110 cm (CORDIS)
    - 0.035" Radiofocus Terumo angeled soft guide wire 180 cm (TERUMO)

    2. Transbrachial recanalization bilateral with femoral wire extraction and exchange for a stiff wire
    - 0.018" V-18 control wire 300 cm (BOSTON SCIENTIFIC)
    - 0.035" Radiofocus angled + straight stiff guide wire, 260 cm (TERUMO)
    - 4 + 5F multipurpose guiding (custom made) Catheter, 125 cm (CORDIS)
    - 0.035" Supra core guide wire, 300 cm (ABBOTT)
    - Quick Cross Catheter 0.035", 135 cm (SPECTRANETICS)

    3. Transfemoral approach bilateral
    - Left: 7F Introducer Sheath, 23 cm (ST JUDE)
    - Right: 12F Introducer Sheath, 45 cm (COOK)

    4. Predilatation in kissing balloon technique
    - 4.0/120 mm Admiral Xtreme OTW Dilatation Catheter, 130 cm (MEDTRONIC)

    5. Stenting of the infrarenal aorta
    - CP STENT 2.8 cm (NUMED)
    - BIB Stent Placement Catheter 20mm/40mm (NUMED)

    6. Stenting and postdilatation in kissing-stent technique of aortic bifurcation/iliac arteries
    - 8.0/120 mm Complete SE Iliac 130 cm (Medtronic Invatec) or
    - 8.0/78 mm Scuba Peripheral CO-CR Stent 80 cmm (Medtronic Invatec)
    - Optional: ADVANTA V12 (Atrium) covered stents
  • Friday, January 25th: - , Global Expert Exchange

    Case 87 – Renal denervation using the ReCor© ultrasound balloon

    Center:
    Hamburg
    Case 87 – HAM 08: female, 75 years
    Operators:
    • Karl-Heinz Kuck,
    • Jaspers von Wedel,
    • Martin Bergmann
    Clinical data
    Dyspnea on exertion
    24h RR: mean systolic values: 182mmHg w/ peak of ~240mmHg
    Medication: Bisoprolol 1x 5mg, Torasemid 1x 10mg
    Candesartan 1x 32mg, Doxazosin 1x 2mg
    Risk factors: Hypercholesterinemia, s/p tobacco use
    Resistant hypertension for >10y

    Procedural steps
    1. 8F guiding catheter

    2. Wire distal A. renalis

    3. 3 ablation points with balloon 6mm, 2ATM

    4. 30 sec/ablation
  • Friday, January 25th: - , Main Arena 1

    Case 61

    Center:
    Hamburg
    Case 61 – HAM 01: male, 74 years
    Operators:
    • Sigrid Nikol,
    • Sven Bräunlich
  • Friday, January 25th: - , Main Arena 1

    Case 63 – Long occlusion right superficial femoral artery

    Center:
    Hamburg
    Case 63 – HAM 02: female, 60 years
    Operators:
    • Hans Krankenberg,
    • P. Burchardt
    Clinical data
    POD Rutherford 3, walking distance 50 m right calf,
    Long bilateral SFA occlusion with recanalisation/2 nitinol stents left SFA 11.12
    Failed recanalisation right SFA 12.12
    Arterial hypertension, diabetes mellitus, former smoker (40 py)
    Stroke 05/2012

    Procedural steps
    1. Contralateral access and placement of a cross-over sheath left groin, 5F (COOK)
    - 5F Hook Catheter (COOK)

    2. Bringing the patient in a prone position

    3. Puncture right AP under road map control
    - 6F sheath, 10 cm (St Jude Medical)

    4. Passage of the lesion
    - 0.035" Aquatrack angled stiff guide-wire, 180 cm (Cordis)
    - 0.035" Glidecath Catheter, straight, 65 cm (TERUMO)

    5. After passage of the lesion change to
    - 0.018" Steel Core, 300 cm (Abbott)
    - Optional: Outback Catheter - 0.014 Ironman, 300 cm (Cordis)

    6. Predilation
    - 0.035" Powerflex Pro 4 mm (Cordis)

    7. Stentimplantation
    - SMART (Cordis)
  • Friday, January 25th: - , Main Arena 1

    Case 64 – Renal denervation with OneShot balloon (Re – Do)

    Center:
    Hamburg
    Case 64 – HAM 03: male, 55 years
    Operators:
    • Karl-Heinz Kuck,
    • Jaspers von Wedel,
    • Martin Bergmann
    Clinical data
    55 y male w/ resistant hypertension for >10y
    s/p renal denervation w/ Simplicity© cath. 02/2012
    Systolic mean 24h RR-values remain ~148 mmHg resulting in headaches and dyspnea on exertion.
    Invasive r/o of CHD 02/2012
    Medikation: Metoprolol 2 x 100mg, Felodipin 2 x 5mg,
    Candesartan 1 x 32 mg, Urapidil 90 mg 1 x 1, Dihydralazin 2 x 12.5mg

    Procedural steps
    1. Analgosedation w/ Midazolam, Fentanyl, Propofol

    2. Right femoral access (8F, 7.500 IE Heparin)

    3. 8F RDC Guiding catheter (CORDIS)

    4. 0.014" Sion blue guidewire (ASAHI)

    5. OneShot™ Ballon (COVIDIEN): left 7 mm (or 2 x 6 mm?) / right 6 mm
  • Friday, January 25th: - , Main Arena 1

    Case 66 – Carotid artery stenting with cerebral embolic protection

    Center:
    Hamburg
    Case 66 – HAM 04: female, 73 years
    Operators:
    • Joachim Schofer,
    • Klaudija Bijuklic
    Clinical data
    Symptomatic 70% stenosis right ICA
    Amaurosis fugax and dyphasia
    Risk factors: hypercholesterinemia
    Medication: Clopidogrel 75 mg /die (starting 5 days prior to procedure)
    Simvastation 20mg /die

    Procedural steps
    1. Long sheath

    2. Filter protection (because of incomplete circle of Willis)

    3. Stenting

    4. Postdilatation
  • Friday, January 25th: - , Technical Forum

    Case 85 – Chronic total occlusion of right popliteal artery and trifurcation

    Center:
    Hamburg
    Case 85 – HAM 07: female
    Operators:
    • Sigrid Nikol,
    • Sven Bräunlich
  • Friday, January 25th: - , Main Arena 2

    Case 76 – Juxtarenal Aortic Aneurysm

    Center:
    Hamburg
    Case 76 – HAM 05: male, 76 years
    Operators:
    • Hans Krankenberg,
    • P. Burchardt
    Clinical data
    Asymptomatic juxtrarenal aortic aneurysm / 5.6 cm
    Y-prosthesis infrarenal aorta 1/2001
    Coronary artery disease: D1 90%
    Atrial fibrilation
    RF: Hypertension

    Procedural steps
    1. Transbrachial approach left side
    - 7F Flexor Check Flo Performer Introducer Sheath, 90 cm (COOK)
    - 5F Pigtail diagnostic catheter, 110 cm (CORDIS)
    - 0.035`` Radiofocus Terumo angeled soft guide wire 180 cm (TERUMO)

    2. Bilateral femoral surgical cut-down

    3. Stentgraft implantation
    - Implantation of the JOTEC E-extra fenestrated graft (JOTEC)
    - Implantation of 4 covered V12 Advanta Stents (ATRIUM) in Coeliac trunk, AMS and both renal arteries