LINC 2016 live case guide

Heidelberg

• Wednesday, January 27th: 11:16 - 11:38, Room 3 - Technical Forum

  Case 53 – HEI 03

  Center:

  Heidelberg

  Case 53 – HEI 03

  Operators:

  • Boris Radeleff,
  • Nikolas Kortes,
  • M. Sumkauskaite,
  • D. Gnutzmann,
  • Natalie Tessendorf,
  • S. Schreiner,
  • C. Ernst

  New patient! Information will follow in due time. Thank you for your understanding.
• Wednesday, January 27th: 13:37 - 14:00, Room 2 - Main Arena 2

  Case 47 – HEI 01: Fusion imaging in endovascular infrarenal aneurysm repair – Part 1

  Center:

  Heidelberg

  Case 47 – HEI 01: female, 77 years (H. B.)

  Operators:

  • Dittmar Böckler,
  • Alexander Hyhlik-Dürr,
  • Bischoff

  CLINICAL DATA
  Asymptomatic infrarenal aneurysm (50mm), diagnosed in 12/2015
  
  RISK FACTORS
  COPD GOLD III
  1-vessel coronary artery disease
  Hx of smoking (50py)
  Hx of art. hypertension
  ABI 1.0 palpable pulses
  
  PROCEDURAL STEPS
  1. Percutaneous access both sides
  Perclose ProGlide (ABBOTT)
  
  2. Sheath insertion
  DrySeal sheath (GORE)
  
  3. Fusion Imaging
  Prototype syngo X Workplace with AAA Guidance software (SIEMENS)
  - Segmentation of the contrasted aorta
  - Selection of operative landmarks (Renal artery ostia, hypogastric artery ostia)
  - 2D-3D registration
  - Fusion imaging overlay
  
  4. Implantation of endoprosthesis
  GORE C3-Exluder
  - Main body: 28/145/14
  - Contralateral leg: 16/16/95
  
  5. Completion angiography
  
  6. Contrast enhanced cone beam CT (Dyna CT)

  View image
• Wednesday, January 27th: 14:28 - 14:53, Room 2 - Main Arena 2

  Case 47 – HEI 01: Fusion imaging in endovascular infrarenal aneurysm repair – Part 2

  Center:

  Heidelberg

  Case 47 – HEI 01: female, 77 years (H. B.)

  Operators:

  • Dittmar Böckler,
  • Alexander Hyhlik-Dürr,
  • Bischoff

  CLINICAL DATA
  Asymptomatic infrarenal aneurysm (50mm), diagnosed in 12/2015
  
  RISK FACTORS
  COPD GOLD III
  1-vessel coronary artery disease
  Hx of smoking (50py)
  Hx of art. hypertension
  ABI 1.0 palpable pulses
  
  PROCEDURAL STEPS
  1. Percutaneous access both sides
  Perclose ProGlide (ABBOTT)
  
  2. Sheath insertion
  DrySeal sheath (GORE)
  
  3. Fusion Imaging
  Prototype syngo X Workplace with AAA Guidance software (SIEMENS)
  - Segmentation of the contrasted aorta
  - Selection of operative landmarks (Renal artery ostia, hypogastric artery ostia)
  - 2D-3D registration
  - Fusion imaging overlay
  
  4. Implantation of endoprosthesis
  GORE C3-Exluder
  - Main body: 28/145/14
  - Contralateral leg: 16/16/95
  
  5. Completion angiography
  
  6. Contrast enhanced cone beam CT (Dyna CT)

  View image
• Wednesday, January 27th: 16:40 - 17:02, Room 2 - Main Arena 2

  Case 49 – HEI 02: Asymptomatic aortoiliac aneurysmal disease – Part 1

  Center:

  Heidelberg

  Case 49 – HEI 02: male, 73 years (G-K)

  Operators:

  • Dittmar Böckler,
  • Alexander Hyhlik-Dürr,
  • Bischoff

  CLINICAL DATA
  Small AAA 31 mm, left common iliac artery 31 mm
  and left thrombosed internal iliac artery aneurysm 38 mm
  Diagnosed in 9/2105 in an external institution, asymptomatic status
  
  RISK FACTORS
  Ascending aneurysm (46 mm)
  Ectatic infrarenal aorta (31 mm)
  Ectatic popliteal arteries (right 13 mm: left: 14 mm)
  Hx of smoking (40 py)
  Hx of art. hypertension
  ABI 1,0 both sides with palpable pulses
  
  PROCEDURAL STEPS
  Ultrasound guided percutaneous access
  - Perclose ProGlide (ABBOTT)
  
  - Sheath insertion
  - Wire change (guidewire - stiff wire)
  - DrySeal sheath (GORE)
  
  - Angiography and Fusion Imaging
  - Prototype syngo X Workplace with AAA Guidance software (SIEMENS)
  
  - Implantation of Endoprosthesis (GORE Excluder Leg Endoprosthesis 16/16/135)
  - Ballooning
  
  - Completion angiography
  - Puncture site closure
  
  - Contrast enhanced cone beam CT (Dyna CT)

  View image
• Wednesday, January 27th: 17:19 - 17:41, Room 2 - Main Arena 2

  Case 49 – HEI 02: Asymptomatic aortoiliac aneurysmal disease – Part 2

  Center:

  Heidelberg

  Case 49 – HEI 02: male, 73 years (G-K)

  Operators:

  • Dittmar Böckler,
  • Alexander Hyhlik-Dürr,
  • Bischoff

  CLINICAL DATA
  Small AAA 31 mm, left common iliac artery 31 mm
  and left thrombosed internal iliac artery aneurysm 38 mm
  Diagnosed in 9/2105 in an external institution, asymptomatic status
  
  RISK FACTORS
  Ascending aneurysm (46 mm)
  Ectatic infrarenal aorta (31 mm)
  Ectatic popliteal arteries (right 13 mm: left: 14 mm)
  Hx of smoking (40 py)
  Hx of art. hypertension
  ABI 1,0 both sides with palpable pulses
  
  PROCEDURAL STEPS
  Ultrasound guided percutaneous access
  - Perclose ProGlide (ABBOTT)
  
  - Sheath insertion
  - Wire change (guidewire - stiff wire)
  - DrySeal sheath (GORE)
  
  - Angiography and Fusion Imaging
  - Prototype syngo X Workplace with AAA Guidance software (SIEMENS)
  
  - Implantation of Endoprosthesis (GORE Excluder Leg Endoprosthesis 16/16/135)
  - Ballooning
  
  - Completion angiography
  - Puncture site closure
  
  - Contrast enhanced cone beam CT (Dyna CT)

  View image