LINC 2016 live case guide


Find all live cases and live case centers listed below.

 

 

New York

2 livecase(s)
  • Tuesday, January 26th: - , Room 3 - Technical Forum

    Case 25 – NYC 02: In-stent occlusion with stent fractures RSFA

    Center:
    New York
    Case 25 – NYC 02: female, 65 years, (D-J)
    Operators:
    • Prakash Krishnan,
    • Karthik Gujja,
    • Vishal Kapur
    CLINICAL DATA
    Subacute onset R leg pain 2 to 3 months, Rutherford Class II, Category III
    US Duplex showed instent occlusion of RSFA
    Failed R Fem pop bypass, multiple PTA and stenting of RSFA
    at outside hospital, failed revascularization of RSFA due to stent fracture

    RISK FACTORS
    Hypertension, dyslipidemia, coronary artery disease,
    polycythemia vera (ongoing work up)

    PROCEDURAL STEPS
    1. Left Common femoral access and up and over
    - 7F Pinnacle destination sheath 45 cm, up and over (TERUMO)
    - If necessary, R pedal posterior tibial retrograde access (4F COOK sheath) and direct stent access

    2. Intra-luminal approach
    - 0.014" 4 Fr Viance catheter, 150 cm (MEDTRONIC)
    - 0.038" Vertip catheter, 125 cm (CORDIS / CARDINAL HEALTH)
    - 0.014" Confianza wire, 300 cm (ABBOTT VASCULAR)

    3. Thrombectomy
    - Angiojet Rheolytic aspiration thrombectomy (BOSTON SCIENTIFIC) or
    - PENUMBRA aspiration thrombectomy (PENUMBRA)

    4. Filter placement
    - exchanged with 0.014/Bare wire, 315 cm (ABBOTT VASCULAR)
    - Emboshield filter 4/7 mm embolic protection system (ABBOTT VASCULAR)

    5. PTA and Stenting as indicated
    - INPACT drug coated balloons 6.0/120 mm (MEDTRONIC)
    - Supera stenting 5.5/100 mm (ABBOTT VASCULAR)
    View image
  • Tuesday, January 26th: - , Room 1 - Main Arena 1

    Case 08 – NYC 01: Severely calcified severe stenosis of LSFA

    Center:
    New York
    Case 08 – NYC 01: female, 83 years, (P-M)
    Operators:
    • Prakash Krishnan,
    • Karthik Gujja,
    • Vishal Kapur
    CLINICAL DATA
    PAD, Rutherford Class II, category III, claudication of L calf at 1 to 2 blocks,
    ABI R LE - 0.5 and L LE - 0.6
    Jet stream athrectomy, PTA and stenting of RSFA in 09/2015

    RISK FACTORS
    Hypertension, diabetes mellitus type II,
    dyslipidemia, moderate aortic regurgitation

    PROCEDURAL STEPS
    1. Right common femoral access and cross over approach
    - 7F Pinnacle destination sheath 45 cm up and over sheath (TERUMO)

    2. Guidewire passage
    - 0.014" Spartacore wire, 300 cm (ABBOTT VASCULAR)
    - 0.038" Vertebral 135" Tempa Aqua catheter, 125 cm (CORDIS)

    3. Filter placement
    - exchanged with 0.014" Bare wire, 315 cm (ABBOTT VASCULAR)
    - Emboshield filter 4/7 mm embolic protection system (ABBOTT VASCULAR)

    4. Athrectomy and thrombectomy, if embolization occurs
    - Jet stream Pathway rotational athrectomy 2.4/3.4 (BOSTON SCIENTIFIC)
    - PENUMBRA aspiration thrombectomy (PENUMBRA)

    5. PTA and stenting on indication
    - IN-PACT drug coated balloons 6.0/120 mm (MEDTRONIC)
    - SUPERA stenting 5.5/150 mm (ABBOTT VASCULAR)
    View image
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