New York

• Tuesday, January 24th: 14:34 - 14:55, Room 1 - Main Arena 1

  Case 06 – Long segment left SFA occlusion - directional atherectomy and DCB therapy

  Center:

  New York

  Case 06 – NY 01: female, 83 years

  Operators:

  • Prakash Krishnan,
  • Vishal Kapur,
  • Karthik Gujja,
  • Farhan Majeed,
  • Rheoneil Lascano

  Information will follow in due time.

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• Tuesday, January 24th: 17:35 - 17:55, Room 1 - Main Arena 1

  Case 09 – Heavily calcified severe right SFA disease

  Center:

  New York

  Case 09 – NY 02: female, 78 years old (S-P)

  Operators:

  • Prakash Krishnan,
  • Vishal Kapur,
  • Karthik Gujja,
  • Farhan Majeed,
  • Rheoneil Lascano

  CLINICAL DATA
  Patient presents with right lower extremity ischemic rest pain
  Rutherford grade 2, category 4
  Fontaine stage III
  Symptoms have been getting progressively worse over the last few weeks
  No ischemic ulcers noted.
  ABI: Right ABI 0.38.
  
  RISK FACTORS
  Hypertension, hyperlipidemia, diabetes mellitus, previous history of tobacco use
  
  PROCEDURAL STEPS
  1. Left groin access with retrograde cross over approach
  - UF 4F diagnostic catheter (ANGIODYNAMICS)
  - 0.035" SupraCore guidewire, 300 cm (ABBOTT)
  - 7 F – 45 cm Pinnacle Sheath (TERUMO)
  
  2. Passage through the right SFA calcified stenosis
  - 0.018" Trailblazer Vert support catheter, 135 cm (MEDTRONIC)
  - 0.014" Fielder guidewire, 300 cm (ASAHI)
  
  3. Filter placement
  - Exchange to a Barewire through the support catheter (ABBOTT)
  - Emboshield Nav 6 filter placement (ABBOTT)
  
  4. Jetstream atherectomy of the right SFA calcified disease
  - Jetstream 2.4/3.4 mm atherectomy (BOSTON SCIENTIFIC)
  
  5. PTA with a non-compliant balloon
  - Dorado 6 x 200 mm balloon (C.R. BARD)
  
  6. Stenting and postdilatation
  - 5.5 x 150 mm Supera interwoven self-expanding Nitinol stent (ABBOTT)
  - Dorado 6 x 150 mm balloon (C.R. BARD)
  

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