LINC 2018 live case guide


Find all live cases and live case centers listed below.

 

 

Berlin

3 livecase(s)
  • Tuesday, January 30th: - , Room 3 - Technical Forum

    Case 21 – Progressive bilateral carotid artery stenosis ~80% (surveillance since 2012)

    Center:
    Berlin
    Case 21 – BLN 01: male, 79 years (R-L)
    Operators:
    • Ralf Langhoff,
    • Andrea Behne
    CLINICAL DATA
    - CRF: art. hypertension, hyperlipidemia
    - PAOD with bilateral iliac stenting in 2013
    - CHD with CABG and ischemic cardiomyopathy
    - Stenting of right carotid artery 12/2107

    IMPORTANT ITEMS
    - Known carotid artery disease since 2012
    - Yearly DUS surveillance and since Dec. 2017 treatment was initiated by vascular surgeon
    - Vascular surgeon referred the patient for bilateral CAS

    DUPLEX
    PSV right 377 cm/s, left 420 cm/s

    PROCEDURAL STEPS
    1. Transfemoral access
    - 8F short sheath (TERUMO)
    2. Intubation of LCC
    - Berenstein 4F catheter (4F, TEMPO AQUA, CARDINAL HEALTH)
    3. Placement of guiding sheath
    - 8F CBL or Simmons 8F guiding sheath (VISTA BRITE TIP IG, CARDINAL HEALTH)
    4. Wiring with Filter Wire
    - EZ Distal EPD (BOSTON SCIENTIFIC)
    5. Predilation of left ICA
    - 3 x 20 mm Maverick balloon (BOSTON SCIENTIFIC)
    6. Stenting
    - 9 x 30 mm Carotid Wallstent (BOSTON SCIENTIFIC)
    7. Postdilation
    - Paladin 5 x 20 mm balloon with integrated filter protection (CONTEGO MEDICAL)
    8. Removal of guiding catheter and sheath
    9. Vessel closure
    - Angioseal 8F (TERUMO)
    View image
  • Tuesday, January 30th: - , Room 5 - Global Expert Exchange

    Case 29 – Occlusion of tibioperoneal trunk left

    Center:
    Berlin
    Case 29 – BLN 03: female, 79 years (K-S)
    Operators:
    • Ralf Langhoff,
    • Andrea Behne
    CLINICAL DATA
    - PTA of left SFA & recanalisation of tibioperoneal trunk and ATA 2013
    - Stenting of left SFA 2016 (re-occlusion)
    - Stenting, scoring PTA and DEB of right SFA 2017

    RISK FACTORS
    - Impaired renal function CKD III
    - Hyperlipidemia, art. hypertension, diabetes mellitus

    PRESENT STATE
    - Severe claudication, walking distance <80 meters
    - ABI 0.5 left. 0.71 right

    PROCEDURAL STEPS
    1. Antegrade access
    - 5 F Terumo Destination 45 cm
    2. Crossing of the lesion
    - Advantage 0.018" wire (TERUMO) with CXI Support (COOK)
    3. PTA of TB-trunk
    - 3.0 x 40 mm balloon
    4. Stenting
    - Cr8-BTK (Alvimedica) if needed (after exchange to 0.014" wire)
    5. PTA of ATP and peroneal artery
    - 2.5 mm balloon
    6. Recanalisation of ATA and PTA
    - 2.5 mm x 200 mm balloon
    View image
  • Tuesday, January 30th: - , Room 3 - Technical Forum

    Case 25 – Long SFA occlusion right leg

    Center:
    Berlin
    Case 25 – BLN 02: female, 78 years (B-P)
    Operators:
    • Ralf Langhoff,
    • M. Boral
    CLINICAL DATA
    - Severe claudication right leg
    - 12 cm long SFA occlusion
    - Recanalisation of left SFA with focal stent and DEB 11/2017

    RISK FACTORS
    Art hypertension, hyperlipidemia, former smoker

    PRESENT STATE
    - Ablatio mammae left 1997
    - ABI: 0.57 right

    PROCEDURAL STEPS
    1. Antegrade access 5F right common femoral
    2. Wire passage
    - 0.018" Advantage (TERUMO) with CXI 0.018" support (COOK)
    - Back-up wire: Connect 0.018" 250T (ABBOTT VASCULAR)
    3. PTA
    - Passeo 18 4 mm balloon (BIOTRONIK)
    - Passeo 18 LUX DEB 5 mm balloon (BIOTRONIK)
    4. Stenting
    - Pulsar 18 5 x 150 mm stent on demand following REACT strategy (BIOTRONIK)
    5. Manual compression
    6. If antegrade recanalisation fails retrograde access via ATA

    View image