LINC 2018 live case guide


Find all live cases and live case centers listed below.

 

 

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Bad Krozingen

6 livecase(s)
  • Wednesday, January 31st: - , Room 1 - Main Arena 1

    Case 36 – CFA directional atherectomy with additional DCB angioplasty

    Center:
    Bad Krozingen
    Case 36 – BK 01: female, 64 years (B-R)
    Operators:
    • Aljoscha Rastan
    CLINICAL DATA
    - Claudication Rutherford-Becker class 3
    - DCB angioplasty and stenting of the left popliteal artery 2014
    - Stenting of the right CIA and CIE 2017

    RISK FACTORS
    Hypertension, tobacco use, diabetes, hypercholesterolemia

    PRESENT STATE
    - ABI at rest: 0.7
    - Duplex ultrasound/angiography: 80% stenosis of the left CFA

    PROCEDURAL STEPS
    1. Femoral access (cross-over)
    - 0.035" wire (TERUMO)
    - 7/8F 45 cm sheath (COOK)
    2. Directional atherectomy
    - 0.0014" wire (TERUMO)
    - Spider filter (MEDTRONIC)
    - TurboHawk/ HawkOne (MEDTRONIC)
    3. Post-dilatation
    - DCB (MEDTRONIC)
    4. Stenting on indication
    View image
  • Thursday, February 1st: - , Room 3 - Technical Forum

    Case 74 – Recanalisation of a chronic CIA CTO and stenting of bilateral IIA stenoses

    Center:
    Bad Krozingen
    Case 74 – BK 03: male, 62 years (FG)
    Operators:
    • Thomas Zeller
    CLINICAL DATA
    - PAOD Fontaine IIb, Rutherford 3
    - Recanalisation right SFA and proximal popliteal artery 12/2017
    - Recanalisation right popliteal and posterior tibial arteries 06/2014
    - Persistant CTO left CIA and bilateral IIA stenoses

    RISK FACTORS
    Smoking, hypertension, diabetes mellitus, hypercholesterolemia

    PRESENT STATE
    - Buttock, thigh and calf claudicatio left side
    - ABI: 0.8 / 0.4
    - MRA 2014: CTO of left CIA, high grade stenosis of bilateral IIA

    PROCEDURAL STEPS
    1. Bilateral retrograde femoral access
    - Right side 45 cm, left side 11 cm
    2. First crossing approach from contralateral side
    - 6F IMA- or 5 F SOS-catheter
    3. Additional retrograde crossing attempt in order to avoid impacting the left IIA origin (CART technique)
    4. Predilatation of left CIA
    5. Stent implantation left CIA
    6. Stent implantation left IIA (right side on indication)
    - Promus Stent (BOSTON SCIENTIFIC)
    View image
  • Thursday, February 1st: - , Room 3 - Technical Forum

    Case 76 – Combined antegrade and retrograde recanalisation attempt of chronic calcified PTA & ATA occlusions left leg

    Center:
    Bad Krozingen
    Case 76 – BK 04: female, 81 years (G-E)
    Operators:
    • Thomas Zeller
    CLINICAL DATA
    - PAOD Fontaine IV, Rutherford 5 left leg
    - Chronic bilateral venous insufficiency
    - Intermittant atrial fibrillation
    - Unsuccessful recanalisation attempt of left PTA and ATA 04/2017
    - Chronic kidney diseases NKF III - IV (GFR 23–35 ml/min)

    RISK FACTORS
    Diabetes mellitus, obesity

    PROCEDURAL STEPS
    1. Left antegrade femoral access, 6F
    2. 5F STR guiding catheter (CORDIS)
    3. Balloon guided antegrade crossing attempt
    - 0.014'' Advantage wire (TERUMO) or 0.014'' Victory 14 wire (BSC)
    4. Predilatation on indication
    5. Optional atherectomy
    - Rotablator (BSC)
    6. Drug coated balloon angioplasty
    - Lotus (Acotec)
    7. Stenting on indication
    View image
  • Thursday, February 1st: - , Room 1 - Main Arena 1

    Case 60 – In-Stent reocclusion right SFA

    Center:
    Bad Krozingen
    Case 60 – BK 02: male, 53 years (M-P)
    Operators:
    • Elias Noory
    CLINICAL DATA
    - PAOD Rutherford 3
    - Severe claudication right calf, walking capacity 50 meters
    - Recanalisation, rtPA-thrombolysis and stent implantation right prox-dist SFA 04/2011
    - Recanalisation and stent implantation right distal SFA 11/2004
    - Fogarty thrombectomy right distal SFA 2004
    - Testicular cancer, semicastratio and radio-chemotherapy 2003-2004
    - ABI: right 0.6 after excercise test 0.4

    RISK FACTORS
    Nicotine abuse (25 PY) to 2006, hypercholertinemia

    DUPLEX
    Long instent reocclusion of right SFA

    PROCEDURAL STEPS
    1. Left femoral retrograde and cross over approach
    - 6F 45 cm sheath
    2. 0.035" or 0.018" Terumo GW, supported by vertebral catheter, 5F
    3. Rotarex thrombectomy
    - 6F (STRAUB MEDICAL)
    4. Predilatation on indication (Cutting balloon)
    5. Drug-coated balloon angioplasty
    View image
  • Thursday, February 1st: - , Room 3 - Technical Forum

    Case 83 – Combined antegrade and retrograde recanalisation left CIA, EIA, CFA and SFA

    Center:
    Bad Krozingen
    Case 83 – BK 05: male, 71 years (S-W)
    Operators:
    • Thomas Zeller
    CLINICAL DATA
    - PAOD Fontaine IIb/ Rutherford 3
    - Recanalisation right EIA, CFA & DFA with persistant SFA occlusion 11/2017
    - Infrarenal AAA
    - ABI: 0.6/ 0.4

    RISK FACTORS
    Hypertension, ex-smoker, hypercholesterolemia

    MRA
    Occlusion of left CIA, EIA, CFA and SFA

    PROCEDURAL STEPS
    1. Retrograde right femoral access (45 cm sheath)
    2. Retrograde puncture distal left SFA
    3. Primarily retrograde recanalisation attempt
    - 0.018'' or 0.035'' Glidewire (TERUMO)
    4. Stenting of iliac vessels
    5. DCB angioplasty of femoral arteries with stenting on indication
    - BioMimics (Veryan) or Supera (ABBOTT VASCULAR)

    View image
  • Thursday, February 1st: - , Room 1 - Main Arena 1

    Case 66 – Combined antegrade and retrograde recanalisation right popliteal artery

    Center:
    Bad Krozingen
    Case 66 – BK 06: male, 64 years (T-B)
    Operators:
    • Aljoscha Rastan
    CLINICAL DATA
    - Claudication Rutherford-Becker 3
    - Unsuccessful recanalisation right popliteal artery with perforation 12/2017

    RISK FACTORS
    Hypertension, tobacco use, hypercholesterolemia

    PRESENT STATE
    - ABI: 0.3
    - Duplex ultrasound/ angiography: Occlusion of the right popliteal artery

    PROCEDURAL STEPS
    1. Femoral access (cross-over)
    - 0.035" wire (TERUMO)
    - 6F 45 cm sheath (COOK)
    2. Retrograde puncture ATA vs. ATP
    3. Recanalisation attempt
    - 0.018" wire (BOSTON SCIENTIFIC, TERUMO)
    - 3 x 40 mm balloon (BOSTON SCIENTIFIC)
    4. Pre-dilatation
    - DCB vs. POBA (MEDTRONIC, BOSTON SCIENTIFIC)
    5. Stenting on indication
    - Supera (ABBOTT)
    View image
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