LINC 2018 live case guide


Find all live cases and live case centers listed below.

 

 

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Cotignola

4 livecase(s)
  • Tuesday, January 30th: - , Room 2 - Main Arena 2

    Case 12 – Right common iliac occlusion in a patient with severe aortic carrefour disease

    Center:
    Cotignola
    Case 12 – COT 02: male, 70 years (P-P)
    Operators:
    • Fausto Castriota,
    • Antonio Micari
    CLINICAL DATA
    - Known vascular history with previous LICA PTA in 2015
    - No history of chest pain, referred progressively deteriorating symptoms of claudication from October '17, now severely impairing his quality of life

    RISK FACTORS
    - Hypertension, previous history of smoking, hypercholesterolemia
    - Severe claudication (20 mt), erectile dysfunction
    - pronounced flow demodulation in both common femoral arteries

    PROCEDURAL STEPS
    1. Radial access for angiographic evaluation
    2 . Bilateral femoral access
    3. Right common iliac artery lesion crossing
    - 0.018'' 300 cm wire or Terumo soft 0,035'' hydrophilic wire
    4. Kissing stenting with balloon-expandable stents
    - Assurant-Cobalt stents (MEDTRONIC)
    5. Postdilation as required
    View image
  • Tuesday, January 30th: - , Room 3 - Technical Forum

    Case 22 – Symptomatic left internal carotid disease in a 79-year old woman

    Center:
    Cotignola
    Case 22 – COT 03: female, 79 years (D-P)
    Operators:
    • Antonio Micari,
    • Fausto Castriota
    CLINICAL DATA
    - In November '17 major stroke with right-sided hemiparesis
    - Progressive full recovery in the subsequent 30 days

    RISK FACTORS
    - Hypertension, hypercholesterolemia
    - Asymptomatic (recent stroke)

    DUPLEX
    Left internal carotid tight disease with soft/ mixed plaque determining significant flow acceleration

    PROCEDURAL STEPS
    1. Femoral access
    2. Proximal protection
    - MOMA 9F (MEDTRONIC)
    3. Lesion crossing with 0.014'' wire
    4. Direct stenting
    - 'Double mesh' stent C-Guard (INSPIRE MD)
    5. Postdilation
    - 5.0 mm Maverick XL balloon (BOSTON SCIENTIFIC)
    6. Debris aspiration (if any)
    View image
  • Tuesday, January 30th: - , Room 1 - Main Arena 1

    Case 06 – Severely calcified left SFA restenosis

    Center:
    Cotignola
    Case 06 – COT 01: male, 66 years (A-V)
    Operators:
    • Antonio Micari,
    • Fausto Castriota
    CLINICAL DATA
    - Previous left SFA PTA (plain balloon) for severe claudication in February 2017
    (final angio attached).
    - Asymptomatic till mid November when he started complaining left leg pain for walking distances > 200 mt (very active lifestyle)

    RISK FACTORS
    - Hypertension
    - Severe claudication (walking distance 200 mt)

    DUPLEX
    Evidence of proximal SFA occlusion with flow demodulation in popliteal artery
    1. Right femoral access
    2. Cross-over approach
    - Terumo Destination 6F 45 cm long sheath
    3. Lesion crossing
    - 0.018'' wire, 0.035'' hydrophilic wire (TERUMO)
    4. Atherectomy for lesion preparation
    - HawkOne System (MEDTRONIC)
    5. Balloon dilatation
    - 5.0 and 6.0 mm In.Pact Admiral drug-eluting balloons (MEDTRONIC)
    6. Further postdilatation with long balloons, if needed
    View image
  • Tuesday, January 30th: - , Room 3 - Technical Forum

    Case 28 – Symptomatic left internal carotid artery disease in a 68-year old high-risk patient

    Center:
    Cotignola
    Case 28 – COT 04: male, 68 years (A-S)
    Operators:
    • Fausto Castriota,
    • Antonio Micari
    CLINICAL DATA
    - Known history of dilated cardiomyopathy (EF 35%).
    - Severe COPD.
    - Previous PTA to RICA in 2016.
    - In November 2017 sudden onset of right-sided hemyparesis with dysartria, full recovery after 24 hours.

    RISK FACTORS
    - Hypertension
    - Currently asymptomatic (previous stroke in Novmber 2017)

    DUPLEX
    Severe LICA disease (fibro-calcific disease)

    PROCEDURAL STEPS
    1. Femoral access
    2. Proximal protection
    - MoMa proximal protection system (MEDTRONIC)
    3. Direct stenting with 'closed-cell' stent
    - Carotid Wallstent (BOSTON SCIENTIFIC)
    4. Postdilatation
    - 5.0 mm Maverick XL balloon (BOSTON SCIENTIFIC)
    5. Debris aspiration (if any)
    View image
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