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LINC 2018 live case guide


Find all live cases and live case centers listed below.

 

 

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Teaneck

6 livecase(s)
  • Wednesday, January 31st: - , Room 3 - Technical Forum

    Case 47 – SFA vessel prep and DCB

    Center:
    Teaneck
    Case 47 – TEA 03: male, 63 years (J-D)
    Operators:
    • John Rundback,
    • Kevin Herman,
    • V. Gallo
    CLINICAL DATA
    - Status post kissing iliac stent placement in 2012
    - now presents with recurrent lifestyle – limiting claudication in the right thigh and calf, failed medical and exercise Rx

    RISK FACTORS
    HTN, Dyslipidemia, former 2pk/day smoker stopped 2012

    DUPLEX
    1/3/18 Mild right iliac in-stent restenosis and high grade distal right superficial femoral above knee popliteal artery stenosis

    PROCEDURAL STEPS
    1. Antegrade right SFA access
    - 6F SlenderTM sheath
    2. Distal filter placement (Medtronic Spider)
    3. Atherectomy, TBD, with filter placement
    4. POBA for additional vessel prep (Medtronic Charger)
    5. DCB (Medtronic In.Pact)
    6. Any necessary additional procedures
    View image
  • Wednesday, January 31st: - , Room 3 - Technical Forum

    Case 48 – CLI; Trans-pedal

    Center:
    Teaneck
    Case 48 – TEA 04: female, 85 years (B-C)
    Operators:
    • Kevin Herman,
    • John Rundback,
    • V. Gallo
    CLINICAL DATA
    Left heel and left great toe ulceration and pain at rest now with difficulty ambulating

    RISK FACTORS
    DM, HTN, hyperlipidemia, emphysema

    HISTORY
    - Revasc of SFA/pop on 1/3/18, Flex peripheral scoring catheter, DCB In.Pact Admiral
    - Failed revascularization of AT from antegrade approach.

    PROCEDURAL STEPS
    1. Left groin access
    - 4F Terumo sheath
    2. Angiogram and methylene blue injection into peroneal artery
    3. DP access using US for guidance
    - 4F Pinnacle/Precision or 4F Pedal Access kit
    4. Attempt to cross from retrograde access
    5. Atherectomy
    - Laser (SPECTRANETICS-PHILIPS) vs. Orbital (CSI CARDIOVASCULAR SYSTEMS), either from antegrade or retrograde access
    6. PTA
    - 2 or 2.5 mm x 300 mm catheter
    7. Possible attempt to revascularize the pedal loop
    View image
  • Wednesday, January 31st: - , Room 1 - Main Arena 1

    Case 35 – TASD aorto-iliac occlusive disease

    Center:
    Teaneck
    Case 35 – TEA 02: male, 57 years (J-D)
    Operators:
    • Z. Raval,
    • I. Zairis,
    • Kevin Herman
    CLINICAL DATA
    57 yo male with claudication x 1 yr, not improved with Cilostazol, he works in food delivery business and the symptoms have made his work difficult.

    RISK FACTORS
    HTN, long time smoker (trying to quit-currently with nicotine patch)

    PROCEDURAL STEPS
    1. Bilateral groin access
    2. Will plan for treatment using Endologix AFX Unibody Endograft
    3. Pre-close technique utilizing
    2 Per-Close devices (ABBOTT)
    4. Aortogram to size device
    5. Deploy device, possible extension to cover iliac disease using Ovation limb (ENDOLOGIX)
    6. Alternate plan: b/l groin access and kissing balloon stent graft, VBX (GORE)

    View image
  • Thursday, February 1st: - , Room 3 - Technical Forum

    Case 80 – Deep venous arterialization

    Center:
    Teaneck
    Case 80 – TEA 08: female, 83 years (F-G)
    Operators:
    • John Rundback,
    • Kevin Herman,
    • V. Gallo
    CLINICAL DATA
    Non-healing right hallux tip gangrene

    RISK FACTORS
    HTN, dyslipidemia, CAD, prior RLE revasc

    PROCEDURAL STEPS
    1. Antegrade RLE angio
    - 6F slender sheath (TERUMO)
    2. Retrograde pedal venous access (COOK)
    3. Retrograde snare placement in posterior tibial vein
    - EN Snare (MERIT)
    4. Outback (CORDIS) entry from posterior tibial artery to vein
    5. Placement of stent graft
    - Viabahn (GORE) or Graftmaster (ABBOTT)
    6. Flex angiotome or cutting balloon valvulotomy
    7. Selective embolization if needed
    View image
  • Thursday, February 1st: - , Room 1 - Main Arena 1

    Case 64 – Transradial radiocephalic hemodialysis fistulogram and DCB

    Center:
    Teaneck
    Case 64 – TEA 06: male, 66 years (O-S)
    Operators:
    • V. Gallo,
    • John Rundback,
    • Kevin Herman
    RISK FACTORS
    - HTN, dyslipidemia, hypertension, former 2pk/day smoker stopped 2012
    - Type 1 diabetes mellitus
    - End stage renal disease on maintance hemodialysis via left radiocephalic AV fistula
    - Atrial fibrillation, prior forced maturation, recurrent juxta-anastamotic stenosis

    DUPLEX
    - 1/3/18 mild right iliac in-stent restenosis and high grade distal right
    - Superficial femoral above knee popliteal artery stenosis

    PROCEDURAL STEPS
    1. US guided radial artery access (COOK)
    2. 5F Slender sheath insertion (TERUMO)
    3. POBA
    4. POBA for additional vessel prep
    - Conquest high pressure balloon (BARD)
    5. Bard Lutonix DCB
    6. Any necessary additional procedures
    View image
  • Thursday, February 1st: - , Room 1 - Main Arena 1

    Case 65 – Pelvic venogram and superficial venous ablation

    Center:
    Teaneck
    Case 65 – TEA 07: male, 70 years (D-R)
    Operators:
    • Kevin Herman,
    • John Rundback,
    • V. Gallo
    CLINICAL DATA
    Chronic LLE swelling, prior LLE fem-pop bypass

    PROCEDURAL STEPS
    1. US guided access into L GSV
    - 10F sheath (BOSTON SCIENTIFIC)
    2. Pelvic venogram
    3. IVUS
    - VOLCANO (PHILIPS)
    4. Iliac vein stent
    - Wallstent (BOSTON SCIENTIFIC)
    5. Post stent venogram and IVUS
    6. GSV Ablation via one access site
    - Venoseal (MEDTRONIC)
    View image
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