LINC 2018 live case guide


Find all live cases and live case centers listed below.

 

 

New York

2 livecase(s)
  • Tuesday, January 30th: - , Room 1 - Main Arena 1

    Case 05 – Right superficial femoral diffuse severe disease

    Center:
    New York
    Case 05 – NY 01: female, 66 years (E-M)
    Operators:
    • Prakash Krishnan,
    • Karthik Gujja,
    • S. Singla,
    • Rheoneil Lascano
    CLINICAL DATA
    - Patient presents with 2 block life-style limiting lower extremity claudication
    - over last 6 months. Progressively worsening. Rutherford Category 3.
    - No history of ulcer. Failed maximal medical therapy.
    - ABI: right 0.71, left 0.92

    RISK FACTORS
    - Hypertension, ex smoker, dyslipidemia
    - CAD s/p CABG
    - PVD - s/p left fempop bypass

    PROCEDURAL STEPS
    1. Left groin access with retrograde cross over approach
    - UF 4F diagnostic catheter (ANGIO DYNAMICS)
    - 0.035" SupraCore guidewire, 300 cm (ABBOTT VASCULAR)
    - 7F–45 cm Pinnacle sheath (TERUMO)
    2. Passage through the right SFA stenosis
    - 0.035" Tempo Aqua Vert support catheter, 125 cm (CORDIS)
    - 0.014" Fielder guidewire, 300 cm (ABBOTT VASCULAR)
    - Exchange to 0.014" Spartacore guidewire, 300 cm (ABBOTT VASCULAR)
    3. Filter placement
    - Exchange to a Barewire through the support catheter (ABBOTT VASCULAR)
    - Emboshield Nav 6 filter placement (ABBOTT VASCULAR)
    4. Plaque modification
    - Chocolate balloon 5 x 120 mm (MEDTRONIC)
    5. PTA with drug-coated balloon
    - In.Pact Admiral 6.0 x 150 mm DCB (MEDTRONIC)
    View image
  • Tuesday, January 30th: - , Room 1 - Main Arena 1

    Case 08 – Right superficial femoral artery occlusion – calcified

    Center:
    New York
    Case 08 – NYo2: male, 80 years, (H-P)
    Operators:
    • Prakash Krishnan,
    • Vishal Kapur,
    • Karthik Gujja,
    • S. Singla,
    • Rheoneil Lascano
    CLINICAL DATA
    - Progressively worsening right leg claudication x 1 year
    - No history of rest pain or ulceration
    - Has failed maximal medical therapy
    - Current claudication distance <1 block (Rutherford stage 3)
    - ABI: right 0.82, left 0.94

    RISK FACTORS
    - Type 2 diabetes mellitus, hypertension, dyslipidemia, ex smoker
    - History of CAD s/p CABG

    PROCEDURAL STEPS
    1. Left groin access with retrograde cross over approach
    - UF 4F diagnostic catheter (ANGIO DYNAMICS)
    - 0.035" SupraCore guidewire, 300 cm (ABBOTT VASCULAR)
    - 6F–45 cm Pinnacle sheath (TERUMO)
    2. Passage through the right SFA occlusion
    - 0.035" Tempo Aqua Vert support catheter, 125 cm (CORDIS)
    - 0.018" Connect 250 T guidewire, 300 cm (ABBOTT VASCULAR)
    - If unable to cross with 0.018" guidewire, switch to an 0.035" stiff angled glidewire (TERUMO)
    3. Filter placement
    - Exchange to a Barewire through the support catheter (ABBOTT VASCULAR)
    - Emboshield Nav 6 filter placement (ABBOTT VASCULAR)
    4. Jetstream atherectomy of the right SFA calcified disease
    - Jetstream 2.4/3.4 mm atherectomy (BOSTON SCIENTIFIC)
    5. PTA with drug-coated balloon
    - In.Pact Admiral 6.0 x 120 mm DCB (MEDTRONIC)
    6. PTA with a non-compliant balloon
    - Dorado 6 x 100 mm balloon (BARD)
    7. Stenting and post-dilatation
    - 5.5 x 150 mm Supera interwoven self-expanding Nitinol stent (ABBOTT)
    - Dorado 6 x 100 mm balloon (BARD)
    View image