LINC 2018 live case guide


Find all live cases and live case centers listed below.

 

 

Paris

4 livecase(s)
  • Wednesday, January 31st: - , Room 2 - Main Arena 2

    Case 38 – Aorto iliac aneurysm - EVAR + Iliac branch device

    Center:
    Paris
    Case 38 – PAR 01: male, 86-years (G-J)
    Operators:
    • Stéphan Haulon
    CLINICAL DATA
    Right nephrectomy, pneumothorax, chronic renal insuffisency MDRD 46 ml/min

    RISK FACTORS
    Smoking

    PARACLINICS
    - Echocardiography: normal
    - Supra aortic trunks US: normal

    PROCEDURAL STEPS
    1. R: ZBIS (COOK) advanced into distal aorta, unsheath until tip of prelaoded catheter is released; advance 260 cm Terumo
    2. L: advance 12F sheath + snare
    3. L: snare 260 Terumo, through-and-through wire, advance 12F dilatator tip to tip of preloaded catheter – secure both ends of Terumo wire with clamps
    4. L: unsheath ZBIS to release internal branch – advance 12F sheath into ZBIS (pull and push), access hypogastric with parallel wire, advance 7F sheath-55 cm and bridging stent
    5. Release through and through wire, pull down ZBIS to position the branch at the IIA origin + bridging stent deployment
    6. Selective angiogram + ZBIS final deployment
    7. L: insert and deploy bifurcated component
    8. R: catheterize contro limb and deploy bridging ZSLE 16 limb
    9. Coda balloon, completion angiogram, CBCT
    View image
  • Wednesday, January 31st: - , Room 2 - Main Arena 2

    Case 41 – Chronic aortic dissection – false lumen thoraco abdominal aneurysm evolution – 4-vessel FEVAR

    Center:
    Paris
    Case 41 – PAR 02: male, 70 years (J-L-C)
    Operators:
    • Stéphan Haulon
    CLINICAL DATA
    - Acute type A aortic dissection open repair in 2014
    - Aortic arch aneurysm 09/2015: left common carotid subclavian by pass + 2 branches arch endograft

    RISK FACTORS
    - Smoking, hypertension, dyslipidemia, BMI >30
    - Obstructive sleep apnea syndrome, transient stroke

    PARACLINICS
    - PFT: restrictive syndrome
    - CTscan: thoraco abdominal aneurysm, 70 mm maximal diameter
    - Cardiac stress test: negative
    - Supra aortic trunks US: no significative lesion

    PROCEDURAL STEPS
    1. Percutaneous access R and L CFA with Proglide systems; 100ULkg Heparin (Target ACT>250)
    2. R: Dilatators up to 20F, insertion of TEVAR
    3. L: 16F introducer + Pigtail angiocatheter
    4. Aortic angiogram / TEVAR deployment
    5. Insertion of FEVAR delivery system (COOK)
    6. Aortic angiogram / fusion regsitration + FEVAR deployment + access target vessels through fenestrations / bridging stents
    7. ZBIS deployment (COOK)
    6. Bifurcated component deployment
    7. Completion angiogram + non injected CBCT
    View image
  • Thursday, February 1st: - , Room 2 - Main Arena 2

    Case 69 – Arch aneurysm – 3-branch arch endograft

    Center:
    Paris
    Case 69 – PAR 03: female, 78 years (E-V)
    Operators:
    • Stéphan Haulon,
    • P. Amabile
    CLINICAL DATA
    - Appendicectomy/ pulmonary lobectomy
    - Present state: asymptomatic

    RISK FACTORS
    Hypertension, smoking, dyslipidemia

    PARACLINICS
    - Echocardiography: LVEF 65% stress test negative
    - PTF: COPD

    PROCEDURAL STEPS
    1. Bilateral cervicotomy
    2. Percutaneous access R and L CFA with Proglide systems; 100UI/kg Heparin (Target ACT>300)
    3. L: Dilatators up to 22F + advance branched endograft to the arch
    4. Aortography + fusion fine tuning
    5. Branched endograft deployment under rapid pacing (COOK)
    6. From RCCA, access to the Inominate branch + deployment of the bridging stent
    7. From LCCA, access to the carotid branch + deployment of the bridging stent
    8. From the groin, access to the LSCA branch + artery + deployment of the bridging stent
    9. Completion angiography + non injected CBCT
    10. Close access sites
    View image
  • Thursday, February 1st: - , Room 2 - Main Arena 2

    Case 72 – Type IV thoraco abdominal aneurysm – 5-vessel FEVAR

    Center:
    Paris
    Case 72 – PAR 04: male, 71 years (J-P-H)
    Operators:
    • Stéphan Haulon
    CLINICAL DATA
    No medical history

    RISK FACTORS
    Smoking, hypertension

    CT-SCAN
    Type IV abdominal aneurysm/ 2 right renal arteries/ inferior mesenteric artery > 4 mm

    PROCEDURAL STEPS
    1. Percutaneous access R and L CFA with Proglide systems
    2. Inferior mesenteric artery embolization with 6 mm Amplatzer; 100UI/kg Heparin (Target ACT>250)
    3. L: 20F 25cm sheath in the LCFA over Lunderquist –Valve puncture with 6F and 7F 55cm + Pigtail angio catheter
    4. R: Dilatators up to 20F + insertion of fenestrated endograft
    5. Aortic angiogram/ Fusion registration/ FEVAR deployment (COOK)
    6. Access target vessels through fenestrations
    7. Bridging stents deployment
    8. Bifurcated component deployment
    9. Coda inflation at overlap
    10. Completion aortography + non injected CBCT
    View image