LINC 2018 live case guide


Find all live cases and live case centers listed below.

 

 

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Zürich

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

    Case 10 – Pelvic lymphocele causing post-thrombotic syndrom left leg

    Center:
    Zürich
    Case 10 – ZUE 01: male, 59 years (W-J)
    Operators:
    • Nils Kucher,
    • Dai-Do Do
    CLINICAL DATA
    - Swelling left leg
    - Residual small pelvine lymphocele post sclerotherapy

    RISK FACTORS
    Compression left external iliac vein, inactive prostate carcinoma

    CT-SCAN
    Lymphocele (post sclerotherapy)

    PROCEDURAL STEPS
    1. Retrograde left common femoral vein access
    - 10F sheath
    2. Retrograde recanalization left iliac vein obstruction
    3. IVUS
    4. Vessel preparation
    5. Stenting
    - New generation woven nitinol stent (Blue Flex stent) 10F (14/100 and 14/150)
    6. Post dilatation
    View image
  • Tuesday, January 30th: - , Room 2 - Main Arena 2

    Case 14 – Postpartal ilio-femoral vein thrombosis left

    Center:
    Zürich
    Case 14 – ZUE 02: female, 27 years, (K-S)
    Operators:
    • Nils Kucher,
    • Dai-Do Do
    CLINICAL DATA
    Post-thrombotic syndrome with leg swelling and claudicatio venosa

    RISK FACTORS
    Delivery, postpartum status, May-Thurner anatomy

    DUPLEX
    Occlusion left external iliac and common femoral veins; maintained venous inflow by V. femoralis & V. profunda femoris

    PROCEDURAL STEPS
    1. Ultrasound-assisted retrograde left common femoral vein access
    - 10F sheath
    2. Passage left iliac vein occlusion
    3. IVUS
    4. Vessel preparation
    5. Stenting
    - VIC: Sinus Obliquus (14/150) (OPTI MED)
    - VIC: Sinus XL Flex (14/100) (OPTI MED)
    - VFC: Sinus XL Flex (14/80) (OPTI MED)
    6. Post-dilatation
    View image
  • Tuesday, January 30th: - , Room 2 - Main Arena 2

    Case 14 – Postpartal ilio-femoral vein thrombosis left

    Center:
    Zürich
    Case 14 – ZUE 02: female, 27 years, (K-S)
    Operators:
    • Nils Kucher,
    • Dai-Do Do
    CLINICAL DATA CLINICAL DATA
    Post-thrombotic syndrome with leg swelling and claudicatio venosa

    RISK FACTORS
    Delivery, postpartum status, May-Thurner anatomy

    DUPLEX
    Occlusion left external iliac and common femoral veins; maintained venous inflow by V. femoralis & V. profunda femoris

    PROCEDURAL STEPS
    1. Ultrasound-assisted retrograde left common femoral vein access
    - 10F sheath
    2. Passage left iliac vein occlusion
    3. IVUS
    4. Vessel preparation
    5. Stenting
    - VIC: Sinus Obliquus (14/150) (OPTI MED)
    - VIC: Sinus XL Flex (14/100) (OPTI MED)
    - VFC: Sinus XL Flex (14/80) (OPTI MED)
    6. Post-dilatation
    View image
  • Tuesday, January 30th: - , Room 2 - Main Arena 2

    Case 16 – Recanalization chronic iliac vein occlusion left

    Center:
    Zürich
    Case 16 – ZUE 03: female, 69 years (R-L)
    Operators:
    • Nils Kucher,
    • Ulrich Frank
    CLINICAL DATA
    Post-partal iliac vein thrombosis (1969) with post-thrombotic syndrome

    RISK FACTORS
    APC-resistance, atypical left iliac vein compression

    CT-SCAN
    Spontaneous palma, no May-Thurner anatomy but atypical iliac vein compression

    PROCEDURAL STEPS
    1. Ultrasound-assisted retrograde left femoral vein access
    - 10F sheath
    2. Passage left iliac vein occlusion
    3. IVUS
    4. Vessel preparation
    5. Stenting
    - VIC: Sinus Obliquus (14/150) (OPTI MED)
    - VIE: Sinus XL Flex (14/100) (OPTI MED)
    - VFC: Sinus XL Flex (14/80) (OPTI MED)
    6. Postdilatation
    View image
  • Tuesday, January 30th: - , Room 2 - Main Arena 2

    Case 18 – Recanalization vena cava superior occlusion

    Center:
    Zürich
    Case 18 – ZUE 04: female, 65 years, (N-R.M.)
    Operators:
    • Nils Kucher,
    • Dai-Do Do
    CLINICAL DATA
    - PM-associated occlusion of vena cava superior
    - Bi-parietotemporal headache
    - Sick-sinus syndrome with dual-champer PM implantation 2012
    - Persisting pericardial effusion

    CLINICAL IMAGE
    Epigastric collateral veins

    CT
    Occlusion V. cava superior and innominate vein, insufficient hemiacygos collateral vein,
    atypical mamarian and epigastric veins, PM-electrodes in situ

    PROCEDURAL STEPS
    1. Ultrasound-assisted access
    - Left common femoral vein 10F sheath
    - Right internal jugular vein 6F sheath
    2. Passage V. cava superior occlusion
    3. IVUS
    4. Balloon angioplasty
    - Atlas Gold Balloon (up to 16 mm) (BARD)
    View image
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