LINC 2019 live case guide


Find all live cases and live case centers listed below.

 

 

Cookie notice
In order to use the Issuu PDF reader, you will have to consent to the use of cookies categorized under "External Services".
Open cookie settings

Columbus

4 livecase(s)
  • Wednesday, January 23rd: - , Room 3 - Technical Forum

    Case 48 – Live case from Columbus

    Center:
    Columbus
    Case 48 – Live case from Columbus
    Information will follow in due time. Thank you for your understanding.
  • Wednesday, January 23rd: - , Room 1 - Main Arena 1

    Case 35 – Severe, asymptomatic left internal carotid artery stenosis

    Center:
    Columbus
    Case 35 – COL 01: 71 years (W-M)
    Operators:
    • Michael Jolly,
    • Gary Ansel
    CLINICAL DATA
    Yearly carotid artery surveillance given diffuse vascular disease.
    Asymptomatic patient with progressive LICA disease over past year.
    On optimal medical therapy (ASA, clopidogrel, atorvastatin 80 mg, losartan 100 mg).
    Pt unwilling to undergo carotid surgery

    RISK FACTORS
    CAD s/p 4vCABG 2000, prior subsequent PCI, HTN, HLD,
    ischemic cardiomyopathy (EF 40%), stable angina

    PRESENT STATE
    Asymptomatic, denies TIA/CVA/amarosis fugax

    DUPLEX
    Carotid duplex Nov 2018 – RICA 157/21 cm/s ratio 2.0, LICA 290/104, ratio 5.2;
    CT neck: 70-80% LICA stenosis, no significant LCCA stenosis

    ANGIOGRAM
    Carotid angiogram: 80% LICA bifurcation stenosis by NASCET

    PROCEDURAL STEPS
    1. Micropuncture femoral artery access
    2. Sheath placement
    - 6F 90 cm braided sheath delivery into LCCA
    3. Distal embolic protection
    - Nav6 Emboshield wire (ABBOTT)
    4. Stenting
    - Xact 10-8 x 40 mm (ABBOTT)
    5. Predilatation
    - 4x20 mm NC balloon (ABBOTT)
    4. Postdilatation
    - 5 x 30 mm NC balloon (ABBOTT)(if necessary)
    View image
  • Wednesday, January 23rd: - , Room 1 - Main Arena 1

    Case 36 – Live case from Columbus

    Center:
    Columbus
    Case 36 – Live case from Columbus
    Information will follow in due time. Thank you for your understanding.
  • Wednesday, January 23rd: - , Room 1 - Main Arena 1

    Case 38 – Instent restenosis case

    Center:
    Columbus
    Case 38 – COL 03: male, 58 years
    Operators:
    • Mitchell Silver,
    • Michael Jolly,
    • Christopher Huff,
    • Gary Ansel
    CLINICAL DATA
    Pt with 4 year history of PAD, s/p multiple interventions of the iliac, femoropopliteal and tibial vessels for claudication and previous critical limb Ischemia. Originally treated multilevel for left foot ulceration in 2015, restenosis of iliacs treated wtih stent grafts, SFA occlusion attempted to be treated with cilostazol but no effect at 3 months. Now s/p Super stent in 2015 that occluded, treated with DCB and proximal DES extension in 2017. Now with recurrent RC II claudication and duplex scan with restenosis
    ABI R: .96 and L: .88

    RISK FACTORS
    DM II, CAD, HTN, hyperlipidemia, past smoker

    DUPLEX
    Peak velocity of 343 within the stent

    PROCEDURAL STEPS
    1. Contralateral femoral access
    2. Placement of 7F or 8F braided sheath
    3. Excimer Laser debulking
    4. Hig pressure PTA
    5. If good result DCB, if poor result consider DES
    6. Suture based sheath removal
    View image
Cookie settings

We use cookies so that we can offer you the best possible website experience. This includes cookies which are necessary for the operation of the website and to manage our corporate commercial objectives, as well as other cookies which are used solely for anonymous statistical purposes, for more comfortable website settings, or for the display of personalised content. With the exception of strictly necessary cookies, your are free to decide which categories you would like to permit. Please note that depending on the settings you choose, the full functionality of the website may no longer be available. Further information can be found in our privacy statement and cookie policy.

more info
  • Strictly necessary

    We are using cookies in order to enable the services of the website and to ensure that certain aspects work as required. The cookies within this group are essential for the correct appearance and functionality of the website. No information within these cookies will be given to third parties.

  • Analytical (Tracking) Cookies

    We're using functional tracking to analyze the usage of our website. The data hereby gathered, allows us to find errors and improve designs. It also enables us to test the efficacy of our website. These cookies furthermore help us in analyzing our advertisements and affiliate marketing.

  • Functionality Cookies

    Our website makes use of external services such as Issuu and Push-Panda. These services provide great value to us and to you as a user. However they do write cookies and collect data about their usage on this website. In order for you to be able to use these services, you will have to give your consent to their respective cookies.