LINC 2020 live case guide

During the Leipzig Interventional Course 2020
more than 70 interventional and surgical live cases
are scheduled to be performed and transmitted
to the auditorium.

 

 

LINC 2020 live case guide


Find all live cases and live case centers listed below.

 

 

Bergamo

4 livecase(s)
  • Tuesday, January 28th: - , Room 3 - Technical Forum

    Case 17 – Symptomatic high-risk carotid artery disease

    Center:
    Bergamo
    Case 17 – BG 03: male, 82 years (P-R)
    Operators:
    • Fausto Castriota,
    • Antonio Micari
    CLINICAL DATA
    No relevant prior vascular history
    One month ago transient ischemic attack with left-sided hemyparesis

    RISK FACTORS
    Hypertension, hypercholesterolemia

    IMAGING
    DUS: 85% RICA stenosis with significant flow acceleration
    CT angio: sub-occlusive right ICA disease with presence of thrombus

    PROCEDURAL STEPS
    1. Right femoral access (9F)
    2. Selective right carotid cannulation
    – JR4 guiding cathether (CORDIS/CARDINAL HEALTH)
    3. Proximal protection
    – MOMA 9F (MEDTRONIC)
    4. Lesion crossing
    – 0.014‘‘ guidewire
    5. Direct stenting
    – C-Guard double mesh stent (Inspire MD)
    6. Postdilatation
    – 5.0 mm Ultrasoft balloon (BOSTON SCIENTIFIC)
    7. Debris aspiration (if any)
  • Tuesday, January 28th: - , Room 1 - Main Arena 1

    Case 05 –Symptomatic occlusive early restenosis of right SFA

    Center:
    Bergamo
    Case 05 – BG 02: male, 67 years, (G-B)
    Operators:
    • Antonio Micari,
    • Fausto Castriota
    CLINICAL DATA
    No CV history
    Previous right SFA PTA with plain balloon
    During the last 3 months severe right leg claudication (walking distance 70 m)

    RISK FACTORS
    Hypertension, hypercholesterolemia, previous history of smoking

    DUPLEX
    Distal right SFA occlusion with flow demodulation in BTK vessels

    PROCEDURAL STEPS
    1. Femoral access (7F)
    2. Lesion crossing
    – 0.018‘‘ Control Wire + BerII 4F catheter
    3. Wire exchange
    – 0.018‘‘ wire with 0.014‘‘ wire Choice PT (BOSTON SCIENTIFIC)
    4. Embolic protection
    – Distal 6.0 mm Spider FX (MEDTRONIC)
    5. Directional atherectomy
    – HawkOne (MEDTRONIC)
    6. Balloon dilatation
    – 5.0 mm Inpact Admiral drug-coated balloon (MEDTRONIC)
    7. Postdilatation if needed
    View image
  • Tuesday, January 28th: - , Room 3 - Technical Forum

    Case 21 – Symptomatic right carotid artery disease in a patient with known history of cardiovascular disease

    Center:
    Bergamo
    Case 21 – BG 04: female, 69 years, (A-M)
    Operators:
    • Fausto Castriota,
    • Antonio Micari
    CLINICAL DATA
    Previous CABG (LIMA to LAD, VG to posterolateral branch) + ascending aorta repalcament (2015)
    Previous multiple PCI (the last one in 2017 to LCx artery)
    Currently asymptomatic for angina, negative stress echo in 2019
    In December 2019 episode of left-sided hemiparesis with full neurological recovery

    RISK FACTORS
    Hypertension, hypercholesterolemia

    IMAGING
    DUS: severe right carotid artery stenosis with flow acceleration up to 473 cm/sec

    PROCEDURAL STEPS
    1. Radial access (6F)
    2. Right carotid artery selective cannulation
    – IM guiding catheter
    3. Support guidewire
    – 0.035‘‘ Supracore wire in ECA
    4. Sheath placement
    – Destination 6F long 90 cm sheath (TERUMO)
    5. Filter placement
    – Spider FX filter (MEDTRONIC) in RICA
    6. Direct stenting
    – Roadsaver double mesh stent (TERUMO)
    7. Postdilatation
    – 5.5 mm Ultraverse balloon (BOSTON SCIENTIFIC)
    View image
  • Tuesday, January 28th: - , Room 3 - Technical Forum

    Case 23 – Severe right leg claudication in a patient with history of heavy smoking

    Center:
    Bergamo
    Case 23 – BG 05: male, 69 years (G-Z)
    Operators:
    • Fausto Castriota,
    • Antonio Micari
    CLINICAL DATA
    Previous coronary angiogram (abnormal stress test) showing unobstructed coronary arteries
    Severe right leg claudication (90 m) much impairing quality of life
    Quit smoking 1 year ago

    RISK FACTORS
    Mild hypertension, dyslipidemia

    IMAGING
    DUS: flow demodulation in right CFA compatible with iliac occlusion
    Angio MRI: right distal common iliac occlusion

    PROCEDURAL STEPS
    1. Left femoral access (6F)
    2. Cross-over approach
    – 45 cm Destination sheath (TERUMO)
    3. Right femoral access
    – Back-up, 4F sheath
    4. Lesion crossing from cross-over system
    – 0.018‘‘ Control wire or hydrophilic 0.035‘‘ wire (TERUMO)
    5. Predilatation
    6. Stenting with self-expandable stent
    – Everflex (MEDTRONIC)
    7. Postdilatation
    View image
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