Berlin

• Tuesday, January 28th: 11:24 - 11:44, Room 3 - Technical Forum

  Case 18 – Progressive carotid artery stenosis left, high grade bilateral vertebral stenosis

  Center:

  Berlin

  Case 18 – BLN 02: male, 79 years (W-G)

  Operators:

  • Ralf Langhoff,
  • Andrea Behne

  CLINICAL DATA
  Stenting of the right carotid artery in 2007 without any restenosis
  Known carotid artery stenosis on the left side with rapid progression within 6 months from 60 to 80%
  
  RISK FACTORS
  Art. hypertension, hypercholesterinemia
  
  DUPLEX
  PSVR >4 m/s left ICA, no restenosis in the right CAS
  
  PROCEDURAL STEPS
  1. Transfemoral access
  – short 8F TERUMO sheath right
  2. Selective engaging of the left CCA
  – Weinberg Catheter (COOK)
  3. Teleskoping of the left ECA
  – Stiff glidewire 260 cm, angled tip (TERUMO)
  – 8F Vista Brite TIP IG MP shape guiding catheter (CORDIS)
  4. Distal protection
  – Filterwire EZ (BOSTON SCIENTIFIC)
  5. Predilatation
  – Maverick 3.0 x 20 mm balloon (BOSTON SCIENTIFIC)
  6. Stenting
  – 8 x 25 mm Roadsaver Micromesh stent (TERUMO)
  7. Postdilatation
  – 5 x 20 mm Emerge balloon (BOSTON SCIENTIFIC)
  8. Postprodecural DAS
  9. Vessel closure
  – Angioseal 8F (TERUMO)

  View image
• Tuesday, January 28th: 13:30 - 14:15, Room 3 - Technical Forum

  Case 19 – Multifocal SFA lesions and popliteal occlusion, left

  Center:

  Berlin

  Case 19 – BLN 03: male, 59 years (T-S)

  Operators:

  • Ralf Langhoff,
  • David Hardung

  CLINICAL DATA
  Stenting of a left side, high-grade CIA stenosis in 2019
  Still dramatically impaired walking distance due to popliteal occlusion
  ABI: 0.5 left, ABI: 0.9 right
  
  RISK FACTORS
  Arterial hypertension, smoking, hyperlipidemia
  
  IMAGING
  Duplex and Angio show popliteal occlusion and SFA stenosis
  
  PROCEDURAL STEPS
  1. Antegrade access
  – 6F short Prelude Introducer sheath (Merit medical)
  2. Wire passage
  – 0.018''Advantage wire (TERUMO)
  – Backup: Halberd wire 0.018'' or 0.014'' (Asahi)
  3. Support catheter
  – Carnelian 0.018'' (BIOTRONIK)
  4. Predilatation
  – 3 x 150 mm PTA balloon (vessel preparation)
  5. P TA in the SFA and popliteal
  – Sequent OTW 5 x 150 mm balloon (B.Braun)
  6. Focal/ spot stenting of SFA and Politeal artery
  – Multi-LOC Stent as needed (6 stents maximum) (B.BRAUN)
  or using the new 2-LOC
  or 3-LOC in 30 or 40 mm length as a focal stent
  7. Postdilation with a standard PTA balloon
  8. Vessel closure
  – Angioseal 6F (TERUMO)

  View image
• Tuesday, January 28th: 17:02 - 17:22, Room 1 - Main Arena 1

  Case 08 – BLN 01

  Center:

  Berlin

  Case 08 – BLN 01

  Operators:

  • Ralf Langhoff,
  • Mehmet Boral

  Detailed information will be shown in the video itself!