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.

 

 

Paris

4 livecase(s)
  • Wednesday, January 29th: - , Room 1 - Main Arena 1

    Case 26 – PAR 01

    Center:
    Paris
    Case 26 – PAR 01
    Detailed information will be shown in the video itself!
  • Wednesday, January 29th: - , Room 2 - Main Arena 2

    Case 37 – FEVAR for type 1a endoleak post EVAR

    Center:
    Paris
    Case 37 – PAR 02: male, 66 years
    Operators:
    • Stéphan Haulon,
    • D. Fabre,
    • A. Girault,
    • P. Charbonneau,
    • A. Schwein
    CLINICAL DATA
    Previous EVAR for AAA

    PRESENT STATE
    71 mm AAA

    PROCEDURAL STEPS
    1. L: Advance 18F 33cm GORE Dryseal sheath in the LCFA over Lunderquist – 1 x 6F 55 cm and 1 x 7F 55 COOK Ansel sheaths
    100 U/kg Heparin (Target ACT³250)
    L (through one of the 6F): advance long pigtail catheter
    R: 10F sheath/Lunderquist/dilators up to 20
    2. Fluoroscopy to locate fenestrations gold markers
    R: Advanced fenestrated endograft – Aortic angiogram – fusion mask registration – fenestrated endograft deployment
    3. R: Rosen wire advanced through preloaded catheter – Exchange preloaded catheter for a 6F-90cm COOK Ansel Shuttle sheath – Exchange Rosen for a Stealcore 0.018 - 300 cm wire – Retrieve 6F to the level of the fenestration – Retrieve the 6F dilator – Puncture valve – DAV + TERUMO/Roadrunner through 6F for renal artery catheterisation – Renal angiogram – Exchange TERUMO for Rosen – Retrieve Stealcore
    wire – Advance 6F into the renal artery – Advance BENTLEY Begraft bridging stent to parking position
    4. Same for controlateral renal artery
    5. L: Through 6F sheath advance BER + TERUMO to catheterize fenestrated endograft lumen steps (cont.): – Advance 6F below the fenestration (SMA/CT) – USL + TERUMO/ Roadrunner through 6F sheath to catheterise target vessel (SMA/CT) – Vessel angiogram / Exchange TERUMO for Rosen wire – Advance 6F into target vessel – Advance BENTLEY Begraft bridging stent to parking position
    6. R: Release diameter-reducing ties – proximal and distal attachments – Nose retrieval under fluoroscopy
    7. L: SMA/CT stent deployment (3-4 mm protruding in the aortic lumen) after sheath retrieval – Flare the aortic portion of stent with 10-20 mm balloon – Advance the sheath in the SMA/CT stent/angiogram (SMA: exchange Rosen for TERUMO wire)
    8. R: Renal artery stent deployment (3-4 mm protruding in aortic lumen) after 6F retrieval – Flare the aortic portion of stent with 9-20 mm balloon – Advance 6F back into the renal stent – angiogram
    9. R: Remove nose under fluoroscopy / Remove fenestrated device delivery system
    L: Withdraw sheaths in 18F – insert and deploy bifurcated device and iliac limbs
    10. CODA balloon to mold overlaps and distal sealing zones
    Pigtail catheter – Angiogram + non-contrast CBCT
    View image
  • Thursday, January 30th: - , Room 2 - Main Arena 2

    Case 63 – PAR 03

    Center:
    Paris
    Case 63 – PAR 03
    Detailed information will be shown in the video itself!
  • Thursday, January 30th: - , Room 2 - Main Arena 2

    Case 65 – FEVAR for type 5 thoraco abdominal aortic aneurysm

    Center:
    Paris
    Case 65 – PAR 04: male, 85 years
    Operators:
    • Stéphan Haulon,
    • D. Fabre,
    • P. Charbonneau,
    • A. Girault
    CLINICAL DATA
    Lumbar spine surgery for herniated disc (1993)
    Aorto bi-femoral bypass for an infrarenal AAA (1998)
    Bilateral femoral arteries angioplasty and stenting, L CFA endarterectomy (2012)
    Urothelial cancer resected in 2011, colon polypectomy in 2003
    Chronic kidney disease (GFR 48 ml/min), hypertension, dyslipidemia

    PRESENT STATE
    ASA 3, ECG: sinus, TTE: LVEF: 65%, normal

    PROCEDURAL STEPS
    1. L: Advance 16F 30 cm GORE Dryseal sheath in the LCFA over Lunderquist – 2x 6F-55 cm COOK Ansel sheaths
    100 U/kg Heparin (Target ACT³250)
    L (through one of the 6F): advance long pigtail catheter
    R: 10F sheath/Lunderquist/ dilators up to 20
    2. R: Deployment of proximal TEVAR, just above the celiac trunk
    3. Fluoroscopy to locate fenestrations gold markers
    R: Advanced fenestrated endograft – Aortic angiogram – fenestrated endograft deployment
    4. R: Rosen wire advanced through preloaded catheter – Exchange preloaded catheter for a 6F-90 cm COOK Ansel Shuttle sheath – Exchange Rosen for a Stealcore 0.018- 300 cm wire – Retrieve 6F to the level of the fenestration – Retrieve the 6F dilator – Puncture valve – DAV + TERUMO/Roadrunner through 6F for renal artery catheterisation – Renal angiogram – Exchange TERUMO for Rosen – Retrieve Stealcore wire – Advance 6F into the renal artery – Advance BENTLEY Begraft bridging stent to parking position
    5. Same for controlateral renal artery
    6. L: Through 6F sheath advance BER + TERUMO to catheterize fenestrated endograft lumen – Advance 6F below the fenestration (SMA/CT) – USL + TERUMO/ Roadrunner through 6F sheath to catheterise target vessel (SMA/CT) – Vessel angiogram – Exchange TERUMO for Rosen wire – Advance 6F into target vessel – Advance BENTLEY Begraft bridging stent to parking position
    7. R: Release diameter-reducing ties – proximal and distal attachments – Nose retrieval under fluoroscopy
    8. L: SMA/CT stent deployment (3-4 mm protruding in the aortic lumen) after 6F retrieval – Flare the aortic portion of stent with 10-20 mm balloon – Advance 6F in the SMA/CT stent/angiogram (SMA: exchange Rosen for TERUMO wire)
    9. R: Renal artery stent deployment (3-4 mm protruding in aortic lumen) after 6F retrieval – Flare the aortic portion of stent with 9-20 mm balloon – Advance 6F back into the renal stent – angiogram
    10. R: Remove nose under fluoroscopy / Remove fenestrated device delivery system
    L: Withdraw 6F sheath in 16F – Insert and deploy bifurcated device and iliac limbs
    11. CODA balloon to mold overlaps and distal sealing zones
    Pigtail catheter – Angiogram + non-contrast CBCT
    View image
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