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.

 

 

Zürich

3 livecase(s)
  • Tuesday, January 28th: - , Room 2 - Main Arena 2

    Case 09 – Pelvic congestion syndrome

    Center:
    Zürich
    Case 09 – ZUE 01: female, 38 years (B-S)
    Operators:
    • Nils Kucher,
    • Dai-Do Do,
    • F. Baumann
    CLINICAL DATA
    Left lower abdominal pain radiating to left proximal thigh; aggravated by menstrual cycle
    Painful varicose veins vulva and left thigh
    Left-sided venous claudication

    IMAGING
    Ultrasound & MR findings:
    - May-Thurner compression
    - Retrograde flow left internal iliac vein
    - No evidence for nutcracker anatomy
    - Left pudendal vein feeding varicose thigh veins

    PROCEDURAL STEPS
    1. Local anesthesia left groin, supine position
    2. Ultrasound-assisted venous access (common femoral vein), insertion 10F sheath
    3. Phlebography / IVUS
    4. Sinus obliquus stent (OPTIMED)
    View image
  • Tuesday, January 28th: - , Room 2 - Main Arena 2

    Case 13 – Heart failure and post-thrombotic syndrome

    Center:
    Zürich
    Case 13 – ZUE 02: male, 66 years, (P-vM)
    Operators:
    • Nils Kucher,
    • Dai-Do Do,
    • F. Baumann
    CLINICAL DATA
    High-risk PE requiring CPR and systemic thrombolysis following hernioplasty, 03/2019
    Complications: active retroperitoneal bleeding, sepsis, renal failure, IVC Optease filter thrombosis with massive bilateral DVT of entire deep veins below the IVC filter
    Current medical condition: Dyspnea NYHA II-III, post-thrombotic syndrome with permanent leg swelling and venous claudication (particularly left side)

    IMAGING
    Echocardiography 11/2019: Normal LV function, normalized RV size and function, no indirect signs of pulmonary hypertension
    Ultrasound 11/2019 and Chest-CT 07/2019: Patent common femoral veins, patent external iliac veins, post-thrombotic common iliac veins, occluded infrarenal IVC, patent suprarenal IVC

    PROCEDURAL STEPS
    Cardiopulmonary exercise test 11/2019: Max VO2: 53%

    PROCEDURAL STEPS
    1. General anesthesia, urinary catheter, supine position
    2. Ultrasound-assisted access from:
    bifemoral
    – common femoral vein: left 10F sheath, right 16F sheath
    right jugular vein
    – 10F sheath
    3. Angioplasty of iliac veins and infrarenal IVC
    4. Extraction Optease Filter
    5. Reconstruction IVC and iliac veins
    – Venovo stents (BARD/ BD)
    View image
  • Tuesday, January 28th: - , Room 2 - Main Arena 2

    Case 15 – Pelvic congestion and post-thrombotic syndrome

    Center:
    Zürich
    Case 15 – ZUE 03: female, 43 years (S-K)
    Operators:
    • Nils Kucher,
    • F. Baumann
    CLINICAL DATA
    Pregnancy-induced right-sided iliofemoral DVT 01/2018
    Conservative treatment with LMWH and compression stockings
    Persistant venous claudication and leg swelling as well as lower abdominal pain with aggravation during menstruation cycle
    Endovascular reconstruction of right ilio-femoral veins 11/2019 using Venovo & BlueFlow stents

    PRESENT STATE
    Follow-up in outpatient clinic 12/2019:
    Leg symptoms completely resolved
    Lower abdominal pain unchanged

    IMAGING
    Duplex: confirmed patency of venous stents
    MR-imaging: enlarged ovarian veins

    PROCEDURAL STEPS
    1. Local anesthesia right jugular vein, supine position
    2. Ultrasound-assisted access
    – 5F sheath
    3. Venography of ilio-femoral stents
    4. Selective Valsalva venography left ovarian and parauterine veins
    – 5F Kobra catheter (COOK)
    5. Selective injection of Aethoxysclerol (3%) foam to parauterine veins during Valsalva
    6. Coil embolization of left ovarian vein
    – Nester 12 mm coils (COOK)
    7. Final venogram to confirm ovarian vein occlusion
    View image
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