During the Leipzig Interventional Course 2022 more than 40 interventional and surgical live cases are scheduled to be performed and transmitted to the auditorium.
LINC 2022 live case guide
Find all live cases and live case centers listed below.
CLINICAL DATA
– Severe claudication bilateral, maximal walking-capactiy 150 meters,
– Pain left > right buttock, thigh and calf
– Unsuccessful recanalization-attempt elsewhere 5/2022
– Guidewire-passage from antegrade (transbrachial) and retrograde impossible
RISK FACTORS
– ABI right 0.76; left 0.60
– Hypertension
– Smoker
PROCEDURAL STEPS 1. Transbrachial and left femoral access
– 7F 90cm Check-Flo Performer Sheath (COOK)
– 7F 25cm Radiofocus Introducer II (TERUMO)
– SupraCore 300cm 0.035" Guidewire (ABBOTT)
2. Passage of the CTO left common iliac artery:
Via brachial access:
– Stiff straight 0.035" Radifocus Guidewire 260cm (TERUMO)
– 6Fr Launcher Guiding-Catheter 100cm (MEDTRONIC)
– 5Fr 125cm Judkins Right Diagnostic Catheter (CORDIS)
3. Passage into the CTO left CIA from left retrograde for reversed CART-technique:
– Stiff straight 0.035" Radifocus Guidewire 260cm (TERUMO)
– 5.0/40mm Mustang Balloon (BOSTON SCIENTIFIC)
4. Balloon-angioplasty and stenting in kissing-technique:
– Mustang-balloons 6/40 (BOSTON SCIENTIFIC)
– Advanta V12 Balloonexpandable Covered Stent (GETINGE)
– 8.0/37mm right CIA; 8.0/57mm left CIA
CLINICAL DATA
– Severe claudication bilateral, maximal walking-capactiy 150 meters,
– Pain left > right buttock, thigh and calf
– Unsuccessful recanalization-attempt elsewhere 5/2022
– Guidewire-passage from antegrade (transbrachial) and retrograde impossible
RISK FACTORS
– ABI right 0.76; left 0.60
– Hypertension
– Smoker
PROCEDURAL STEPS 1. Transbrachial and left femoral access
– 7F 90cm Check-Flo Performer Sheath (COOK)
– 7F 25cm Radiofocus Introducer II (TERUMO)
– SupraCore 300cm 0.035" Guidewire (ABBOTT)
2. Passage of the CTO left common iliac artery:
Via brachial access:
– Stiff straight 0.035" Radifocus Guidewire 260cm (TERUMO)
– 6Fr Launcher Guiding-Catheter 100cm (MEDTRONIC)
– 5Fr 125cm Judkins Right Diagnostic Catheter (CORDIS)
3. Passage into the CTO left CIA from left retrograde for reversed CART-technique:
– Stiff straight 0.035" Radifocus Guidewire 260cm (TERUMO)
– 5.0/40mm Mustang Balloon (BOSTON SCIENTIFIC)
4. Balloon-angioplasty and stenting in kissing-technique:
– Mustang-balloons 6/40 (BOSTON SCIENTIFIC)
– Advanta V12 Balloonexpandable Covered Stent (GETINGE)
– 8.0/37mm right CIA; 8.0/57mm left CIA
CLINICAL DATA
– Severe claudication left leg, walking capacity 100 meters
– ABI left 0.56; Rutherford class 3
– PTA left and right iliac arteries 1 and 2/2022
– CAD, PTCA 2008 and 2016
– COPD
– Hypertension
– Former smoker
RISK FACTORS
– Angiography during angioplasty of the right iliac arteries
Low profile devices for SFA total occlusion treatment
Center:
Leipzig, Universitätsklinikum, Abt. Angiologie
Case 10 – LEI 03: Female, 65 years (H-S)
Operators:
Axel Fischer
CLINICAL DATA
– Severe claudication left leg, walking capacity 100 meters
– ABI left 0.60, Rutherford class 3
– Angioplasty of iliac stenosis right and left 4/2022 with only little relief of symptoms
– Diabetes mellitus type 2
– Hypertension
RISK FACTORS
– Angiography left leg during PTA of iliac arteries showing small diameter infrainguinal arteries
PROCEDURAL STEPS 1. Cross-over approach from right to left
– 5Fr Fortress Sheath (BIOTRONIK)
Chronic, Calcified Occlusion right Common Iliac Artery
Center:
Leipzig, Universitätsklinikum, Abt. Angiologie
Case 12 – LEI 04: Male, 52 years (M-E)
Operators:
Sandra Düsing
CLINICAL DATA
– Severe claudcation right leg (buttock, thigh and calf)
– Walking capacity 100 meters
– PTA / stenting of a left external iliac occlusion 12/2021 elsewhere
RISK FACTORS
– Current smoker
– Hypertension
– ABI right 0.58; left 0.81
PROCEDURAL STEPS 1. Transbrachial and right femoral access
– 7F 90cm Check-Flo Performer Sheath (COOK)
– 7F 25cm Radiofocus Introducer II (TERUMO)
– SupraCore 300cm 0.035" Guidewire (ABBOTT)
2. Passage of the CTO right common iliac artery
Via brachial access:
– Stiff straight 0.035" Radifocus Guidewire 260cm (TERUMO)
– 6Fr Launcher Guiding-Catheter 100cm (MEDTRONIC)
– 5Fr 125cm Judkins Right Diagnostic Catheter (CORDIS)
3. Passage into the CTO left CIA from right retrograde for reversed CART-technique
– Stiff straight 0.035" Radifocus Guidewire 260cm (TERUMO)
– 5.0/40mm Mustang Balloon (BOSTON SCIENTIFIC)
4. Balloon-angioplasty and stenting in kissing-technique
– Mustang-balloons 6/40 (BOSTON SCIENTIFIC)
– Viabahn VBX Balloonexpandable Endoprosthesis (GORE)
– 8.0/59mm right CIA; 8.0/39mm left CIA
Chronic, Calcified Occlusion right Common Iliac Artery
Center:
Leipzig, Universitätsklinikum, Abt. Angiologie
Case 12 – LEI 04: Male, 52 years (M-E)
Operators:
Sandra Düsing
CLINICAL DATA
– Severe claudcation right leg (buttock, thigh and calf)
– Walking capacity 100 meters
– PTA / stenting of a left external iliac occlusion 12/2021 elsewhere
RISK FACTORS
– Current smoker
– Hypertension
– ABI right 0.58; left 0.81
PROCEDURAL STEPS 1. Transbrachial and right femoral access
– 7F 90cm Check-Flo Performer Sheath (COOK)
– 7F 25cm Radiofocus Introducer II (TERUMO)
– SupraCore 300cm 0.035" Guidewire (ABBOTT)
2. Passage of the CTO right common iliac artery
Via brachial access:
– Stiff straight 0.035" Radifocus Guidewire 260cm (TERUMO)
– 6Fr Launcher Guiding-Catheter 100cm (MEDTRONIC)
– 5Fr 125cm Judkins Right Diagnostic Catheter (CORDIS)
3. Passage into the CTO left CIA from right retrograde for reversed CART-technique
– Stiff straight 0.035" Radifocus Guidewire 260cm (TERUMO)
– 5.0/40mm Mustang Balloon (BOSTON SCIENTIFIC)
4. Balloon-angioplasty and stenting in kissing-technique
– Mustang-balloons 6/40 (BOSTON SCIENTIFIC)
– Viabahn VBX Balloonexpandable Endoprosthesis (GORE)
– 8.0/59mm right CIA; 8.0/39mm left CIA
Directional Atherectomy and Antirestenosis Treatment (DAART) of a SFA-CTO
Center:
Leipzig, Universitätsklinikum, Abt. Angiologie
Case 13 – LEI 05: Male, 58 years (J-F)
Operators:
Axel Fischer
CLINICAL DATA
– Severe claudication bilateral, walking capacity 150 meters
– ABI right 0.62; left 0.6
– SFA total occlusions both side, PTA right iliac 4/2022
– Hypertension, Current smoker
CLINICAL DATA
– Ulceration right lateral forefoot, severe claudication right calf
– Walking-capacity 50 meters
– Complex recanalization of an extremely calcified long femoropopliteal occlusion 5/2022
– Planned BTK-recanalization right
– Stenting right SFA 2017 elsewhere, reoccluded
– CAD, CABG 2017
RISK FACTORS
– Angiography before and after femoropopliteal recanalization 5/2022
– ABI right 0.2
CLINICAL DATA
– Ulcerations right forefoot and heel, severe claudication,
– maxmial walking capacity 100 meters, ABI right 0,41, Rutherford class 6
– CLI with endovascular treatment left leg 5/2022
– Chronic renal insufficiency, GFR 57mm/min
– Diabetes mellitus type 2, Hypertension, Former smoker
RISK FACTORS
– Angiography during PTA left leg showing diffuse disease of the right femoropopliteal tract, Severe calcifications
PROCEDURAL STEPS 1. 7Fr Cross-over approach from left to right
– 7Fr 40cm Balkin Up&Over Sheath (COOK)
CLINICAL DATA
– Symptomatic thoracoabdominal aneurysm, Crawford III,
– Recurrent abdominal pain
– Maximal diameter of the aneurysm 68 mm
– Preemptive embolization of the inferior mesenteric artery
– Renal insufficiency GFR 65ml/min
– CAD
CLINICAL DATA
– Critical Limb Ischemia right, ulcerations rigth forefoot,
– ABI right 0.32, Rutherford class V
– CAD, CABG 2018
– Diabetes mellitus type 2
– Chronic renal insufficiency, GFR 49ml/min
– PTA / stenting BTK right 2/2020 (ATA and peroneal artery)
– Angiography and unsuccessful recanalization attempt elsewhere
CLINICAL DATA
– Multiple small ulcerations left lower leg, restpain left foot, walking capacity 20 meters,
– ABI left 0.2; Rutherford VI
– CAD, PTCA 2021
RISK FACTORS
– Angiography elsewhere showing a long popliteal occlusion left
– Diabetes mellitus type 2
– Hypertension
– Former smoker
CLINICAL DATA
– Incidental finding of an infrarenal aortic aneurysm with extension to the left common iliac artery, maximal diameter 42mm
– Resuscitation during general anaesthesia for surgery of prostatic cancer 2015
– Coilembolization of aortic sidebranches to prevent type II endoleaks 4/2022
Pedal recanalization for limb threatenting ischemia
Center:
Leipzig, Universitätsklinikum, Abt. Angiologie
Case 36 – LEI 12: Male, 71 years (J-S)
Operators:
Sandra Düsing
CLINICAL DATA
– Ulceration right forefoot, acute worsening 6 weeks ago,
– Recanalization of an acute occlusion of the popliteal artery right 4/2022
– Unsuccessful guidewire-passage into pedal arteries (posterior tibial artery)
RISK FACTORS
– Angiography 6 weeks before showing the popliteal artery occlusion, recanalization and remaining distal tibial artery occlusions, and angiography after additional thrombolysis showing chronic distal tibial and pedal occlusions
– ABI right 0
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