LINC 2022 live case guide
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.
Modena
1 livecase(s)
-
Monday, June 6th: - , Main Arena 2
Ilio-caval occlusion recanalization
- Center:
- Modena
Case 08 – Modena 01: Male, 44 years- Operators:
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- Marzia Lugli,
- Matteo Longhi,
- Elisa Munari
CLINICAL DATAView image
– Comorbidities: Nephrotic syndrome till 17 (autoimmune cause),
Coagulation defects: Leiden V hetero, therapy: acenocumarol
RISK FACTORS
– Acute DVT in 1998 (left leg) and 1999 (right leg). Bilateral Post-Thrombotic Syndrome
– Villalta score: 13 left leg, 14 right leg. Venous claudication. CEAP C4b bilateral.
– US examination: non-phasic flow common femoral vein bilateral, good access at femoral vein, good inflow. Wireless Air-Pletismography: outflow obstruction.
– Venography: cava occlusion, bilateral iliac stenosis
PROCEDURAL STEPS
1. Bilateral ultrasound guided access at mid-thigh under general anesthesia, venography from both access.
2. Systemic heparinization, Recanalization of the inferior cava and ilio-femoral district with 0.035 Terumo Advantage wire J curve and Cook TriForce Peripheral Crossing Set
3. IVUS evaluation of the inferior cava and ilio-femoral district (Opticross 35 Peripheral Imaging Catheter – BOSTON SCIENTIFIC)
4. Multiple dilatation with Atlas Gold PTA Dilatation Catheter (from 12x40 to 20x40 mm) (BD)
5. IVUS evaluation of proximal and distal inferior cava landing zones and stent sizing according to vessel area (Opticross 35 Peripheral Imaging Catheter – BOSTON SCIENTIFIC)
6. Inferior cava stenting (Wallstent Endoprosthesis – BOSTON SCIENTIFIC) and postdilatation with Atlas Gold PTA Dilatation Catheter (BD)
7. IVUS evaluation of proximal and distal ilio-femoral landing zones, evaluation of the profunda vein system and possible extension under the inguinal ligament
8. Stenting of the iliac bifurcation with Kissing thechnique (Wallstent Endoprosthesis – BOSTON SCIENTIFIC) and postdilatation with Atlas Gold PTA Dilatation Catheter (BD)
9. According to IVUS evaluation possible stenting of the external iliac vein and common femoral vein (distal landing zone above profunda vein system) with Wallstent (BOSTON SCIENTIFIC) and postdilatation with Atlas Gold (BD)
10. Final IVUS evaluation and Venography from both access