LINC 2019 live case guide


Find all live cases and live case centers listed below.

 

 

Bad Krozingen

4 livecase(s)
  • Thursday, January 24th: - , Room 3 - Technical Forum

    Case 73 – Directional atherectomy of DFA origin and recanalization of SFA flush occlusio

    Center:
    Bad Krozingen
    Case 73 – BK 03: male, 54 years (D-K)
    Operators:
    • Thomas Zeller
    CLINICAL DATA
    POAD Fontaine IIb / Rutherford 3 right leg, walking distance < 100 m
    Unsuccesful recanalisation attempt December 2018 in referring clinic
    ABI: 0.6/1.0

    RISK FACTORS
    Smoker, hypercholesterinemia

    ANGIOGRAM
    80% ostial DFA stenosis, flush occlusion of SFA origin, reconstitution distal SFA

    PROCEDURAL STEPS
    1. Access
    - 7F cross-over Sheath (TERUMO)
    2. Directional atherectomy of DFA origin
    - SilverHawk (MEDTRONIC)
    3. Recanalisation of SFA
    - Woodpecker (Upstream Medical)
    4. Placement of a filter protection device into the popliteal artery
    - Spider (MEDTRONIC)
    5. DA of SFA
    - SilverHawk (MEDTRONIC)
    6. DCB angioplasty
    - IN.PACT Pacific (MEDTRONIC)
    7. Stent on indication
    - BioMimics (Veryan/Otsuka)
    View image
  • Thursday, January 24th: - , Room 3 - Technical Forum

    Case 76 – Orbital atherectomy of severely calcified infrapopliteal arteries in progressive CLI

    Center:
    Bad Krozingen
    Case 76 – BK 04: male, 78 years (B-J)
    Operators:
    • Thomas Zeller
    CLINICAL DATA
    PAOD Fontaine IV / Rutherford 5 both legs (toe ulcers, rest pain)
    Unsuccessful balloon angioplasty ATA, ATP and peroneal artery
    right leg 12.12.2018 & 09/2018
    Balloon angioplasty peroneal artery left leg 07.11.2018
    CAD, MI 1998 and PCI
    Atrial fibrillation, oral anticoagulation
    ABI: non-diagnostic due to media calcification
    TBI: no toe pressure measurable

    RISK FACTORS
    Arterial hypertension, hyperlipidemia
    CKD stage III

    PROCEDURAL STEPS
    1. Antegrade femoral access
    - 6F, AVANTI (CORDIS)
    2. Guiding catheter
    - VistaBrite Tip, STR (CORDIS)
    3. Lesion crossing
    - 0.014“ guidewire
    4. Diamondback atherectomy (CSI)
    5. DCB angioplasty
    - Lithos (ACCOTEC)
    View image
  • Thursday, January 24th: - , Room 1 - Main Arena 1

    Case 61 – CFA, SFA and popliteal artery atherectomy plus DCB angioplasty

    Center:
    Bad Krozingen
    Case 61 – BK 01: female, 71 years (O-E)
    Operators:
    • Elias Noory
    CLINICAL DATA
    PAOD Fontaine IV / Rutherford 5 both legs
    Stent angioplasty distal infrarenal aorta & DCB SFA left leg 12.12.2018
    Recanalisation & stentimplantation both CIA & EIA and SFA recanalisation left leg 2011
    ABI non-diagnostic due to mediacalcification

    RISK FACTORS
    Hypertension, hyperlipidemia

    DUPLEX
    Moderate stenosis of right CFA & SFA origin, high grade stenosis of popliteal artery

    PROCEDURAL STEPS
    1. 7F cross-over sheath
    2. Lesion crossing
    - 0.035“ Glidewire (TERUMO) guided by a 5F vertebral catheter (CORDIS)
    3. Embolic protection
    - Introduction of a Spider embolic protection system (MEDTRONIC)
    4. Atherectomy
    - Directional atherectomy (HawkOne, MEDTRONIC) of CFA, SFA origin, and popliteal artery
    5. Angioplasty
    - Drug coated balloon angioplasty (IN.PACT Pacific, MEDTRONIC or Tulip, ACOTEC)
    6. Sheath removal with closure device
    - Femoseal (TERUMO)
    View image
  • Thursday, January 24th: - , Room 1 - Main Arena 1

    Case 64 – Lithotripsy, DCB angioplasty and provisional stenting with a 3D helical nitinol stent

    Center:
    Bad Krozingen
    Case 64 – BK 02: male, 79 years (K-W)
    Operators:
    • Elias Noory
    CLINICAL DATA
    PAOD Fontaine IIb/ Rutherford 3 left leg
    DCB angioplasty CFA & SFA instent right leg 13.12.2018
    Rotarex-recanalisation &DCB SFA, popliteal artery, TPT and PTA left leg 09/2016
    DCB SFA, popliteal artery & TPT left leg 10/2012
    Recanalisation left SFA 09/2010
    Stent-recanalisation SFA right leg 05/2010
    Coronary 3-vessel disease
    Quadruple CABG 05/2014
    ABI 0.9/0.6

    RISK FACTORS
    Hypertension, hyperlipidemia, diabetes mellitus type 2, obesity, ex-smoker

    DUPLEX
    Calcified high grade stenosis of distal SFA/popliteal artery left leg

    PROCEDURAL STEPS
    1. Antegrade left femoral access
    - 7F AVANTI sheath (CORDIS)
    2. Lesion crossing attempt
    - 0.014‘‘ Advantage wire (TERUMO)
    3. Lithotripsy
    - SHOCKWAVE balloon 6.5/60 mm (SHOCKWAVE)
    4. DCB angioplasty
    - Tulip (ACCOTEC)
    5. Stent implantation on indication
    - MultiLoc (BAYER)
    6. Sheath removal
    - Closure device Femoseal (TERUMO)
    View image