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.

 

 

Zurich

5 livecase(s)
  • Tuesday, June 7th: - , Main Arena 2

    Recurrent varicosis right leg and vulva varicosis due to pelvic congestion syndrome right ovarian vein

    Center:
    Zurich
    Case 17 – Zurich 01: Female, 33 years (M-D)
    Operators:
    • Nils Kucher,
    • Erik Holy
    CLINICAL DATA
    – Chronic venous insufficiency with recurrent symptomatic leg and vulva varicosis
    – History of embolization therapy of ovarian veins and right internal iliac vein
    – History of crossectomy and stripping of right great saphenous vein
    – History of foam sclerotherapy varicosities right leg

    RISK FACTORS
    – Duplex: nutcracker anatomy (image 2), no May Thurner anatomy,
    – right ovarian vein dilated with reflux
    – MRV: nutcracker, no May Thurner, both ovarian veins dilated and recanalized (image 1)
    – PCS Score (Kucher): 5 point

    PROCEDURAL STEPS
    1. Access right IJ ultrasound guided 5F

    2. Use 5F vertebral catheter or multipurpose catheter for selective venography of left renal vein and ovarian veins

    3. Valsalva venograms to both ovarian veins

    4. Catheter-directed sclerotheraphy to parauterine veins during Valsalva (Aethoxysclerol 3%)

    5. Coil embolization right ovarian vein and possibly left ovarian vein if reflux is present (Interlock, BOSTON SCIENTIFIC) in Sandwich-technique
    View image
  • Tuesday, June 7th: - , Main Arena 2

    Pelvic congestion syndrome with nutcracker anatomy and left ovarian vein reflux in a nulliparous adolescent

    Center:
    Zurich
    Case 18 – Zurich 02: Female, 17 years (A-Y-E)
    Operators:
    • Nils Kucher,
    • Erik Holy
    CLINICAL DATA
    – Lower abdominal pain, aggravated by menstruation and upright position
    – Suspected endometriosis not confirmed, hormon treatment without improvement
    – No hematuria, no flank pain, no venous claudication
    – Pollakisuria
    – PCS score (Kucher): 5 points

    RISK FACTORS
    – Duplex: mild May Thurner anatomy, no reflux to left internal iliac vein,
    nutcracker anatomy with dilated left ovarian vein with reflux (image 1)
    – MRV: nutcracker anatomy with dilated left ovarian vein (8mm)

    PROCEDURAL STEPS
    1. Venous access to right IJ ultrasound guided 6F

    2. Selective venography with and without Valsalva of left renal vein

    3. If no left renal flow into IVC is visible, may consider transient balloon occlusion of left ovarian vein with simultaneous selective venography of left renal vein (requires second venous access)

    4. Foam sclerotheraphy (aethoxysclerol 3%) to parauterine veins

    5. Coil embolization left renal vein (Interlock BOSTON SCIENTIFIC) in Sandwich technique
    View image
  • Tuesday, June 7th: - , Main Arena 2

    Persistent severe nutcracker syndrome post surgical transposition of the left renal vein and ligation of left ovarian vein

    Center:
    Zurich
    Case 19 – Zurich 03: Female, 21 years (A-B)
    Operators:
    • Nils Kucher,
    • Erik Holy
    CLINICAL DATA
    – Left flank pain accompanied with hematuria
    – History of non-thrombotic May Thurner Syndrome treated with Beyond stent with improvement of lower abdominal pain and leg claudication 10/2021
    – History of transposition of the left renal vein and ovarian vein ligation 12/2021
    – History of ballon angioplasty of left renal vein with no imrpovement of nutcracker syndrome 05/2022

    RISK FACTORS
    – Duplex: severe nutcracker with no flow in left renal vein (image 1)
    – MRV: severe nutcracker with recanalized left ovarian vein (image 2)
    – Venography: severe nutcracker with recanalized left ovarian vein (image 3)

    PROCEDURAL STEPS
    1. Venous access ultrasound guided puncture 10F right CFV

    2. Selective venography left renal vein using Cobra 5 F catheter. May use IVUS

    3. Left renal vein stenting (Arbre Stent, MEDTRONIC) or Wallstent (BOSTON SCIENTIFIC) or Epic Stent (BOSTON SCIENTIFIC)

    4. Postdilatation to 12 mm (Mustang, BOSTON SCIENTIFIC). May use IVUS to rule out stent compression
    View image
  • Tuesday, June 7th: - , Main Arena 2

    Pelvic congestion snydrome due to non-thrombotic May Thurner anatomy

    Center:
    Zurich
    Case 20 – Zurich 04: Female, 18 years (A-K-P)
    Operators:
    • Nils Kucher,
    • Erik Holy
    CLINICAL DATA
    – Lower abdominal pain with aggravation during exercise and upright position
    – Pain radiation to left groin and venous claudication during exercise left leg
    – Pollakisuria

    RISK FACTORS
    – Known endometriosis post laparoscopic removal 6/2020 with no improvement of symptoms
    – Treadmill test with 12% inclination, 3,2 km/h: lower abdominal pain after 70 meter, pain left groin and left leg after 150 meter. Venous claudication persists after termination of exercise.
    – Duplex: No nutcracker but May Thurner anatomy (image 1), spontaneous permanent retrograde flow in left internal iliac vein
    – MRV: May Thurner anatomy

    PROCEDURAL STEPS
    1. Venous access ultrasound guided 10 F left CFV

    2. Venography left common iliac vein

    3. IVUS May Thurner

    4. Sinus obliquus stent into May Thurner lesion (OPTIMED)

    5. IVUS
    View image
  • Wednesday, June 8th: - , Main Arena 1

    Endovascular Treatment of chronic superficial femory artery stent occlusion

    Center:
    Zurich
    Case 25 – Zurich 05: Male, 72 years (K-G)
    Operators:
    • Nils Kucher,
    • Erik Holy
    CLINICAL DATA
    – Symptomatic PAD of the left lower leg since 01/2022, currently worsening and Fontaine stage IIb (100 m)

    RISK FACTORS
    – CVRF: former smoker, Dyslipidemia
    – Left SFA: PTA/Stenting chronic occlusion 2018, PTA in 2019 Stent restenosis,
    – PTA/DEB/Stenting 2021 In-Stent occlusion (currently on DAPT)
    – TEA and resection of a right CFA anuerysm 2018
    – Duplex 05/2022 (Figure 1 and 2): occluded Stent, reconstitution of distal popliteal artery via collateral vessels

    PROCEDURAL STEPS
    1. Antegrade access left CFA (6 F)

    2. Diagnostic angiography

    3. Catheter supported recanalisation of SFA occlusion

    4. Rotarex Atherectomy (6F or 8F) (BD)

    5. PTA +/- stenting of SFA/popliteal artery
    View image
Cookie settings

We use cookies so that we can offer you the best possible website experience. This includes cookies which are necessary for the operation of the website and to manage our corporate commercial objectives, as well as other cookies which are used solely for anonymous statistical purposes, for more comfortable website settings, or for the display of personalised content. With the exception of strictly necessary cookies, your are free to decide which categories you would like to permit. Please note that depending on the settings you choose, the full functionality of the website may no longer be available. Further information can be found in our privacy statement and cookie policy.

more info
  • Strictly necessary

    We are using cookies in order to enable the services of the website and to ensure that certain aspects work as required. The cookies within this group are essential for the correct appearance and functionality of the website. No information within these cookies will be given to third parties.

  • Analytical (Tracking) Cookies

    We're using functional tracking to analyze the usage of our website. The data hereby gathered, allows us to find errors and improve designs. It also enables us to test the efficacy of our website. These cookies furthermore help us in analyzing our advertisements and affiliate marketing.

  • Functionality Cookies

    Our website makes use of external services such as Issuu and Push-Panda. These services provide great value to us and to you as a user. However they do write cookies and collect data about their usage on this website. In order for you to be able to use these services, you will have to give your consent to their respective cookies.