Case 47 – Persistent Type II endoleak with aneurysm growth
Center:
Münster
Case 47 – MÜN 01: male, 82 years (B-S)
Operators:
Arne Schwindt,
Konstantinos Donas
Clinical data
3/2013 EVAR (main body Zenith Flex, iliac extensions Zenith spiral COOK)
CT-control 11/12: axial diameter increase from initially 53 mm to 58 mm
Procedural steps
1. Right femoral approach
- 5F 10 cm sheath (TERUMO)
4. Placement 5mm Spiderfilter FX via 0,035 Trailblazer support catheter (COVIDIEN)
5. Atherectomy with large tip Turbohawk smoothcutter (COVIDIEN)
6. Post PTA with 4-5 x 120 IN.PACT Admiral balloon (MEDTRONIC)
Friday, January 25th:
-
,
Technical Forum
Case 80 – Occlusion left common iliac artery, stenosis common femoral artery
Center:
Münster
Case 80 – MUE 07: male, 64 years, (H-P)
Operators:
Arne Schwindt,
Konstantinos Donas
Clinical data
PAOD Rutherford III left leg, ABI 0,5
PTA/ BES right CIA 11/2012, frustrane retrograde recanalisation attempt left CIA
Arterial hypertension, CAD; COPD
Procedural steps
1. Surgical TEA left CFA
2. Transbrachial Recanalisation left CIA
- 6F 90 cm Shuttle sheath (COOK)
Clinical data
CAD, CABG 2001
Art. hypertension
Hostile abdomen after colon resection
Aneurysm diameter 55 cm
Very short neck
Procedural steps
1. Percutanous approach both groins Prostar XL (Abbott) and 14 F sheath (COOK)
2. Placement of the Endurant bifurcated endograft (Medtronic) just below the renal arteries.
3. Additional fixation of the Endograft with HeliFXTM
Aortic Securement System (Aptus)
Friday, January 25th:
-
,
Main Arena 2
Case 75 – Pararenal abdominal aortic aneurysm
Center:
Münster
Case 75 – MUE 04: male, 78 years (W-HH)
Operators:
Martin Austermann,
Bernd Gehringhoff
Clinical data
Arterial hypertension, atrial fibrillation with oral anticoagulation
Diabetes mellitus, impaired renal function, shrinkage of right kidney
Aneurysm diameter 64 cm
Narrow and calcified iliac arteries
Procedural steps
1. Percutanous approach left groin Prostar XL (Abbott), 14 F sheath (COOK)
2. Percutanous approach right groin 8 F sheath (COOK)
3. Cannulation of the SMA and the left renal artery (8F shuttle sheath, COOK) via left axillary a (cut down)
4. Deployment of three Endurant tube endografts (Medtronic) just below the celiac trunk
5. Placement of chimney stent-grafts (Advanta V12, Atrium) in the SMA and left renal artery
Saturday, January 26th:
-
,
Main Arena 1
Case 89 – Type A dissection with growing thoraco-abdominal false lumen aneurysm
Center:
Münster
Case 89 – MUE 08: male, 57 years (M-G)
Operators:
Martin Austermann,
Bernd Gehringhoff
Clinical data
Dilatative cardiomyopathy with impaired left ventricular function, CAD
Chronic obstructive pulmonary disease (GOLD 4)
Replacement aortic valve and ascending aorta 2003
Aortic arch replacement with elefant trunk 2008
TEVAR 2009
TIA 2004
Diabetes mellitus, arterial hypertension, obesity
Hostile abdomen
Procedural steps
1. 14 F sheath (COOK) both groins and cannulation of the true lumen
2. Placement of three 5F sheaths in the 14F sheath on the left side and precannulation of both renal arteries and SMA
3. Implantation of a tapered thoracic endograft
4. Deployment of a preloaded thoraco-abdominal Zenith-endograft (COOK) with four fenestrations via the right side
5. Cannulation of celiac trunk, SMA and renal arteries through the branches and implantation of the bridging stentgafts (Advanta-Atrium) and flairing
6. Implantation of the iliac branched device (ZBIS – COOK) on the right side
7. Placement of the aortic bifurcated device through the left side
8. Placement of the bridging limb through the right side
Saturday, January 26th:
-
,
Main Arena 1
Case 89 – Type A dissection with growing thoraco-abdominal false lumen aneurysm
Center:
Münster
Case 89 – MUE 08: male, 57 years (M-G)
Operators:
Martin Austermann
Clinical data
Dilatative cardiomyopathy with impaired left ventricular function, CAD
Chronic obstructive pulmonary disease (GOLD 4)
Replacement aortic valve and ascending aorta 2003
Aortic arch replacement with elefant trunk 2008
TEVAR 2009
TIA 2004
Diabetes mellitus, arterial hypertension, obesity
Hostile abdomen
Procedural steps
1. 14 F sheath (COOK) both groins and cannulation of the true lumen
2. Placement of three 5F sheaths in the 14F sheath on the left side and precannulation of both renal arteries and SMA
3. Implantation of a tapered thoracic endograft
4. Deployment of a preloaded thoraco-abdominal Zenith-endograft (COOK) with four fenestrations via the right side
5. Cannulation of celiac trunk, SMA and renal arteries through the branches and implantation of the bridging stentgafts (Advanta-Atrium) and flairing
6. Implantation of the iliac branched device (ZBIS – COOK) on the right side
7. Placement of the aortic bifurcated device through the left side
8. Placement of the bridging limb through the right side
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