LINC 2015 live case guide

Dendermonde

• Tuesday, January 27th: 11:55 - 12:15, Main Arena 1

  Case 04 – Long SFA occlusion

  Center:

  Dendermonde

  Case 04 – DEN 01: male, 66 years (J-V)

  Operators:

  • Koen Deloose,
  • Lieven Maene

  CLINICAL DATA
  2008: CABG
  2009: Adenocarcinoma right colon (pT3N1): resection + adj. chemo smoking
  
  PRESENT STATE
  Claudication right > left after 100 m since 6 months
  DUS: Bilateral SFA occlusion
  CT angio
  
  PROCEDURAL STEPS
  1. Left CFA retrograde access
  
  2. Crossover procedure
  - RIM Catheter (COOK) + Roadrunner Uniglide 0.035"/260 cm stiff curved (COOK)
  
  3. Flexor sheath 6F, 45 cm (COOK)
  
  4. Roadrunner Uniglide 0.018"/260 cm (COOK) + 0.018" curved CXI Catheter 90 cm (COOK)
  
  5. Recanalization
  - by preference intraluminal (Plan B: subintimal)
  
  6. Predilatation
  - Advance 18LP balloon (COOK)
  
  7. Popliteal artery
  - DCB Advance PTX 0.018" balloon (COOK)
  
  8. SFA
  - Zilver PTX stent (COOK)

  View image
• Tuesday, January 27th: 15:26 - 15:42, Main Arena 1

  Case 07 – Long SFA occlusion right

  Center:

  Dendermonde

  Case 07 – DEN 02: male, 83 years (E-V)

  Operators:

  • Koen Deloose,
  • Lieven Maene

  CLINICAL DATA
  1992: Aortobifemoral bypass
  2003: left CAS
  severe COPD
  smoking, hypercholesterolemia, arterial hypertension
  
  PRESENT STATE
  claudication right leg since 6 months, 50 m
  DUS: bilateral SFA occlusions
  MR angio
  
  PROCEDURAL STEPS
  1. Right CFA access anterograde
  - 6F BriteTip Sheath (CORDIS) 12 cm
  
  2. Predilatation
  - Passeo-18 (BIOTRONIK)
  
  3. Dilatation
  - DCB Passeo-Lux 0.018" (BIOTRONIK)
  
  4. Stenting
  - Pulsar-18 (BIOTRONIK)

  View image
• Wednesday, January 28th: 8:00 - 9:30, Technical Forum

  Case 53 – Occlusion right EIA & CFA + occlusion left CFA

  Center:

  Dendermonde

  Case 53 – DEN 04: male, 80 years (A-V)

  Operators:

  • Koen Deloose,
  • Joren Callaert

  CLINICAL DATA
  PTCA in 2007
  COPD
  Hypercholesterolemia, ex-smoker
  
  PRESENT STATE
  Claudication in both legs with 100 m walking distance since 3 months.
  
  DUPLEX
  Weak monophasic signals in both groins with on the left side complete absence of flow.
  
  PROCEDURAL STEPS
  1. Left brachial access
  - 6F GlideWire 0.035" curved stiff (TERUMO)
  - Internal mammaria catheter 5F (CORDIS)
  - Destination 6F 90 cm (TERUMO)
  
  2. PLAN A: Anterograde recanalization
  - GlideWire 0.035"/280 cm curved stiff (TERUMO), alternative: Advantage GlideWire 0.018" (TERUMO)
  - supported by CXI 0.035"/0.018" 150 cm (COOK)
  
  3. PLAN B: Retrograde recanalization with SFA puncture(s)
  
  4. Predilatation
  - Armada 0.035" (ABBOTT VASCULAR)
  
  5. Stenting
  - Supera VMI (ABBOTT VASCULAR)

  View image
• Wednesday, January 28th: 11:15 - 11:35, Main Arena 1

  Case 38 – In-stent reocclusion right SFA and high grade stenosis left CIA

  Center:

  Dendermonde

  Case 38 – DEN 03: male, 62 years (E-V)

  Operators:

  • Koen Deloose,
  • Joren Callaert

  CLINICAL DATA
  2008: PTA+S right CIA & EIA, left SFA
  prostatic cancer, treated with radiotherapy
  8/JAN/15: PTA+S left EIA & SFA
  hypercholesterolemia, smoking
  
  PRESENT STATE
  Rest pain (Rutherford 4) right angiography
  
  PROCEDURAL STEPS
  1. Left CFA access, 6F
  
  2. Crossover procedure
  - RIM Catheter (COOK) + GlideWire 0.035" (TERUMO)
  - Destination 7F 45 cm sheath (TERUMO)
  
  3. In-stent recanalization
  - GlideWire 0.035"/0.018" (TERUMO)
  - Berenstein 4F 100 cm (CORDIS) CXI 0.035"/0.018" catheter (COOK)
  
  4. Predilatation
  - Armada 0.035" (ABBOTT VASCULAR)
  
  5. Stenting
  - Viabahn Endoprosthesis (GORE)
  
  6. Left CIA stenosis stenting
  - BeGraft balloon-expandable stent-graft (BENTLEY INNOMED)

  View image