Find all Live Cases and Live Case Centers listed below.
Teaneck
4 livecase(s)
Wednesday, January 28th:
-
,
Technical Forum
Case 58 – Iliac vein compression prior EVLT
Center:
Teaneck
Case 58 – TEA 03: male, 71 years old
Operators:
Kevin Herman,
John Rundback,
Amish Patel
Wednesday, January 28th:
-
,
Technical Forum
Case 59 – Chronic femoral DVT initial therapy
Center:
Teaneck
Case 59 – TEA 04: male, 46 years
Operators:
John Rundback,
Amish Patel
CLINICAL DATA
46-year-old gentleman with a history of chronic DVT for several years, first seen in June 2013. He has persistent progressive symptoms with left leg swelling and ankle pain, despite reliable use of graded compression stockings and other conservative measures. This is interfering with his work as an electrician. His medications are aspirin 81 mg only.
PROCEDURAL STEPS 1. US guided popliteal puncture
- Sono-site ultrasound, Micropuncture set (COOK)
- Upsize to 7F sheath (TERUMO)
CLINICAL DATA
73-year-old woman with known bilateral severe renal artery stenosis
from a CTA on 10/16/2013 with atrophy in the left kidney.
She has not had congestive heart failure.
She was a former smoker; stopped approximately two years ago.
She has a history of coronary artery disease with myocardial infarction
and coronary stents in 2012. She does not have dyslipidemia or diabetes.
Current blood pressure medications are clonidine 0.1 b.i.d., Toprol 12.5 daily,
and losartan/hydrochlorothiazide 50/12.5 daily. She also takes Zocor 40,
Plavix 75, and aspirin 81.
VITAL SIGNS
Blood pressure, was 178/67 mmHg in the right arm and 161/70 mm Hg in the left arm.
LABS
GFR 66 ml/min.1.73m2
PROCEDURAL STEPS 1. Right femoral puncture and insertion of 7F RDC guide sheath (CORDIS)
2. Selective catheterization of left renal artery
- Spartacore wire (ABBOTT)
3. Possible Buddy Wire and pressures
- Radi wire (VOLCANO)
4. Renal artery stenting
- Formula 414 stents (COOK)
CLINICAL DATA
Patient is a 57-year-old gentleman with history of hypertension sleep apnea and obesity who presented to emergency room for 3 days history of sudden onset severe left abdominal pain and worse during inspiration and sometimes radiating to his left shoulder. An abdominal CT scan showed a splenic infarct 2.5 cm celiac artery aneurysm.
RISK FACTORS
History of a cardiomyopathy with negative cardiac catheterization, nonischemic left bundle branch block, renal insufficiency Echocardiogram showed LVEF 40% without atrial or ventricular thrombus.
PROCEDURAL STEPS 1. US guided radial puncture
- Sono-site ultrasound, Micropuncture set (COOK)
- Adminstration of NTG and Verapamil
- Insertion of 6F Slender Sheath (TERUMO)
- Traverse arch, wire descending thoracic aorta and exchange for 5F Shuttle Sheath (COOK)
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