Find all Live Cases and Live Case Centers listed below.
Sapporo
3 livecase(s)
Tuesday, January 27th:
-
,
Global Expert Exchange
Case 31 – Long CTO of left SFA
Center:
Sapporo
Case 31 – SAP 02: male, 64 years (Y-S)
Operators:
Kazushi Urasawa,
M. Tan
CLINICAL DATA
PAOD Rutherford 3, claudication both legs
PTA and stenting at bi-lateral iliac arteries at 2009
Claudication appeared again early last year
Stenting for bi-lateral EIA and right SFA at 12/2014
PROCEDURAL STEPS 1. Left common femoral access and ipsi-lateral antegrade approach
- 6F Guiding sheath, Parent-Plus 23 cm (MEDIKIT)
2. Retrograde puncture of the left distal SFA
- 20G Introducer Needle (MEDIKIT)
- Cruise 0.014" 225 cm (NEOS)
- Promenent-NEO2 60 cm (TOKAI MEDICAL PRODUCTS)
3. Antegrade wiring
- 0.014" Harberd (Asahi Intec) supported by Prominent-NEO 135 cm
Case 26 – Re-occlusion of left distal SFA and popliteal artery (POP)
Center:
Sapporo
Case 26 – SAP 01: male, 53 years (M-T)
Operators:
Kazushi Urasawa,
T. Haraguchi
CLINICAL DATA
POAD Rutherford 3, claudication left carf at less than 100 meters
Stenting for left SFA and PTA for left POP 1/2014
Claudication appeared again at 12/2014
DUPLEX
Dyslipidemia, diabetes mellitus type 2
ABI: right 1.15, left unmeasureable
CT images of left femoral artery
PROCEDURAL STEPS 1. Left common femoral access and ipsi-lateral antegrade approach
- 6F Guiding sheath, Parent-Plus 23 cm (MEDIKIT)
2. Retrograde puncture of the left distal PTA
- 20G Introducer Needle (MEDIKIT)
- Cruise 0.014" 225 cm (NEOS)
- Promenent-NEO2 60 cm (TOKAI MEDICAL PRODUCTS)
3. Antegrade wiring
- 0.035" Redifocus small-J (TERUMO) supported by 4F angiographic catheter (CORDIS)
- 0.014" Astatto XS9-12 (Asahi Intec) supported by Prominent-NEO 135cm (TOKAI MEDICAL PRODUCTS)
6. PTA/stenting from antegrade
- Coyote 3.0 x 220 mm (BOSTON SCIENTIFIC)
- Sterling 5.0 x 220 mm (BOSTON SCIENTIFIC)
- Smart Control, if necessary (CORDIS)
CLINICAL DATA
PAOD Rutherford 2, claudication right calf at 300 meters
RISK FACTORS
Old cerebral infarction
ABI
Right 0.69, left 0.92
PROCEDURAL STEPS 1. Right common femoral access and ipsi-lateral antegrade approach
- 6F guiding sheath, Parent-Plus 23 cm (MEDIKIT)
2. Antegrade wiring
- 0.014" Halberd (ASAHI INTEC) supported by Prominent-NEO 135 cm (TOKAI MEDICAL PRODUCTS)
- 0.014" Astato XS9-12 (ASAHI INTEC)
3. Retrograde wiring
- 0.014" Cruise (Neos) supported by Prominent 135 cm (TOKAI MEDICAL PRODUCTS)
- Guidewire rendez-vous technique within SFA-CTO
4. PTA/Stenting from antegrade
- Coyote 3.0 x 220 mm (BOSTON SCIENTIFIC)
- Sterling 5.0 x 220 mm (BOSTON SCIENTIFIC)
- Smart control, if necessary (CORDIS)
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