Find all live cases and live case centers listed below.
Münster
11 livecase(s)
Wednesday, January 27th:
-
,
Room 2 - Main Arena 2
Case 43 – MUN 01:
EVAR with Sandwich left acc. RA
Center:
Münster
Case 43 – MUN 01: male, 72 years (K-V)
Operators:
Bernd Gehringhoff,
M. Bosiers
CLINICAL DATA
Juxtarenal aneurysm 59 mm max. below a left acc. RA
RISK FACTORS
CAD, art. hypertension, hypertensive heart disease, LE 12/15
PROCEDURAL STEPS
- Percutanous approach both groins Prostar XL (ABBOTT).
- Placement of 14F sheaths (COOK).
- Placement of Endurant bifurcated endograft (MEDTRONIC) just below the LRA.
- Cannulation of the lower left renal artery and placement of the sandwich graft (GORE-Viabahn).
- Extension of the the aortic endograft with an Endurant-tubegraft (MEDTRONIC) in order to complete the sandwich-repair.
- Closure of the groins.
Wednesday, January 27th:
-
,
Room 3 - Technical Forum
Case 51 – MUN 03:
Persisting Type II Endoleak via AMI with aneurysm enlargement
Center:
Münster
Case 51 – MUN 03: male, 83 years (H-K)
Operators:
Arne Schwindt,
N. Varcoe
Varcoe
CLINICAL DATA
EVAR for AAA 2013 with bifurkated stentgraft, initial diameter of AAA 56 mm, in follow-up
CT-angiograms persisting Type II Endoleak via lumbar arteries and inferior mesenteric
artery (IMA). In 2015 enlargement of AAA to 70 mm in maximum axial diameter.
RISK FACTORS
Art. hypertension, former smoker, CHD
PROCEDURAL STEPS 1. Left transbrachial approach
- 6F 70 cm Raabe sheath (COOK) insertion into ostium of superior mesenteric artery
2. Cannulation of middle colic artery
- 0,035" Glidewire and 4F 120 cm Glidecath (TERUMO)
3. Cannulation of IMA and Endoleak
- 0,014" Choice PT II wire (BOSTON SCIENTIFIC)
4. Catheter insertion
- 0,014" Echelon or 0,010" Marathon microcatheter into Endoleak and following angiogram
5. Embolisation of Endoleak with alcohol-colymer
- Onyx 34/34L (MEDTRONIC)
6. After microcatheter removal final angiogram via IMA and hypogastric artery to confirm complete Endoleak embolisation
Wednesday, January 27th:
-
,
Room 3 - Technical Forum
Case 52 – MUN 04:
Endoleak embolisation of iliac artery aneurysm after iliac-sidebranch endograft
Center:
Münster
Case 52 – MUN 04: male, 63 years (F-D. P.)
Operators:
Arne Schwindt,
N. Varcoe
Varcoe
CLINICAL DATA
2013 Complex EVAR for aorto-biiliac AAA with Zentih bifurcated endograft and bilateral Zenith iliac-sidebranch endografts, 2013 embolisation of Type II Endoleak via AMI. In CT-angiogram aneurysm enlargement of left iliac aneurysm from initially 55mm to 65 mm and persisting type II EL via left deep circumflex iliac artery.
- Placement of a pigtail catheter via the left groin
- Lunderquist wire right side
- Placement of the main body through the right side directly below the renals - Treovance-Endograft (BOLTON-MEDICAL)
- Probing and positioning of the iliac limb extension contralateral
- Ipsilateral positioning of the iliac endograft
- Postballooning
- Final angiography
- Closing access with Prostar (preclose technique)
New patient! Information will follow in due time. Thank you for your understanding.
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