LINC 2016 live case guide

Cotignola

• Tuesday, January 26th: 10:52 - 11:23, Room 3 - Technical Forum

  Case 23 – COT 04: Asymptomatic rapid progression of right ICA stenosis

  Center:

  Cotignola

  Case 23 – COT 04: male 78 years (M-T)

  Operators:

  • Antonio Micari,
  • Fausto Castriota

  CLINICAL DATA
  Asymptomatic for cerebrovascular events. Recent successful PTA to left ICA
  (December 2015), angiography showed rapid progression of right ICA disease.
  
  RISK FACTORS
  Diabetes, smoking, hypertension
  Severe asymptomatic right ICA stenosis
  
  ANGIOGRAPHY
  80% right ICA stenosis (progressed from 50% one year ago)
  
  PROCEDURAL STEPS
  1. Right femoral approach
  
  2. MOMA positioning for proximal cerebral protection (MEDTRONIC)
  
  3. Wire crossing during endovascular clamping
  
  4. Direct stenting with an Xact-Stent (ABBOTT)
  
  5. Postdilation with Maverick XI Balloon (BOSTON SCIENTIFIC)
  
  6. Debris (if any) aspiration and declamping

  View image
• Tuesday, January 26th: 13:46 - 14:11, Room 1 - Main Arena 1

  Case 05 – COT 01: Left SFA long occlusion

  Center:

  Cotignola

  Case 05 – COT 01: female, 56 years (L-P)

  Operators:

  • Antonio Micari,
  • Fausto Castriota

  CLINICAL DATA
  Severe bilateral claudication
  Previous right SFA and popliteal artery PTA with DEB (December 2015)
  
  RISK FACTORS
  Smoking, hypertension
  Previous CABG (LIMA to LAD) in 2000
  Severe left leg claudication
  
  ANGIO
  Left SFA long occlusion
  
  PROCEDURAL STEPS
  1. Contralateral (right) femoral access and placement of a cross-over sheath
  - 6F 45 cm Destination sheath (TERUMO)
  
  2. Crossing the occlusion
  - 0.035'' Glidewire (TERUMO)
  
  3. Lesion predilatation
  - 4.0/120 mm Pacific balloon (MEDTRONIC)
  
  4. Dilatation
  - 5.0/120 mm Admiral Inpact balloon (MEDTRONIC)
  
  5. Spot stenting if needed

  View image
• Tuesday, January 26th: 15:20 - 15:45, Room 2 - Main Arena 2

  Case 18 – COT 02

  Center:

  Cotignola

  Case 18 – COT 02

  Operators:

  • Fausto Castriota,
  • Antonio Micari

  New patient! Information will follow in due time. Thank you for your understanding.
• Tuesday, January 26th: 16:05 - 16:30, Room 2 - Main Arena 2

  Case 19 – COT 03

  Center:

  Cotignola

  Case 19 – COT 03

  Operators:

  • Fausto Castriota,
  • Antonio Micari

  New patient! Information will follow in due time. Thank you for your understanding.
• Tuesday, January 26th: 16:30 - 18:00, Room 3 - Technical Forum

  Case 29 – COT 05

  Center:

  Cotignola

  Case 29 – COT 05

  Operators:

  • Fausto Castriota,
  • Antonio Micari

  New patient! Information will follow in due time. Thank you for your understanding.