LINC 2016 live case guide

Kingsport

• Wednesday, January 27th: 13:30 - 15:00, Room 3 - Technical Forum

  Case 56b – KPT 05

  Center:

  Kingsport

  Case 56 – KPT 05: male, 82 years

  Operators:

  • Chris Metzger,
  • R. Sakhuja,
  • M. Aziz

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

  View image
• Wednesday, January 27th: 15:13 - 15:39, Room 1 - Main Arena 1

  Case 39 – KPT 01: High grade stenosis of the right internal carotid

  Center:

  Kingsport

  Case 39 – KPT 01: male, 81 years Case 39 – KPT 01: male, 81 years

  Operators:

  • Chris Metzger,
  • R. Sakhuja,
  • M. Aziz

  CLINICAL DATA
  CAD w 2 DES LAD 10/14, COPD
  FEV1 0.9, NIDDM
  Recent R hemispheric TIA X2 with L arm and leg weakness
  R amarousis fugax 6 months ago
  
  RISK FACTORS
  Htn, dyslipidemia, former smoker
  CDU: R PSV 447 cm/sec, EDV 179 cm/sec, ICA/CCA 6
  CTA (shown): ≥ 80% high RICA stenosis
  
  PROCEDURAL STEPS
  1. 9F MoMa proximal embolic protection (MEDTRONIC)
  
  2. Predilatation with 4.0/30mm Quantum (BOSTON SCIENTIFIC)
  
  3. Implantaiton of a 8-10/40 Xact Stent (ABBOTT)
  
  4. Postdilation with 5/20 Quantum (BOSTON SCIENTIFIC)

  View image
• Wednesday, January 27th: 15:55 - 16:22, Room 1 - Main Arena 1

  Case 40 – KPT 02

  Center:

  Kingsport

  Case 40 – KPT 02

  Operators:

  • Chris Metzger,
  • R. Sakhuja,
  • M. Aziz

  New patient! Information will follow in due time. Thank you for your understanding.
• Wednesday, January 27th: 17:35 - 18:00, Room 1 - Main Arena 1

  Case 42 – KPT 03: CTO of the right SFA

  Center:

  Kingsport

  Case 42 – KPT 03: active male, 60 years

  Operators:

  • Chris Metzger,
  • R. Sakhuja,
  • M. Aziz

  CLINICAL DATA
  L subclavian AND LICA artery occlusions
  Severe lifestyle-limiting R claudication @ 50'
  
  RISK FACTORS
  Current smoker, HTN, dyslipidemia
  
  ABI
  Right 0.50 → 0.16
  
  CTA
  ≈ steep iliac bifurcation, R SFA/popliteal CTO
  
  PROCEDURAL STEPS
  1. Contralateral access
  - 7F Ansel cross-over sheath (COOK)
  cross CTO (tibial access prn)
  - QUickCross catheter (SPECTRANETICS)
  - 0.035" Glidewire (TERUMO)
  
  2. PTA and DCB R SFA/popliteal
  - Armada Balloon (ABBOTT)
  - Lutonix DCB (BARD)
  
  3. If dissections after DCB, provisional placement of nitinol "tacks"
  (INTACTSOLUTIONS)

  View image