Find all live cases and live case centers listed below.
New York
2 livecase(s)
Tuesday, January 26th:
-
,
Room 3 - Technical Forum
Case 25 – NYC 02:
In-stent occlusion with stent fractures RSFA
Center:
New York
Case 25 – NYC 02: female, 65 years, (D-J)
Operators:
Prakash Krishnan,
Karthik Gujja,
Vishal Kapur
CLINICAL DATA
Subacute onset R leg pain 2 to 3 months, Rutherford Class II, Category III
US Duplex showed instent occlusion of RSFA
Failed R Fem pop bypass, multiple PTA and stenting of RSFA
at outside hospital, failed revascularization of RSFA due to stent fracture
RISK FACTORS
Hypertension, dyslipidemia, coronary artery disease,
polycythemia vera (ongoing work up)
PROCEDURAL STEPS 1. Left Common femoral access and up and over
- 7F Pinnacle destination sheath 45 cm, up and over (TERUMO)
- If necessary, R pedal posterior tibial retrograde access (4F COOK sheath) and direct stent access
2. Intra-luminal approach
- 0.014" 4 Fr Viance catheter, 150 cm (MEDTRONIC)
- 0.038" Vertip catheter, 125 cm (CORDIS / CARDINAL HEALTH)
- 0.014" Confianza wire, 300 cm (ABBOTT VASCULAR)
Case 08 – NYC 01:
Severely calcified severe stenosis of LSFA
Center:
New York
Case 08 – NYC 01: female, 83 years, (P-M)
Operators:
Prakash Krishnan,
Karthik Gujja,
Vishal Kapur
CLINICAL DATA
PAD, Rutherford Class II, category III, claudication of L calf at 1 to 2 blocks,
ABI R LE - 0.5 and L LE - 0.6
Jet stream athrectomy, PTA and stenting of RSFA in 09/2015
RISK FACTORS
Hypertension, diabetes mellitus type II,
dyslipidemia, moderate aortic regurgitation
PROCEDURAL STEPS 1. Right common femoral access and cross over approach
- 7F Pinnacle destination sheath 45 cm up and over sheath (TERUMO)
2. Guidewire passage
- 0.014" Spartacore wire, 300 cm (ABBOTT VASCULAR)
- 0.038" Vertebral 135" Tempa Aqua catheter, 125 cm (CORDIS)
3. Filter placement
- exchanged with 0.014" Bare wire, 315 cm (ABBOTT VASCULAR)
- Emboshield filter 4/7 mm embolic protection system (ABBOTT VASCULAR)
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