Münster

• Tuesday, January 24th: 10:30 - 10:55, Room 2 - Main Arena 2

  Case 13 – Treatment of Toskana III ISR popliteal artery with rotarex & DEB

  Center:

  Münster

  Case 13 – MUN 02: male, 84 years

  Operators:

  • Arne Schwindt,
  • Stefan Stahlhoff

  Information will follow in due time.

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• Tuesday, January 24th: 11:55 - 12:15, Room 1 - Main Arena 1

  Case 04 – Treatment of 9 cm long SFA CTO with drug eluting stent

  Center:

  Münster

  Case 04 – MUN 01: female, 76 years (K-M)

  Operators:

  • Arne Schwindt,
  • Özgun Sensebat

  CLINICAL DATA
  PAOD Rutherford IV left leg, rest pain at night, walking distance limited to 50 m
  ABI: right leg 0,9; left leg 0,6
  
  RISK FACTORS
  CVRF: hyperlipidemia, hypertension, nicotin
  Carotid surgery 2013
  MR-Angiogram: bilateral iliac stenosis, CTO of left SFA 9 cm long
  
  PROCEDURAL STEPS
  1. Right femoral access and crossover
  - Insertion of 6F 45 cm Destination sheath (TERUMO)
  
  2. Stent PTA
  - Stent PTA common iliac artery bilateral (Dynamic/BIOTRONIK)
  
  3. Recanalization left SFA
  - v18 wire (BOSTON SCIENTIFIC) and Quick-cross catheter (SPECTRANETICS)
  
  4. Predilation
  - 5 x 120 balloon (Advance 18/COOK)
  
  5. Stent implantation
  - Zilver-PTX drug eluting stent (COOK)
  
  6. Puncture site closure with CELT 6F VCD
  

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• Tuesday, January 24th: 15:10 - 15:35, Room 2 - Main Arena 2

  Case 18 – Carotid artery stenting in high grade asymptomatic right ICA stenosis

  Center:

  Münster

  Case 18 – MUN 03: male, 87 years (S-W)

  Operators:

  • Arne Schwindt,
  • Özgun Sensebat

  CLINICAL DATA
  CVRF: hypertension
  CHD, RCA-PTCA 2016 with DES
  Aortic valve stenosis
  
  RISK FACTORS
  In CC-Duplex high grade right ICA stenosis with vmax of 290 cm/sec.
  MR-Angiogram: Type II aortic arch, 90% right ICA stenosis
  
  PROCEDURAL STEPS
  - Right femoral access, aortic arch angiogram, canulation of right common carotid artery with 0,035 Advantage wire (TERUMO) and insertion of 6F 90cm shuttle-sheath (COOK)
  
  - Angiogram of lesion, placement of 0,014 Choice PT wire (BOSTON SCIENTIFIC) distal to lesion
  
  - Delivery of Nanoparasol filter (TERUMO) distal to lesion
  
  - Implantation of Roadsaver micromesh stent (TERUMO)
  
  - Postdilation of stent (Sterling RX, BOSTON SCIENTIFIC)
  
  - Filter capture and final angiogram
  

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• Wednesday, January 25th: 8:49 - 9:15, Room 2 - Main Arena 2

  Case 41 – Münster

  Center:

  Münster

  Case 41 – MUN 05: male, 84 years

  Operators:

  • Theodosios Bisdas,
  • Martin Austermann,
  • Stefan Stahlhoff

  Information will follow in due time.

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• Wednesday, January 25th: 10:20 - 10:50, Room 3 - Technical Forum

  Case 47 – Embolization of persistent type II Endoleak via superior-inferior mesenteric artery and hypogastric artery with alcohol-copolymer

  Center:

  Münster

  Case 47 – MUN 07: male, 69 years (N-K)

  Operators:

  • Arne Schwindt,
  • Özgun Sensebat

  CLINICAL DATA
  EVAR with INCRAFT-Endograft 12/2015 – in follow up aneurysm expansion from initially 53 mm to up to date 58 mm
  
  IMPORTANT ITEMS
  Mitral and aortic valve insufficency grade 1
  CVRF: arterial hypertension
  Angio-CT 12/2016: persisting flow in the aneurysm sac via IMA and lumbars L4
  
  PROCEDURAL STEPS
  1. Left transbrachial access, aortic angiogram in oblique projection, canulation of superior mesenteric artery
  
  2. Insertion of 6F 90 cm shuttle sheath (COOK) into SMA, canulation of middle colic artery with 4F 120 cm glidecath (TERUMO) and choice PT wire (BOSTON SCIENTIFIC)
  
  3. Insertion of Echelon microcatheter (MEDTRONIC) into endoleak, preparation of catheter with DMSO, embolization of endoleak with Onyx L 34 (MEDTRONIC)
  
  4. Retrival of microcatheter, selective angiogram of right hypogastric artery; if neccessary selective embolization of lumbar arteries L4 with Onyx L34 in case of remaining endoleak
  

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• Wednesday, January 25th: 11:05 - 11:20, Room 1 - Main Arena 1

  Case 34 – Viabahn endprosthesis for de novo SFA occlusion

  Center:

  Münster

  Case 34 – MUN 04: male, 79 years

  Operators:

  • Theodosios Bisdas

  Information will follow in due time.

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• Wednesday, January 25th: 17:05 - 17:32, Room 2 - Main Arena 2

  Case 44 – 3-fenestrated endovascular repair of a type Ia Endoleak after EVAR 2008 with preloaded delivery system

  Center:

  Münster

  Case 44 – MUN 06: male, 88 years (E-K-H)

  Operators:

  • Martin Austermann,
  • Theodosios Bisdas,
  • Giovanni Torsello

  CLINICAL DATA
  Rapidly growing abdominal aneurysm up to 9 cm in diameter after EVAR 2008
  
  RISK FACTORS
  PAD, renal impairment, obesity, art. Hypertension
  
  PROCEDURAL STEPS
  1. Percutanous approach both groins (Prostar XL, ABBOTT)
  14F sheath (COOK) both groins.
  
  2. First angiography through the right groin and use of the fusion technique.
  Changing of the left 14F sheath for a 20F sheath in order to test the access
  
  3. Placement of the 3-fenestrated Zenith-tube-endograft with a double wide scallop (COOK) via the left groin
  
  4. Cannulation of the renal arteries through the delivery-system by means of the preloaded wire
  Cannulation of the SMA through the fenestration from the right groin
  
  5. Advancement of 7F sheath into the SMA
  Removal of the preloaded wire and advancement of the 6F sheath into the RA`s
  
  6. Complete release of the endograft and stenting of the fenestrations with covered stents (Advanta V12, MAQUET) and flairing
  
  7. Closure of the accesses. (Prostar XL, ABBOTT)
  

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• Thursday, January 26th: 8:00 - 9:30, Room 3 - Technical Forum

  Case 74 – Hybrid operation for ilio-femoral occlusion

  Center:

  Münster

  Case 74 – MUN 13: male, 58 years (H-H)

  Operators:

  • Theodosios Bisdas,
  • Martin Austermann,
  • Stefan Stahlhoff

  CLINICAL DATA
  Rutherford 3 right limb, ABI:0.4, no peripheral pulses
  
  RISK FACTORS
  Arterial hypertension, hyperlipidemia, current smoker (30 p/y)
  
  PROCEDURAL STEPS
  1. Cut down right groin, Puncture of the CFA and recanalization of the EIA occlusion with a 0.035" wire (Advantage, TERUMO) or an 0.018" wire (V18, BOSTON SCIENTIFIC)
  Use of a Quick Cross catheter (SPECTRANETICS)
  
  2. Arteriotomy and endarterectomy of CFA and proximal SFA
  Use of a ring stripper and a Forgarty catheter for endarterectomy of the EIA
  
  3. Stenting of the EIA with a 7 x 80 mm Complete stent (MEDTRONIC)
  
  4. Patchplasty of the CFA with a Dacron Patch (MAQUET) and control angiography
  
  5. Wound closure
  

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• Thursday, January 26th: 11:53 - 12:18, Room 1 - Main Arena 1

  Case 61 – Münster

  Center:

  Münster

  Case 61 – MUN 08: male, 61 years

  Operators:

  • Arne Schwindt,
  • Stefan Stahlhoff

  Information will follow in due time.

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• Thursday, January 26th: 13:38 - 14:03, Room 2 - Main Arena 2

  Case 69 – Endovascular repair of an AAA with Endurant Endograft and additional proximal fixation with Heli-FX EndoAnchors

  Center:

  Münster

  Case 69 – MUN 10: female, years (H-R)

  Operators:

  • Martin Austermann,
  • Özgun Sensebat,
  • Stefan Stahlhoff

  CLINICAL DATA
  Growing abdominal aortic aneurysm with conical neck from 4,5 cm to 5,5 cm
  PAD with severe calcified and stenosed iliac arteries
  
  RISK FACTORS
  CAD – PTCA and PM-Implantation 5/16, chronic heart failure,
  carotid stenosis both sides, PAD – venous bypass 11/06
  
  PROCEDURAL STEPS
  1. Percutanous approach both groins
  - Prostar XL (ABBOTT)
  - Placement of 14F sheath (COOK)
  
  2. Placement of Endurant bifurcated endograft (MEDTRONIC) just below the RA`s
  
  3. Additional fixation of the proximal sealing zone
  - Heli-FX Endoanchors (MEDTRONIC)
  
  4. Closure of the groin
  - Prostar XL (ABBOTT)
  

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• Thursday, January 26th: 14:27 - 14:50, Room 2 - Main Arena 2

  Case 70 – Münster

  Center:

  Münster

  Case 70 – MUN 11: male, 88 years

  Operators:

  • Theodosios Bisdas,
  • Stefan Stahlhoff

  Information will follow in due time.

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• Thursday, January 26th: 15:39 - 16:06, Room 1 - Main Arena 1

  Case 64 – Münster

  Center:

  Münster

  Case 64 – MUN 09: female, 60 years

  Operators:

  • Arne Schwindt,
  • Stefan Stahlhoff

  Information will follow in due time.

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• Thursday, January 26th: 16:54 - 17:32, Room 2 - Main Arena 2

  Case 72 – Münster

  Center:

  Münster

  Case 72 – MUN 12: female, 52 years (S-M)

  Operators:

  • Martin Austermann,
  • Theodosios Bisdas,
  • Giovanni Torsello

  Information will follow in due time.

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• Friday, January 27th: 9:00 - 9:40, Room 1 - Main Arena 1

  Case 80 – 4-fenestrated endovascular repair of a 7 cm post-dissection TAAA

  Center:

  Münster

  Case 80 – MUN 14: male, 76 years, (W-H)

  Operators:

  • Martin Austermann,
  • Theodosios Bisdas,
  • Stefan Stahlhoff

  CLINICAL DATA
  Post-dissection thorakoabdominal aneurysm with a diameter of 7 cm
  Aszendens and aortic arch repair by frozen elefant trunk in the acute phase and endovascular extension to open the true lumen but still increase of the still perfused false lumen.
  
  RISK FACTORS
  Art. hypertension, CAD
  
  PROCEDURAL STEPS
  1. Percutanous approach both groins (Prostar XL, ABBOTT) 14F (COOK) both groins
  Careful cannulation of the true lumen
  
  2. Angiogaphy to locate CT, SMA and RRA coming out of the true lumen and use of fusion technology
  
  3. Changing the left 14F sheath for a 22F sheath
  Placement of three 5F sheaths into the 22F sheath and pre-cannulation of the right renal artery and SMA by using fusion technology.
  
  4. Placement of the 4-fenestrated Zenith-endograft (tube) (COOK) via the right groin
  Cannulation of the SMA and RRA through the fenestrations
  
  5. Advancement of 7 and 8F sheaths into the target vessels
  Complete release of the endograft and stenting of the fenestrations for the SMA and RRA with covered stents (Advanta V12-MAQUET) and flairing
  Cannulation of the CT and stenting
  
  6. Cannulation of the fenestration for the LRA, perforation of dissectionmembrane and cannulation of the LRA coming out of the false lumen and implantation of another bridging stentgraft (Advanta V12)
  
  7. Placement of the distal bifurcated graft and the iliac extensions
  Closure of the accesses
  

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