LINC 2018 live case guide

Jena

• Tuesday, January 30th: 11:57 - 12:17, Room 1 - Main Arena 1

  Case 04 – Drug eluting stents in SFA lesions

  Center:

  Jena

  Case 04 – JEN 01: male , 46 years (F-T)

  Operators:

  • René Aschenbach,
  • Marcus Thieme

  CLINICAL DATA
  - PAOD Rutherford 3, walking distance 200 meters
  
  RISK FACTORS
  - Arterial hypertension, current smoker, thromendatherectomy right CFA 12/2017
  
  DUPLEX
  Long occlussion of left SFA
  
  PROCEDURAL STEPS
  1. Cross-over access with 6F sheath
  - CXI Support-Catheter Straight, Angled & Angled 2 (COOK)
  2. Guidewire passage to popliteal artery
  - CTO-Approach guidewire 12gr (COOK)
  3. Predilatation
  - 18 LP Advance Balloon (COOK)
  - 35 LP Advance Balloon (COOK)
  4. Drug-eluting stent implantation
  - Zilver-PTX (COOK-MEDICAL)
  5. Postdilatation
  

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• Wednesday, January 31st: 8:49 - 9:14, Room 3 - Technical Forum

  Case 44 – Radioembolization with Therasphere in recurrent liver metastasis of neuroendocrine tumor

  Center:

  Jena

  Case 44 – JEN 02: male, 59 years (J-M)

  Operators:

  • René Aschenbach,
  • R. Drescher

  CLINICAL DATA
  - Liver only metastasis of neuroendocrine tumor, dominant left liver burden
  - No risk factors, left liver first SIRT
  - No extrahepatic disease
  
  PROCEDURAL STEPS
  1. Puncture site: right groin
  - ST. JUDE (ABBOTT)
  2. Placement of coaxial catheter in main hepatic artery
  - Cobra 4F, alternative SIM-1, (CORDIS/ CARDINAL HEALTH)
  3. Placement of microcatheter in left hepatic artery therapy positions according to the evaluation session
  - Progreat 2.7F (TERUMO), alternative wire: Cirrus 14" (COOK)
  4. Radioembolization
  - SIRT with Therasphere® (BTG)
  

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• Wednesday, January 31st: 11:08 - 11:33, Room 3 - Technical Forum

  Case 45 – Doxorubicin-DEB-TACE with 40μm Embozene Tandem of recurrent HCC after atypical liver resection 9/2017

  Center:

  Jena

  Case 45 – JEN 03: male, 77 years (M-D)

  Operators:

  • I. Diamantis,
  • René Aschenbach

  CLINICAL DATA
  Singular HCC, intraoperative thermal ablation
  
  PRESENT STATE
  - First diagnosis of HCC in 9/2017,
  - atypical resection, now recurrence,
  - tumor board decission: DEB-TACE
  - Exclusion of extrahepatic disease
  
  PROCEDURAL STEPS
  1. Puncture site: right groin
  - ST. JUDE (ABBOTT)
  2. Placement of coaxial catheter in the main hepatic artery
  - COBRA 4F, alternative SIM-1 4F both (CORDIS/ CARDINAL HEALTH)
  3. Placement of microcatheter in the feeding artery of HCC
  - Progreat 2.7F (TERUMO), alternative wire: Cirrus 14" (COOK)
  4. DEB-TACE
  5. Control angiogram
  6. If necessary additional bland embolization
  - Embozene Tandem 40μm (BOSTON SCIENTIFIC)
  

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• Wednesday, January 31st: 15:08 - 15:29, Room 3 - Technical Forum

  Case 49 – Prostate artery embolization with 250μm Embozene in symptomatic benign prostatic hyperplasia

  Center:

  Jena

  Case 49 – JEN 04: male, 57 years (L-U)

  Operators:

  • Tobias Franiel,
  • René Aschenbach,
  • F. Bürckenmeyer

  CLINICAL DATA
  IPSS: 28, QoL: 6, IIEF-5: 11, prostatic volume: 72 ml, psa: 2.86 ng/l, Qmax: 4.2 ml/s
  
  PRESENT STATE
  - Lower urinary tract symptoms due to BPH, no successful medications for more than 6 month, refusing operative therapy such as TUR
  - Exclusion of prostatic cancer
  
  PROCEDURAL STEPS
  1. Puncture site: right groin
  - ST. JUDE (ABBOTT)
  2. Placement of coaxial catheter in distal aorta
  - RIM 4F (CORDIS) or alternative (MERRIT MEDICAL); Alternative Wire: Cirrus 14" (COOK)
  3. Large-FOV-dyna CT for determination of anatomy and origins of the prostatic arteries
  4. Placement of microcatheter in the left prostatic artery for embolization
  - Progreat 2.7F (TERUMO), alternative: Progreat 2.0F alpha (TERUMO), alternative SwiftNinja (MERRIT MEDICAL)
  - Embozene 250μm (BOSTON SCIENTIFIC)
  5. Placement of the microcatheter in the right prostatic artery for embolization
  - Progreat 2.7F (TERUMO), alternative: Progreat 2.0F alpha (TERUMO), alternative SwiftNinja (MERRIT MEDICAL)
  - Embozene 250μm (BOSTON SCIENTIFIC)