Wednesday, January 23rd:
-
,
Room 2 - Main Arena 2
Case 39 – Live case from Münster
Center:
Münster
Case 39 – Live case from Münster
Information will follow in due time. Thank you for your understanding.
Wednesday, January 23rd:
-
,
Room 1 - Main Arena 1
Case 32 – BTK intervention Orbital atherectomy system (360° Stealth, CSI
Center:
Münster
Case 32 – MUN 01: male, 69 years (A-S)
Operators:
Arne Schwindt,
Konstantinos Donas
CLINICAL DATA
CAD, PTCA 2015, art. hypertension, PAD, COPD, calf claudication on the left side after 50 m with progress
PRESENT STATE
Subtotal occlusion with calcification of the popliteal artery
PROCEDURAL STEPS 1. Percutaneous approach from the contralateral femoral artery 2. Use of 6F 45 cm long sheath with placement in the external iliac artery 3. Recanalisation of the subtotal occlusion of the popliteal artery 4. Use of the orbital atherectomy system (360°, Stealth) CSI as lithoplasty option of the severe calcified lesion to prepare the vessel 5. Use of a DCB balloon 6. Closure of the groin with Angioseal 6F system
Wednesday, January 23rd:
-
,
Room 2 - Main Arena 2
Case 42 – 4-CMD-BEVAR for a thoracoabdominal aneurysm type 4 –
Bridging stentgrafts: VBX
Center:
Münster
Case 42 – MUN 03: male, 81 years (F-E)
Operators:
Martin Austermann,
Michel Bosiers,
S. Mühlenhöfer
CLINICAL DATA
Art. hypertension, CAD, deep vein thrombosis and LE 10/2018, prostate carcinoma 2014 healed
IMPORTANT ITEMS
Incidental finding of the aneurysm during therapy of the LE
PROCEDURAL STEPS 1. Left axillary access 5F sheath via cut down 2. Percutanous approach both groins (Prostar XL, ABBOTT)
14F (COOK) both groins 3. Lunderquist wire through the right groin
Pig tail catheter through the left groin for imaging
Registration of the Fusion technology 4. Placement of the CMD-branched-endograft (COOK) with 4 branches by using the Fusion system 5. Placement of the bifurcated graft: Unibody (COOK) and the iliac extensions
Then closure of the groins to avoid paraplegia 6. Connection of all targetvessels through the corresponding branches using Viabahn BX (GORE) from above 7. Closure of the axillary access
Wednesday, January 23rd:
-
,
Room 2 - Main Arena 2
Case 43 – Double Chimney EVAR in order to extent a existing bifurcated endograft with insufficiant proximal sealing and growing aneurysm
Center:
Münster
Case 43 – MUN 04: male, 82 years (W-K)
Operators:
Martin Austermann,
E. Beropoulis,
S. Mühlenhöfer
CLINICAL DATA
CAD, MI and PTCA 2007, art. hypertension
PRESENT STATE
Previous Onyx Embolization of type2 EL‘s
Still growing aneurysm
Degeneration of the aneurysm neck with loss of sealing
PROCEDURAL STEPS 1. Cut down left axillary artery and double puncture 2. Placement of two 7F Shuttle sheaths from above 3. Percutanous approach right groin Prostar XL 10F (ABBOTT)
Placement of 14F sheaths (COOK)
Puncture of the left groin for imaging through a 5F sheath 4. Cannulation of both renal arteries from above 5. Placement of the Endurant aortic extension ETCF 36 36 C 49 (MEDTRONIC) 6. Placement of the Chimney stent-grafts in both renal arteries: Advanta V12 (Getinge) 7. Closure of the accesses
Information will follow in due time. Thank you for your understanding.
Thursday, January 24th:
-
,
Room 1 - Main Arena 1
Case 59 – Chronic central venous occlusion of the anonymous vein
treated by covered stent
Center:
Münster
Case 59 – MUN 05: female, 34 years (G-A)
Operators:
Arne Schwindt,
S. Mühlenhöfer
CLINICAL DATA
Multiple skleroses since 2015, plasmapheresis via central venous catheter since 2016, central venous catheter
removal 06/2018 due to thrombosis of right anonymous vein
PRESENT STATE
Chronic swelling of right arm and neck due to venous CTO of right anonymous vein
PROCEDURAL STEPS 1. Duplex guided puncture and access via right common femoral vein and right subclavian vein
- Insertion of 5F 90 cm shuttle sheath femoral (COOK) and 8F 45 cm destination sheath via subclavian vein 2. Recanalization of anonymous vein occlusion
- Command 18 wire (ABBOTT) and 0,018“ Quickcross caheter (PHILIPS) 3. Predilatation
- 4 mm ULTRAVERSE balloon (BARD) 4. Stent implantation
- 10 mm COVERA covered stent (BARD) 5. Postdilatation
- 10 mm CONQUEST high pressure balloon 6. Access managment by manual compression and pressure dressing
Information will follow in due time. Thank you for your understanding.
Thursday, January 24th:
-
,
Room 2 - Main Arena 2
Case 70 – Live case from Münster
Center:
Münster
Case 70 – Live case from Münster
Information will follow in due time. Thank you for your understanding.
Thursday, January 24th:
-
,
Room 1 - Main Arena 1
Case 62 – Live case from Münster
Center:
Münster
Case 62 – Live case from Münster
Information will follow in due time. Thank you for your understanding.
Friday, January 25th:
-
,
Room 1 - Main Arena 1
Case 80 – LP-18F-CMD-5-BEVAR for a thoracoabdominal aneurysm type I 79 mm max
Center:
Münster
Case 80 – MUN 10: male, 68 years, (K-M)
Operators:
Martin Austermann,
Michel Bosiers,
E. Beropoulis
CLINICAL DATA
CAD, PTCA 2006 and 2012, artrial fibrillation, art. hypertension, PAD, COPD, left hemicolectomy due to cancer 9/2018
IMPORTANT ITEMS
Stent-PTA left CIA 2001, very narrow iliac arteries
PROCEDURAL STEPS 1. Percutaneous approach both groins with Prostar XL (ABBOTT) 14 F (COOK) both groins 2. Left axillary access 5F sheath via cut down 3. Pull through wire between right femoral and axillary access.
Pig tail catheter through the left groin for imaging.
Registration of the Fusion technology. 4. Placement of the CMD-branched-endograft (COOK) with 5 branches with help of the Fusion system. 5. Placement othe the 12 F Flexor sheath from above over the pull through wire. 6. Closure of the groins in order to avoid SCI. 7. Bridging of all the branches from the axillary access. (Advanta, VBX, Viabahn) 8. Closure of the axillary access.
Information will follow in due time. Thank you for your understanding.
Friday, January 25th:
-
,
Room 1 - Main Arena 1
Case 80c – Live case from Münster
Center:
Münster
Case 80c – Live case from Münster
Information will follow in due time. Thank you for your understanding.
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