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LINC 2022 live case guide

During the Leipzig Interventional Course 2022 more than 40 interventional and surgical live cases
are scheduled to be performed and transmitted to the auditorium.

 

 

LINC 2022 live case guide


Find all live cases and live case centers listed below.

 

 

Leipzig, Universitätsklinikum, Abt. Angiologie

15 livecase(s)
  • Monday, June 6th: - , Main Arena 1

    Complex obstruction of the aortoiliac bifurcation

    Center:
    Leipzig, Universitätsklinikum, Abt. Angiologie
    Case 01 – LEI 01: Male, 54 years (M-T)
    Operators:
    • Axel Fischer
    CLINICAL DATA
    – Severe claudication bilateral, maximal walking-capactiy 150 meters,
    – Pain left > right buttock, thigh and calf
    – Unsuccessful recanalization-attempt elsewhere 5/2022
    – Guidewire-passage from antegrade (transbrachial) and retrograde impossible

    RISK FACTORS
    – ABI right 0.76; left 0.60
    – Hypertension
    – Smoker

    PROCEDURAL STEPS
    1. Transbrachial and left femoral access
    – 7F 90cm Check-Flo Performer Sheath (COOK)
    – 7F 25cm Radiofocus Introducer II (TERUMO)
    – SupraCore 300cm 0.035" Guidewire (ABBOTT)

    2. Passage of the CTO left common iliac artery:
    Via brachial access:
    – Stiff straight 0.035" Radifocus Guidewire 260cm (TERUMO)
    – 6Fr Launcher Guiding-Catheter 100cm (MEDTRONIC)
    – 5Fr 125cm Judkins Right Diagnostic Catheter (CORDIS)

    3. Passage into the CTO left CIA from left retrograde for reversed CART-technique:
    – Stiff straight 0.035" Radifocus Guidewire 260cm (TERUMO)
    – 5.0/40mm Mustang Balloon (BOSTON SCIENTIFIC)

    4. Balloon-angioplasty and stenting in kissing-technique:
    – Mustang-balloons 6/40 (BOSTON SCIENTIFIC)
    – Advanta V12 Balloonexpandable Covered Stent (GETINGE)
    – 8.0/37mm right CIA; 8.0/57mm left CIA
    View image
  • Monday, June 6th: - , Main Arena 1

    Complex obstruction of the aortoiliac bifurcation

    Center:
    Leipzig, Universitätsklinikum, Abt. Angiologie
    Case 01 – LEI 01: Male, 54 years (M-T)
    Operators:
    • Axel Fischer
    CLINICAL DATA
    – Severe claudication bilateral, maximal walking-capactiy 150 meters,
    – Pain left > right buttock, thigh and calf
    – Unsuccessful recanalization-attempt elsewhere 5/2022
    – Guidewire-passage from antegrade (transbrachial) and retrograde impossible

    RISK FACTORS
    – ABI right 0.76; left 0.60
    – Hypertension
    – Smoker

    PROCEDURAL STEPS
    1. Transbrachial and left femoral access
    – 7F 90cm Check-Flo Performer Sheath (COOK)
    – 7F 25cm Radiofocus Introducer II (TERUMO)
    – SupraCore 300cm 0.035" Guidewire (ABBOTT)

    2. Passage of the CTO left common iliac artery:
    Via brachial access:
    – Stiff straight 0.035" Radifocus Guidewire 260cm (TERUMO)
    – 6Fr Launcher Guiding-Catheter 100cm (MEDTRONIC)
    – 5Fr 125cm Judkins Right Diagnostic Catheter (CORDIS)

    3. Passage into the CTO left CIA from left retrograde for reversed CART-technique:
    – Stiff straight 0.035" Radifocus Guidewire 260cm (TERUMO)
    – 5.0/40mm Mustang Balloon (BOSTON SCIENTIFIC)

    4. Balloon-angioplasty and stenting in kissing-technique:
    – Mustang-balloons 6/40 (BOSTON SCIENTIFIC)
    – Advanta V12 Balloonexpandable Covered Stent (GETINGE)
    – 8.0/37mm right CIA; 8.0/57mm left CIA
    View image
  • Monday, June 6th: - , Main Arena 1

    Calcified SFA-CTO left

    Center:
    Leipzig, Universitätsklinikum, Abt. Angiologie
    Case 03 – LEI 02: Male, 65 years (KOP-L)
    Operators:
    • Axel Fischer
    CLINICAL DATA
    – Severe claudication left leg, walking capacity 100 meters
    – ABI left 0.56; Rutherford class 3
    – PTA left and right iliac arteries 1 and 2/2022
    – CAD, PTCA 2008 and 2016
    – COPD
    – Hypertension
    – Former smoker

    RISK FACTORS
    – Angiography during angioplasty of the right iliac arteries

    PROCEDURAL STEPS
    1. Cross-over approach
    – 7Fr Flexor Check-Flo Balkin Up& Over Sheath 40cm (COOK)

    2. Antegrade guidewire-passage:
    – Command 18 300cm Guidewire (ABBOTT)
    – 0.035" Guidewire Straight 260cm (TERUMO)
    – 0.035" QuickCross Support Catheter 130cm (PHILIPS)

    3. In case of failure to pass into the true lumen distal to the CTO
    – GoBack Crossing-Catheter, 4Fr-120cm (UPSTREAM PERIPHERAL)

    4. Vessel-preparation and DCB-angioplasty
    – Ultrascore 5/200 Scoring-Balloon (BD)
    – Orchid Drug-Coated Balloons 5.0mm/120mm (ACOTEC)

    5. Stenting on indication
    – Supera Interwoven Nitinol-Stent (ABBOTT)
    View image
  • Tuesday, June 7th: - , Main Arena 1

    Low profile devices for SFA total occlusion treatment

    Center:
    Leipzig, Universitätsklinikum, Abt. Angiologie
    Case 10 – LEI 03: Female, 65 years (H-S)
    Operators:
    • Axel Fischer
    CLINICAL DATA
    – Severe claudication left leg, walking capacity 100 meters
    – ABI left 0.60, Rutherford class 3
    – Angioplasty of iliac stenosis right and left 4/2022 with only little relief of symptoms
    – Diabetes mellitus type 2
    – Hypertension

    RISK FACTORS
    – Angiography left leg during PTA of iliac arteries showing small diameter infrainguinal arteries

    PROCEDURAL STEPS
    1. Cross-over approach from right to left
    – 5Fr Fortress Sheath (BIOTRONIK)

    2. Antegarde guidewire-passage attempt
    – Command 18 300cm Guidewire (ABBOTT)
    – Passeo 18 Balloon 4.0/120mm (BIOTRONIK)

    3. Retrograde approach in case of antegrade failure
    – proximal anterior tibial artery access with
    – 4Fr-10cm sheath (TERUMO)

    4. Drug-coated balloon treatment and stenting
    – Passeo Lux 5.0/120mm Drug-coated balloon (BIOTRONIK)
    – Pulsar-18 T3 6.0/120 (BIOTRONIK) implantation via retrograde or antegrade access
    View image
  • Tuesday, June 7th: - , Main Arena 1

    Chronic, Calcified Occlusion right Common Iliac Artery

    Center:
    Leipzig, Universitätsklinikum, Abt. Angiologie
    Case 12 – LEI 04: Male, 52 years (M-E)
    Operators:
    • Sandra Düsing
    CLINICAL DATA
    – Severe claudcation right leg (buttock, thigh and calf)
    – Walking capacity 100 meters
    – PTA / stenting of a left external iliac occlusion 12/2021 elsewhere

    RISK FACTORS
    – Current smoker
    – Hypertension
    – ABI right 0.58; left 0.81

    PROCEDURAL STEPS
    1. Transbrachial and right femoral access
    – 7F 90cm Check-Flo Performer Sheath (COOK)
    – 7F 25cm Radiofocus Introducer II (TERUMO)
    – SupraCore 300cm 0.035" Guidewire (ABBOTT)

    2. Passage of the CTO right common iliac artery
    Via brachial access:
    – Stiff straight 0.035" Radifocus Guidewire 260cm (TERUMO)
    – 6Fr Launcher Guiding-Catheter 100cm (MEDTRONIC)
    – 5Fr 125cm Judkins Right Diagnostic Catheter (CORDIS)

    3. Passage into the CTO left CIA from right retrograde for reversed CART-technique
    – Stiff straight 0.035" Radifocus Guidewire 260cm (TERUMO)
    – 5.0/40mm Mustang Balloon (BOSTON SCIENTIFIC)

    4. Balloon-angioplasty and stenting in kissing-technique
    – Mustang-balloons 6/40 (BOSTON SCIENTIFIC)
    – Viabahn VBX Balloonexpandable Endoprosthesis (GORE)
    – 8.0/59mm right CIA; 8.0/39mm left CIA
    View image
  • Tuesday, June 7th: - , Main Arena 1

    Chronic, Calcified Occlusion right Common Iliac Artery

    Center:
    Leipzig, Universitätsklinikum, Abt. Angiologie
    Case 12 – LEI 04: Male, 52 years (M-E)
    Operators:
    • Sandra Düsing
    CLINICAL DATA
    – Severe claudcation right leg (buttock, thigh and calf)
    – Walking capacity 100 meters
    – PTA / stenting of a left external iliac occlusion 12/2021 elsewhere

    RISK FACTORS
    – Current smoker
    – Hypertension
    – ABI right 0.58; left 0.81

    PROCEDURAL STEPS
    1. Transbrachial and right femoral access
    – 7F 90cm Check-Flo Performer Sheath (COOK)
    – 7F 25cm Radiofocus Introducer II (TERUMO)
    – SupraCore 300cm 0.035" Guidewire (ABBOTT)

    2. Passage of the CTO right common iliac artery
    Via brachial access:
    – Stiff straight 0.035" Radifocus Guidewire 260cm (TERUMO)
    – 6Fr Launcher Guiding-Catheter 100cm (MEDTRONIC)
    – 5Fr 125cm Judkins Right Diagnostic Catheter (CORDIS)

    3. Passage into the CTO left CIA from right retrograde for reversed CART-technique
    – Stiff straight 0.035" Radifocus Guidewire 260cm (TERUMO)
    – 5.0/40mm Mustang Balloon (BOSTON SCIENTIFIC)

    4. Balloon-angioplasty and stenting in kissing-technique
    – Mustang-balloons 6/40 (BOSTON SCIENTIFIC)
    – Viabahn VBX Balloonexpandable Endoprosthesis (GORE)
    – 8.0/59mm right CIA; 8.0/39mm left CIA
    View image
  • Tuesday, June 7th: - , Main Arena 1

    Directional Atherectomy and Antirestenosis Treatment (DAART) of a SFA-CTO

    Center:
    Leipzig, Universitätsklinikum, Abt. Angiologie
    Case 13 – LEI 05: Male, 58 years (J-F)
    Operators:
    • Axel Fischer
    CLINICAL DATA
    – Severe claudication bilateral, walking capacity 150 meters
    – ABI right 0.62; left 0.6
    – SFA total occlusions both side, PTA right iliac 4/2022
    – Hypertension, Current smoker

    RISK FACTORS
    – Angiography during iliac PTA showing bilateral SFA CTOs, moderately calcified

    PROCEDURAL STEPS
    1. Right groin cross-over approach
    – 7Fr Balkin Up&Over Sheath 45cm (COOK)

    2. Antegrade guidewire-passage, preferably intraluminal
    – Command 18 300cm Guidewire (ABBOTT)
    – 0.018" TrailBlazer Support-Catheter 130cm (MEDTRONIC)

    3. Retrograde access in case of failure to pass from antegrade or subintimal passage
    – 9cm 21 Gauge needle (B Braun) for distal SFA-puncture
    – Command 18 300cm Guidewire (ABBOTT)
    – 0.018" TrailBlazer Support-Catheter 90cm (MEDTRONIC)

    4. Filter-Protection and atherectomy
    – Spider-Filter 7mm (MEDTRONIC)
    – HawkOne LX Directional Atherectomy System (MEDTRONIC)

    5. PTA with drug-coated balloons
    – In.Pact Admiral 6/120 (MEDTRONIC)
    View image
  • Tuesday, June 7th: - , Main Arena 1

    Calcified BTK-Disease, CLI-Patient

    Center:
    Leipzig, Universitätsklinikum, Abt. Angiologie
    Case 15 – LEI 06: Male, 65 years (K-B)
    Operators:
    • Sandra Düsing
    CLINICAL DATA
    – Ulceration right lateral forefoot, severe claudication right calf
    – Walking-capacity 50 meters
    – Complex recanalization of an extremely calcified long femoropopliteal occlusion 5/2022
    – Planned BTK-recanalization right
    – Stenting right SFA 2017 elsewhere, reoccluded
    – CAD, CABG 2017

    RISK FACTORS
    – Angiography before and after femoropopliteal recanalization 5/2022
    – ABI right 0.2

    PROCEDURAL STEPS
    1. Rigth groin antegrade access and retrograde anterior tibial artery access
    – 6Fr 55cm sheath (COOK)
    – Micropuncture pedal access kit (COOK)

    2. Antegrade and retrograde intraluminal wiring of the anteroir tibial artery CTO
    – Connect 250 T 0.018" Guidewire 300cm (ABBOTT)
    – Winn 200 T 0.014" 300cm Guidewire (ABBOTT)

    3. Atherectomy of the calcified ATA
    – Stealth 360 Peripheral Orbital Atherectomy System, Solide-Crown 1.5mm (CSI)

    4. Drug-coated balloon angioplasty
    – Litos 0.014" Drug-Coated Balloon (ACOTEC)
    View image
  • Wednesday, June 8th: - , Main Arena 1

    Complex CTO right femoropopliteal, CLI-Patient

    Center:
    Leipzig, Universitätsklinikum, Abt. Angiologie
    Case 23 – LEI 07: Male, 71 years (R-R)
    Operators:
    • Axel Fischer
    CLINICAL DATA
    – Ulcerations right forefoot and heel, severe claudication,
    – maxmial walking capacity 100 meters, ABI right 0,41, Rutherford class 6
    – CLI with endovascular treatment left leg 5/2022
    – Chronic renal insufficiency, GFR 57mm/min
    – Diabetes mellitus type 2, Hypertension, Former smoker

    RISK FACTORS
    – Angiography during PTA left leg showing diffuse disease of the right femoropopliteal tract, Severe calcifications

    PROCEDURAL STEPS
    1. 7Fr Cross-over approach from left to right
    – 7Fr 40cm Balkin Up&Over Sheath (COOK)

    2. Antegrade guidewire-passage:
    – Command 18 300cm Guidewire (ABBOTT)
    – 0.035"" Guidewire Straight 260cm (TERUMO)
    – 0.035"" QuickCross Support Catheter 130cm (PHILIPS)

    3. In case of failure to pass into the true lumen distal to the CTO
    – GoBack Crossing-Catheter, 4Fr-120cm (UPSTREAM PERIPHERAL)

    4. Vessel-preparation and DCB-angioplasty
    – Ultrascore 5/200 Scoring-Balloon (BD)
    – Orchid Drug-Coated Balloons 5.0mm/120mm (ACOTEC)

    5. Stenting on indication
    – Supera Interwoven Nitinol-Stent (ABBOTT)
    View image
  • Wednesday, June 8th: - , Main Arena 1

    High-grade Internal Carotid Artery Stenosis

    Center:
    Leipzig, Universitätsklinikum, Abt. Angiologie
    Case 24 – LEI 08: Male, 71 years (A-S)
    Operators:
    • Sandra Düsing
    CLINICAL DATA
    – Progressive internal carotid artery stenosis right – 4.8m/sec. flow-velocity (3.2m/sec. 2021)
    – CAD, PTCA 2016 and 2021
    – COPD

    RISK FACTORS
    – Duplex-sonography 4.8m/sec.

    PROCEDURAL STEPS
    1. Right groin access
    – 5F Judkins Right diagnostic catheter (CORDIS)
    – 0.035"" SupreCore Guidewire 300cm (ABBOTT
    – 7Fr 90cm Check Flo Performer Sheath (COOK)

    2. Cerebral protection
    – Filterwire EZ (BOSTON SCIENTIFFIC)

    3. Predilatation
    – Armada XT 4.0/20mm Rapid Exchange Balloon (ABBOTT)

    4. Stentimplantation
    – 8/30mm CGuard Stent (InspireMD)

    5. Postdilatation in indication
    – Sterling Rapid Exchange Balloon 5.0/20mm (BOSTON SCIENTIFIC)
  • Wednesday, June 8th: - , Main Arena 2

    Thoracoabdominal Aneurysm Crawford III, BEVAR

    Center:
    Leipzig, Universitätsklinikum, Abt. Angiologie
    Case 30 – LEI 10: Male, 76 years (W-K)
    Operators:
    • Daniela Branzan
    CLINICAL DATA
    – Symptomatic thoracoabdominal aneurysm, Crawford III,
    – Recurrent abdominal pain
    – Maximal diameter of the aneurysm 68 mm
    – Preemptive embolization of the inferior mesenteric artery
    – Renal insufficiency GFR 65ml/min
    – CAD

    RISK FACTORS
    – CT-angiography

    PROCEDURAL STEPS
    1. Left axillary percutanous access
    – 12Fr-45 sheath (COOK)

    2. Bilateral groin access and preloading of closure-devices
    – Perclose ProStyle SMCR System (ABBOTT)

    3. Implantation of a branched throcaoabdominal off-the-shelf device
    – E-nside TAA Multibranch Stentgraft System (ARTIVION)

    4. Snaring of preloaded guidwires to facilitate antegrade access to the inner branches
    – Plywire 0.018"" 400cm (OPTIMED)
    – CloverSnare 4-Loop Vascular Retriever (COOK)

    5. Transaxillary implantation of bridging covererd stents into visceral and renal arteries
    – iCover PTFE Covered Stent System (iVASCULAR)

    6. Impantation of an off-the-shelf bifurcated stentgraft
    – E-tegra bifurcated stentgraft (ARTIVION)
    View image
  • Wednesday, June 8th: - , Main Arena 1

    Complex BTK-CTO right, CLI-Patient

    Center:
    Leipzig, Universitätsklinikum, Abt. Angiologie
    Case 27 – LEI 09: Male, 64 years (HJ-G)
    Operators:
    • Axel Fischer
    CLINICAL DATA
    – Critical Limb Ischemia right, ulcerations rigth forefoot,
    – ABI right 0.32, Rutherford class V
    – CAD, CABG 2018
    – Diabetes mellitus type 2
    – Chronic renal insufficiency, GFR 49ml/min
    – PTA / stenting BTK right 2/2020 (ATA and peroneal artery)
    – Angiography and unsuccessful recanalization attempt elsewhere

    PROCEDURAL STEPS
    1. Rigth groin antegrade access and retrograde anterior tibial artery access
    – 6Fr 55cm sheath (COOK)
    – Micropuncture pedal access kit (COOK)

    2. Antegrade and retrograde wiring of the anterior tib. art. CTO
    – Connect 250 T 0.018"" Guidewire 300cm (ABBOTT)
    – Winn 200 T 0.014"" 300cm Guidewire (ABBOTT)

    3. Predilatation / vessel-preparation
    – Chocolate balloon 3.0/100 (MEDTRONIC)

    4. Drug-coated balloon angioplasty
    – Litos 0.014"" Drug-Coated Balloon (ACOTEC)
    View image
  • Thursday, June 9th: - , Main Arena 1

    Complex popliteal CTO, CLI

    Center:
    Leipzig, Universitätsklinikum, Abt. Angiologie
    Case 34 – LEI 11: Male, 63 years (N-V)
    Operators:
    • Axel Fischer
    CLINICAL DATA
    – Multiple small ulcerations left lower leg, restpain left foot, walking capacity 20 meters,
    – ABI left 0.2; Rutherford VI
    – CAD, PTCA 2021

    RISK FACTORS
    – Angiography elsewhere showing a long popliteal occlusion left
    – Diabetes mellitus type 2
    – Hypertension
    – Former smoker

    PROCEDURAL STEPS
    1. Left antegrade access
    – 6Fr 55cm sheath (COOK)

    2. Retrograde posterior tibial, peroneal or anterior tibial access
    – Micropuncture Pedal Access Kit (COOK)

    3. Antegrade and retrograde intraluminal wiring
    – Hydro ST 0.014"" Guidewire 300cm (COOK)
    – Approach CTO 0.014"" Guidewire 300cm (COOK)
    – CXI Support-Catheter 0.018"" 90cm angled (COOK)

    4. Balloon-angioplasty
    – Advance Serenity 14 (COOK)
    – Micro 14 Angioplasty Balloon (in case of retrograde ballooning) (COOK)
    View image
  • Thursday, June 9th: - , Main Arena 2

    Infarenal aortoiliac aneurysm, EVAR with IBD

    Center:
    Leipzig, Universitätsklinikum, Abt. Angiologie
    Case 40 – LEI 13: Male, 72 years (T-F)
    Operators:
    • Axel Fischer
    CLINICAL DATA
    – Incidental finding of an infrarenal aortic aneurysm with extension to the left common iliac artery, maximal diameter 42mm
    – Resuscitation during general anaesthesia for surgery of prostatic cancer 2015
    – Coilembolization of aortic sidebranches to prevent type II endoleaks 4/2022

    RISK FACTORS
    – CAD, PTCA 2016
    – Prostatic cancer 2015
    – Hypertension

    PROCEDURAL STEPS
    1. Treatment under local anaesthesia
    – Bilateral femoral access with preloading of 2 ProStyle-systems per groin (ABBOTT)

    2. Placement of super-stiff guidewires bilateral and sheaths
    – Lunderquist 0.038"" 260cm Guidewire (COOK)
    – 12 Fr-45cm sheath left groin (GORE)
    – 22Fr-33cm sheath right groin (GORE)

    3. Snaring of a 0.018"" support-guidewire accross the aorto-iliac bifurcation
    – 0.018"" V-18 Control Guidewire 300cm (BOSTON SCIENTIFIC)
    – 10mm Amplatz Goose Neck Snare Kit (MEDTRONIC)

    4. Insertion of the sidebranch device right iliac axis
    – IBD 23mm-14.5mm (GORE)

    5. Cross-over insertion of the sidebranch graft
    – internal iliac ectension 16-14.5-70mm (GORE)

    6. Implantation of the infrarenal bifurcated stentgraft
    – C3 28-14.5-140mm (GORE)

    7. Bridging to the IBD left and extension to the right common iliac artery
    – 16-27-100mm (GORE) right
    – 16-23-120mm (GORE) left
    View image
  • Thursday, June 9th: - , Main Arena 1

    Pedal recanalization for limb threatenting ischemia

    Center:
    Leipzig, Universitätsklinikum, Abt. Angiologie
    Case 36 – LEI 12: Male, 71 years (J-S)
    Operators:
    • Sandra Düsing
    CLINICAL DATA
    – Ulceration right forefoot, acute worsening 6 weeks ago,
    – Recanalization of an acute occlusion of the popliteal artery right 4/2022
    – Unsuccessful guidewire-passage into pedal arteries (posterior tibial artery)

    RISK FACTORS
    – Angiography 6 weeks before showing the popliteal artery occlusion, recanalization and remaining distal tibial artery occlusions, and angiography after additional thrombolysis showing chronic distal tibial and pedal occlusions
    – ABI right 0

    PROCEDURAL STEPS
    1. Antegrade access right groin
    – 6Fr 50cm sheath (COOK)

    2. Guidewire-passage of the posterior tibial artery occlusion
    – 0.014"" Command ES 300cm (ABBOTT)
    – 0.014"" Winn 200T 300cm (ABBOTT)
    – Command 18, 300cm (ABBOTT)

    3. Atherectomy / thrombectomy (peroneal artery and posterior artery occlusion)
    – Excimer-laser 1.4mm (PHILIPS)

    4. Balloon-Angioplasty /DCB-PTA
    – Armada 14 2.5/120mm (ABBOTT)
    – Litos Drug-Coated Balloon 3.0/120mm (ACOTEC)
    View image
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