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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.

 

 

Milan

1 livecase(s)
  • Monday, June 6th: - , Main Arena 2

    Right internal carotid stenosis, calcified

    Center:
    Milan
    Case 05 – Milan 01: Male, 67 years (Q-G)
    Operators:
    • Piero Montorsi,
    • Stefano Galli
    CLINICAL DATA
    – Long-standing type 2 diabetes (on target), hypertension, hypercholesterolemia
    – 2021 CAD with 3-vessel disease treated by multiple DES. EF 55%
    – 2022 Bilateral carotid artery disease (right 85%, left 65%). Asymptomatic.
    – Moderate renal failure (GFR 40ml/min/m2)

    RISK FACTORS
    – Doppler US: RICA PSV 3.29 m/sec
    – CT-angiography: Type 1 aortic arch. Critical RICA stenosis with >180° calcium distribution followed by long soft plaque; Normal brain CT scan

    PROCEDURAL STEPS
    1. Right radial approach
    – TERUMO slender sheath "6 in 5"

    2. Right carotid axes engagement with coaxial system
    – 6F MP guide over 5F 125cm-long Simmons-2 catheter

    3. Baseline RICA and intracranial views angiography

    4. Distal filter positioning
    – Spider FX 5.0mm, MEDTRONIC or Filterwire EZ, BOSTON SCIENTIFIC

    5. IVUS assessment
    – Opticross, BOSTON SCIENTIFIC

    6. Intra vascular lithotripsy with 4.0x12mm balloon
    – SHOCKWAVE

    7. IVUS assesmnet of the initial result
    – Opticross, BOSTON SCIENTIFIC

    8. Stenting with Roadsaver 8x30
    – TERUMO

    9. Stent post-dilation
    – Sterling 5.0mm x 20mm, BOSTON SCIENTIFIC

    10. Final IVUS assessment
    – Opticross, BOSTON SCIENTIFIC

    11. Final angiography
    View image
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