LINC Asia-Pacific 2015 live case guide

Beijing Military Hospital 301, Beijing, China

• Tuesday, March 10th: 9:04 - 9:36, Main Arena

  Case 13 – Occlusion of left popliteal and tibial arteries

  Center:

  Beijing Military Hospital 301, Beijing, China

  Case 13 – BMH 01: male, 72 years

  Operators:

  • Wei Guo,
  • Xin Jia

  CLINICAL DATA
  PAOD Rutherford 4
  Rest pain at left foot
  Smoking for 30 years
  Coronary artery disease
  ABI left 0.5; right 0.7
  
  PROCEDURAL STEPS
  1. Antegrade access and placement of a long sheath
  - 0.035" Radiofocus Terumo angled soft guidewire, 180 cm (TERUMO)
  - 6F Flexor Straight sheath, 55 cm (COOK)
  
  2. Passage of the lesion with hydrophilic wire and predilatation
  - 0.018" V-18 control wire, 300 cm (BOSTON SCIENTIFIC)
  - 4/120 mm Pacific balloon dilatation catheter for POP, 130 cm (MEDTRONIC)
  - 2/120 mm DEEP balloon dilatation catheter for PA and PT, 130 cm (MEDTRONIC)
  
  3. Retrograde AT or PA puncture in case of antegrade failure
  - 0.018" V-18 control wire, 300 cm (BOSTON SCIENTIFIC)
  - 2/80 mm DEEP balloon dilatation catheter, 130 cm (MEDTRONIC)

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• Wednesday, March 11th: 8:00 - 8:31, Main Arena

  Case 21 – Infra-renal abdominal aortic aneurysm

  Center:

  Beijing Military Hospital 301, Beijing, China

  Case 21 – BMH 02: male, 75 years

  Operators:

  • Wei Guo,
  • Xin Jia

  CLINICAL DATA
  Documented abdominal aortic aneurysm in May 2012
  Coronary artery disease
  Hypertension
  
  ANGIOGRAPHY
  CT angiography of abdominal aorta shows:
  Maximum aneurysm diameter 60/57 mm, short and angulated neck
  Right iliac: CIA 18 mm, EIA 9 mm
  Left iliac: CIA 14 mm, EIA 11 mm
  
  PROCEDURAL STEPS
  1. Bilateral percutanous femoral artery access
  - Perclose preloaded (ABBOTT)
  
  2. Left brachial artery access for provisional chimney stent
  - 6F 90 cm Flexor long sheath (COOK)
  - Chimney stent in left renal artery: Genesis 6-18 (CORDIS)
  
  3. Stent graft
  - ENDURANT (MEDTRONIC)
  - Main body from left access: 28-16-170 mm
  - Right leg: 16-20-120 mm

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• Wednesday, March 11th: 10:46 - 11:15, Main Arena

  Case 23 – Occlusion of left superficial femoral artery

  Center:

  Beijing Military Hospital 301, Beijing, China

  Case 23 – BMH 03: male, 65 years

  Operators:

  • Wei Guo,
  • Xin Jia

  CLINICAL DATA
  PAOD Rutherford 3
  Intermittent claudication of left leg
  Diabetes mellitus for 20 years
  ABI left 0.45, right 0.72
  
  PROCEDURAL STEPS
  1. Retrograde access of right groin
  - 0.035" Radiofocus Terumo angled soft guidewire, 180 cm (TERUMO)
  - 6F Flexor straight sheath, 50 cm (COOK)
  
  2. Passage of the lesion
  - 0.018" V-18 control wire, 300 cm (BOSTON SCIENTIFIC)
  - 4/120 mm Pacific dilatation catheter, 120 cm (MEDTRONIC)
  
  3. Dilatation and provisional stent
  - 4/120 mm Pacific dilatation catheter,120 cm (MEDTRONIC)
  - 6/150 mm Complete SE Nitinol vascular stent, 120 cm (MEDTRONIC)
  
  4. Retrograde SFA puncture in case of antegrade failure
  - 0.018" V-18 control wire, 300 cm (BOSTON SCIENTIFIC)
  - 4/120 mm Pacific dilatation catheter, 120 cm (MEDTRONIC)

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