LINC Asia-Pacific 2016 live case guide

Beijing PLA Hospital, Beijing, China

• Wednesday, March 9th: 11:03 - 11:35, Room 1 - Main Arena 1

  Case 15 – BPH 01: Left SFA long occlusion

  Center:

  Beijing PLA Hospital, Beijing, China

  Case 15 – BPH 01: female, 65 years

  Operators:

  • Wei Guo,
  • Xin Jia

  CLINICAL DATA
  Claudication of left leg for 6 months; Rutherford 3
  
  RISK FACTORS
  Diabetes, hypertension
  
  PROCEDURAL STEPS
  1. Right femoral retrograde access and cross-over
  - 6F 40 cm long sheath (COOK)
  
  2. Crossing the occlusion
  - 0.018" V-18 Control guidewire, 300 cm (BOSTON SCIENTIFIC)
  
  3. Retrograde distal SFA bailout access for unsuccessful passage
  
  4. Predilatation
  - 4/220 mm SAVVY Long OTW balloon, 130 cm (CORDIS)
  
  5. DCB and proventional stent
  - 5/200 mm Orchid DCB Balloon, 130 cm (ACOTEC)
  - 6.0/200 mm, EVERFLEX, Nitinol stent system 120 cm (EV3)

  View image
• Wednesday, March 9th: 16:30 - 18:00, Room 1 - Main Arena 1

  Case 20 – BPH 02: Left iliac occlusion

  Center:

  Beijing PLA Hospital, Beijing, China

  Case 20 – BPH 02: male, 73 years

  Operators:

  • Wei Guo,
  • Xin Jia

  CLINICAL DATA
  Claudication of left leg for 8 months; Rutherford 3
  
  RISK FACTORS
  Smoking; hypertension; CAD
  
  PROCEDURAL STEPS
  1. Right brachial access
  - 6F 90 cm long sheath (COOK)
  
  2. Crossing the occlusion
  - 0.018" V-18 Control guidewire, 300 cm (BOSTON SCIENTIFIC)
  
  3. Left femoral retrograde bailout access
  
  4. PTA and proventional stent
  - 6/80 mm ADMIRAL OTW balloon, 130 cm (MEDTRONIC)
  - 8/120 mm, COMPLETE SE, nitinol stent system 120 cm (MEDTRONIC)

  View image
• Thursday, March 10th: 10:34 - 10:58, Room 1 - Main Arena 1

  Case 26 – BPH 03: Acute aortic dissection (stanford type B)

  Center:

  Beijing PLA Hospital, Beijing, China

  Case 26 – BPH 03: male, 55 years

  Operators:

  • Wei Guo,
  • Xin Jia

  CLINICAL DATA
  Acute back pain 20 days ago
  Maximal thoracic aortic diameter 5.0 cm
  
  RISK FACTORS
  Hypertension, smoking
  
  PROCEDURAL STEPS
  1. Left brachial access for angiogram
  
  2. Right femoral access – preclose technique
  - Proglide preloaded (ABBOTT)
  
  3. Stentgraft implantation
  - 32-26-200 Castor branched stentgraft (MICORPORT)

  View image
• Thursday, March 10th: 13:15 - 16:00, Room 1 - Main Arena 1

  Case 31 – BPH 04: Right SFA long occlusion and BTK lesions

  Center:

  Beijing PLA Hospital, Beijing, China

  Case 31 – BPH 04: male, 68 years

  Operators:

  • Wei Guo,
  • Xin Jia

  CLINICAL DATA
  PAOD Rutherford 5, gangrene at 4 and 5 toes
  
  RISK FACTORS
  Diabetes, smoking
  
  PROCEDURAL STEPS
  1. Left femoral retrograde access
  - 6F 40 cm cross-over sheath (COOK)
  
  2. Crossing the occlusion
  - 0.018" V-18 Control guidewire, 300 cm (BOSTON SCIENTIFIC)
  - 0.014" PT2 wire (BOSTON SCIENTIFIC)
  
  3. Retrograde peroneal artery puncture (bailout access)
  
  4. PTA and proventional stent
  - 4/220 mm SAVVY long OTW Balloon, 130 cm (CORDIS)
  - 6.0/200 mm, EVERFLEX, Nitinol Stent System 120 cm (EV3)

  View image