Beijing

• Tuesday, March 14th: 9:38 - 10:08, Room 1 - Main Arena

  Case 02 – SFA-CTO left

  Center:

  Beijing

  Case 02 – BPH 01: male, 78 years (YH-W)

  Operators:

  • Xin Jia,
  • Zhang Minhong

  CLINICAL DATA
  Severe claudication left calf, walking capacity 100 meters
  
  IMPORTANT ITEMS
  DM type 2, hypertension, former smoker
  ABI: left 0.61
  Rutherford 3
  CTA: moderately calcified SFA-CTO left
  
  PROCEDURAL STEPS
  1. Right femoral access and cross-over approach
  - 6F 55 cm sheath (COOK)
  
  2. Passage of the occlusion left SFA
  - 0.018" V18 guidewire, 300 cm (BOSTON SCIENTIFIC)
  - 0.018" Trailblazer support catheter, 135 cm (MEDTRONIC)
  
  3. Retrograde approach via the distal SFA right in case of failure to pass from antegrade
  - 21 Gauge 9 cm Micropuncture needle (COOK)
  - 0.018" V18 guidewire, 300 cm (BOSTON SCIENTIFIC)
  - 0.018" Trailblazer support catheter, 90 cm (MEDTRONIC)
  
  4. PTA and stenting on indication
  - Passeo18 ballon 3 x 100 mm, 4 x 100 mm (BIOTRONIK)
  - Orchid DCB 5.0/120 mm (ACOTEC SCIENTIFIC)
  - Smart Control stent (CORDIS)
  
  5. Puncture site closure
  - Exoseal 6F (CORDIS)

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• Tuesday, March 14th: 13:37 - 14:02, Room 1 - Main Arena

  Case 04 – Long, calcified SFA-CTO right

  Center:

  Beijing

  Case 04 – BPH 02: female, 80 years (X-SY)

  Operators:

  • Wei Guo,
  • Xiong Jiang

  CLINICAL DATA
  Rest pain right calf
  
  IMPORTANT ITEMS
  CHD, DM type 2, hypertension, hyperlipidimia
  ABI 0.4 right
  Rutherford 4
  CTA: Long SFA and BTK occlusion right, moderately calcified
  
  PROCEDURAL STEPS
  1. Left femoral access and cross-over approach
  - 0.035" angled soft Radiofocus guidewire, 260 cm (TERUMO)
  - 0.035" SupraCore guidewire, 300 cm (ABBOTT)
  - 4F 70 cm Sheath (COOK)
  
  2. Passage of the occlusion right SFA
  - 0.018" V18 guidewire, 300 cm (BOSTON SCIENTIFIC)
  - 0.018" Trailblazer support catheter, 135 cm (MEDTRONIC)
  
  3. Retrograde approach via the popliteal artery right, in case of failure to pass from antegrade
  - 21 Gauge 9 cm Micropuncture needle (COOK)
  - 0.018" V18 guidewire, 300 cm (BOSTON SCIENTIFIC)
  - 0.018" Trailblazer support catheter, 90 cm (MEDTRONIC)
  
  4. PTA and stenting on indication
  - Passeo18 ballon 4 x 170 mm (BIOTRONIK)
  - Pulsar18 stent 5 x 200 mm (BIOTRONIK)

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• Thursday, March 16th: 8:14 - 8:46, Room 1 - Main Arena

  Case 23 – EVAR + bilateral iliac branched devices

  Center:

  Beijing

  Case 23 – BPH 03: male, 68 years (X-D)

  Operators:

  • Wei Guo,
  • Zhang Hongpeng

  CLINICAL DATA
  Incidental finding of an abdominal aortic aneurysm with progression to 53 mm max. diameter
  
  RISK FACTORS
  Hypertension, CVD, smoker
  CTA: AAA 51 mm, aneurysm bilateral CIA
  
  PROCEDURAL STEPS
  1. Retrograde bilateral femoral and left brachial percutaneous access
  - Preloading of Proglide-Systems (ABBOTT) for both femoral access
  
  2. Implantation of the bifurcated stentgraft mainbody
  - Ankura stentgraft (LIFETECH SCIENTIFIC)
  
  3. Implantation of iliac branched devices
  - Ankura iliac branched devices (LIFETECH SCIENTIFIC)
  
  4. Implantation of covered stents into the IIA
  - Viabahn stentgraft (GORE)

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• Thursday, March 16th: 10:44 - 11:23, Room 1 - Main Arena

  Case 25 – TEVAR and in-situ fenestration

  Center:

  Beijing

  Case 25 – BPH 04: male, 45 years (S-W)

  Operators:

  • Liu Xiaoping,
  • Xu Yongle

  CLINICAL DATA
  Acute Type-B dissection 2 weeks ago, since then intermittent back pain
  
  RISK FACTORS
  Hypertension, smoker
  CTA: Aortic dissection, Stanford type B
  Almost occluded right common iliac artery
  
  PROCEDURAL STEPS
  1. Retrograde left brachial and left femoral artery access
  - Preloading of Proglide-Systems left femoral artery (ABBOTT)
  
  2. Implantation of thoracic stentgraft
  - Ankura thoracic stentgraft (LIFETECH SCIENTIFIC)
  
  3. In-situ fenestration of thoracic stentgraft
  
  4. Stentgraft into the left subclavian artery
  - Viabahn stentgraft (GORE)
  
  5. Maybe stent of right common iliac artery
  - Complete SE (MEDTRONIC)

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