Gwangju

• Wednesday, March 15th: 9:18 - 9:43, Room 1 - Main Arena

  Case 12 – Right SFA long occlusion

  Center:

  Gwangju

  Case 12 – CNUH 01: male, 85 years

  Operators:

  • Jae Kyu Kim,
  • Nam Yeol Yim

  CLINICAL DATA
  Mild claudication right leg, walking distance 200 meters
  ABI 0.65/0.86 (PT)
  Left iliac artery occlusion: Stent, left SFA and popliteal artery multiple stenosis: Stent, LUTONIX DCB. 02/2017
  Lower abdominal aorta stenosis: stent. 02/2011
  
  RISK FACTORS
  Hypertension medications
  
  PROCEDURAL STEPS
  1. Access left groin and cross-over approach/antegrade approach
  - 7F Ansel sheath 45 cm (COOK)
  
  2. Passage of the lesion with hydrophilic guide wire
  - 5F Headhunter diagnostic catheter (BOSTON SCIENTIFIC)
  
  3. Predilation and vessel preparation
  - 5.0/100 mm Vascutrack scoring PTA catheter (BARD)
  
  4. PTA with DEB
  - LUTONIX drug coated balloon catheter (BARD) 6.0/150 mm
  
  5. Spot stenting if necessary
  - LIFE stent (BARD) 6.0 mm

  View image
• Wednesday, March 15th: 10:48 - 11:19, Room 1 - Main Arena

  Case 14 – Left SFA multifocal stenosis

  Center:

  Gwangju

  Case 14 – CNUH 02: male, 77 years

  Operators:

  • Jae Kyu Kim,
  • Nam Yeol Yim

  CLINICAL DATA
  Mild claudication right leg, walking distance 200 meters
  ABI 0.6/0.5
  
  RISK FACTORS
  Hypertension
  
  PROCEDURAL STEPS
  1. Access left groin antegrade
  - 5/6F Ansel sheath 45 cm (COOK)
  
  2. Passage of the lesion with hydrophilic guide wire
  - 2.35" 90 cm CXI support catheter (COOK)
  - 0.014" 300 cm V 18 control guidewire (BOSTON SCIENTIFIC)
  
  3. PTA with DEB
  - LUTONIX drug coated balloon catheter (BARD) 6.0/150 mm
  
  4. Spot stenting if necessary
  - LIFE stent (BARD) 6.0 mm

  View image
• Wednesday, March 15th: 13:36 - 14:06, Room 1 - Main Arena

  Case 16 – AV fistula stenosis

  Center:

  Gwangju

  Case 16 – CNUH 03: male, 72 years

  Operators:

  • Jae Kyu Kim,
  • Nam Yeol Yim

  CLINICAL DATA
  ESRD s/p HD for 7 years
  Right radiocephalic AVF (7 years ago) had obstructed and HD through perm cath started
  Right brachiobasilic AVF creation (2016-11-7)
  
  RISK FACTORS
  Hypertension (30y ago)
  Diabetes (30y ago)
  US surveillance: Tight stenosis with decreased volume flow along venous limb of AVF (109 ml/min).
  Routine hemodialysis (3 times a week) through perm cath
  
  PROCEDURAL STEPS
  1. Retrograde puncture of AV fistula
  - 21 Gauge micro puncture kit (COOK)
  - 6F sheath (BOSTON SCIENTIFIC)
  
  2. PTA along venous limb of AVF with DEB
  - Lesion crossing with 0.035" hydrophilic guide wire (TERUMO) and 4F catheter (MERIT MEDICAL)
  - Vessel preparation with 5 mm – 40 mm high pressure balloon
  - 5 mm – 40 mm Lutonix DEB (BARD)

  View image
• Wednesday, March 15th: 15:39 - 16:11, Room 1 - Main Arena

  Case 19 – Right SFA long occlusion

  Center:

  Gwangju

  Case 19 – CNUH 04: male, 75 years

  Operators:

  • Jae Kyu Kim,
  • Nam Yeol Yim

  CLINICAL DATA
  Severe claudication right leg, walking distance 50 meters
  
  RISK FACTORS
  Former smoker
  Laryngeal cancer under CTX procedural steps
  
  PROCEDURAL STEPS
  1. Access left groin and cross-over approach
  - 7F Ansel sheath 45 cm (COOK)
  
  2. Intraluminal Passage of the lesion with hydrophilic guide wire
  - 5F Headhunter diagnostic catheter (BOSTON SCIENTIFIC)
  - 0.035" Glidewire (TERUMO)
  - If necessary, 2.35" 90 cm CXI support catheter (COOK)
  - 0.014" 300 cm PT2 guidewire (BSC)
  
  3. Filter placement
  - 0.014" 300 cm Throughway/Commend ES guidewire (BOSTON SCIENTIFIC/ABBOTT)
  - 4/7 mm 200 cm Spider FX emboli protection device (eV3)
  
  4. Atherectomy and thrombectomy
  - 2.4/3.4 Jet stream Pathway rotational atherectomy
  
  5. PTA
  - LUTONIX drug coated balloon catheter (BARD) 6.0/150 mm
  
  6. Spot stenting if necessary
  - LIFE stent (BARD) 6.0 mm

  View image