LINC Asia-Pacific 2015 Live Case Guide

Find all Live Cases and Live Case Centers listed below.

Chang Gung Memorial Hospital, Taoyuan City, Taiwan

3 livecase(s)
  • Monday, March 9th: - , Main Arena

    Case 02 – DEB for SFA/PopA stenosis

    Center:
    Chang Gung Memorial Hospital, Taoyuan City, Taiwan
    Case 02 – TAO 01: female, 80 years (H-M-L)
    Operators:
    • I-Hao Su,
    • Sung-Yu Chu
    CLINICAL DATA
    Rutherford 5, chronic minor wound at left big toe
    DM type 2, HTN, hepatitis C
    Bilateral PAD s/p right femoral-popliteal graft bypass
    s/p left knee replacement
    EF: 76%, Cr 0.79

    CTA
    Skipped focal mild-severe stenosis in the LSFA
    Focal skipped mild stenosis in the P3 portion of LPopA
    Short CTO in the proximal LATA
    and skipped focal high grade stenosis

    DUPLEX
    ABI: right 0.57, left 0.55
    Lt. distal CFA bifurcation mod stenosis; 
and lt. femoropopliteal difuse stenosis 
and multiple significant lesions; 
bil severe infrapopliteal diseased 
with multiple severe stenosis 
and segemental occcluded lesions at bil ATA amd PTA

    PROCEDURAL STEPS
    1. Retrograde access (ultrasound guided puncture) via RCFA
    - 5F Tempo Flush pigtail catheter (CORDIS)
    - 0.035" Radiofocus Terumo Angled Stiff guidewire (TERUMO)
    - 6F Balkin cross over sheath (COOK)

    2. Passage of the lesion with hydrophilic wire to TP
    - 0.018" V18 control wire, 300 cm (BOSTON SCIENTIFIC)

    3. Predilatation and PTA with DEB for SFA/PopA
    - Pacific Xtreme 4/40 (MEDTRONIC)
    - In-Pact Pacific DEB balloon 5/6 mm (MEDTRONIC)

    4. PTA for BTK
    - 0.018" V18 control wire, 300 cm (BOSTON SCIENTIFIC)
    - Amphirion 2/2.5/3 (MEDTRONIC)
    View image
  • Monday, March 9th: - , Main Arena

    Case 04 – DEB for ISR in hemodialysis access

    Center:
    Chang Gung Memorial Hospital, Taoyuan City, Taiwan
    Case 04 – TAO 02: male, 85 years (T-H-Y)
    Operators:
    • Ta-We Su,
    • Sung-Yu Chu
    CLINICAL DATA
    ESRD under regular hemodialysis, hearing impairment, EF 71%
    Left radio-graft-basilic fistula s/p Viabahn (6/150 mm)
    for venous anastomosis junction

    RISK FACTORS
    Increased venous pressure during hemodialysis

    VENOGRAPHY
    Two skipped focal instent stenosis (about 30-50% stenosis)
    and short segmental 70% stenosis in the distal edge of Viabahn

    PROCEDURAL STEPS
    1. Antegrade puncture via proximal graft
    - 6F sheath (TERUMO)

    2. Angiography to estimate lesions

    3. PTA with DEB for instent restenosis
    - InPact Admiral DEB balloon 6/120 mm (MEDTRONIC)
    View image
  • Tuesday, March 10th: - , Main Arena

    Case 14 – PEVAR plus distal sandwich technique for infra-renal AAA with RCIA aneurysm

    Center:
    Chang Gung Memorial Hospital, Taoyuan City, Taiwan
    Case 14 – TAO 03: male, 76 years (K-H-C)
    Operators:
    • Kuo-Sheng Liu,
    • Sung-Yu Chu
    CLINICAL DATA
    Herniated interveterbral disc with right leg numbness
    Infra-renal AAA was incidentally found by CT
    Hypertension, previous smoker, gout
    Cr 1.32, EF: 70%

    CTA
    Infrarenal AAA (5.8 x 5.6 cm, od) and RCIA aneurysm (3.9 cm/id) with much mural thrombus

    PROCEDURAL STEPS
    1. Retrograde access (ultrasound guided puncture) via RCFA and LCFA
    - Preclose techniques: Proglide (ABBOTT)
    - 8F and 10F sheaths for RCFA and LCFA (TERUMO)

    2. Angiography of AAA
    - 5F Tempo Flush pigtail catheter (CORDIS)
    - 0.035" Radiofocus Terumo Angled soft guidewire (TERUMO)
    - 0.038" Amplatz Stiff wire, 260 cm (BOSTON SCIENTIFIC)
    - 5F sizing catheter (MERIT)

    3. Deployment of AAA stent graft
    - Endurant: mainbody left side up, contralateral limb: right side (METRONICS)
    - 5F VanSchie catheter (COOK)
    - 0.035" Radiofocus Terumo Angled soft guidewire (TERUMO)
    - 0.038" Amplatz Stiff wire, 260 cm (BOSTON SCIENTIFIC)

    4. Post dilatation

    5. Retrograde access (ultrasound guided puncture) via left brachial artery
    - 5F Tempo Flush pigtail catheter (CORDIS)
    - 0.035" Radiofocus Terumo Angled soft guidewire (TERUMO)

    6. Cannulation of RIIA
    - 5F Tempo Aqua Hydrophilic coating catheter (CORDIS)
    - 0.035" Radiofocus Terumo Angled soft guidewire (TERUMO)

    7. Distal sandwich technique: Deployment of stent graft for REIA and RIIA
    - Viabahn stent graft 10/100-150 mm (GORE)

    8. Postdilatation
    View image