LINC Asia-Pacific 2016 live case guide

Find all live cases and live case centers listed below.

University Hospital Leipzig, Division of Interventional Angiology, Leipzig, Germany

11 livecase(s)
  • Tuesday, March 8th: - , Room 1 - Main Arena 1

    Case 06 – LEI 01: Restenosis after CEA right ICA 2005

    Center:
    University Hospital Leipzig, Division of Interventional Angiology, Leipzig, Germany
    Case 06 – LEI 01: male, 69 years (K-O)
    Operators:
    • Andrej Schmidt,
    • Matthias Ulrich
    CLINICAL DATA
    Progressive, asymptomatic restenosis right internal carotid artery after CEA 2005
    CEA left ICA 2007
    CAD, MI and PTCA 2012
    art. hypertension
    DUPLEX
    Progression to 3.5 m/sec. right ICA

    PROCEDURAL STEPS
    1. Access right groin
    - 9F – 20 cm sheath (TERUMO)

    2. Cannulation of the right external carotid artery
    - Judkins Right 5F diagnostic catheter (CARDINAL HEALTH)
    - 0.035" soft angled glidewire, 180 cm (TERUMO)
    - 0.035" SupraCore 300 cm stiff guidewire (ABBOTT)

    3. Cerebral protection
    - MOMA endovascular clamping device 9F (MEDTRONIC)

    4. Cannulation, predilatation, stenting and postdilatation of the right ICA
    - 0.014" Galleo Pro 175 cm guidewire (BIOTRONIK)
    - MiniTreck RX-balloon 3.5/20 mm (ABBOTT)
    - CGuard carotid embolic protection system (Inspire MD/PENUMBRA)
    - 5.0/20 mm RX-balloon (BOSTON SCIENTIFIC)
    View image
  • Tuesday, March 8th: - , Room 1 - Main Arena 1

    Case 07 – LEI 02: Reocclusion right SFA

    Center:
    University Hospital Leipzig, Division of Interventional Angiology, Leipzig, Germany
    Case 07 – LEI 02: female, 62 years (M-Z)
    Operators:
    • Andrej Schmidt,
    • Matthias Ulrich
    CLINICAL DATA
    Reocclusion right SFA
    Claudication right calf, walking capacity 150 meters, ABI right 0.67
    PTA right SFA 2012 with plane balloon angioplasty elsewhere
    PTA left SFA/stenting 2013
    Re-PTA left SFA 12/2015

    RISK FACTORS
    15 cm long reocclusion right mid SFA
    art. hypertension, former smoker, diabetes mellitus type 2

    PROCEDURAL STEPS
    1. Access left groin and cross-over approach
    - 5F diagnostic IMA-catheter (CARDINAl HEALTH)
    - 0.035" soft angled glidewire 180 cm (TERUMO)
    - 0.035" stiff SupraCore guidewire 190 cm (ABBOTT)

    2. Passage of the right SFA-CTO
    - 0.018" Cruiser S 300 cm guidewire (BIOTRONIK)
    - Passeo 4/120 mm balloon (BIOTRONIK)

    3. PTA with drug-coated balloons and stenting on indication
    - Passeo LUX DCB 5.0/120 mm (BIOTRONIK)
    - Pulsar 18 stent (BIOTRONIK)
    View image
  • Tuesday, March 8th: - , Room 1 - Main Arena 1

    Case 09 – LEI 03: Occlusion left SFA

    Center:
    University Hospital Leipzig, Division of Interventional Angiology, Leipzig, Germany
    Case 09 – LEI 03: male, 76 years (H-M)
    Operators:
    • Andrej Schmidt,
    • Matthias Ulrich
    CLINICAL DATA
    Severe claudication left calf, walking capacity 150 meters,
    ABI left 0.65
    Abdominal aortic aneurysm 3.2 cm
    Chronic renal insufficiency, GFR 35 ml/min
    COPD

    RISK FACTORS
    CO2-angiography: long SFA-occlusion left
    art. hypertension, former nicotin-abuse

    PROCEDURAL STEPS
    1. Access right groin and cross-over approach
    - 5F diagnostic IMA-catheter (CARDINAL HEALTH)
    - 0.035" soft angled glidewire 180 cm (TERUMO)
    - 0.035" stiff SupraCore guidewire 190 cm (ABBOTT)

    2. Passage of the left SFA-CTO
    - 0.035" stiff angled glidewire, 260 cm (TERUMO)
    - CXC 0.035" 135 cm support catheter (COOK)

    3. PTA and stenting
    - Advance 35 balloon (COOK)
    - Zilver-PTX drug-coated stent (COOK)
    View image
  • Tuesday, March 8th: - , Room 1 - Main Arena 1

    Case 10 – LEI 04: Popliteal occlusion right, CLI

    Center:
    University Hospital Leipzig, Division of Interventional Angiology, Leipzig, Germany
    Case 10 – LEI 04: male, 77 years (M-P)
    Operators:
    • Andrej Schmidt,
    • Matthias Ulrich
    CLINICAL DATA
    Restpain right foot, ABI right 0.44
    Failed recanalization attempt 12/2015 and 1/2016 elsewhere
    CAD, PTCA 2013 and 2014
    Minor stroke 2012

    RISK FACTORS
    Angiography during previous recanalization-attempt:
    Popliteal occlusion right, failure to pass into the posterior tibial artery
    art. hypertension, former nicotin-abuse, diabetes mellitus type 2

    PROCEDURAL STEPS
    1. Access right groin anetgrade
    - 6F 55 cm sheath (COOK)

    2. Retrograde access via posterior tibial artery
    - Transpedal access kit (COOK)
    (21 Gauge 4 cm needle, 2.9F sheath)

    3. Retrograde CTO-passage and PTA
    - 0.014" CTO-Approach guidewire 18 gramm, 300 cm (COOK)
    - CXI 0.018" angled support-catheter, 90 cm (COOK)
    - Advance Micro Balloon 3.0/80 mm, 90 cm (COOK)

    4. PTA and stenting from antegrade
    - Advance 18 5.0 mm balloon (COOK)
    - Zilver-PTX stent for the proximal popliteal artery (COOK)
    View image
  • Wednesday, March 9th: - , Room 1 - Main Arena 1

    Case 17 – LEI 05: SFA occlusion left

    Center:
    University Hospital Leipzig, Division of Interventional Angiology, Leipzig, Germany
    Case 17 – LEI 05: male, 61 years (K-M)
    Operators:
    • Matthias Ulrich,
    • Andrej Schmidt
    CLINICAL DATA
    Severe claudication left calf, walking capacity 200 meters, ABI left 0.67
    CAD, PTCA 2013

    DUPLEX
    Long SFA-occlusion left

    RISK FACTORS
    Art. hypertension, nicotin abuse

    PROCEDURAL STEPS
    1. Access right groin and cross-over approach
    - 5F diagnostic IMA-catheter (CARDINAl HEALTH)
    - 0.035" soft angled glidewire 180 cm (TERUMO)
    - 0.035" stiff SupraCore guidewire 190 cm (ABBOTT)

    2. Guidewire passage
    - Mustang balloon 5.0/120 mm (BOSTON SCIENTIFIC)
    - 0.035" stiff angled glidewire, 260 cm (TERUMO)
    in case of failure to reenter distal:
    - attempt with Victory 18 30 gramm 300 cm (BOSTON SCIENTIFIC)

    3. PTA with drug-coated balloons and stenting on indication
    - Ranger DCB (BOSTON SCIENTIFIC)
    - EPIC selfexpanding nitinol-stent (BOSTON SCIENTIFIC)
    View image
  • Wednesday, March 9th: - , Room 1 - Main Arena 1

    Case 19a – LEI 06A: Flush occlusion right SFA

    Center:
    University Hospital Leipzig, Division of Interventional Angiology, Leipzig, Germany
    Case 19a – LEI 06A: male, 61 years (F-H)
    Operators:
    • Andrej Schmidt,
    • Matthias Ulrich
    CLINICAL DATA
    Severe claudication right calf, walking capacity 100 meters,
    ABI right 0.54
    CAD, MI and PTCA 2012
    Renal artery stenosis PTA 2013
    COPD
    failed antegrade recanalization attempt right SFA 2/2016

    PROCEDURAL STEPS
    1. Access left groin and cross-over approach
    - 5F diagnostic IMA-catheter (CARDINAl HEALTH)
    - 0.035" soft angled glidewire 180 cm (TERUMO)
    - 0.035" stiff SupraCore guidewire 190 cm (ABBOTT)

    2. Guidewire passage of the right SFA-flush-occlusion
    - 0.035" stiff angled glidewire, 260 cm (TERUMO)
    - 5F diagnostic IMA-catheter (CARDINAl HEALTH)
    In case of failure to enter the CTO retrograde approach via distal SFA:
    - 9 cm 21 Gauge needle (COOK)
    - 0.018" V-18 Control guidewire 300 cm (BOSTON SCIENTIFIC)
    - 0.018" Seeker support catheter 90 cm (C.R.BARD)

    3. PTA and stenting on indication
    - VascuTrak scoring balloon 5.0/300 mm (C.R.BARD)
    - Lutonix 5.0 or 6.0 150 mm DCB (C.R.BARD)
    - Lifestent (C.R.BARD)
    View image
  • Wednesday, March 9th: - , Room 1 - Main Arena 1

    Case 19b – LEI 06B: 3-vessel occlusion right BTK, CLI

    Center:
    University Hospital Leipzig, Division of Interventional Angiology, Leipzig, Germany
    Case 19b – LEI 06B: male, 81 years (F-F)
    Operators:
    • Andrej Schmidt,
    • Yvonne Bausback
    CLINICAL DATA
    PAOD Rutherford 5, forefoot right
    SFA-Angioplasty right 02/2016
    CAD, PTCA 8/2013
    Diabetes mellitus type 2
    former smoker

    ANGIOGRAPHY
    Occlusion of all 3 BTK vessels,
    collateral filling of the distal peroneal artery and dorsalis pedis artery

    PROCEDURAL STEPS
    1. Antegrade access right groin
    - 5F 55 cm Flexor Check-Flo introducer (COOK)

    2. Antegrade passage and PTA
    - Command ES guidewire 300 cm (ABBOTT)
    - Ultraverse 0.014" balloon 2.0/120 mm (C.R.BARD)
    - VascuTrak 2.5/250 mm Balloon (C.R.BARD)

    3. In case of antegrade failure:
    retrograde puncture of the dorsalis pedis/peroneal artery

    - 21 Gauge / 7 cm needle (COOK)
    - Connect 300 cm guidewire (ABBOTT)
    - Seeker support catheter 0.018" 90 cm (C.R.BARD)

    4. PTA with DCBs
    - Lutonix 2.5/150 mm DCB (C.R.BARD)
    View image
  • Wednesday, March 9th: - , Room 1 - Main Arena 1

    Case 21 – LEI 07: Popliteal occlusion right, CLI

    Center:
    University Hospital Leipzig, Division of Interventional Angiology, Leipzig, Germany
    Case 21 – LEI 07: male, 57 years (D-R)
    Operators:
    • Andrej Schmidt,
    • Matthias Ulrich
    CLINICAL DATA
    PAOD Rutherford 4, restpain right, severe claudication, walking capacity 100 meters
    ABI right 0.44
    Aortic valve replacement 2009
    Diabetes mellitus type 2
    former smoker
    PTA of a proximal SFA-stenosis right 1/2016,
    failed antegrade passage of the popliteal occlusion right

    PROCEDURAL STEPS
    1. Antegrade access right groin
    - 7F 55 cm Flexor Check-Flo Introducer (COOK)

    2. Retrograde passage via the anterior tibial artery
    - 7 cm 21 gauge needle (COOK)
    - 0.018" QuickCross support catheter 90 cm (SPECTRANETICS)
    - 0.018" Connect guidewire 300 cm (ABBOTT)
    - Snaring of the retrograde guidewire from retrograde

    3. Atherectomy
    - 4 mm Spider filter (MEDTRONIC)
    - HawkOne 6 cm tip (MEDTRONIC)

    4. PTA with DCBs
    - In.Pact Pacific DCB (MEDTRONIC)
    View image
  • Wednesday, March 9th: - , Room 1 - Main Arena 1

    Case 22 – LEI 08: Forefoot ulcerations right, Bullfrog-PTA

    Center:
    University Hospital Leipzig, Division of Interventional Angiology, Leipzig, Germany
    Case 22 – LEI 08: female, 79 years (I-S)
    Operators:
    • Andrej Schmidt,
    • Yvonne Bausback
    CLINICAL DATA
    PAOD Rutherford 5, forefoot-ulcerartion right, restpain toes
    ABI right 0.22
    PTA of a popliteal stenosis right,
    failure to recanalize a posterior tibial occlusion from antegrade
    CAD, PTCA 2004
    Diabetes mellitus type 2 with diabetic nephropathy, GFR 53 ml/min
    paroxysmal atrial fibrillation
    BTK: patent peroneal artery, flush-occlusion of the posterior tibial artery

    PROCEDURAL STEPS
    1. Antegrade access right groin
    - 6F 55 cm Flexor Check-Flo introducer (COOK)

    2. Retrograde passage via the posterior tibial artery
    - transpedal puncture-kit (COOK)
    (4 cm 21 gauge needle, 2.9F sheath)
    - CXI 0.018" 90 cm support catheter (COOK)
    - CTO-Approach 0.014" guidewire, 18 gramm, 300 cm (COOK)
    - Advance Micro-balloon 2.5/120 mm (COOK)

    3. PTA and arterial wall-injection of dexamethason
    - BullFrog Micro-Infusion-Device (MERCATOR MEDSYSTEMS)
    View image
  • Thursday, March 10th: - , Room 1 - Main Arena 1

    Case 30 – LEI 09: Iliac occlusion left with failed recanalization attempt

    Center:
    University Hospital Leipzig, Division of Interventional Angiology, Leipzig, Germany
    Case 30 – LEI 09: male, 54 years (J-K)
    Operators:
    • Andrej Schmidt,
    • Matthias Ulrich
    CLINICAL DATA
    PAOD Rutherford 3, severe claudication left leg
    ABI left 0.71
    Stenting right common iliac artery 2012,
    Unsuccessful recanalizaiton attempt left CIA 1/2016 elsewhere
    CAD, PTCA 6/2015
    Diabetes mellitus type 2, current smoker

    ANGIOGRAPHY
    Common iliac occlusion left, plaque distal abdominal aorta, stent CIA right patent

    PROCEDURAL STEPS
    1. Left brachial access
    - 7F 90 cm Check-Flow-Performer sheath (COOK)
    Left femoral approach
    - 11F 25 cm Radiofocus II sheath (TERUMO)

    2. Guidewire passage of the occlusion left CIA
    transbrachial:
    - 5F 125 cm Judkins Right Diagnostic catheter (CARDINAL HEALTH)
    - 0.035" stiff angled glidewire, 260 cm (TERUMO)
    left femoral:
    - 5F 80 cm Multipurpose Diagnostic catheter (CARDINAL HEALTH)
    - 0.035" stiff angled glidewire, 260 cm (TERUMO)
    - potentially double-balloon technique

    3. Stenting
    - Sinus aortic stent for the abdominal aorta (OPTIMED)
    - Lifestream 8/57 mm covered stent left CIA (C.R.BARD)
    - Lifestream 8/37 mm covered stent right CIA (C.R.BARD)
    View image
  • Thursday, March 10th: - , Room 1 - Main Arena 1

    Case 32 – LEI 10: Popliteal occlusion right, CLI

    Center:
    University Hospital Leipzig, Division of Interventional Angiology, Leipzig, Germany
    Case 32 – LEI 10: male, 57 years (P-K)
    Operators:
    • Andrej Schmidt,
    • Yvonne Bausback
    CLINICAL DATA
    PAOD Rutherford 4, Restpein right foot
    ABI left 0.44
    PTA left SFA and popliteal artery 1/2016
    CEA right groin 2012

    RISK FACTORS
    Diabetes mellitus type 2, current smoker

    ANGIOGRAPHY
    Occlusion distal SFA / Apop artery right

    PROCEDURAL STEPS
    1. Right groin antegrade access
    - 6F 55 cm Check-Flow-Performer sheath (COOK)

    2. Guidewire passage:
    - 0.018" Connect guidewire, 300 cm (ABBOTT)
    - CXC 0,018" 90 cm support catheter (COOK)
    In case of failure:
    - 0.035" stiff angled glidewire (TERUMO)
    - CXC 0,035" 90 cm support catheter (COOK)
    If failure:
    retrograde access via posterior tibial artery

    3. PTA and stenting
    - Armada 35 balloon (ABBOTT)
    - Supera Interwoven nitinol stent (ABBOTT)
    View image
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