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LINC Asia-Pacific 2016 live case guide

Find all live cases and live case centers listed below.

Changi General Hospital, Singapore, Singapore

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

    Case 02 – CGH 01: Right SFA occlusion, popliteal stenosis

    Center:
    Changi General Hospital, Singapore, Singapore
    Case 02 – CGH 01: male, 56 years (E-F)
    Operators:
    • Steven Kum,
    • Yih Kai Tan,
    • Sven Bräunlich
    CLINICAL DATA
    PAOD Rutherford 3
    Dm hypertension, hyperlipidemia, ex smoker
    EF 60% Cr 120

    PROCEDURAL STEPS
    1. Cross-over access via right groin
    - 6F Balkin sheath (COOK)

    2. Passage of the lesion with hydrophilic wire
    - 0.018" V-18 control wire, 300 cm (BOSTON SCIENTIFIC)
    - 4F Ber II catheter (CORDIS)

    3. Retrograde PTA access in event of antegrade failure
    - 4F Micropuncture® Pedal Access Set (COOK)
    - 0.018" V-18 control wire, 300 cm (BOSTON SCIENTIFIC)
    - 2.6F CXI support catheter, 90 cm (COOK)

    4. Predilatation and vessel preparation
    - 5.0/100 mm Vascutrak scoring PTA catheter (C.R.BARD)

    5. PTA with DEB
    - 5/6mm Lutonix drug-coated balloon (C.R.BARD)

    6. Spot stent on indication and postdilatation
    - 5/80 mm SUPERA stent (ABBOTT)
    View image
  • Tuesday, March 8th: - , Room 1 - Main Arena 1

    Case 05 – CGH 02: Right SFA occlusion, iliac stenosis

    Center:
    Changi General Hospital, Singapore, Singapore
    Case 05 – CGH 02: male, 58 years (O-E)
    Operators:
    • Steven Kum,
    • Yih Kai Tan,
    • Sven Bräunlich
    CLINICAL DATA
    PAOD Rutherford 5 right ankle wound,
    Left fem-pop bypass, left CIA BMS 2 weeks ago ESRF DM EF 60%

    PROCEDURAL STEPS
    1. Brachial access via left brachial artery
    - 6F x 90 cm Shuttle sheath (COOK)

    2. Stenting of right iliac lesion
    - 8/9 mm Assurant Cobalt balloon mounted stent for CIA (MEDTRONIC)
    - 8mm Complete SE self expanding stent for EIA (MEDTRONIC)
    - Post dilatation 7/8 mm REEF HP balloon (MEDTRONIC)

    3. Passage of lesion with GW
    - 0.035“ Standard J-Tip guidewire, 150 cm (CARDINAL HEALTH)

    4. Retrograde SFA access in event of antegrade failure, rendezvous and predil via brachial
    - Pacific 4 x 120 balloon x 180 shaft length (MEDTRONIC)

    5. Antegrade right CFA access and treatment of right SFA
    - In.Pact Pacific 5/6 x 120 mm DEB-balloon (MEDTRONIC)
    - Spot-stenting with a COMPLETE SE or Everflex stent (MEDTRONIC)

    6. Consider DEB of PFA
    View image
  • Tuesday, March 8th: - , Room 2 - Technical Forum

    Case 12 – CGH 05: Right CLI and ATA occlusion

    Center:
    Changi General Hospital, Singapore, Singapore
    Case 12 – CGH 05: male, 66 years (T-C-B)
    Operators:
    • Steven Kum,
    • Yih Kai Tan,
    • Sven Bräunlich
    CLINICAL DATA
    CLI right 2nd toe gangrene PAOD Rutherford 5
    DM hypertension hyperlipidemia IHD EF 45% Cr 102.
    Recent cross-over POBA for SFA CTO, pop and peroneal stenosis

    PROCEDURAL STEPS
    1. Antegrade access via right groin
    - 5F TERUMO sheath

    2. Antegrade passage of the lesion with hydrophilic wire
    - 0.014" COMMAND extra support wire 300 cm (ABBOTT)
    - 2 x 40 Advance 14LP balloon (COOK)

    3. Retrograde passage of lesion via ultrasound guided DP puncture
    - 4F Micropuncture® Transpedal Set (COOK)
    - EDGE ultrasound high frequency probe (SONOSITE)
    - 0.014” COMMAND extra support wire 300 cm (ABBOTT)
    - 2 x 40 Advance Micro 14 via retrograde

    4. PTA of ATA
    - 3.0 x 120 mm Jade high pressure balloon (ORBUS NEICH)

    5. Consider DEB/stent if any SFA/pop restenosis seen
    View image
  • Tuesday, March 8th: - , Room 1 - Main Arena 1

    Case 08 – CGH 03: Left SFA occlusion

    Center:
    Changi General Hospital, Singapore, Singapore
    Case 08 – CGH 03: female, 63 years (K-C-E)
    Operators:
    • Sven Bräunlich,
    • Steven Kum,
    • Yih Kai Tan
    CLINICAL DATA
    PAOD Rutherford 3
    COPD hypertension hyperlipidemia IHD EF 55% Cr normal

    PROCEDURAL STEPS
    1. Antegrade access via left groin 6F sheath

    2. Passage of the lesion
    - 0.018" V-18 hydrophilic control wire, 300 cm (BOSTON SCIENTIFIC)
    - 4F Ber II catheter (CARDINAL HEALTH)

    3. Predilatation and lesion preparation

    4. PTA with DEB
    - Lux 5/6 x 120 mm DEB-balloon (BIOTRONIK)

    5. Postdilatation and stent
    - Conquest 5/6 x 40 balloon (C.R.BARD)
    - 4F Pulsar 18 stent (BIOTRONIK)
    View image
  • Tuesday, March 8th: - , Room 1 - Main Arena 1

    Case 11 – CGH 04: May Thurner syndrome and GSV reflux

    Center:
    Changi General Hospital, Singapore, Singapore
    Case 11 – CGH 04: male, 58 years (P-C-M)
    Operators:
    • Steven Kum,
    • Yih Kai Tan,
    • Sven Bräunlich
    CLINICAL DATA
    Left leg swelling. Venous claudication and swelling x 100 metres
    Hypt, hyperlipidemia, AF on Dabigatran (Pradaxa), previous DVT years ago.
    CT venogram done. Duplex shows left SFJ/GSV reflux

    PROCEDURAL STEPS
    1. Left mid GSV access under ultrasound
    - 5F TERUMO sheath
    - 12F Peel-away safe-sheath (ANGIODYNAMICS)

    2. Passage of the lesion with hydrophilic wire and stiff wire
    - 0.035" Radiofocus TERUMO angled soft guidewire, 260 cm (TERUMO)
    - 4F Ber II catheter (CORDIS)
    - 0.035" Supra Core guidewire, 300 cm (ABBOTT)

    3. Venogram and IVUS
    - 8.5F Visions® PV.035 (VOLCANO)

    4. Predilatation
    - 16/18 x 40 Atlas balloon (C.R.BARD)

    5. Iliac vein stenting
    - Wallstent 18 x 90 (BOSTON SCIENTIFIC)

    6. Postdilatation and IVUS control
    - 16/18 x 40 Atlas balloon (C.R.BARD)

    7. RFA of GSV
    - Venefit with ClosureFast catheter to GSV
    View image
  • Wednesday, March 9th: - , Room 1 - Main Arena 1

    Case 14 – CGH 06: Left SFA and ATA occlusion, TPT stenosis

    Center:
    Changi General Hospital, Singapore, Singapore
    Case 14 – CGH 06: female, 91 years (P-M)
    Operators:
    • Steven Kum,
    • Yih Kai Tan,
    • Sven Bräunlich
    CLINICAL DATA
    Left leg shallow wounds and rest pain PAOD Rutherford 5
    DM hypertension right SFA in-stent occlusion Rotarex and DEB
    Left 4th /5th toe dermal gangrenet, EF 60%, Cr normal

    PROCEDURAL STEPS
    1. Contralateral cross-over access via right groin
    - 6F 40 cm long Balkin sheath (COOK)

    2. Passage of the lesion
    - 0.018" V-18 control wire, 300 cm (BOSTON SCIENTIFIC)
    - 0.035" TERUMO angled Soft/Stiff guide-wire, 260 cm (TERUMO)
    - 4F Ber II catheter (CORDIS)

    3. Treatment with stent /DEB
    - SUPERA 5 X 150 (ABBOTT) after predil with DORADO 6 x 40 (C.R.BARD)

    4. ATA recanalization via antegrade (retrograde DP access in event of failure)
    - 0.014" Command ES Wire (ABBOTT)
    - Armada 14 2.5/3 x 120 (ABBOTT)

    5. Treatment of TPT
    - 3.5 x 15 NC TREK balloon for TPT lesion (ABBOTT)
    - 3.5 x 28 ABSORB Bioabsorbable Vascular Scaffold/BVS (ABBOTT) for TPT lesion
    - Post Dil 3.5 x 15 NC TREK balloon (ABBOTT)
    View image
  • Wednesday, March 9th: - , Room 1 - Main Arena 1

    Case 16 – CGH 07: Left SFA in-stent occlusion

    Center:
    Changi General Hospital, Singapore, Singapore
    Case 16 – CGH 07: female, 88 years (S-A-L)
    Operators:
    • Steven Kum,
    • Yih Kai Tan,
    • Sven Bräunlich
    CLINICAL DATA
    Left leg claudication PAOD Rutherford 4
    DM hypertension hyperlipidemia PPM previous left SFA stenting

    PROCEDURAL STEPS
    1. Contralateral cross-over access via Right groin
    - 8F 40 cm long Balkin sheath (COOK)

    2. Antegrade passage of the lesion with hydrophilic wire
    - 0.018" V-18 control wire, 300 cm (BOSTON SCIENTIFIC)
    - 0.035" Radiofocus TERUMO angled soft guidewire, 250 cm (TERUMO)

    3. Retrograde puncture of occluded stent in event of antegrade failure
    - 0.035" Radiofocus TERUMO angled soft guidewire, 250 cm (TERUMO)
    - 4F CXI support catheter

    4. Mechanical thrombectomy and debulking
    - Predilatation with Powercross 2/3 x 120 balloon (MEDTRONIC)
    - 8F Rotarex (STRAUB MEDICAL)

    5. Post debulking IVUS
    - o.014" Eagle Eye® Platinum IVUS catheter with virtual histology

    6. Treatment with DEB and stent on indication
    View image
  • Wednesday, March 9th: - , Room 1 - Main Arena 1

    Case 18 – CGH 08: May Thurner syndrome

    Center:
    Changi General Hospital, Singapore, Singapore
    Case 18 – CGH 08: female (J-L)
    Operators:
    • Yih Kai Tan,
    • Steven Kum,
    • Sven Bräunlich
    CLINICAL DATA
    Left leg swelling. Recent cellulitis
    Hypothyroidism, recent left calf DVT on Warfarin.
    CT venogram done.

    PROCEDURAL STEPS
    1. Left mid SFV access under ultrasound
    - 5F TERUMO sheath
    - 12F Peel-away Safe-sheath (ANGIODYNAMICS)

    2. Passage of the lesion with hydrophilic wire and stiff wire
    - 0.035" Radiofocus TERUMO angled soft guidewire, 260 cm (TERUMO)
    - 4F Ber II catheter (CORDIS)
    - 0.035" Supra Core guidewire, 300 cm (ABBOTT)

    3. Venogram and IVUS
    - 8.5F Visions® PV.035 (VOLCANO)

    4. Predilatation
    - 16/18 x 40 Atlas balloon (C.R.BARD)

    5. Iliac Vein Stenting
    - Wallstent 18 x 90 (BOSTON SCIENTIFIC)

    6. Postdilatation and IVUS control
    - 16/18 x 40 Atlas balloon (C.R.BARD)
    View image
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