Singapore, Changi General Hospital

• Tuesday, March 14th: 8:32 - 9:02, Room 1 - Main Arena

  Case 01 – Left SFA occlusion

  Center:

  Singapore, Changi General Hospital

  Case 01 – CGH 01: male, 70 years, (TGL)

  Operators:

  • Sven Bräunlich,
  • Steven Kum,
  • Tan Yih Kai,
  • Darryl Lim,
  • Derek Lim

  CLINICAL DATA
  PAOD Rutherford 3
  COPD hypertension hyperlipidemia EF 40% Cr normal
  
  PROCEDURAL STEPS
  1. Crossover access via right groin 6F sheath
  - Passage of the lesion with hydrophilic wire 0.018" V-18 control wire, 300 cm (BOSTON SCIENTIFIC)
  - 4F Ber II catheter (CORDIS)
  
  2. Retrograde SFA approach in event of antegrade failure
  
  3. Predilatation and lesion preparation, consider debulking
  
  4. PTA with DCB or stent (DES)
  - Ranger 5/6 x 100 (BOSTON SCIENTIFIC)
  - Eluvia 6 x 150 (BOSTON SCIENTIFIC)
  
  5. Post dilatation and stenting
  - Mustang 5/6 x 40 balloon (BOSTON SCIENTIFIC)

  View image
• Tuesday, March 14th: 11:16 - 11:46, Room 1 - Main Arena

  Case 03 – Right SFA in-stent occlusion

  Center:

  Singapore, Changi General Hospital

  Case 03 – CGH 02: male, 70 years (V-F)

  Operators:

  • Steven Kum,
  • Tan Yih Kai,
  • Sven Bräunlich,
  • Darryl Lim,
  • Derek Lim

  CLINICAL DATA
  PAOD Rutherford 3
  
  RISK FACTORS
  DM, hypertension, smoker, allergic to Plavix
  
  PROCEDURAL STEPS
  1. Crossover access via right groin
  - 6F Balkin sheath (COOK)
  
  2. Passage of the lesion with hydrophilic wire
  - 0.035" Terumo angled soft/stiff guidewire, 260 cm (TERUMO)
  - 0.018" V-18 control wire, 300 cm (BOSTON SCIENTIFIC)
  - 4F Ber II catheter (CORDIS)
  
  3. Retrograde stent puncture in event of antegrade failure
  - 0.018" V-18 control wire, 300 cm (BOSTON SCIENTIFIC)
  - 0.035" Terumo angled soft/stiff guidewire, 260 cm (TERUMO)
  
  4. Predilatation and vessel preparation, consider debulking
  - 5.0 mm Pacific (MEDTRONIC)
  
  5. PTA with DEB
  - 5/6mm InPact Pacific (MEDTRONIC)
  
  6. Consider treatment of PFA

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• Tuesday, March 14th: 16:42 - 17:07, Room 1 - Main Arena

  Case 08 – Left SFA occlusion, TPT occlusion

  Center:

  Singapore, Changi General Hospital

  Case 08 – CGH 03: male, 56 years (P)

  Operators:

  • Steven Kum,
  • Tan Yih Kai,
  • Sven Bräunlich,
  • Darryl Lim,
  • Derek Lim

  CLINICAL DATA
  PAOD Rutherford 3
  Dm Hypertension, hyperlipidemia, ex-smoker, normal renal function
  
  PROCEDURAL STEPS
  1. Crossover access via left groin
  - 6F Balkin sheath (COOK)
  2. Passage of the lesion with hydrophilic wire
  - 0.018" V-18 control wire, 300 cm (BOSTON SCIENTIFIC)
  - 0.035" Terumo angled soft/stiff guidewire, 260 cm (TERUMO)
  - 4F Ber II catheter (CORDIS)
  
  3. Retrograde SFA access in event of antegrade failure
  - 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 (BARD)
  
  5. PTA with DEB
  - 5/6mm Lutonix drug-coated balloon (BARD)
  
  6. Spot stenting on indication and post dilatation
  - 5 mm SUPERA stent (ABBOTT)
  
  7. 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 dilatation 3.5 x 15 NC TREK balloon (ABBOTT)

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• Wednesday, March 15th: 12:30 - 13:30, Room 2 - Technical Forum

  Case 22 – Iliac vein compression

  Center:

  Singapore, Changi General Hospital

  Case 22 – CGH 04: male (S-K)

  Operators:

  • Steven Kum,
  • Tan Yih Kai,
  • Darryl Lim,
  • Derek Lim

  CLINICAL DATA
  Left and right leg swelling
  Previous spine instrumentation
  
  PROCEDURAL STEPS
  1. Bilateral SFV access under ultrasound
  - 5F Terumo sheath (TERUMO)
  - 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 (BARD)
  
  5. Iliac vein stenting
  - Sinus Obliquus 16 x 150 (OPTIMED)
  
  6. Postdilatation and IVUS control
  - 16/18 x 40 Atlas balloon (BARD)

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