LINC Asia-Pacific 2017 live case guide

Find all live cases and live case centers listed below.

Singapore, Singapore General Hospital

3 livecase(s)
  • Thursday, March 16th: - , Room 1 - Main Arena

    Case 24 – Left radio-cephalic AV fistuloplasty

    Center:
    Singapore, Singapore General Hospital
    Case 24 – SGH 01: female, 56 years (NBI)
    Operators:
    • Farah Gillan Irani,
    • Sum Leong
    CLINICAL DATA
    Left RC AVF created April 2016.
    Aug 2016 underwent fistuloplasty of juxta-anastomotic segment and outflow cephalic vein at elbow using with 5mm POBA with good results.
    Also underwent coil embolization of competing draining collateral vein at same sitting.
    Currently: reducing transonic flow.

    RISK FACTORS
    ESRF (since 2015) secondary to diabetes & hypertension.
    Ischaemic heart disease. Failed peritoneal dialysis, now on haemodialysis.

    PRESENT STATE
    Reducing transonic flow. AVF duplex scan shows >75% recurrent stenosis at Juxta-anastomotic segment.

    PROCEDURAL STEPS
    1. Fistulogram via retrograde ultrasound guided 'V' cannulation site access

    2. Stenosis crossing using V18 wire supported by 4F Berenstein II catheter

    3. Angioplasty
    - 4 – 5 mm (POBA) angioplasty, if unable to efface lesion/suboptimal result, for cutting balloon angioplasty (5/20 mm)

    4. Definitive angioplasty with 5 – 6 mm drug coated balloon (DCB)

    5. In case of rupture, bail out covered stenting with 6/50 mm Viabahn
    View image
  • Thursday, March 16th: - , Room 1 - Main Arena

    Case 26 – Left SFA and anterior tibial CTOs

    Center:
    Singapore, Singapore General Hospital
    Case 26 – SGH 02: female, 60 years (CYC)
    Operators:
    • Kiang Hiong Tay,
    • Farah Gillan Irani
    CLINICAL DATA
    Left calf claudication for several months, recently rest pain
    No tissue loss

    PRESENT STATE
    Non Smoker
    Diabetes mellitus, hypertension, hyperlipidaemia
    Toe pressures: R 60 mmHg, L 50 mmHg
    Duplex scan showed SFA and ATA CTOs

    PROCEDURAL STEPS
    1. Downhill puncture
    - 5F Britetip short sheath

    2. Intra luminal crossing of SFA CTO
    - In case of failure subintimal crossing will be performed.
    If wire fails to reenter true lumen, retrograde crossing will be attempted via popliteal artery puncture.

    3. Angioplasty
    - Passeo Lux drug coated balloons. Spot stenting if necessary with Pulsar 18 stent.

    4. Balloon assisted haemostasis for popliteal puncture site (if any)

    5. Exchange for long 35 cm sheath

    6. Intra luminal crossing of ATA CTO
    - V18 wire
    - In case of failure subintimal crossing will be performed.
    If wire fails to reenter true lumen, retrograde crossing will be attempted via distal ATA puncture.

    7. Angioplasty
    - Passeo Lux drug coated balloons

    8. Balloon assisted haemostasis for ATA puncture site (if any)

    9. Groin hemostasis with manual compression
    View image
  • Thursday, March 16th: - , Room 1 - Main Arena

    Case 27 – Right SFA critical stenosis and distal disease

    Center:
    Singapore, Singapore General Hospital
    Case 27 – SGH 03: male, 64 years (HCS)
    Operators:
    • Tze Tec Chong,
    • Edward Choke
    CLINICAL DATA
    Patient with severe claudication and rest pain, no tissue loss

    RISK FACTORS
    Hyperlipidemia, hypertension, peripheral artery disease

    PROCEDURAL STEPS
    1. Access considerations given axillobifemoral graft

    2. Crossing of SFA lesion

    3. Consideration for arthrectomy

    4. Deployment of distal embolic protection device

    5. Drug eluting balloon and balloon angioplasty

    6. Consideration for DES

    7. Evaluation of tibial disease

    8. Tibial angioplasty

    9. DEB tibial

    10. Hemostasis – suture
    View image
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Live case transmission centers

 

During LINC Asia-Pacific 2017 several live cases will be performed from several international centers. All live case transmissions are coordinated, filmed, and produced by the mediAVentures crew, using the latest in high definition television and wireless technology.

• Beijing PLA Hospital, Beijing, China with Wei Guo
• Changi General Hospital, Singapore with Steven Kum
• Singapore General Hospital, Singapore with Tay Kiang Hiong, Chong Tze Tec
• Chonnam National University Hospital, Gwangju, South Korea with Jae-Kyu Kim 
• Mount Sinai Hospital, New York, USA with Prakash Krishnan
• University Hospital Leipzig, Division of Interventional Angiology, Leipzig, Germany with Andrej Schmidt, Matthias Ulrich, Johannes Schuster, Yvonne Bausback

 

 

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