LINC Asia-Pacific 2018 live case guide

Find all live cases and live centers listed below

 

 

Seoul National University Hospital

4 livecase(s)
  • Tuesday, March 13th: - , Room 1 - Main Arena

    Case 02 – Superficial femoral artery stenosis/occlusion suspected by arterial function test

    Center:
    Seoul National University Hospital
    Case 02 – SNU 01: male, 66 years (K-K)
    Operators:
    • Jae Kyu Kim,
    • Saebeom Hur
    CLINICAL DATA
    Claudication right calf
    s/p stent insertion at Rt. focal stenosis and Lt CTO, CIA (kissing stent) (2016.2.27)
    Right ABI : 0.55 (2016.1.29) à 0.86 (2016.11.18) à 0.76 (2017.5.12) à 0.61 (2017.10.20)
    Parkinsonism and neurogenic bladder

    RISK FACTORS
    Hypertension, hyperlipidemia

    PROCEDURAL STEPS
    1. Right groin antegrade approach
    - 7F sheath
    2. Guidewire passage and PTA
    - 0.035" Radiofocus soft angled guidewire 150 cm (TERUMO) and 5F Davis catheter 90 cm (TERUMO) for intraluminal or subintimal GW passage
    - Jetstream (BOSTON SCIENTIFIC) with Emboshield (ABBOTT) or HalkOne (MEDTRONIC) with SpiderFX (COVIDIEN)
    - 5.0 mm Ultraverse balloon (BARD)
    - 5.0 or 6.0 mm Lutonix drug coated balloon (BARD)
    3. (PRN) Bail-out stenting
    - Innova stent (BOSTON SCIENTIFIC) or Supera stent (ABBOTT)
    View image
  • Wednesday, March 14th: - , Room 1 - Main Arena

    Case 11 –TASC D iliac occlusion, left

    Center:
    Seoul National University Hospital
    Case 11 – SNU 02: male, 63 years (K-B)
    Operators:
    • Hwan Jun Jae,
    • Saebeom Hur
    CLINICAL DATA
    Severe claudication left calf, walking capacity 100 meters

    IMPORTANT ITEMS
    Quit smoking 1 year ago after 90-pack-years
    ABI : unavailable
    Bladder cancer (UCC) with M/bone (T7)
    s/p Radical Cystectomy ('12.11.6) & T7 transverse tumorectomy ('13.3.27)
    EGC, s/p LADG ('16.5.18)
    Old Tbc; GB stone, s/p L-Cholecystectomy (30YA)
    Rt. leg neural damage (after TA, >20Y)

    PROCEDURAL STEPS
    1. Right groin retrograde and cross-over approach
    - 0.035" Radiofocus soft angled guidewire 150 cm (TERUMO)
    - 7F 40 cm Balkin Up&Over sheath (COOK)
    2. Left groin retrograde approach
    - 0.035" Radiofocus guidewire 190 cm (TERUMO)
    - 6F 10 cm Super sheath (BOSTON SCIENTIFIC)
    --> 8F sheath after passage
    3. Guidewire passage and PTA
    - 0.035" Radiofocus soft angled guidewire 150 cm (TERUMO) and 5F Davis catheter 70 cm (TERUMO) for intraluminal or subintimal GW passage
    - 4.0/40 mm Armada 35 balloon (ABBOTT)
    - 6.0 or 7.0/100 mm Armada balloon (ABBOTT)
    - Bail-out usage of Goose neck snare (EV3) or Outback (CORDIS)
    4. Stenting
    - 8 mm/60 mm Lifestream balloon-expandable covered stent (BARD)
    - Consider bilateral common iliac kissing stent
    - 7 mm/120 mm self-expandable stent for left external iliac segment
    View image
  • Wednesday, March 14th: - , Room 1 - Main Arena

    Case 14 – TASC D SFA occlusion right

    Center:
    Seoul National University Hospital
    Case 14 – SNU 03: male, 72 years (Y-O)
    Operators:
    • Hwan Jun Jae,
    • Saebeom Hur
    CLINICAL DATA
    Severe claudication right calf, 100 m

    IMPORTANT ITEMS
    Hypertension
    s/p Thrombectomy, Lt. CFA to crural a.. Rt. CFA, DFA, SFA, Endarterectomy, both CFA
    Fem-Fem bypass (Lt to Rt) with 7 mm PTFE graft (2015.11.19)
    Right ABI : 0.33 (2016.2.4) --> 0.58 (2016.10.31) --> 0.60 (2017.8.18) --> 0.65 (2018.2.6)
    In hospital cardiac arrest, idopathic (2015.11.19)
    DVT in Rt. popliteal vein, on astrix, pletaal, berasil, podox, roisol

    PROCEDURAL STEPS
    1. Right groin antegrade approach
    - 0.035" Radiofocus soft angled guidewire 150 cm (TERUMO)
    - 6F 10 cm Supersheath sheath (BOSTON SCIENTIFIC)
    2. (PRN) Right ATA retrograde approach
    - 0.018" V-18 guidewire (BOSTON SCIENTIFIC)
    - CXI supporting catheter 90 cm (COOK)
    3. Guidewire passage and PTA
    - 0.018" V-18 guidewire (BOSTON SCIENTIFIC) and CXI catheter 90 cm (COOK) for intraluminal or subintimal GW passage
    - (PRN) Jetstream artherectomy (BOSTON SCIENTIFIC) with embolic protection device, if intraluminal passage achieved
    - (PRN) reverse-CART if subintimal passage was made
    - 5.0 mm Armada balloon (ABBOTT)
    4. Stenting
    - Multiple 6 mm Eluvia drug eluting stent (BOSTON SCIENTIFIC)
    View image
  • Wednesday, March 14th: - , Room 2 - Technical Forum

    Case 21 – Instent-restenosis of central vein stent with focal stenosis at brachial vein in brachio-brachial arterio-venous fistula for hemodialysis

    Center:
    Seoul National University Hospital
    Case 21 – SNU 04: female, 73 years (J-W)
    Operators:
    • Saebeom Hur,
    • Sanghyun Ahn
    CLINICAL DATA
    Hemodialysis via Permcath
    Left arm swelling (+)

    PATIENT HISTORY
    2017.3.9 AVF formation (Br-Br), Lt.
    2017.4.24 Lt. autogenous brachial-brachial upper arm transposition (2nd)
    2017.8.16 – 8.19 wound care
    2017.9.20 First use(+)
    2017.10.11 Stent placement for Lt. innominate vein occlusion
    2017.12.14 PTA for brachial vein stenosis
    using 7*40 mm Mustang balloon & 6 mm*2 cm Cutting balloon

    PROCEDURAL STEPS
    1. US guided brachial vein access
    - 0.035" Radiofocus soft angled guidewire 150 cm (TERUMO)
    - 7F 10 cm Supersheath sheath (BOSTON SCIENTIFIC)
    2. Guidewire passage and PTA
    - 0.035" Radiofocus soft angled guidewire 150 cm (TERUMO) and Kumpe catheter 65 cm (COOK) for intraluminal GW passage
    - 6 mm, 7 mm/40 mm Conquest high-pressure balloon (BARD)
    - 6 mm, 7 mm/40 mm Lutonix drug coated balloon (BARD)
    3. (PRN) Stenting
    - 10 mm Niti-S stent (TAEWOONG)
    View image

Live case transmission centers

 

During LINC Asia-Pacific 2018 several live cases will be performed from 4 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, Xin Jia, and Xiaohui Ma 
• Seoul National University Hospital, Seoul, Republic of Korea with Hwan Jun Jae, Jae Kyu Kim, Saebeom Hur, and Sang Hyun Ahn
• The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong with Bryan Yan, Steven Kum, Skyi Yin Chun Pang, and Sven Bräunlich
• University Hospital Leipzig, Department of Angiology, Leipzig, Germany with Andrej Schmidt, Matthias Ulrich, Yvonne Bausback, and Axel Fischer

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