LINC Asia-Pacific 2018 live case guide
Find all live cases and live centers listed below
The Chinese University of Hong Kong, Prince of Wales Hospital
5 livecase(s)
-
Tuesday, March 13th: - , Room 1 - Main Arena
Case 01 – Right popliteal stenosis, ATA occlusion
- Center:
- The Chinese University of Hong Kong, Prince of Wales Hospital
Case 01 – POW 01: male, 69 years, (LCW)- Operators:
-
- Bryan Yan,
- Skyi Yin Chun Pang,
- Sven Bräunlich,
- Steven Kum
CLINICAL DATAView image
PAOD Rutherford 3
Dm hypertension, hyperlipidemia, left SFA stent, left May Thurner stenting
Recent directional atherectomy to right SFA with DCB
PROCEDURAL STEPS
1. Antegrade right groin access
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 ATA/DP 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. PTA popliteal and ATA with DEB
- 3/4/5 mm Ranger DCB (BOSTON SCIENTIFIC) -
Tuesday, March 13th: - , Room 1 - Main Arena
Case 04 –Right SFA CTO, bi-Iliastenosis, CFA stenosis
- Center:
- The Chinese University of Hong Kong, Prince of Wales Hospital
Case 04 – POW 02: male, 65 years (YH-W)- Operators:
-
- Bryan Yan,
- Skyi Yin Chun Pang,
- Sven Bräunlich,
- Steven Kum
CLINICAL DATAView image
PAOD Rutherford 3, bilateral claudication
DM hypt, smoker, Cr 180, failed right leg angioplasty 2002
PROCEDURAL STEPS
1. Crossover access via left 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)
- HawkOne (MEDTRONIC)
5. PTA with DEB and spot stent
- 5/6mm InPact Pacific (MEDTRONIC)
- Everflex 5/6 mm (MEDTRONIC)
6. Consider treatment of right CFA with HawkOne (MEDTRONIC)
7. Stenting of left and right iliac stenosis -
Tuesday, March 13th: - , Room 1 - Main Arena
Case 07 – Right SFA occlusion, left iliac occlusion
- Center:
- The Chinese University of Hong Kong, Prince of Wales Hospital
Case 07 – POW 03: male, 54 years (KWM)- Operators:
-
- Bryan Yan,
- Skyi Yin Chun Pang,
- Sven Bräunlich,
- Steven Kum
CLINICAL DATAView image
PAOD Rutherford 3 R>L
AF on Warfarin, hypertension, hyperlipidemia
PROCEDURAL STEPS
1. Left brachial and left femoral approach
- 6 x 90 Flexor sheath (COOK)
2. Bi-directional wiring of left iliac CTO
- 0.0355 Terumo Glidewire or wire 0.018" V-18 control wire, 300 cm (BOSTON SCIENTIFIC)
3. Balloon angioplasty and stenting of left iliac system
4. Crossover access via left groin 6F sheath
5. Passage of the right SFA CTO
- 0.018" V-18 control wire, 300 cm (BOSTON SCIENTIFIC)
- 4F Ber II catheter or 4/5F Judkins (CORDIS) or CXI (COOK)
6. Retrograde SFA approach in event of antegrade failure
7. Predilatation and lesion preparation
8. PTA and stenting of SFA
- 6 mm Zilver PTX (COOK)
9. Stenting of right iliac system -
Wednesday, March 14th: - , Room 1 - Main Arena
Case 12 – Right in-stent occlusion
- Center:
- The Chinese University of Hong Kong, Prince of Wales Hospital
Case 12 – POW 04: male, 57 years (WKS)- Operators:
-
- Bryan Yan,
- Skyi Yin Chun Pang,
- Sven Bräunlich,
- Steven Kum
CLINICAL DATAView image
PAOD Rutherford 3
DM, HT, smoker, CAD s/p multiple PCI 2006, 2013, 2014
Bilateral PVD s/p multiple interventions, left popliteal stent 2014,
DCB for in-stent occlusion 2016
CTA excluded entrapment syndrome, recent stent re-occlusion
PROCEDURAL STEPS
1. Contralateral cross-over access via right groin
- 6F 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 tibial access in event of antegrade failure
4. Mechanical thrombectomy and debulking
- Predilatation with 2/3 x 120 balloon
- 6F Rotarex (STRAUB MEDICAL)
5. Treatment with In.Pact 5 mm DCB -
Wednesday, March 14th: - , Room 1 - Main Arena
Case 15 – Right popliteal occlusion, tibial stenosis
- Center:
- The Chinese University of Hong Kong, Prince of Wales Hospital
Case 15 – POW 05: male, 47 years (CCM)- Operators:
-
- Bryan Yan,
- Skyi Yin Chun Pang,
- Sven Bräunlich,
- Steven Kum
CLINICAL DATAView image
PAOD Rutherford 3
Smoker, PVD s/p popliteal balloon angioplasty 2012, recurrent claudication
Resting ABI: 0.58 / 1.14
PROCEDURAL STEPS
1. Contralateral cross-over access via Left groin
- 6F 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)
- 0.014 COMMAND ES (ABBOTT VASCULAR)
3. Retrograde tibial access in event of antegrade failure
4. Consider debulking if true lumen, otherwise vessel prep and predilatation
5. Treatment of SFA/Pop and tibials
- Ranger DCB (BOSTON SCIENTIFIC)
6. Spot stenting on indication
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