LINC Asia-Pacific 2018 live case guide

Find all live cases and live centers listed below

 

 

Conference day 1

  • - , 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 DATA
    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)
    View image
  • - , 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
  • - , Room 1 - Main Arena

    Case 03 –Left SFA long occlusion

    Center:
    Beijing PLA Hospital
    Case 03 – BPH 01: male, 68 years (ZSX)
    Operators:
    • Wei Guo,
    • Xiaohui Ma
    CLINICAL DATA
    Left leg claudication, walking capacity 100 meters, Rutherford 3

    RISK FACTORS
    Smoking, diabetes

    PROCEDURAL STEPS
    1. Right femoral access and cross-over approach
    - 6F 40 cm sheath (COOK)
    2. Passage of the occlusion right SFA
    - 0.018" V18 guidewire, 300 cm (BOSTON SCIENTIFIC)
    - 0.018" Trailblazer support catheter, 135 cm (MEDTRONIC)
    3. Retrograde approach via the right infrapopliteal artery in case of failure
    4. PTA and DCB
    - Savvy Long OTW balloon 5 x 200 mm (CORDIS)
    - ORCHID DCB 6 x 200 mm (ACOTEC)
    View image
  • - , 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 DATA
    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
    View image
  • - , Room 2 - Technical Forum

    Case 10 – Symptomatic stenosis of the right ICA

    Center:
    University Hospital Leipzig, Department of Angiology
    Case 10 – LEI 04: male, 57 years (O-M)
    Operators:
    • Andrej Schmidt,
    • Yvonne Bausback
    CLINICAL DATA
    TIA 09/17 (left arm palsy)

    RISK FACTORS
    Art. hypertension, nicotin abuse, diabetes mellitus type 2

    PRESENT STATE
    CAD, CABG 2002, ICM (LV-EF 45%)

    PROCEDURAL STEPS
    1. Right groin access
    - 9F 25 cm Radiofocus introducer (TERUMO)
    - 5F Judkins Right diagnostic catheter (CORDIS/CARDINAL HEALTH)
    - 0.035" soft angled glidewire, 190 cm (TERUMO)
    - 0.035" SupraCore 190 cm guidewire (ABBOTT)
    2. Cerebral protection
    - MoMa proximal protection system, Mono-Balloon (MEDTRONIC)
    3. Predilatation and stenting
    - 3.5/20 mm MiniTrek Monorail balloon (ABBOTT)
    - Roadsaver Carotid Micromesh stent 8 x 25 mm (TERUMO)
    4. Aspiration of debris (if any) and declamping
    View image
  • - , Room 1 - Main Arena

    Case 05 –Chronic total occlusion right SFA

    Center:
    University Hospital Leipzig, Department of Angiology
    Case 05 – LEI 01: male, 56 years (R-T)
    Operators:
    • Andrej Schmidt,
    • Matthias Ulrich
    CLINICAL DATA
    Severe claudication right, walking capacity 50 meters, calf-pain
    TEA both groins 2013; PTA/stent CIA left 2017
    CAD with CABG 2015 and PTCA 2013
    Minor stroke 2008 and 2009

    RISK FACTORS
    Diabetes mellitus, art. hypertension, former smoker

    PROCEDURAL STEPS
    1. Left femoral access and cross-over approach
    - 6F 45 cm cross-over sheath Fortress (BIOTRONIK)
    2. Recanalisation left SFA
    - 0.018" Advantage glidewire (TERUMO)
    - 0.018" CXI support catheter (COOK)
    Back-up material:
    - Connect 250T CTO-wire (ABBOTT)
    - Outback reentry system (CORDIS/CARDINAL HEALTH)
    3. PTA
    - Passeo18 balloon 5 x 150 mm (BIOTRONIK)
    - 5 mm Passeo18 Lux DCB (BIOTRONIK)
    4. Stenting on indication, spot-stenting
    - Pulsar18 stent (BIOTRONIK)
    View image
  • - , Room 1 - Main Arena

    Case 06 – Right SFA long occlusion

    Center:
    Beijing PLA Hospital
    Case 06 – BPH 02: female, 80 years (XSY)
    Operators:
    • Wei Guo,
    • Xin Jia
    CLINICAL DATA
    Right calf claudication for one year, walking capacity 100 meters, Rutherford 3

    RISK FACTORS
    Diabetes, hypertension

    PROCEDURAL STEPS
    1. Left femoral access and cross-over approach
    - 6F 40 cm sheath (COOK)
    2. Passage of the occlusion right SFA
    - 0.018" V18 guidewire, 300 cm (BOSTON SCIENTIFIC)
    - 0.018" Trailblazer support catheter, 135 cm (MEDTRONIC)
    3. Retrograde approach via the right infrapopliteal artery in case of failure
    4. PTA and primary stent
    - Passeo18 balloon 4 x 170 mm (BIOTRONIK)
    - Pulsar18 stent 5 x 200 mm (BIOTRONIK)
    View image
  • - , 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 DATA
    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
    View image
  • - , Room 1 - Main Arena

    Case 08 – Chronic SFA-occlusion right

    Center:
    University Hospital Leipzig, Department of Angiology
    Case 08 – LEI 02: male, 64 years (A-J)
    Operators:
    • Matthias Ulrich,
    • Andrej Schmidt
    CLINICAL DATA
    Severe claudication right calf, walking capacity 150 meters
    CAD, PTCA 2012
    Hemicolectomy 2016
    ABI right 0.63

    RISK FACTORS
    Diabetes mellitus, art. Hypertension

    PROCEDURAL STEPS
    1. Left groin retrograde and cross-over approach
    - 0.035" SupraCore guidewire 190 cm (ABBOTT)
    - 6F–40 cm Balkin Up&Over sheath (COOK)
    2. Guidewire passage
    - 0.035" Radiofocus soft angled guidewire, 260 cm (TERUMO)
    - CXI support catheter, 0.035" 135 cm (COOK)
    In case of failure to pass the CT from antegrade:
    3. Retrograde approach via distal SFA
    - 9 cm 21 Gauge needle (COOK)
    - 0.018" V-18 Control guidewire, 300 cm (BOSTON SCIENTIFIC)
    - 0.018" CXI support catheter 90 cm (COOK)
    4. Angioplasty
    - Advance balloon 5.0/100 mm (COOK)
    - Advance Enforcer 6.0/40 mm in case of focal residual stenosis (COOK)
    5. Stenting
    - Zilver PTX stent 6.0/140 mm (COOK)
    View image
  • - , Room 1 - Main Arena

    Case 09 – Critical limb ischemia, restenosis right distal A. pop, and reocclusion right TPT

    Center:
    University Hospital Leipzig, Department of Angiology
    Case 09 – LEI 03: male, 64 years (R-Z)
    Operators:
    • Andrej Schmidt,
    • Matthias Ulrich
    CLINICAL DATA
    Recurrent ulceration (mixed venous and arterial) right lower limb
    PTA right popliteal artery 2012; recurrence of symptoms since 10/2017
    Failed recanalization attempt right 1/2018,
    Failure to reenter the posterior and anterior tibial artery
    Art. Hypertension

    PROCEDURAL STEPS
    1. Right groin antegrade access
    - 6F 55 cm sheath (COOK)
    2. Guidewire passage antegrade
    - 0.018" Command-18 guidewire, 300 cm (ABBOTT)
    - Seeker 0.018" support catheter, 90 cm (BARD)
    In case of repeat failure to pass from antegrade: retrograde access via PTA
    - Pedal 2.9F sheath (pedal puncture set) (COOK)
    - 0.014" CTO-Approach 25 gramm guidewire, 300 cm (COOK)
    - 0.018" CXI support catheter 90 cm (COOK)
    3. PTA
    - VascuTrak scoring balloon 4.0/120 mm (BARD)
    - Lutonix 4.0/150 mm DCB (BARD)
    4. Stenting on indication
    - Supera Interwoven Nitinol Stent (ABBOTT)
    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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