Beijing PLA Hospital

• Tuesday, March 12th: 8:00 - 8:27, Room 1 - Main Arena

  Case 01 – SFA occlusion

  Center:

  Beijing PLA Hospital

  Case 01 – BPH 01: male, 62 years

  Operators:

  • Wei Guo

  CLINICAL DATA
  Severe claudication right calf for 3 years, walking capacity 100 meters
  Rutherford: 3
  TASC: B
  ABI: L 0.86, R 0.52
  
  RISK FACTORS
  Hypertension, smoking, DM
  
  PROCEDURAL STEPS
  1. Left femoral access and cross-over approach
  – 6F 55 cm sheath (COOK)
  2. Passage of the occlusion
  – 0.018" V-18 guidewire 300 cm (BOSTON SCIENTIFIC)
  – 0.018" Trailblazer support catheter, 135 cm (MEDTRONIC)
  3. POBA and DCB
  – 5/60 mm Armada 18 balloon (ABBOTT)
  – 5/60 mm DCB (AcoArt I)
  – 6/60 mm Zilver-stent (COOK) implantation in case of severe dissection
  4. Puncture site closure
  – Exoseal 6F (CORDIS/CARDINAL HEALTH)

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• Wednesday, March 13th: 8:48 - 9:23, Room 1 - Main Arena

  Case 10 – Juxtarenal AAA-EVAR with fenestrated stentgraft

  Center:

  Beijing PLA Hospital

  Case 10 – BPH 02: male, 67 years

  Operators:

  • Wei Guo

  CLINICAL DATA
  Abdominal pulsating mass detected for 3 years
  Cr: 120 umol/L
  
  RISK FACTORS
  Hypertension, smoking
  
  PROCEDURAL STEPS
  1. Bifemoral percutaneous approach
  – Preclosing with Proglide closure devices (ABBOTT)
  2. Implantation of the main stentgraft
  – 28/109 mm (COOK)
  – Preset Rosen guidewire to both renal arteries
  – Implanting stents 7–17 mm in bilateral renal arteries
  3. Implantation of the bifurcated stentgraft
  – 24/20/94 mm (COOK)
  4. Implantation of iliac stentgraft
  – 18/39 mm (COOK)
  5. PTA of the graft
  – Coda balloon catheter (COOK)

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• Wednesday, March 13th: 12:38 - 13:06, Room 2 - Technical Forum

  Case 21 – Embolization of a Type-II endoleak

  Center:

  Beijing PLA Hospital

  Case 21 – BPH 03: male, 72 years

  Operators:

  • Wei Guo

  CLINICAL DATA
  EVAR of AAA 1 year ago, diameter increasing 5mm for 6 month,
  intermittent abdominal pain for 1 weeks
  Hb: 121 g/L
  
  RISK FACTORS
  CHD, smoking, DM
  
  PROCEDURAL STEPS
  1. Right femoral access
  – 6F sheath (COOK)
  2. Selective angiography of SMA and Riolans’ arch
  – Vertebral catheter (TERUMO)
  3. Approach to IMA and embolization
  – 0.026“ microcatheter, 135 cm (COOK)
  – 0.018“ 15/40 mm Interlock Coil (BOSTON SCIENTIFIC)
  4. Puncture site closure
  – Exoseal 6F (CORDIS)

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