LINC Asia-Pacific 2019 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 12th: - , Room 1 - Main Arena

    Case 03 – Prox SFA diffuse disease and distal SFA occlusion

    Center:
    The Chinese University of Hong Kong, Prince of Wales Hospital
    Case 03 – POW 01: female, 65 years (PLT)
    Operators:
    • Bryan Yan,
    • Skyi Yin Chun Pang,
    • GuangMing Tan,
    • Sven Bräunlich
    CLINICAL DATA
    DM/HT/Lipid/IHD
    Right RF 4 claudication
    ABI right 0.5, left 0.83

    ANGIOGRAPHY
    Diagnostic angiogram shows right proximal SFA multi-focal stenosis and distal SFA occlusion

    PROCEDURAL STEPS
    1. Cross-over approach
    – 6F Destination cross-over sheath (TERUMO)
    2. Antegrade crossing
    – V18 wire (BOSTON SCIENTIFIC)
    – CTO wire (ASAHI)
    3. Retrograde distal access and wiring if antegrade failure
    4. Proximal SFA directional atherectomy
    – HawkOne (MEDTRONIC)
    – In.Pact DCB (MEDTRONIC)
    5. Bail-out stenting on indication
    – Complete nitinol-stent (MEDTRONIC)
    View image
  • Wednesday, March 13th: - , Room 2 - Technical Forum

    Case 20 – Left common iliac occlusion (May-Thurner Syndrome)

    Center:
    The Chinese University of Hong Kong, Prince of Wales Hospital
    Case 20 – POW 05: male, 47 years (M-C)
    Operators:
    • Bryan Yan,
    • GuangMing Tan,
    • Steven Kum,
    • Sven Bräunlich
    CLINICAL DATA
    JAK2 +ve Myeloproliferative disease
    History of left ilio-femoral DVT and PE 2017
    Persistent left leg swelling and pain
    CEAP 4 and Villalta 18

    IMPORTANT ITEMS
    CT showed left CIV compression
    Latest DUS showed proximal clot extended to left CIV with partial recanalization
    Popliteal vein patent

    PROCEDURAL STEPS
    1. (day before) Left popliteal puncture under ultrasound
    2. (day before) Antegrade crossing of left CFV-EIV-CIV
    – Advantage wire (TERUMO)
    – Navicross support catheter (TERUMO)
    3. (day before) Ultrasound assisted thrombolysis infusion catheter (BOSTON SCIENTIFIC)
    4. (day before) 24 hour ultrasound assisted thrombolytic infusion
    5. Balloon angioplasty
    – Conquest or Atlas (BARD/BD)
    6. Intravascular ultrasound guided vessel sizing
    – Volcano Vision PV .035 (PHILIPS)
    7. Stenting
    – Venovo stent (BARD/BD)
    View image
  • Wednesday, March 13th: - , Room 1 - Main Arena

    Case 12 – Long femoral-popliteal occlusion

    Center:
    The Chinese University of Hong Kong, Prince of Wales Hospital
    Case 12 – POW 02: male, 51 years (YCP)
    Operators:
    • GuangMing Tan,
    • Skyi Yin Chun Pang,
    • Bryan Yan,
    • Steven Kum,
    • Sven Bräunlich
    CLINICAL DATA
    Debilitating bilateral RF3 claudication; previous PTA to right side

    RISK FACTORS
    Smoker

    ANGIOGRAPHY
    Diagnostic angiogram shows long CTO from mSFA to TPT

    PROCEDURAL STEPS
    1. Antegrade CFA 6F sheath
    2. Antegrade wire crossing
    – V18 (BOSTON SCIENTIFIC)
    – CTO wires (ASAHI)
    – Navicross support catheter (TERUMO)
    3. Retrograde distal tibial puncture and wire crossing
    4. Optimal predilatation
    5. Stenting
    – Supera stent (ABBOTT)
    View image
  • Wednesday, March 13th: - , Room 1 - Main Arena

    Case 16 – Right calcified SFA CTO

    Center:
    The Chinese University of Hong Kong, Prince of Wales Hospital
    Case 16 – POW 03: male, 62 years (TKP)
    Operators:
    • Bryan Yan,
    • Skyi Yin Chun Pang,
    • GuangMing Tan,
    • Steven Kum,
    • Sven Bräunlich
    CLINICAL DATA
    DM, debilitating claudication RF3 symptoms

    ANGIOGRAPHY
    Diagnostic angiogram showed bilateral SFA occlusion
    Refused surgery

    PROCEDURAL STEPS
    1. Antegrade CFA
    – 6F sheath
    2. Antegrade truelumen wire crossing
    – V18 (Boston scientific)
    – CTO wires (Asahi)
    – Navicross support catheter (TERUMO)
    3. Retrograde distal PTA puncture and crossing if antegrade failure
    4. Diamondback orbital atherectomy if no significant dissection (CSI)
    5. In.Pact DCB +/- bailout Supera stent (ABBOTT)
    View image
  • Wednesday, March 13th: - , Room 1 - Main Arena

    Case 19 – Femoral-popliteal CTO

    Center:
    The Chinese University of Hong Kong, Prince of Wales Hospital
    Case 19 – POW 04: female, 71 years (TTL)
    Operators:
    • GuangMing Tan,
    • Bryan Yan
    CLINICAL DATA
    DM/HT/Lipid, recent Rt B/T infection with ray amputation
    Complicated by post op NSTEMI with PCI done
    Non healing wound

    ANGIOGRAPHY
    Diagnostic angiogram shows distal SFA to P3 occlusion, focal ATA lesion

    PROCEDURAL STEPS
    1. CFA antegrade puncture under ultrasound
    – Micropuncture kits (COOK)
    2. Antegrade crossing
    – V18 wire (BOSTON SCIENTIFIC )
    – CTO wires (Asahi)
    3. Retrograde distal ATA puncture and crossing if antegrade failure
    4. Optimal balloon dilatation
    – Jade (OrbusNeich)
    5. Ranger DCB (BOSTON SCIENTIFIC) +/- bailout stent
    View image

Live case transmission centers

 

During LINC Asia-Pacific 2019 several live cases will be performed from 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
• Seoul National University Hospital, Seoul, Republic of Korea with Hwan Jun Jae, Saebeom Hur, and Sanghyun Ahn 
• The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong with Bryan Yan and Steven Kum
• University Hospital Leipzig, Department of Angiology, Leipzig, Germany with Andrej Schmidt

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