Seoul National University Hospital

• Tuesday, March 12th: 9:03 - 9:36, Room 1 - Main Arena

  Case 02 – In-stent restenosis right SFA

  Center:

  Seoul National University Hospital

  Case 02 – SNU 01: male, 74 years (M-H)

  Operators:

  • Hwan Jun Jae,
  • Saebeom Hur,
  • Sanghyun Ahn

  CLINICAL DATA
  Claudication right calf
  ABI: 0.76/0.96
  
  RISK FACTORS
  CAD, former smoker
  
  PROCEDURAL STEPS
  1. Antegrade approach right groin
  – 7F sheath (Terumo)
  2. Guidewire passage and PTA
  – 0.018" HT Command 18 LT wire 210 cm (ABBOTT) and Rubicon 18 support catheter 90 cm (BOSTON SCIENTIFIC) for intraluminal or subintimal guidewire passage
  3. Atherectomy of ISR
  – Jetstream (BOSTON SCIENTIFIC) with Emboshield (ABBOTT) or
  – HawkOne (MEDTRONIC) with SpiderFX (MEDTRONIC)
  4. PTA with scoring balloon
  – Vascutrak PTA dilatation catheters (BARD/BD)
  5. PTA
  – Lutonix drug coated balloon (BARD/BD)
  6. Bail-out stenting
  – Innova stent (BOSTON SCIENTIFIC)

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• Tuesday, March 12th: 13:51 - 14:15, Room 1 - Main Arena

  Case 04 – Chronic CTO right SFA

  Center:

  Seoul National University Hospital

  Case 04 – SNU 02: male, 71 years (K-L)

  Operators:

  • Hwan Jun Jae,
  • Saebeom Hur,
  • Sanghyun Ahn

  CLINICAL DATA
  Claudication right calf, walking capacity 200 meters
  ABI: 0.72 / 0.87
  
  RISK FACTORS
  Art. hypertension
  
  PROCEDURAL STEPS
  1. Antegrade approach right groin
  – 6F sheath (TERUMO)
  2. Guidewire passage
  – 0.018“ Hi-Torque Command 18 LT wire 210 cm (ABBOTT)
  – Rubicon 18 support catheter 90 cm (BOSTON SCIENTIFIC)
  3. Predilatation
  – Sterling balloon (BOSTON SCIENTIFIC)
  4. PTA
  – Passeo-18 Lux drug coated balloon (BIOTRONIK)
  5. Bail-out stenting
  – Pulsar-18 self expanding stent (BIOTRONIK)

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• Wednesday, March 13th: 10:39 - 11:00, Room 1 - Main Arena

  Case 11 – Rotational atherectomy with DCB for recurrent popliteal artery stenosis

  Center:

  Seoul National University Hospital

  Case 11 – SNU 03: male, 59 years (K-P)

  Operators:

  • Hwan Jun Jae,
  • Saebeom Hur,
  • Sanghyun Ahn

  CLINICAL DATA
  Severe claudication at left leg
  Artery function test: 1.12/0.75 (2019.2.13)
  
  IMPORTANT ITEMS
  ESRD on HD, ASO
  Left SFA and POP lesion:
  Initial: Jestreatm + DCB (Lutonix) at Lt POP occlusion
  & DCB at Lt distal SFA stenosis (2017.5.16)
  1st TLR: DCB (Passeo) at Lt POP occlusion & DES at Lt SFA (2018.3.28)
  2nd TLR: DCB (Passeo) at Lt POP occlusion (2018.8.2)
  
  PROCEDURAL STEPS
  1. Antegrade access left groin
  – 7F sheath (TERUMO)
  2. Intraluminal passage of the occluded segment at P2
  – V-18 control wire (BOSTON SCIENTIFIC)
  – CXI support catheter (COOK)
  3. Rotational atherectomy of the occluded segment
  – Jetstream (BOSTON SCIENTIFIC)
  – Emboshield (ABBOTT)
  4. DCB application
  – InPACT Admiral (MEDTRONIC) or
  – Ranger (BOSTON SCIENTIFIC)
  5. Bail-out stenting
  – Supera stent (ABBOTT)

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• Wednesday, March 13th: 11:51 - 12:18, Room 1 - Main Arena

  Case 13 – Recurrent cephalic arch stenosis

  Center:

  Seoul National University Hospital

  Case 13 – SNU 04: male, 56 years (K-P)

  Operators:

  • Saebeom Hur,
  • Sanghyun Ahn

  CLINICAL DATA
  AVF formation at 2006.6 (Radiocephalic fistula)
  Last PTA for cephalic arch stenosis at 2018.6.25
  
  PROCEDURAL STEPS
  1. Left arm AVF access under US guidance
  – 6F 10 cm Supersheath (BOSTON SCIENTIFIC)
  2. Guidewire passage
  – 0.035“ Radiofocus soft angled guidewire 150 cm (TERUMO)
  – Kumpe catheter 65 cm (COOK)
  3. Angioplasty
  – 6 mm, 7 mm/40 mm Conquest high pressure balloon (BARD/BD)
  – 6 mm, 7 mm/40 mm Lutonix drug coated balloon (BARD/BD)

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• Wednesday, March 13th: 15:56 - 16:24, Room 1 - Main Arena

  Case 17 – Chronic total occlusion of right SFA

  Center:

  Seoul National University Hospital

  Case 17 – SNU 05: male, 81 years (I-P)

  Operators:

  • Hwan Jun Jae,
  • Saebeom Hur,
  • Sanghyun Ahn

  CLINICAL DATA
  Claudication, both legs
  ASO, s/p Lt. Fem-PTA bypass (2002/03)
  ABI: 0.48/0.64
  
  RISK FACTORS
  DM, art. hypertension, dyslipidemia
  
  PROCEDURAL STEPS
  1. Cross-over access
  – 6F 40 cm Balkin sheath (COOK)
  2. Guidewire passage
  – 0.035“ Radiofocus soft angled guidewire 150 cm (TERUMO)
  – Rubicon 35 support catheter 90 cm (BOSTON SCIENTIFIC)
  3. Retrograde puncture in the right distal SFA
  – V-18 control wire (BOSTON SCIENTIFIC)
  – CXI support catheter (COOK)
  4. Predilatation
  – Vascutrak PTA dilatation catheter (BARD/BD)
  5. Drug eluting stent implantation
  – Zilver-PTX (COOK)

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