×
It looks like you're using an obsolete version of internet explorer. Internet explorer is no longer supported by Microsoft since the end of 2015. We invite you to use a newer browser such as Firefox, Google Chrome or Microsoft Edge.
Endovascular / Lower limbs / Btk-bta / Case in the box
My Player placeholder

Become an Incathlab member and receive full access to its content!

You must be an Incathlab member to access videos without any restrictions. Register for free in one minute and access all services provided by Incathlab.You will also be able to log into Incathlab from your Facebook or twitter account by clicking on login on the top-right corner of Incathlab website.

Registration Login


Worldwide schedules comment Share

10 chapters

39854 views
This 18 minutes didactic procedure concerns a 78 years old male with extremely severe peripheral artery disease: a Left limb amputation and a Right limb trophic ulcer. He presents Three right consecutive artery occlusions: Mid-SFA, Popliteal, proximal and distal posterior tibial.
 
This extremely complex case was treated using different technics according to the arterial segment: Sub intimal angioplasty and long stenting for SFA, Drug coated balloon for Popliteal, DES for proximal posterior tibial and coronary technics for plantar arteries.
 

Step-by-Step Procedure

  • Right Antegrade femoral access
  • Pre-procedure discussion of strategy for a multilevel artery occlusion 
  • Guide wire selection and  escalation for crossing
  • Support micro-catheter selection 
  • Pre-dilatation of more than 50cm with low profile long balloon
  • Technics to re--enter in  foot arteries 
  • DES for distal leg arteries
  • DCB for popliteal artery 
  • Self-expandable drug eluting stent for dissection and residual stenosis of SFA

Learning points

  • Selection and feasibility of antegrade femoral access 
  • Guide Wire and micro-catheter selection for multilevel crossing
  • Balloon angioplasty with low profile long balloons 
  • Technics to re-enter in plantar artery
  • Use of DCB (Drug Coated Balloon) for popliteal artery 
  • Use of balloon DES in tibial artery 
  • Self -expandable DES at the femoral level

Biobliography

 

Shooting date : 2016-12-05
Last update : 2018-01-31
Max Amor
Essey-lès-Nancy, France
Private message
Luis Mariano Palena
Abano Terme, Italy
Private message

Drug Eluting Technologies: I want choice

39 Videos / Public /

Share
Discover playlist

Our Cases of the Month

39 Videos / Public /

The case of the month is a new way for our users to watch, learn, and share with incathlab. They can watch a video that highlights an innovative case and uses excellent pedagogical techniques, lear...

Share
Discover playlist

нннн

1 Videos / Public /

Share
Discover playlist
7 comments
Join the Discussion
See previous comments (3)
  • Alaaeldin H.

    Alaaeldin H. what is the expected patency for this long segment ,multilevel occlusion.

    2017-12-09, 22h41
      Join files
      Please, select your files, click upload button, write your comment and click the send button. (allowed formats : images jpeg, gif, png, and PDF)
      Your browser doesn't have Flash, Silverlight or HTML5 support.


    • Max A.

      Max A. Thank you for your comment. This patient requires a monthly follow up to maintain patency in order to assure ulcer healing . After 6 months the risk of restenosis and occlusion is high .

      2017-12-11, 10h42
        Join files
        Please, select your files, click upload button, write your comment and click the send button. (allowed formats : images jpeg, gif, png, and PDF)
        Your browser doesn't have Flash, Silverlight or HTML5 support.


      • marcus P.

        marcus P. Set good

        2017-12-17, 10h58
          Join files
          Please, select your files, click upload button, write your comment and click the send button. (allowed formats : images jpeg, gif, png, and PDF)
          Your browser doesn't have Flash, Silverlight or HTML5 support.


        • Sandeep S.

          Sandeep S. why did we have to break the end of Eluvia stent towards the end of deployment.

          2017-12-28, 17h53
            Join files
            Please, select your files, click upload button, write your comment and click the send button. (allowed formats : images jpeg, gif, png, and PDF)
            Your browser doesn't have Flash, Silverlight or HTML5 support.


          • Georgi G.

            Georgi G. Leave a new comment to the discussion

            2018-09-05, 12h07
              Join files
              Please, select your files, click upload button, write your comment and click the send button. (allowed formats : images jpeg, gif, png, and PDF)
              Your browser doesn't have Flash, Silverlight or HTML5 support.


            • Max A.

              Max A. It appears to be more convenient in long ELUVIA stent.

              2018-09-05, 12h36
                Join files
                Please, select your files, click upload button, write your comment and click the send button. (allowed formats : images jpeg, gif, png, and PDF)
                Your browser doesn't have Flash, Silverlight or HTML5 support.


              • Collu B.

                Collu B. Congratulations for very informative case

                2019-12-16, 20h18
                  Join files
                  Please, select your files, click upload button, write your comment and click the send button. (allowed formats : images jpeg, gif, png, and PDF)
                  Your browser doesn't have Flash, Silverlight or HTML5 support.


                Suggestions

                Tuesday, February 20th 2018 from 12:30pm to 02pm (GMT+1)
                Honolulu : Tuesday, February 20th 2018 from 01:30am to 03am (GMT+1)
                San Francisco : Tuesday, February 20th 2018 from 03:30am to 05am (GMT+1)
                New York : Tuesday, February 20th 2018 from 06:30am to 08am (GMT+1)
                Buenos Aires : Tuesday, February 20th 2018 from 08:30am to 10am (GMT+1)
                London / Dublin : Tuesday, February 20th 2018 from 11:30am to 01pm (GMT+1)
                Paris / Berlin : Tuesday, February 20th 2018 from 12:30pm to 02pm (GMT+1)
                Istanbul : Tuesday, February 20th 2018 from 01:30pm to 03pm (GMT+1)
                Moscou / Dubaï : Tuesday, February 20th 2018 from 03:30pm to 05pm (GMT+1)
                Bangkok : Tuesday, February 20th 2018 from 06:30pm to 08pm (GMT+1)
                Shanghai : Tuesday, February 20th 2018 from 07:30pm to 09pm (GMT+1)
                Tokyo : Tuesday, February 20th 2018 from 08:30pm to 10pm (GMT+1)
                Sydney : Tuesday, February 20th 2018 from 09:30pm to 11pm (GMT+1)
                Wellington : Tuesday, February 20th 2018 from 11:30pm to 01am (GMT+1)

                Experts challenge experts: When DCB meets DES in the SFA

                Live Debate

                Endovascular / Lower limbs / Live/1 Comments
                View more
                Share
                Discover your Monthly Case
                Honolulu : Sunday, September 17th 2023 from 10:07pm to 10:07pm (GMT+2)
                San Francisco : Monday, September 18th 2023 from 01:07am to 01:07am (GMT+2)
                New York : Monday, September 18th 2023 from 04:07am to 04:07am (GMT+2)
                Buenos Aires : Monday, September 18th 2023 from 05:07am to 05:07am (GMT+2)
                Reykjavik : Monday, September 18th 2023 from 08:07am to 08:07am (GMT+2)
                London / Dublin : Monday, September 18th 2023 from 09:07am to 09:07am (GMT+2)
                Paris / Berlin : Monday, September 18th 2023 from 10:07am to 10:07am (GMT+2)
                Istanbul : Monday, September 18th 2023 from 11:07am to 11:07am (GMT+2)
                Moscou / Dubaï : Monday, September 18th 2023 from 12:07pm to 12:07pm (GMT+2)
                Bangkok : Monday, September 18th 2023 from 03:07pm to 03:07pm (GMT+2)
                Shanghai : Monday, September 18th 2023 from 04:07pm to 04:07pm (GMT+2)
                Tokyo : Monday, September 18th 2023 from 05:07pm to 05:07pm (GMT+2)
                Sydney : Monday, September 18th 2023 from 07:07pm to 07:07pm (GMT+2)
                Wellington : Monday, September 18th 2023 from 09:07pm to 09:07pm (GMT+2)

                Complex multivascular patient with occluded brachiocephalic trunk

                Case of the month: September 2023

                Endovascular / Carotid / Case in the box
                View more
                Share

                Complex Ostial LAD CTO: Saphenous vein Graft as an Option for Retrograde Approach

                Case of the month: July 2019 - Live case #7 ML CTO

                Cardiology / Coronary / Live Case/2 Comments
                View more
                Share

                VSD plug to close an Ascending aortic pseudo aneurysm

                Case of the month : August 2024

                Cardiology / Coronary / Case in the box/4 Comments
                View more
                Share

                Complex Aorto-iliac lesion: How to deal with symptomatic Abdominal Aortic calcified stenosis extendi...

                Case of the month: November 2018

                Endovascular / Aorto-iliac / Case in the box/23 Comments
                View more
                Share

                Debate on Drug Eluting Technologies in PAD

                Dr. Deloose - Dr. Zeller - Dr. Amor

                Endovascular / Lower limbs / Lecture
                View more
                Share

                Right Anterior tibial and tibio-peroneal trunk Occlusions

                Dr Amor & Dr Palena

                Endovascular / Lower limbs / Case in the box
                View more
                Share

                Chronic Deep Venous Thrombosis management (DVT chronic)

                Case of the month: March 2018

                Endovascular / Venous / Case in the box/2 Comments
                View more
                Share
                Scroll Up