×
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

39867 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

                Monday, November 30th -0001 from 12am to 12am (GMT+1)
                Honolulu : Monday, November 29th 1999 from 12pm to 12pm (GMT+1)
                San Francisco : Monday, November 29th 1999 from 02pm to 02pm (GMT+1)
                New York : Monday, November 29th 1999 from 05pm to 05pm (GMT+1)
                Buenos Aires : Monday, November 29th 1999 from 07pm to 07pm (GMT+1)
                London / Dublin : Monday, November 29th 1999 from 10pm to 10pm (GMT+1)
                Paris / Berlin : Monday, November 29th 1999 from 11pm to 11pm (GMT+1)
                Istanbul : Tuesday, November 30th 1999 from 12am to 12am (GMT+1)
                Moscou / Dubaï : Tuesday, November 30th 1999 from 02am to 02am (GMT+1)
                Bangkok : Tuesday, November 30th 1999 from 05am to 05am (GMT+1)
                Shanghai : Tuesday, November 30th 1999 from 06am to 06am (GMT+1)
                Tokyo : Tuesday, November 30th 1999 from 07am to 07am (GMT+1)
                Sydney : Tuesday, November 30th 1999 from 08am to 08am (GMT+1)
                Wellington : Tuesday, November 30th 1999 from 10am to 10am (GMT+1)

                Complex CTO: Ostial LAD CTO with ambiguous Proximal CAP

                Case of the month: May 2019

                Cardiology / Coronary / Live/7 Comments
                View more
                Share
                Friday, June 29th 2018 from 09:40am to 11am (GMT+2)
                Honolulu : Thursday, June 28th 2018 from 09:40pm to 11pm (GMT+2)
                San Francisco : Friday, June 29th 2018 from 12:40am to 02am (GMT+2)
                New York : Friday, June 29th 2018 from 03:40am to 05am (GMT+2)
                Buenos Aires : Friday, June 29th 2018 from 04:40am to 06am (GMT+2)
                Reykjavik : Friday, June 29th 2018 from 07:40am to 09am (GMT+2)
                London / Dublin : Friday, June 29th 2018 from 08:40am to 10am (GMT+2)
                Paris / Berlin : Friday, June 29th 2018 from 09:40am to 11am (GMT+2)
                Istanbul : Friday, June 29th 2018 from 10:40am to 12pm (GMT+2)
                Moscou / Dubaï : Friday, June 29th 2018 from 11:40am to 01pm (GMT+2)
                Bangkok : Friday, June 29th 2018 from 02:40pm to 04pm (GMT+2)
                Shanghai : Friday, June 29th 2018 from 03:40pm to 05pm (GMT+2)
                Tokyo : Friday, June 29th 2018 from 04:40pm to 06pm (GMT+2)
                Sydney : Friday, June 29th 2018 from 06:40pm to 08pm (GMT+2)
                Wellington : Friday, June 29th 2018 from 08:40pm to 10pm (GMT+2)

                Complex Right Coronary Artery CTO Procedure: Step-by-Step antegrade dissection reentry technique

                Case of the month: September 2018 - Live Case #6 MLCTO 2018

                Cardiology / Coronary / Live/12 Comments
                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

                Complex Acute Anterior STEMI with "no Reflow phenomenon" management

                Case of the month: October 2018

                Cardiology / Coronary / Case in the box/25 Comments
                View more
                Share

                Nothing Left behind Strategy: Long SFA lesion, Directional atherectomy & DCB

                Case of the month: December 2018

                Endovascular / Lower limbs / Case in the box/4 Comments
                View more
                Share

                Right popliteal artery occlusion Thrombectomy Rotarex device - DEB Balloon

                Endovascular / Lower limbs / Case in the box/1 Comments
                View more
                Share

                Debate on Drug Eluting Technologies in PAD

                Dr. Deloose - Dr. Zeller - Dr. Amor

                Endovascular / Lower limbs / Lecture
                View more
                Share

                Long femoro-popliteal thrombosis

                Dr Gouëffic & Dr Katsanos

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