The role of DCB in SFA subintimal tracking lesion

Size: px
Start display at page:

Download "The role of DCB in SFA subintimal tracking lesion"

Transcription

1 The role of DCB in SFA subintimal tracking lesion Wei-chun Chang M.D. Wen-Lieng Lee, MD, PhD Cardiovascular Center, Taichung Veterans General Hospital, Taiwan R.O.C

2 Disclosure Speaker name:... I have the following potential conflicts of interest to report: Consulting Employment in industry Stockholder of a healthcare company Owner of a healthcare company Other(s) I do not have any potential conflict of interest

3 Clinical Evidence From literature review: IMPACT SFA 2- year outcome and LEVANT2, DCB in FPD diastase is promising but all lesions are intra-luminal approach. The data about DCB effect in SFA subintimal tracking lesion is very limited.

4 DCB Sub-intimal Potential Performance DCBATE-SFA Randomized Trial

5 Drug-Eluting Balloon in Peripheral Intervention for Below the Knee Angioplasty Evaluation (DEBATE-BTK) Francesco Liistro et al. Circulation. 2013;128:

6 Lesson from DEBATE-BTK trial There should be a one-to-one ratio between the DEB and the vessel. It is not worth it to oversize the balloon with respect to the vessel diameter, because on follow-up, we could see in 3% of the cases that there is an ectatic effect from the drug delivery in the vessel.

7 DCB in A Case of Femoropopliteal PAD with Subintimal Tracking EVT

8 Case Sharing 21 y/o man with intermittent claudication of right leg for months. PAD, Right leg post surgical thrombolectomy on April 14 th, 2015, and popliteal pseudoaneurysm untreated. successful PTA to ATA (POBA, Export aspiration thrombectomy, local thrombolytic therapy) and PTA (POBA, Export aspiration thrombectomy, local thrombolytic therapy) on April 25 th, Protein C/Protein S/Antithrombin-III deficiency with wafarin (INR: 1.6) and cilostazol

9 Case Sharing Recurrent PAD, Right leg post successful POBA + Impact Admiral DCB x2 of R't SFA ostial to middle long CTO with bi-directional technique; successful POBA+ Impact Admiral DCB of R't SFA-D to TP trunk CTO; successful POBA of ATA-P and Peroneal- P on Nov. 27 th, Terminal ileum ulcer with active bleeding after EVT Pseudo-aneurysm of left CFA (puncture site) s/p surgical repair in Jan.18 th, Recurrent pseudo-aneurysm of SFA M, right after surgical repair of pseudo-aneurysm of left CFA

10 First PTA for Thromboembolism of ATA/PTA

11 Before PTA PTA+ CDT with UK After PTA

12 Recurrent PAD 7 months later

13 Cross-over EVT Backend of control V-18 after failed crossing with Victory 30gm Subintimal tracking with control V-18 Suppored with Pacific 4.0mmx15cm

14 Retrograde Puncture of D-SFA

15 Angio of SFA after POBA a BC-assisted hemostasis

16 Pop to TP trunk CTO Subintimal tracking with V-18

17 EVT in BTK Victory 30gm in Peroneal artery RegaliaXS in ATA with Crusade support

18 BTK Angio KBT of ATA and TP trunk

19 Final Angio Three Impact Admiral DCB: SFA-ostium to Popliteal artery

20 But. Massive GI bleeding with Terminal ileal Uncer (Hb:12>6) A Pseudo-aneurysm of left CFA

21 Jan. 18th, 2016 Left femoral artery repair, interposition with 8mm ringed PTFE graft 1 cm in length.

22 Jan. 24th, 2016

23 Viabahn 7mmx10cm surgical cutdown via R t CFA on Feb. 4th, 2016 Progressive enlargement of pseudoaneurysm (2.1cm 4.7cm)

24 Hospital Course Possible Behcet's disease with GI and vascular involvement. Skin biopsy of erythema nodosum of right leg: favored vasculitis Ileocecal ulcer: four

25 Hospital Course PET scan: severe vasculitis of lower extremites Steroid and Endoxan pulse therapy

26 Discussion From DEBATE SFA trial, DCB effect is positive irrespective of the recanalization approach (true lumen vs. subintimal) and no arterial aneurysm due to DCB was reported. The Global SFA Registry of LUTONIX DCB: Preliminary safety information from the 437 patients enrolled indicates that the most frequent SAEs are pseudoaneurysm (0.7%, 3/437) and Occlusion/Closure (0.7%, 3/437).

27 Conclusion We reported a rare case of young PAOD treated with subintimal approach and DCB, but multiple pseudoaneurysm developed after procedure. The location of pseudoaneurysm is not related to DCB. Finally, vascular Behcet s disease is diagnosed and we treated the complication by hybrid procedure with surgical repair/viabahn stenting. The main strategy of treatment is medication of immunosupressants.

28 Thank You for Attention!

29 The role of DCB in SFA subintimal tracking lesion Wei-chun Chang M.D. Wen-Lieng Lee, MD, PhD Cardiovascular Center, Taichung Veterans General Hospital, Taiwan R.O.C

The Supera stent In retrograde vascular access for SFA ostium treatment: The SUPRA-FAST Registry

The Supera stent In retrograde vascular access for SFA ostium treatment: The SUPRA-FAST Registry The Supera stent In retrograde vascular access for SFA ostium treatment: PESTRICHELLA VINCENZO MD Chief Endovascular cathlab Mater Dei Hospital BARI- Italy Disclosure Speaker name:...pestrichella VINCENZO...

More information

SFA CTO Lesion Management laser or directional atherectomy?

SFA CTO Lesion Management laser or directional atherectomy? SFA CTO Lesion Management laser or directional atherectomy? Kevin, Chung-Ho Hsu, M.D. Setion of Peripheral Vascular Disease, Division of Cardiology, China Medical University Hospital, Taichung, Taiwan

More information

How do I use mechanical debulking for the treatment of arterial occlusions

How do I use mechanical debulking for the treatment of arterial occlusions How do I use mechanical debulking for the treatment of arterial occlusions Sven Bräunlich, MD Division of Interventional Angiology University-Hospital Leipzig, Germany Disclosure Speaker name: Sven Bräunlich

More information

The Crack and Pave technique for highly resistant calcified lesions. Manuela Matschuck MD University Hospital Leipzig Department Angiology

The Crack and Pave technique for highly resistant calcified lesions. Manuela Matschuck MD University Hospital Leipzig Department Angiology The Crack and Pave technique for highly resistant calcified lesions Manuela Matschuck MD University Hospital Leipzig Department Angiology Disclosure Speaker name: Dr. med. Manuela Matschuck I have the

More information

Stents for The Common Femoral Artery: The Good, The Bad and The Ugly

Stents for The Common Femoral Artery: The Good, The Bad and The Ugly Stents for The Common Femoral Artery: The Good, The Bad and The Ugly Salman Arain, MD, FACC Assistant Professor of Medicine - Cardiology University of Texas Health Sciences Center Houston Texas, USA Disclosure

More information

Step by step Hybrid procedures in peripheral obstructive disease. Holger Staab, MD University Hospital Leipzig, Germany Clinic for Vascular Surgery

Step by step Hybrid procedures in peripheral obstructive disease. Holger Staab, MD University Hospital Leipzig, Germany Clinic for Vascular Surgery Step by step Hybrid procedures in peripheral obstructive disease Holger Staab, MD University Hospital Leipzig, Germany Clinic for Vascular Surgery Disclosure Speaker name: H.H. Staab I have the following

More information

The Role of Lithotripsy in Solving the Challenges of Vascular Calcium. Thomas Zeller, MD

The Role of Lithotripsy in Solving the Challenges of Vascular Calcium. Thomas Zeller, MD The Role of Lithotripsy in Solving the Challenges of Vascular Calcium Thomas Zeller, MD 1 1 Disclosure Speaker name: Thomas Zeller... I have the following potential conflicts of interest to report: X X

More information

Hybrid Procedures for Peripheral Obstructive Disease - Step by Step -

Hybrid Procedures for Peripheral Obstructive Disease - Step by Step - Hybrid Procedures for Peripheral Obstructive Disease - Step by Step - Holger Staab, MD University Hospital Leipzig, Germany Clinic for Vascular Surgery Disclosure Speaker name:..holger Staab... I have

More information

One Year after In.Pact Deep: Lessons learned from a failed trial. Prof. Dr. Thomas Zeller

One Year after In.Pact Deep: Lessons learned from a failed trial. Prof. Dr. Thomas Zeller One Year after In.Pact Deep: Lessons learned from a failed trial Prof. Dr. Thomas Zeller Disclosure Speaker name: Thomas Zeller... I have the following potential conflicts of interest to report: x Consulting:

More information

DCB in my practice: How the evidence influences my strategy. Yang-Jin Park

DCB in my practice: How the evidence influences my strategy. Yang-Jin Park DCB in my practice: How the evidence influences my strategy Yang-Jin Park Associate Professor Division of Vascular Surgery, Department of Surgery Samsung Medical Center Sungkyunkwan University School of

More information

Successful endovascular treatment for BTK lesion using wire rendezvous technique and retrograde knuckle wire technique by collateral approach

Successful endovascular treatment for BTK lesion using wire rendezvous technique and retrograde knuckle wire technique by collateral approach Successful endovascular treatment for BTK lesion using wire rendezvous technique and retrograde knuckle wire technique by collateral approach Katsutoshi Takayama, MD, Ph.D Department of Radiology and Interventional

More information

ISR-treatment The Leipzig experience with purely mechanical debulking. Sven Bräunlich Department for Angiology University-Hospital Leipzig, Germany

ISR-treatment The Leipzig experience with purely mechanical debulking. Sven Bräunlich Department for Angiology University-Hospital Leipzig, Germany ISR-treatment The Leipzig experience with purely mechanical debulking Sven Bräunlich Department for Angiology University-Hospital Leipzig, Germany Disclosure Speaker name: Sven Bräunlich I have the following

More information

In-Stent Restenosis: New Evidence From Laser + Drug Coated Balloons

In-Stent Restenosis: New Evidence From Laser + Drug Coated Balloons In-Stent Restenosis: New Evidence From Laser + Drug Coated Balloons Ehrin J. Armstrong, MD MSc Director, Interventional Cardiology VA Eastern Colorado Healthcare System Associate Professor of Medicine

More information

New Evidence from Laser + Drug Coated Balloons for Treatment of In-Stent Restenosis

New Evidence from Laser + Drug Coated Balloons for Treatment of In-Stent Restenosis New Evidence from Laser + Drug Coated Balloons for Treatment of In-Stent Restenosis Ehrin J. Armstrong, MD MSc Director, Interventional Cardiology VA Eastern Colorado Healthcare System Associate Professor

More information

Comparison of Angiographic Dissection Patterns Caused by Long vs Short Balloons During Balloon Angioplasty for Chronic Femoropopliteal Occlusions

Comparison of Angiographic Dissection Patterns Caused by Long vs Short Balloons During Balloon Angioplasty for Chronic Femoropopliteal Occlusions Comparison of Angiographic Dissection Patterns Caused by Long vs Short Balloons During Balloon Angioplasty for Chronic Femoropopliteal Occlusions Michinao Tan, MD Tokeidai Memorial Hospital Cardiovascular

More information

Update from Korea on the Lutonix SFA registry 12 month data

Update from Korea on the Lutonix SFA registry 12 month data Update from Korea on the Lutonix SFA registry 12 month data Prospective, Multicenter, Post-Market Registy Assessing the Clinical Use and Safety of the Lutonix Drug Coated Balloon in Femoropopliteal Arteries

More information

Catheter-Directed Thrombolysis for Acute Limb Ischemia. Hwan Jun Jae MD Seoul National University Hospital Seoul, Korea

Catheter-Directed Thrombolysis for Acute Limb Ischemia. Hwan Jun Jae MD Seoul National University Hospital Seoul, Korea Catheter-Directed Thrombolysis for Acute Limb Ischemia Hwan Jun Jae MD Seoul National University Hospital Seoul, Korea Disclosure Speaker name: Hwan Jun Jae... I have the following potential conflicts

More information

1 Year Result Of Stent Graft For Carotid Artery Pseudo- Aneurysm In Behcet s Disease Patients

1 Year Result Of Stent Graft For Carotid Artery Pseudo- Aneurysm In Behcet s Disease Patients 1 Year Result Of Stent Graft For Carotid Artery Pseudo- Aneurysm In Behcet s Disease Patients H Lotfy, W Shaalan, A Elemam, A Naga Prof Dr Hassan Lotfy Vascular and Endovascular Consultant Alexandria University

More information

Hybrid surgical treatment of bilateral aorto-femoral occlusion: a clinical case

Hybrid surgical treatment of bilateral aorto-femoral occlusion: a clinical case Hybrid surgical treatment of bilateral aorto-femoral occlusion: a clinical case Chernyavskiy M.,MD,PhD, Chernova D., Zherdev N., Chernov A. Almazov National Medical Research Centre, St.Petersburg, Russia

More information

Final Results of the Feasibility Study for the Drug-coated Chocolate Touch PTA balloon. (The ENDURE Trial)

Final Results of the Feasibility Study for the Drug-coated Chocolate Touch PTA balloon. (The ENDURE Trial) Final results of the feasibility study for the drug-coated Chocolate Touch PTA balloon of of femoropopliteal Femoropopliteal lesions lesions: (The ENDURE Trial) Final Results of the Feasibility Study for

More information

Rotarex mechanical thrombectomythe first line option for thrombotic occlusions?

Rotarex mechanical thrombectomythe first line option for thrombotic occlusions? Rotarex mechanical thrombectomythe first line option for thrombotic occlusions? Dierk Scheinert, MD Division of Interventional Angiology University Hospital Leipzig, Germany Disclosure Advisory Board /Consultant:

More information

Promise and limitations of DCB in long lesions What Have we Learned from Clinical Trials? Ramon L. Varcoe, MBBS, MS, FRACS, PhD

Promise and limitations of DCB in long lesions What Have we Learned from Clinical Trials? Ramon L. Varcoe, MBBS, MS, FRACS, PhD Promise and limitations of DCB in long lesions What Have we Learned from Clinical Trials? Ramon L. Varcoe, MBBS, MS, FRACS, PhD Associate Professor of Vascular Surgery University of New South Wales Sydney,

More information

Reducing Thrombotic Burden in Arterial Interventions. Mario Galli, MD Cardiovascular Interventional Unit S. Anna Hospital, Como, Italy

Reducing Thrombotic Burden in Arterial Interventions. Mario Galli, MD Cardiovascular Interventional Unit S. Anna Hospital, Como, Italy Reducing Thrombotic Burden in Arterial Interventions Mario Galli, MD Cardiovascular Interventional Unit S. Anna Hospital, Como, Italy Disclosure Speaker name: Mario Galli... I have the following potential

More information

Angiographic dissection pattern and patency outcomes of post balloon angioplasty for SFA lesions -a retrospective multi center analysis-

Angiographic dissection pattern and patency outcomes of post balloon angioplasty for SFA lesions -a retrospective multi center analysis- Angiographic dissection pattern and patency outcomes of post balloon angioplasty for SFA lesions -a retrospective multi center analysis- Masahiko Fujihara Kishiwada Tokushukai Hospital, Osaka, Japan Disclosure

More information

Clinical benefits on DES Patient s perspectives

Clinical benefits on DES Patient s perspectives Clinical benefits on DES Patient s perspectives Dr. Skyi Pang Vascular Surgeon Department of Surgery Pamela Youde Nethersole Eastern Hospital Hong Kong Disclosure Speaker name: Skyi Pang... I have the

More information

Comparison Of Primary Long Stenting Versus Primary Short Stenting For Long Femoropopliteal Artery Disease (PARADE)

Comparison Of Primary Long Stenting Versus Primary Short Stenting For Long Femoropopliteal Artery Disease (PARADE) Comparison Of Primary Long Stenting Versus Primary Short Stenting For Long Femoropopliteal Artery Disease (PARADE) Young-Guk Ko, M.D. Severance Cardiovascular Hospital, Yonsei University Health System,

More information

Drug-Coated Balloon Treatment for Patients with Intermittent Claudication: Insights from the IN.PACT Global Full Clinical Cohort

Drug-Coated Balloon Treatment for Patients with Intermittent Claudication: Insights from the IN.PACT Global Full Clinical Cohort Drug-Coated Balloon Treatment for Patients with Intermittent Claudication: Insights from the IN.PACT Global Full Clinical Cohort a.o. Univ. Prof. Dr. Marianne Brodmann Medical University of Graz Graz,

More information

Final Results of the Feasibility Study for the Drug-coated Chocolate Touch PTA balloon. (The ENDURE Trial)

Final Results of the Feasibility Study for the Drug-coated Chocolate Touch PTA balloon. (The ENDURE Trial) Final results of the feasibility study for the drug-coated Chocolate Touch PTA balloon of of femoropopliteal Femoropopliteal lesions lesions: (The ENDURE Trial) Final Results of the Feasibility Study for

More information

BIOLUX P-III Passeo-18 Lux All-comers Registry: 12-month Results for the All-Comers Cohort

BIOLUX P-III Passeo-18 Lux All-comers Registry: 12-month Results for the All-Comers Cohort BIOLUX P-III Passeo-18 Lux All-comers Registry: 12-month Results for the All-Comers Cohort Prof. Dr. Gunnar TEPE, Klinikum Rosenheim, Germany CCI on behalf of the BIOLUX P-III Investigators Disclosure

More information

Maximizing Outcomes in a complex population with Drug-coated balloon

Maximizing Outcomes in a complex population with Drug-coated balloon Maximizing Outcomes in a complex population with Drug-coated balloon March 13, 2018 Chumpol Wongwanit, MD Siriraj Hospital, Mahidol University, Bangkok, Thailand LINC Asia-Pacific 2018, Hong Kong Disclosure

More information

Efficacy of DEB in Calcification and Subintimal Angioplasty

Efficacy of DEB in Calcification and Subintimal Angioplasty Efficacy of DEB in Calcification and Subintimal Angioplasty Seung-Woon Rha, MD, PhD, FACC, FAHA, FSCAI, FESC, FAPSIC Div of Cardiovascular Intervention and Research Cardiovascular Center, Korea University

More information

PATIENT SPECIFIC STRATEGIES IN CRITICAL LIMB ISCHEMIA. Dr. Manar Trab Consultant Vascular Surgeon European Vascular Clinic DMCC Dubai, UAE

PATIENT SPECIFIC STRATEGIES IN CRITICAL LIMB ISCHEMIA. Dr. Manar Trab Consultant Vascular Surgeon European Vascular Clinic DMCC Dubai, UAE PATIENT SPECIFIC STRATEGIES IN CRITICAL LIMB ISCHEMIA Dr. Manar Trab Consultant Vascular Surgeon European Vascular Clinic DMCC Dubai, UAE Disclosure Speaker name: DR. Manar Trab I have the following potential

More information

Mechanical thrombectomy in peripheral interventions: A multitask and effective tool in a widening scenario. Current evidence and technical tips.

Mechanical thrombectomy in peripheral interventions: A multitask and effective tool in a widening scenario. Current evidence and technical tips. Mechanical thrombectomy in peripheral interventions: A multitask and effective tool in a widening scenario. Current evidence and technical tips. Dr. Bruno Freitas, Prof., MD Department of Interventional

More information

Disclosures. In the DCB Era, How Do I Choose To Use a Stent? When to Stent and What Devices to Use in the SFA

Disclosures. In the DCB Era, How Do I Choose To Use a Stent? When to Stent and What Devices to Use in the SFA In the DCB Era, How Do I Choose To Use a Stent? When to Stent and What Devices to Use in the SFA Disclosures No financial disclosures. Cameron M. Akbari, MD, MBA, FACS Site Director, Vascular Surgery Medstar

More information

Lessons learnt from DES in the SFA is there any ideal concept so far?

Lessons learnt from DES in the SFA is there any ideal concept so far? Wednesday, January 25, 2017 - Time: 11:49-11:55 DEEP DIVE SESSION: Lower limb interventions (part II) Lessons learnt from DES in the SFA is there any ideal concept so far? S.Müller-Hülsbeck, MD, EBIR,

More information

PAD and CRITICAL LIMB ISCHEMIA: EVALUATION AND TREATMENT 2014

PAD and CRITICAL LIMB ISCHEMIA: EVALUATION AND TREATMENT 2014 PAD and CRITICAL LIMB ISCHEMIA: EVALUATION AND TREATMENT 2014 Van Crisco, MD, FACC, FSCAI First Coast Heart and Vascular Center, PLLC Jacksonville, FL 678-313-6695 Conflict of Interest Bayer Healthcare

More information

Novel distal popliteal artery puncture technique in supine position for chronic femoropopliteal arterial occlusion; frontal popliteal puncture

Novel distal popliteal artery puncture technique in supine position for chronic femoropopliteal arterial occlusion; frontal popliteal puncture Novel distal popliteal artery puncture technique in supine position for chronic femoropopliteal arterial occlusion; frontal popliteal puncture Miyazaki Medical Association Hospital Cardiovascular Center

More information

The clinical outcome camparison between covered stent(cv) and drug-eluting balloon(deb) for SFA lesions: a single center result

The clinical outcome camparison between covered stent(cv) and drug-eluting balloon(deb) for SFA lesions: a single center result The clinical outcome camparison between covered stent(cv) and drug-eluting balloon(deb) for SFA lesions: a single center result Li Ming MD Associated Professor in Vascular Surgery 2nd Xiangya Hospital,

More information

ILLUMENATE FIH Direct DCB Cohort 12-Month Results

ILLUMENATE FIH Direct DCB Cohort 12-Month Results ILLUMENATE FIH Direct DCB Cohort 12-Month Results Stephan Duda Berlin Study Investigators: H. Schröder (PI), B. Lux, F. Rücker, M. Martorana, D. Meyer, H. Hartmann, S. Duda Disclosure Speaker name: S.

More information

Calcium Removal and Plaque Modification in the Era of DEB and Contemporary Stenting for Femoro- Popliteal Disease

Calcium Removal and Plaque Modification in the Era of DEB and Contemporary Stenting for Femoro- Popliteal Disease Calcium Removal and Plaque Modification in the Era of DEB and Contemporary Stenting for Femoro- Popliteal Disease Thomas M. Shimshak, MD Heart and Vascular Center Florida Hospital Heartland Medical Center

More information

SAFETY AND EFFECTIVENESS OF ENDOVASCULAR REVASCULARIZATION FOR PERIPHERAL ARTERIAL OCCLUSIONS

SAFETY AND EFFECTIVENESS OF ENDOVASCULAR REVASCULARIZATION FOR PERIPHERAL ARTERIAL OCCLUSIONS SAFETY AND EFFECTIVENESS OF ENDOVASCULAR REVASCULARIZATION FOR PERIPHERAL ARTERIAL OCCLUSIONS LIBBY WATCH, MD MIAMI VASCULAR SPECIALISTS MIAMI CARDIAC & VASCULAR INSTITUTE FINANCIAL DISCLOSURES None 2

More information

Future Algorithm for Lower Extremity Revascularization: Where Does Vessel Prep Fit?

Future Algorithm for Lower Extremity Revascularization: Where Does Vessel Prep Fit? Future Algorithm for Lower Extremity Revascularization: Where Does Vessel Prep Fit? John R. Laird Adventist Heart and Vascular Institute St. Helena, CA Disclosure Speaker name: John R. Laird... I have

More information

Superficial Femoral Artery Intervention: The gift that keeps on giving! Wm. Britton Eaves,MD WKHSC Bossier City, LA

Superficial Femoral Artery Intervention: The gift that keeps on giving! Wm. Britton Eaves,MD WKHSC Bossier City, LA : The gift that keeps on giving! Wm. Britton Eaves,MD WKHSC Bossier City, LA Peripheral arterial disease (PAD) of the superficial femoral artery (SFA) is the most common cause of intermittent claudication

More information

Christian Wissgott MD, PhD Assistant Director, Radiology Westküstenkliniken Heide

Christian Wissgott MD, PhD Assistant Director, Radiology Westküstenkliniken Heide 2-Year Results Of The Tack Optimized Balloon Angioplasty (TOBA) Trial For Fem- Pop Lesions Demonstrates Safety and Efficacy Of The Tack Endovascular System In Repairing Focal Post-PTA Dissections Christian

More information

Safety and Efficacy of Distal Superficial Femoral Artery Puncture for Femoropopliteal Occlusive Lesions

Safety and Efficacy of Distal Superficial Femoral Artery Puncture for Femoropopliteal Occlusive Lesions Safety and Efficacy of Distal Superficial Femoral Artery Puncture for Femoropopliteal Occlusive Lesions ~Result form the Multicenter RIVERside registry~ Tatsuya Nakama, Y Yamamoto, A Matsui, T Doijiri,

More information

The essentials for BTK procedures: wires, balloons, what else

The essentials for BTK procedures: wires, balloons, what else A comprehensive approach to diabetic patient Tx The essentials for BTK procedures: wires, balloons, what else Dai-Do Do Clinical and Interventional Angiology Cardiovascular Department Disclosure Speaker

More information

Shockwave Intravascular Lithotripsy System treatment of calcified lesions: Intravascular OCT analysis

Shockwave Intravascular Lithotripsy System treatment of calcified lesions: Intravascular OCT analysis Shockwave Intravascular Lithotripsy System treatment of calcified lesions: Intravascular OCT analysis Andrew Holden, MBChB, FRANZCR, EBIR Director of Interventional Radiology Auckland, New Zealand LINC

More information

PRISM Trial. Retrospective Case Review of Technical Success Using the Penumbra and Indigo Systems for Mechanical Thrombectomy in the Periphery

PRISM Trial. Retrospective Case Review of Technical Success Using the Penumbra and Indigo Systems for Mechanical Thrombectomy in the Periphery PRISM Trial Retrospective Case Review of Technical Success Using the Penumbra and Indigo Systems for Mechanical Thrombectomy in the Periphery George L. Adams, MD, MHS, FACC, FSCAI Clinical Associate Professor

More information

Recent Advances in Peripheral Salvage

Recent Advances in Peripheral Salvage Recent Advances in Peripheral Salvage Dr Shaiful Azmi Yahaya, MD, MMed, FNHAM, FAsCC, FAPSIC Consultant Cardiologist and Peripheral Interventionist, Institut Jantung Negara Disclosure I am proctoring for

More information

Distal hybrids - an option in long SFA CTO accompanied by severely compromized crural runoff

Distal hybrids - an option in long SFA CTO accompanied by severely compromized crural runoff Distal hybrids - an option in long SFA CTO accompanied by severely compromized crural runoff P. Kuryanov, A. Lipin, A. Antropov, K. Atmadzas, A. Atmadzas, Y. Eminov, A. Borisov, R. Sobolev, A.Orlov Limb

More information

Robert W. Fincher, DO The Ritz-Carlton, Dove Mountain Marana, Arizona February 7th, 2015

Robert W. Fincher, DO The Ritz-Carlton, Dove Mountain Marana, Arizona February 7th, 2015 Robert W. Fincher, DO The Ritz-Carlton, Dove Mountain Marana, Arizona February 7th, 2015 Disclosure I have nothing to disclose Randomized Controlled Studies In SFA Technology: What s The Best Tool For

More information

Dealing with Calcification in BTK Arteries: Is Lithoplasty the Answer?

Dealing with Calcification in BTK Arteries: Is Lithoplasty the Answer? Dealing with Calcification in BTK Arteries: Is Lithoplasty the Answer? Andrew Holden, MBChB, FRANZCR, EBIR Director of Interventional Radiology Auckland, New Zealand LINC 2017 January 25 th 2017 Disclosure

More information

Drug delivery devices for BTK treatment

Drug delivery devices for BTK treatment LINC AP 2016, Hong Kong A.Z. Sint-Blasius, Dendermonde Marc Bosiers Koen Deloose Joren Callaert Imelda Hospital, Bonheiden Drug delivery devices for BTK treatment Patrick Peeters Jürgen Verbist W. Van

More information

Clinical Data Update for Drug Coated Balloons (DCB) Seung-Whan Lee, MD, PhD

Clinical Data Update for Drug Coated Balloons (DCB) Seung-Whan Lee, MD, PhD Clinical Data Update for Drug Coated Balloons (DCB) Seung-Whan Lee, MD, PhD Asan Medical Center, Heart Institute, University of Ulsan College of Medicine, Werk et al. Circulation Cardiovasc Intervent 2012

More information

Outcomes Of DCB Use In Real World Registries: 2 Year Results From The INPACT Global Registry

Outcomes Of DCB Use In Real World Registries: 2 Year Results From The INPACT Global Registry Outcomes Of DCB Use In Real World Registries: 2 Year Results From The INPACT Global Registry Marianne Brodmann, MD Head of the Clinical Division of Angiology Department of Internal Medicine Medical University

More information

Drug-coated balloons in BTK:

Drug-coated balloons in BTK: Drug-coated balloons in BTK: Where do we stand and what are the open questions? Dr. Marc Bosiers LINC 2019 - Leipzig My disclosures x o I do not have any potential conflicts of interest to report o I have

More information

A transvenous intravascular ultrasound-guided technique for chronic total occlusion of a below-the-knee artery

A transvenous intravascular ultrasound-guided technique for chronic total occlusion of a below-the-knee artery A transvenous intravascular ultrasound-guided technique for chronic total occlusion of a below-the-knee artery Yasuhiro Takahashi 1, Reiko Shiomura 1, Erito Furuse 1 Junya Matsuda 1, Taisuke Sato 1, Wataru

More information

Chimney technique combined with aortoiliac stenting for the treatment. disease. of juxtarenal aortoiliac occlusive

Chimney technique combined with aortoiliac stenting for the treatment. disease. of juxtarenal aortoiliac occlusive Chimney technique combined with aortoiliac stenting for the treatment of juxtarenal aortoiliac occlusive disease Suwanruangsri Veera,MD Kaviros Pruesttipong,MD Department of Surgery, Maharat Nakhon Ratchasima

More information

The importance of scientific evidence. Prof. I. Baumgartner Head Clinical & Interventional Angiology University Hospital Bern

The importance of scientific evidence. Prof. I. Baumgartner Head Clinical & Interventional Angiology University Hospital Bern The importance of scientific evidence Prof. I. Baumgartner Head Clinical & Interventional Angiology University Hospital Bern Disclosure Speaker name:...i. Baumgartner... I have the following potential

More information

Hiroshi Ando, MD Kasukabe Chuo General Hospital Saitama, Japan

Hiroshi Ando, MD Kasukabe Chuo General Hospital Saitama, Japan Hiroshi Ando, MD Kasukabe Chuo General Hospital Saitama, Japan Disclosure Hiroshi Ando, MD Kasukabe Chuo General Hospital I have the following potential conflicts of interest to report: Consulting Employment

More information

DCB level 1 evidence review

DCB level 1 evidence review DCB level 1 evidence review Raphaël COSCAS Vascular Surgery Department Ambroise Paré Hospital, AP-HP and Paris-Ouest University Boulogne-Billancourt, France Disclosure Speaker name: Raphael COSCAS I have

More information

Olive registry: 3-years outcome of BTK intervention in Japan. Osamu Iida, MD Kansai Rosai Hospital Amagasaki, Hyogo, Japan

Olive registry: 3-years outcome of BTK intervention in Japan. Osamu Iida, MD Kansai Rosai Hospital Amagasaki, Hyogo, Japan Olive registry: 3-years outcome of BTK intervention in Japan Osamu Iida, MD Kansai Rosai Hospital Amagasaki, Hyogo, Japan What is the optimal treatment for the patient with critical limb ischemia (CLI)?

More information

Fabrizio Fanelli, MD, EBIR Director Vascular and Interventional Radiology Department "Careggi " University Hospital Florence - Italy

Fabrizio Fanelli, MD, EBIR Director Vascular and Interventional Radiology Department Careggi  University Hospital Florence - Italy Don t Use Risky and Embolizing Drug Coated Balloons Below The Knee! Fabrizio Fanelli, MD, EBIR Director Vascular and Interventional Radiology Department "Careggi " University Hospital Florence - Italy

More information

Device Evolution. Atherectomy: Where Do We Stand After 12 Years Since FDA Clearance. Where Do We Stand? 4/18/2015

Device Evolution. Atherectomy: Where Do We Stand After 12 Years Since FDA Clearance. Where Do We Stand? 4/18/2015 Disclosure Statement of Financial Interest Atherectomy: Where Do We Stand After 12 Years Since FDA Clearance Within the past 12 months, I or my spouse/partner have had a financial interest/arrangement

More information

Bifurcation stenting with BVS

Bifurcation stenting with BVS Bifurcation stenting with BVS Breaking the limits or just breaking the struts? Maciej Lesiak Department of Cardiology University Hospital in Poznan, Poland Disclosure Speaker s name: Maciej Lesiak I have

More information

Current Status and Limitations in the Treatment of Femoropopliteal In-Stent Restenosis

Current Status and Limitations in the Treatment of Femoropopliteal In-Stent Restenosis Current Status and Limitations in the Treatment of Femoropopliteal In-Stent Restenosis Osamu Iida, MD From the Kansai Rosai Hospital Cardiovascular Center, Amagasaki City, Japan. ABSTRACT: Approximately

More information

Aggressive BTK Revascularization and Advanced Wound Care - Patient Specific Therapy Concepts

Aggressive BTK Revascularization and Advanced Wound Care - Patient Specific Therapy Concepts Aggressive BTK Revascularization and Advanced Wound Care - Patient Specific Therapy Concepts Dr Steven Kum MBBS MMed FRCS FAMS Vascular & Endovascular Surgeon Vascular Centre Department of Surgery Changi

More information

DEB in Periphery: What we Know Till Now

DEB in Periphery: What we Know Till Now DEB in Periphery: What we Know Till Now Karl-Ludwig Schulte Vascular Center Berlin Ev. Hospital Königin Elisabeth St. Gertrauden Hospital Charité, CC13, Humboldt-University Berlin www.vascular-center-berlin.com

More information

Update on the OPTIMIZE BTK Trial. Marianne Brodmann, MD Division of Angiology Medical University Graz, Austria

Update on the OPTIMIZE BTK Trial. Marianne Brodmann, MD Division of Angiology Medical University Graz, Austria Update on the OPTIMIZE BTK Trial Marianne Brodmann, MD Division of Angiology Medical University Graz, Austria Disclosure Speaker name: Marianne Brodmann, MD... I have the following potential conflicts

More information

SUPERSUB Trial: 1-yr outcomes of SUPERa SUBintimal stenting in CLI Patients

SUPERSUB Trial: 1-yr outcomes of SUPERa SUBintimal stenting in CLI Patients SUPERSUB Trial: 1-yr outcomes of SUPERa SUBintimal stenting in CLI Patients Dr. L.M. Palena, MD Interventional Radiology Unit Foot & Ankle Clinic Policlinico Abano Terme (PD), ITALY Disclosure I have the

More information

Could a combination of DCB + stent be the answer in complex SFA lesions

Could a combination of DCB + stent be the answer in complex SFA lesions Could a combination of DCB + stent be the answer in complex SFA lesions Sven Bräunlich, MD Division of Interventional Angiology University-Hospital Leipzig, Germany Disclosure Speaker name: Sven Bräunlich

More information

3-year results of the OLIVE registry:

3-year results of the OLIVE registry: 3-year results of the OLIVE registry: A prospective multicenter study in patients with critical limb ischemia Osamu Iida, MD Kansai Rosai Hospital Cardiovascular Center Amagasaki, Hyogo, Japan Disclosure

More information

When is below-the-ankle angioplasty indicated and how to introduce it into your practice. Roberto Ferraresi. Peripheral Interventional Unit

When is below-the-ankle angioplasty indicated and how to introduce it into your practice. Roberto Ferraresi. Peripheral Interventional Unit When is below-the-ankle angioplasty indicated and how to introduce it into your practice Roberto Ferraresi Peripheral Interventional Unit Bergamo Italy www.robertoferraresi.it Disclosure Roberto Ferraresi,

More information

Intervention for Lower Extremity PAD: When, why and what?! Robert F Cuff, MD FACS RVT RPVI

Intervention for Lower Extremity PAD: When, why and what?! Robert F Cuff, MD FACS RVT RPVI Intervention for Lower Extremity PAD: When, why and what?! Robert F Cuff, MD FACS RVT RPVI 1 Disclosures I have no financial disclosures related to this talk Objectives 1. Discuss indications for intervention

More information

Appropriate Device Selection for Endovascular Procedures

Appropriate Device Selection for Endovascular Procedures Appropriate Device Selection for Endovascular Procedures Thomas M. Shimshak, MD Florida Hospital Heartland Medical Center Sebring, Florida Disclosures Speaker s Bureau: Abbott Vascular Boston Scientific

More information

Klinikum Rosenheim Department of Diagnostic and Interventional Radiology

Klinikum Rosenheim Department of Diagnostic and Interventional Radiology Klinikum Rosenheim Department of Diagnostic and Interventional Radiology Is Directional Atherectomy (Silverhawk Or Turbohawk) With DEB, Better Than DEB Alone: Based On The DEFINITIVE AR RCT: 1-Year Results

More information

Update on the role of drug eluting balloons

Update on the role of drug eluting balloons Update on the role of drug eluting balloons William A. Gray MD Director of Endovascular Services Associate Professor of Clinical Medicine Columbia University Medical Center The Cardiovascular Research

More information

Is combination therapy with directional atherectomy followed by DCB the answer to challenges in treating SFA disease?

Is combination therapy with directional atherectomy followed by DCB the answer to challenges in treating SFA disease? Is combination therapy with directional atherectomy followed by DCB the answer to challenges in treating SFA disease? The REALITY trial G. Torsello Münster Disclosure Speaker name: G. Torsello... I have

More information

The TANGO Trial: A phase II below-the-knee study investigating the adventitial micro-infusion of Temsirolimus after PTA or atherectomy

The TANGO Trial: A phase II below-the-knee study investigating the adventitial micro-infusion of Temsirolimus after PTA or atherectomy The TANGO Trial: A phase II below-the-knee study investigating the adventitial micro-infusion of Temsirolimus after PTA or atherectomy Ian Cawich, MD Arkansas Heart Hospital Little Rock, Arkansas, USA

More information

Do we really need a stent in long SFA lesions? No: DEB is the answer

Do we really need a stent in long SFA lesions? No: DEB is the answer Do we really need a stent in long SFA lesions? No: DEB is the answer Thomas Zeller, MD University Heart-Center Freiburg-Bad Krozingen Bad Krozingen Germany My Disclosures: Advisory Board: Medtronic-Invatec,

More information

The ZILVERPASS study a randomized study comparing ZILVER PTX stenting with Bypass in femoropopliteal lesions Preliminary report

The ZILVERPASS study a randomized study comparing ZILVER PTX stenting with Bypass in femoropopliteal lesions Preliminary report The ZILVERPASS study a randomized study comparing ZILVER PTX stenting with Bypass in femoropopliteal lesions Preliminary report G. Biro, M. Bosiers on behalf of ZILVERPASS Study Group Disclosure Speaker

More information

Boca Raton Regional Hospital Grand Rounds September 13, 2016

Boca Raton Regional Hospital Grand Rounds September 13, 2016 Boca Raton Regional Hospital Grand Rounds September 13, 2016 W. Anthony Lee, MD, FACS Chief, BocaCare Vascular Surgery Christine E. Lynn Heart and Vascular Institute Boca Raton, Florida Disclosures No

More information

Drug Eluting Stents: Update

Drug Eluting Stents: Update Drug Eluting Stents: Update B. Berekoven Research Coordinator Department of Vascular Surgery St. Franziskus Hospital Münster Head: Univ.- Prof. Dr. G. Torsello baerbel.berekoven@sfh-muenster.de Disclosure

More information

The PIERCE technique for recanalization of heavily calcified arteries in hemodialysis patients.

The PIERCE technique for recanalization of heavily calcified arteries in hemodialysis patients. The PIERCE technique for recanalization of heavily calcified arteries in hemodialysis patients. Tomoyasu Sato ( tomoyasu_satou@yahoo.co.jp ) Department of interventional and diagnostic Radiology Tsuchiya

More information

Photoablation and DCB in in-stent restenosis

Photoablation and DCB in in-stent restenosis Photoablation and DCB in in-stent restenosis Craig M. Walker, MD, FACC, FACP Clinical Professor of Medicine Tulane University School of Medicine New Orleans, LA Clinical Professor of Medicine LSU School

More information

IVUS Guided Case Review Case Performed by Frank R. Arko III, MD Charlotte, NC

IVUS Guided Case Review Case Performed by Frank R. Arko III, MD Charlotte, NC IVUS Guided Case Review Case Performed by Frank R. Arko III, MD Charlotte, NC The opinions and clinical experiences presented herein are for informational purposes only. Dr. Arko is a paid consultant for

More information

Technical Aspects for Treating AV Dialysis Fistulae with the IN.PACT DCB. Andrew Holden Auckland Hospital Auckland, New Zealand

Technical Aspects for Treating AV Dialysis Fistulae with the IN.PACT DCB. Andrew Holden Auckland Hospital Auckland, New Zealand Technical Aspects for Treating AV Dialysis Fistulae with the IN.PACT DCB Andrew Holden Auckland Hospital Auckland, New Zealand LINC 2017 26 th January 2017 Disclosure Speaker name: Andrew Holden I have

More information

Merits and demerits of DES, DEB or covered stent in lower extremity arterial occlusive disease 성균관의과대학삼성서울병원순환기내과최승혁

Merits and demerits of DES, DEB or covered stent in lower extremity arterial occlusive disease 성균관의과대학삼성서울병원순환기내과최승혁 Merits and demerits of DES, DEB or covered stent in lower extremity arterial occlusive disease 성균관의과대학삼성서울병원순환기내과최승혁 Contents DES in SFA DES in BTK DEB in SFA DEB in BTK Current status of covered stent

More information

Peripheral Arterial Disease: A Practical Approach

Peripheral Arterial Disease: A Practical Approach Peripheral Arterial Disease: A Practical Approach Sanjoy Kundu BSc, MD, FRCPC, DABR, FASA, FCIRSE, FSIR The Scarborough Hospital Toronto Endovascular Centre The Vein Institute of Toronto Scarborough Vascular

More information

BTK Intervention with Drug- Coated Balloons: Past Lessons and Future Exploration

BTK Intervention with Drug- Coated Balloons: Past Lessons and Future Exploration BTK Intervention with Drug- Coated Balloons: Past Lessons and Future Exploration M Sapoval, C Del Giudice, C Dean Interventional Radiology Dep Hôpital Européen Georges Pompidou APHP, Paris, France IMPORTANT

More information

Rotarex mechanical debulking: The Leipzig experience in patients

Rotarex mechanical debulking: The Leipzig experience in patients Rotarex mechanical debulking: The Leipzig experience in 1.200+ patients Dierk Scheinert, MD Division of Interventional Angiology University-Hospital Leipzig, Germany Disclosure Speaker name: Dierk Scheinert

More information

Is a Stent or Scaffold Necessary in The SFA?

Is a Stent or Scaffold Necessary in The SFA? 1 2 3 Is a Stent or Scaffold Necessary in The SFA? Stents were developed to optimize acute results after angioplasty Specifically, stents are universally accepted to manage flow limiting dissections and

More information

The role of bioabsorbable stents in the superficial femoral artery What is going on? Frank Vermassen Ghent University Hospital Belgium

The role of bioabsorbable stents in the superficial femoral artery What is going on? Frank Vermassen Ghent University Hospital Belgium The role of bioabsorbable stents in the superficial femoral artery What is going on? Frank Vermassen Ghent University Hospital Belgium Disclosures Speaker name: Frank Vermassen I have the following potential

More information

Medical therapy after angioplasty / stenting

Medical therapy after angioplasty / stenting Nurse and Technician Forum Part I Medical therapy after angioplasty / stenting Erich Minar Department Angiology Medical University Vienna Disclosure Speaker name: Erich Minar I do not have any potential

More information

Predictors of restenosis and cardiovascular events in patients undergoing percutaneous angioplasty for subclavian/innominate artery stenosis

Predictors of restenosis and cardiovascular events in patients undergoing percutaneous angioplasty for subclavian/innominate artery stenosis Predictors of restenosis and cardiovascular events in patients undergoing percutaneous angioplasty for subclavian/innominate artery stenosis Tadeusz Przewlocki, Anna Kablak Ziembicka, Piotr Pieniazek,

More information

Why and how to prep the vessel

Why and how to prep the vessel Why and how to prep the vessel Drug elution in the SFA: Leave the right thing behind. Debating evidence to provide an answer Erwin Blessing, MD, FESC SRH Klinikum Karlsbad-Langensteinbach Germany Disclosure

More information

Advancing treatment in highly complex lesions evidence and practice. Arne Schwindt St. Franziskushospital Münster

Advancing treatment in highly complex lesions evidence and practice. Arne Schwindt St. Franziskushospital Münster Arne Schwindt St. Franziskushospital Münster Disclosure Speaker name: Arne Schwindt I have the following potential conflicts of interest to report: x Consulting: Avinger, Biotronik, Cordis, Covidien, Jotec,

More information

The Subclavian Artery Access for difficult vascular interventions OGZ

The Subclavian Artery Access for difficult vascular interventions OGZ The Subclavian Artery Access for difficult vascular interventions Enrique Alejandre Lafont OGZ Ostschweizer Gefässzentrum Disclosure Speaker name: Enrique Alejandre Lafont I have the following potential

More information

LUTONIX DCB in BTK Update on the BTK clinical program & single center experience

LUTONIX DCB in BTK Update on the BTK clinical program & single center experience LUTONIX DCB in BTK Update on the BTK clinical program & single center experience Prof. Dr. med. Dierk Scheinert Department of Interventional Angiology University Hospital Leipzig Disclaimer 1. The information

More information

The ZILVERPASS study a randomized study comparing ZILVER PTX stenting with Bypass in femoropopliteal lesions

The ZILVERPASS study a randomized study comparing ZILVER PTX stenting with Bypass in femoropopliteal lesions The ZILVERPASS study a randomized study comparing ZILVER PTX stenting with Bypass in femoropopliteal lesions Dr. Sven Bräunlich Department of Angiology University-Hospital Leipzig, Germany Disclosure Speaker

More information