Day 3 Talks
Seemed the most senior of the Japanese delegates
Microknuckle technique of keeping the wire just within the tip of the microcatheter
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Overview of BTK drug delivery trials...
ADD-DEX, DANCE, LIMBO, TANGO, YUKON, DESTINY, ACHILLES
Newer items : CELA1, Vonapanitase
Peter Schneider overview of BTA work
Kawarada classification of the foot arch : Types 1, 2A, 2B, 3
Dual wires to protect tarsal branch when plastying the DPA trunk in foot
Wires : Fielder, Command
Catheters : CXI, Quickcross
Liberal use of Dorsal and Plantar Flexion at ankle intra-procedure
Convincing Demo Images of DPA entrapment!
Functional obstruction of the Dorsalis pedis artery in plantar flexed foot
Releases flow in neutral position
Dual benefit of heel protectors!
Perc vs Cut-down comparison
Taken using Watson AI analysis of a large (55 million) database retrospectively
Comparison of Pre-close ProGlide vs Cutdown groin access
40% less hospital LOS, 60% less infection, 80% less transfusion;
supposedly 70% less mortality
with the percutaneous approach
The Italian Percutaneous Club data
Negative Predictors : profile over 20F; greater calcification in vessel
Highlighted post closure duplex
Data from unselected pts unselected endografts : says 96% success rate
Quotes pEVAR into previous Dacron bypasses
Quotes perc access for fEVAR and bEVAR
perc closure for axillary punctures
Puncture site : 3rd part of Axillary a. just distal to the Pec minor, overlying Teres major
Dual access at time of closure : 7F up from the groin to the site of the axillary puncture
Balloon assisted : Tie the pro glides, shoot DSA, if bleed, inflate balloon, put in an Atrium or Viabahn for bleeding, BMS for dissection / occlusion
