Southern Association for Vascular surgery

2010 Program and Abstracts


SCIENTIFIC PROGRAM
WEDNESDAY, JANUARY 20, 2010
6:30 a.m. - 5:00 p.m.		Registration Grand Foyer West
7:00 a.m.		Mock Oral Exams Hermes II and III
9:00 a.m. - 5:00 p.m.		Speaker Ready Room Grand Ballroom BC
12:30 p.m.		Postgraduate Course: Carotid Update
12:30 -2:00 p.m.		POSTGRADUATE COURSE SESSION I Presiding: W. Charles Sternbergh, III
12:30 p.m.		CREST Trial Results compared to prior recent randomized controlled trials (RCTs) such as SPACE and EV3-S • Will These New Data Change Practice Patterns? Wesley S. Moore* UCLA, Los Angeles, CA
12:45 p.m.		Post-Market CAS Registries And Population-Based CEA/CAS Studies • Should These “Real World” Outcomes Trump RCT Results? • Are CAS Outcomes Improving? Christopher J. Kwolek Massachusetts General Hospital, Boston, MA
1:00 p.m.		Choice of Stent and Embolic protection devices (EPDs) for CAS. • Closed Cell Vs Open Cell Stent • Are There Good Data Supporting Efficacy of EPDs? Alan B. Lumsden Methodist DeBakey Heart & Vascular Center, Houston, TX
1:15 p.m.		Cerebral Embolization during CAS and CEA. • Incidence, Relative Importance, Possible Treatment Implications • Does Flow Reversal Offer Reduced Embolization And Better Outcomes (ARMOUR Trial)? Karthikeshwar Kasirajan Emory University Hospital, Atlanta, GA
1:30 p.m.		Tricks and Tips for performing Safe CAS • How I Do It • Anatomy to Avoid Peter H. Lin Baylor College of Medicine, Houston, TX
1:30 p.m.		DISCUSSION
2:00 p.m.		BREAK * By Invitation
2:30 – 4:00 p.m.		POSTGRADUATE COURSE SESSION II Presiding: W. Charles Sternbergh III, MD, Moderating
2:30 p.m.		Ideal medical management of carotid disease in 2010 • Antiplatetet, Statin And Other Medical Treatments • How Much Better Is Medical Treatment Now Compared To That Used In The ACAS/ACST/VA Asx Trials? • Is Current Medical Treatment Just As Efficacious As CEA For Asymptomatic Disease? Russell H. Samson Sarasota Vascular Specialists, Sarasota, FL
2:45 p.m.		Durability of CAS vs CEA • Influence Of The Lesion: Atherosclerosis, Recurrent, Radiation-Induced • Influence Of Patch Choice (CEA) • Influence of Stent Choice; Role Of Stent Fracture Charles B. Ross University of Louisville Department of Surgery, Louisville, KY
3:00 p.m.		CEA in contemporary practice • Are Current Results Better Than NASCET/ACAS Outcomes? • Does Anesthetic Choice (Local vs General) Make A Difference? • Does Choice Of Technique (Classical vs Eversion) Matter? Ali F. AbuRahma Robert C. Byrd Health Sciences Center at West Virginia University, Charleston, WV
3:15 p.m.		Patient selection for treatment of carotid disease in 2010 • CEA vs CAS vs Medical Management • How To Choose William D. Jordan UAB Section of Vascular Surgery, Birmingham, AL
6:30 p.m. - 8:00 p.m.		Welcome Reception Dig Deck
THURSDAY, JANUARY 21, 2010
6:30 a.m.		5k Fun Run Starting Point: Beach Bar
6:30 a.m. - 1:00 p.m.		Registration Grand Foyer West
6:30 a.m. - 1:00 p.m.		Speaker Ready Room Apollo Room
7:00 - 8:00 a.m.		Continental Breakfast Grand Ballroom A
7:00 - 11:00 a.m.		Exhibits Open Grand Ballroom A
7:30 - 8:00 a.m.		Presidential Welcome Grand Ballroom BC Bruce A. Perler • Introduction Of New Members • Presentation of the 2009 S. Timothy String Presidential Award
8:00 a.m. - 12:00 p.m.		Hospitality Suite Waters Edge Private Room
9:30 a.m. - 2:00 p.m.		Women's Tennis Tournament Resort Courts
8:00 - 9:40 a.m.		SCIENTIFIC SESSION I Grand Ballroom BC Presiding: Randolph L. Geary Spence M. Taylor
8:00 a.m.		1. Four Year Randomized Prospective Comparison of Percutaneous ePTFE/Nitinol Self Expanding Stent Graft versus Prosthetic Femoral - Popliteal Bypass in the Treatment of Superficial Femoral Artery Occlusive Disease Karen McQuade, Dennis R. Gable, Greg J. Pearl, Brian Theune Baylor University Medical Center, Plano, TX Discussant: John Eidt
8:20 a.m.		2. Restenosis Following Carotid Endarterectomy in a Multicenter Regional Registry Philip P. Goodney^1, Brian W. Nolan^1, Jens Eldrup-Jorgensen^2, Andrew C. Stanley^3, Donald S. Likosky^1, Jack L. Cronenwett¹ ¹Dartmouth-Hitchcock, Lebanon, NH; ²Maine Medical Center, Portland, ME; ³Fletcher Allen Healthcare, University of Vermont, Burlington, VT* Discussant: William Jordan
8:40 a.m.		3. Subintimal Angioplasty of Chronic Total Occlusion in Iliac Arteries: A Safe and Durable Option Brian L. Chen, Harry R. Holt, Jarrod D. Day, Christopher L. Stout, William Veale, Gordon K. Stokes, Jean M. Panneton Division of Vascular Surgery, Eastern Virginia Medical School, Norfolk, VA Discussant: Russell Samson
9:00 a.m.		4. TEVAR Broadens Treatment Eligibility and Decreases Overall Mortality in Traumatic Thoracic Aortic Injury Michael S. Hong, Robert J. Feezor, W. Anthony Lee, Peter R. Nelson University of Florida, Gainesville, FL Discussant: Mark Farber
9:20 a.m.		5. Does The Current Reimbursement System Make Sense? A Real World Analysis Of Payment Per Unit Time In A Maryland Vascular Practice John D. Martin, Patricia B. Warble, Jerry E. Mapes, Linda L. Weiss, Toni B. Schiller, Kimberly A. England, Louise A. Hanson, Jon A. Altschuler, Jon A. Hupp, Stephen F. Stanziale* Anne Arundel Medical Center, Annapolis, MD Discussant: Eugene Langan
		* By Invitation
9:40 a.m.		FOUNDERS’ AWARD PAPER Cerebral Microembolization: Open Versus Percutaneous Carotid Revascularization Naren Gupta, Thomas F. Dodson, Matthew A. Corriere, Elliot L. Chaikof, James G. Reeves, Ravi K. Veeraswamy, Karthikeshwar Kasirajan Emory University School of Medicine, Atlanta, GA
10:00 a.m.		INTRODUCTION AND PRESENTATION OF AWARD Presented by: Randolph L. Geary
10:05 - 10:35 a.m.		Coffee Break, Visit Exhibits
10:35 - 12:15 p.m.		SCIENTIFIC SESSION II Presiding: Randolph L. Geary Spence M. Taylor
10:35 a.m.		6. Atherosclerotic Plaque Composition and Cerebral Embolization After Carotid Stenting Carlos Timaran, Eric B. Rosero, Andres E. Martinez, Adriana Ilarraza, J. Gregory Modrall, G. Patrick Clagett University of Texas SW Medical Center, Dallas, TX* Discussant: Peter Lin
10:55 a.m.		7. Vascular Surgical Antibiotic Prophylactic Study (VSAPS) Patrick Stone, Ali F. AbuRahma, James Campbell, Lawson Safely, Mary Emmett* West Virginia University, Charleston, WV Discussant: Paul Armstrong
11:15 a.m.		8. Mid-term Outcomes of Single Center Experience of 400 Consecutive TEVAR Brett A. Almond, Philip J. Hess, Jr., Tomas D. Martin, Thomas M. Beaver, Charles T. Klodell, W. Anthony Lee University of Florida, Gainesville, FL* Discussant: Tam Huynh
11:35 a.m.		9. Preoperative Thrombolysis and Venoplasty Affords No Benefit in Patency Following First Rib Resection and Scalenectomy for Subclavian Vein Thrombosis James L. Guzzo, Kevin Chang, Jasmine Demos, James H. Black, III, Julie A. Freischlag The Johns Hopkins Hospital, Baltimore, MD* Discussant: Richard Sprouse
11:55 a.m.		10. Type B Thoracic Aortic Dissection: Open versus Endovascular Repair Teviah Sachs, Robert Hagberg, Frank Pomposelli, Allen Hamdan, Mark Wyers, Kristina Giles, Marc Schermerhorn* Beth Israel Deaconess Medical Center, Boston, MA Discussant: Christopher Kwolek
		* By Invitation
12:15 p.m.		DISTINGUISHED GUEST LECTURE Introduced by: Bruce A. Perler Clinical and Scientific Observations in Diabetic Tibial Disease Anton A. Sidawy VA Medical Center, Washington, DC
12:45 p.m.		ADJOURN
7:45 - 8:30 p.m.		General Reception Ripples Pool Deck
FRIDAY, JANUARY 22, 2010
6:30 - 7:30 a.m.		Continental Breafast Grand Ballroom A
6:30 - 11:00 a.m.		Exhibits Open Grand Ballroom A
6:30 a.m. - 1:00 p.m.		Registration Grand Foyer West
6:30 a.m. - 1:00 p.m.		Speaker Ready Room Apollo
8:00 a.m. - 12:00 p.m.		Hospitality Suite Waters Edge Private Room
7:00 – 8:00 a.m.		ENDOVASCULAR CASE CONFERENCE Grand Ballroom BC Moderator: Scott L. Stevens
7:00 a.m.		E1. Staged Total Exclusion of the Aorta for Chronic Type B Aortic Dissection: A Case Report Anton Dias Perera, Alan Willis, Joss D. Fernandez, H. Edward Garrett, Jr., Bradley A. Wolf University of Tennessee, Memphis, TN
7:15 a.m.		E2. Revascularization of the Left Subclavian Artery During TEVAR Utilizing a Percutaneous In-situ Technique Frank R. Arko, III, Taylor A. Smith, J. Michael Dimaio University of Texas Southwestern Medical Center, Dallas, TX
7:30 a.m.		E3. Cutting Balloon Angioplasty to Relieve Femoral Artery Occlusion Associated with a Vascular Closure Device Shane D. O'Keeffe, Jacob Perry, David J. Minion, Eleftherios S. Xenos, Ehab E. Sorial University of Kentucky Medical Center, Lexington, KY
7:45 a.m.		E4. Subintimal Snare Technique as a Safe and Reliable Means of Recanulating Chronic Total Occlusions of the Iliacs John P. Henretta, Michael Douglas, Lemuel Kirby, Douglas MacMillan, Richard Bock Mission - St. Joseph's Hospital, Asheville, NC
		* By Invitation
8:00 – 9:00 a.m.		SCIENTIFIC SESSION III Grand Ballroom BC Presiding: Scott L. Stevens Spence M. Taylor
8:00 a.m.		11. Midterm Outcomes of Secondary Procedures Following Endovascular Aneurysm Repair: A Prospective Analysis Manish Mehta, Sean P. Roddy, R. Clement Darling III, John B. Taggert, John Byrne, Yaron Sternbach, Paul B. Kreienberg, Philip S. K. Paty, Kathleen J. Ozsvath, Benjamin B. Chang, Dhiraj M. Shah* The Vascular Group PLLC, Albany, NY Discussant: Marc Passman
8:20 a.m.		12. Risk Factors For Late Mortality Following Endovascular Thoracic Aneurysm Repair Jayer Chung, Karthi Keshwar Kasirajan, Ravi Veeraswamy, Matthew Corriere, Thomas Dodson, Ross Milner, Atef Salam, Elliot L. Chaikof Emory University, Atlanta, GA* Discussant: H. Edward Garrett
8:40 a.m.		13. Defining the Burden of Indigent Vascular Care: The Impact of Socioeconomic Factors on Lower Extremity Revascularization Christopher A. Durham, Dorian J. deFreitas, Mark M. Manwaring, Carolyn Mohr, Charles S. Powell, William M. Bogey, Frank M. Parker, Michael C. Stoner East Carolina University, Greenville, NC Discussant: Julie Freischlag
9:00 – 9:30 a.m.		Coffee Break, Visit Exhibits Grand Ballroom BC
		* By Invitation
9:30 – 10:30 a.m.		SCIENTIFIC SESSION IV Grand Ballroom BC Presiding: Scott L. Stevens Spence M. Taylor
9:30 a.m.		14. Prospective Randomized Trial of Routine versus Selective Shunting in Carotid Endarterectomy Based on Stump Pressure Ali F. AbuRahma, Patrick A. Stone, Stephen M. Hass, L. Scott Dean, Joseph Habib, Tammi Keiffer, Mary Emmett* Robert C. Byrd Health Sciences Center of West Virginia University, Charleston, WV Discussant: David Dawson
9:50 a.m.		15. Maximal Venous Outflow Velocity: A Novel Technique for Detecting Ileocaval Occlusive Disease T. Matthew Jones, David C. Cassada, Oscar H. Grandas, Scott L. Stevens, Michael B. Freeman, Mitchell H. Goldman University of Tennessee Medical Center at Knoxville, Knoxville, TN* Discussant: William Marston
10:10 a.m.		16. Tevar Does Not Alter The Natural History Of Traumatic Aortic Disruption Jennifer L. Lang, Stephen T. Smith, Joseph P. Minei, J. G. Modrall, G. P. Clagett, R. J. Valentine UT Southwestern Medical Center, Dallas,TX* Discussant: Thomas Naslund
		* By Invitation
10:30 - 11:30 a.m..		CASE REPORT PANEL DISCUSSION Grand Ballroom BC Moderator: John William Hallett Panel: Ali F. AbuRahma Kenneth J. Cherry, Jr. Alan B. Lumsden
		CASE REPORTS
10:30 a.m.		C1. Deglutition Syncope: A Manifestation of Vagal Hyperactivity Following Carotid Enarterectomy Eric D. Endean, William Cavatassi, Joseph Hansler, Ehab Sorial University of Kentucky, Lexington, KY
10:45 a.m.		C2. Late Erosion of a Prophylactic IVC Filter into the Aorta, Right Renal Artery, and Duodenal Wall Robert D. Becher¹, Matthew A. Corriere², Matthew J. Edwards¹, Joseph Pettus¹, Christopher J. Godshall¹* ¹Wake Forest University Medical Center, Winston-Salem, NC; ²Emory University, Atlanta, GA
11:00 a.m.		C3. Bilateral Renal Vein Thrombosis Treated with Percutaneous Thrombolysis and Mechanical Thrombectomy Jarrod D. Day, Brian L. Chen, Jean M. Panneton Eastern Virginia Medical School, Norfolk, VA
11:15 a.m.		C4. Management of a Thoracic Aortic Coarctation Presenting as Severe Hypertension and Increasing Dyspnea on Exertion Hernan A. Bazan, Bruce Torrance, Larry H. Hollier LSUHSC School of Medicine, New Orleans, LA
		*By Invitation
11:30 a.m.		PRESIDENTIAL ADDRESS Introduced by: Daniel S. Rush Charles Dickens, Coach K, Pogo, and the Recent Histoty and Future of Vascular Surgery Bruce A. Perler John Hopkins Hospital, Department of Vascular Surgery, Baltimore, MD
12:00 p.m.		ADJOURN
1:00 p.m.		Golf Tournament Cable Beach Golf Club - transportation to depart from TBD
1:00 - 6:00 p.m.		Men's Tennis Tournament Resort Courts
7:00 - 11:00 p.m.		President's Reception and Banquet Royal Deck and Crown Ballroom
SATURDAY, JANUARY 23, 2010
6:30 - 7:30 a.m.		Continental Breafast Grand Ballroom A
6:30 - 11:00 a.m.		Registration Grand Foyer West
6:30 - 11:00 a.m.		Exhibits Open Grand Ballroom A
6:30 - 11:00 a.m.		Speaker Ready Room Apollo
8:00 - 10:00 a.m.		Hospitality Suite Waters Edge Private Room
7:00 – 8:00 a.m.		BASIC SCIENCE SESSION Moderator: Mohammed M. Moursi
7:00 a.m.		B1. Hormone Replacement Therapy Influences Intimal Hyperplasia after Vascular Injury: Role of Matrix Metalloproteinases James E. Chalk, Deidra J. H. Mountain, Stacy S. Kirkpatrick, David C. Cassada, Scott L. Stevens, Michael B. Freeman, Mitchell H. Goldman, Oscar H. Grandas University of Tennessee Graduate School of Medicine, Knoxville, TN*
7:15 a.m.		B2. Calf Study to Examine Endostaple Related Thrombogenesis and Tissue In-Growth Hugh H. Trout, III, Howard M. Tanner* Suburban Hospital, Bethesda, MD
7:30 a.m.		B3. Sahpenous Vein Viability: A Comparative Study Between Two Surgical Specialties Harvesting Human Saphenous Vein With A Porcine Saphenous Vein Model Emulating Intraoperative Mechanical Stress Syed Z. Rizvi, Kyle M. Hocking, Padmini Komalavilas, Gowthani Putumbaka, Raul Guzman, Jeffrey Dattilo, Thomas Naslund, Colleen M Brophy Vanderbilt University, Nashville, TN*
7:45 a.m.		B4. Therapeutic Distant Organ Effects of Regional Hyopthermia during Mesenteric Ischemia-Reperfusion Injury Rachel J. Santora¹, Mihaela L. Lie², Dmitry N. Grigoryev², Omer Nasir², Frederick A. Moore¹, Heitham T. Hassoun¹ ¹The Methodist Hospital Research Institute, Houston, TX; ²Johns Hopkins University, Baltimore, MD
		*By Invitation
8:00 - 9:00 a.m.		SPECIAL TOPICS SESSION: VASCULAR ACCESS 2010 Grand Ballroom BC Moderator: Marc H. Glickman
8:00 a.m.		S1. An Evidence Based Approach - What are the Data? David L. Cull
8:15 a.m.		S2. New Technologies - What's Ready for Prime-Time? Oscar H. Grandas
8:30 a.m.		S3. Managing Distal Ischemia - What Works Best? Thomas A. Huber
8:45 a.m.		PANEL DISCUSSION
9:00 - 10:00 a.m.		SCIENTIFIC SESSION V Grand Ballroom BC Presiding: Ali F. AbuRahma Spence M. Taylor
9:00 a.m.		17. Using a Vascular Data Base to Change Surgeon Behavior in Managing Patients Undergoing Carotid Endarterectomy: A 5-year prospective study of 598 Patients John Hallett, Lorri Bennett, Thomas G. Appleby, Paul Kevin Beach, Alton G. Brown, Jr., Edward C. Morrison Roper St Francis Heart and Vascular Center, Charleston, SC Discussant: Jack Cronenwett
9:20 a.m.		18. Outcome Predictors in Traumatic Popliteal Artery Injury Jaecel O. Shah, Robert E. Lasky, Kristofer M. Charlton-Ouw, Jaime A. Valdes, Ali Azizzadeh, Anthony L. Estrera, Hazim J. Safi, Sheila M. Coogan University of Texas Medical School at Houston, Houston, TX Discussant: W. Charles Sternbergh
9:40 a.m.		19. The Effect of a Vascular Lecture Series in Medical Student Preclinical Years on Interest in Vascular Surgery Christopher J. Godshall, Phillip R. Moore, Shawn H. Fleming, Kimberley J. Hansen, John R. Hoyle, Jeanette S. Andrews, Matthew S. Edwards Wake Forest University Baptist Medical Center, Winston-Salem, NC* Discussant: Eric Endean
		*By Invitation
10:00 - 10:30 a.m.		Coffee Break, Visit Exhibits Grand Ballroom A
10:30 - 11:50 a.m.		SCIENTIFIC SESSION VI Grand Ballroom BC Presiding: Ali F. AbuRahma Spence M. Taylor
10:30 a.m.		20. Intravascular Ultrasound (IVUS)-Assisted Aortic Stent Graft Repair: An Useful Adjunct In Azotemic Patients Paul Armstrong, Martin R. Back, Dennis F. Bandyk, Murray L. Shames, Brad L. Johnson University of South Florida, Tampa, FL Discussant: Charles Ross
10:50 a.m.		21. Blunt Traumatic Aortic Injury: Revisting the Role of Medical Management in the Endovascular Era Michael M. McNally, Christopher A. Durham, Wesley T. O'Neal, Adam G. Strickland, Claudia E. Goettler, Curtis A. Anderson, Charles S. Powell, William M. Bogey, Frank M. Parker, Michael C. Stoner East Carolina University, Greenville, NC Discussant: Matthew Corriere
11:10 a.m.		22. Clinical Outcome Trends of Type B Aortic Dissections in South Carolina Michael C. Hartley, Eugene M. Langan, III, Spence M. Taylor, Brent Johnson, Mark P. Androes, Christopher G. Carsten, III Greenville Hospital System University Medical Center, Greenville, SC* Discussant: Hazim Safi
11:30 a.m.		23. Accuracy of Duplex Sonography After Renal Stenting Shawn H. Fleming, Joel K. Deonanan, Tim Craven, Christopher Godshall, Matthew Edwards, Kimberly J. Hansen Wake Forest University, Winston Salem, NC Discussant: Dennis Bandyk
		*By Invitation
11:50 a.m.		ANNUAL BUSINESS MEETING Grand Ballroom BC (Members Only)
12:20 p.m.		ADJOURN