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Program and Abstracts | Posters

WEDNESDAY, JANUARY 23, 2013
7:00 a.m. MOCK ORAL EXAMS
12:30 p.m. POSTGRADUATE COURSE
New Horizons: A Review of the Latest Technology, Hot Topics, and Controversies in Vascular Surgery
SESSION I: CHRONIC CEREBROSPINAL VENOUS INSUFFICIENCY
12:35 p.m. Overview of Multiple Sclerosis: Classifications and Current Medical Therapy
Stuart I. Myers

Vascular Surgical Associates, Lincoln, NE
12:40 p.m. What is the Evidence of Role of CCVI in MS?
Bauer E. Sumpio

Yale Vascular Group, New Haven, CT
CONTROVERSIES: VENOUS ANGIOPLASTY FOR MULTIPLE SCLEROSIS
12:45 p.m. The Good: Data Supporting Potential Benefit of Venous Angioplasty in MS Patients
John W. Hallett

Roper St. Francis Healthcare, Charleston, SC
12:50 p.m. The Bad: Complications, Pitfalls, and How to Avoid Them
Manish Mehta

The Vascular Group, PLLC, Albany, NY
12:55 p.m. The Ugly: Medical Tourism and Its Implications
Cynthia K. Shortell

Duke University Medical Center, Durham, NC
1:00 p.m. Putting It All Together: Where Do We Go From Here?
Manish Mehta

The Vascular Group, PLLC, Albany, NY
PANEL DISCUSSION
SESSION II: VENOUS THROMBOEMBOLISM

THROMBOLYSIS FOR PULMONARY EMBOLIZATION

1:10 p.m. Overview and Basis of the Chest Guidelines for Treatment of PE
Lois A. Killewich

University of Texas Medical Branch, Galveston, TX
1:15 p.m. The Concept of "Sub-massive" PE: Should We Modify the Guidelines?
Raghuveer Vallabhaneni

University of North Carolina- Chapel Hil, Chapel Hill, NC
CONTROVERSIES: CATHETER DIRECTED V. MECHANICAL THROMBOLYSIS OF PE
1:20 p.m. Catheter Directed Thrombolysis of PE: Technical Tips and Why It Should replace Systemic Therapy
Peter H. Lin

Baylor College of Medicine, Houston, TX
1:25 p.m. Mechanical Thrombolysis of PE: Technical Tips and Why It Should Replace Systemic Therapy
Christopher J. Kwolek

Massachusetts General Hospital, Boston, MA
CONTROVERSIES: IVC FILTERS IN THROMBOLYSIS
1:30 p.m. IVC Filters Should Be Used on All Cases of Thrombolysis for Venous Thromboembolism
Panagiotis Kougias

Baylor College of Medicine, MED VAMC, Houston, TX
1:35 p.m. IVC Filters are Unnecessary during Thrombolysis for Venous Thromboembolism
Mark G. Davies

The Methodist Hospital, Houston, TX
1:40 p.m. PANEL DISCUSSION
SESSION III: RENAL THERAPIES

RENAL SYMPATHETIC DENERVATION

1:45 p.m. Pathophysiology and Historic Data on Sympathectomy for Hypertension
Fred W. Rushton

University of Mississippi Medical Center, Jackson, MS
1:50 p.m. Overview of the Technology: Comparing the Devices and When They May Be Available
Matthew S. Edwards

Wake Forest University School of Medicine, Winston-Salem, NC
1:55 p.m. What is the Potential for Endothelial Damage from Renal Sympathetic Ablation?
Timothy S. Roush

Carolina Medical Center, Charlotte, NC
2:00 p.m. Outcomes from International Studies and Potential Treatment Algorhtyms
Jacob G. Robison

Medical University of South Carolina, Charleston, SC
CONTROVERSIES: RENAL REVASCULARIZATION POST ASTRAL TRIAL
2:05 p.m. Medical Therapy is the Treatment of Choice for Renovascular Hypertension
Matthew A. Corriere

Wake Forest University School of Medicine, Winston Salem, NC
2:10 p.m. Renal Revascularization is the Treatment of Choice for Renovascular Hypertension
Randolph L. Geary

Wake Forest University School of Medicine, Winston-Salem, NC
2:15 p.m. PANEL DISCUSSION
2:20 p.m. COFFEE BREAK
SESSION IV: AORTIC TECHNOLOGIES

FENESTRATION FINALLY!

2:40 p.m. Why the Wait? Analyzing the Issues the Device Has Had To Overcome
Karthikeshwar Kasirajan

Emory University Hospital, Renton, WA
2:45 p.m. Overview of International Outcomes on Fenestrated Grafts
Maureen K. Sheehan

University of Texas San Antonio, San Antonio, TX
2:50 p.m. Technical Tips and Trouble Shooting for Device Implantation
Carlos H. Timaran

University of Texas Southwestern Medical Center, Dallas, TX
2:55 p.m. Progress Toward "Off the Shelf" Fenestrated Devices (Cook, Endologix)
Gustavo S. Oderich

Mayo Clinic, Rochester, MN
3:00 p.m. PANEL DISCUSSION
SESSION V: UPDATES ON OTHER TECHNOLOGIES
3:05 p.m. Nellix
Ravi Veeraswamy

Emory University, Atlanta, GA
3:10 p.m. Multi-layer Stent, Does it Work?
Michael B. Freeman

University of Tennessee Medical Center, Knoxville, TN
3:15 p.m. Branched Grafts
Mark A. Farber
University of North Carolina- Chapel Hil, Chapel Hill, NC
3:20 p.m. Parallel Endografts: Competing, Complimentary, or Obsolete?
Luis A. Sanchez

Washington University School of Medicine, St. Louis, MO
3:25 p.m. PANEL DISCUSSION
SESSION VI: AORTIC DISSECTIONS

CONTROVERSIES: STENT GRAFTS FOR ACUTE TYPE B DISSECTION. IS IT TIME FOR A PARADIGM SHIFT?

3:30 p.m. Medical Therapy Remains the First Line Treatment for Uncomplicated Dissection
William D. Clouse

David Grant USAF Medical Center, Travis AFB, CA
3:35 p.m. Stent Grafts Should Be the First Line Treatment for Uncomplicated Dissection
James H. Black, III

Johns Hopkins Hospital, Baltimore, MD
CONTROVERSIES: OPTIMAL TREATMENT STRATEGY FOR STENT-GRAFTS IN TYPE B DISSECTION
3:40 p.m. The Optimal Strategy is to Cover Only the Entry Tear
H. Edward Garrett, Jr.

Cardiovascular Surgery Clinic, PLLC, Memphis, TN
3:45 p.m. The Optimal Strategy is for More Extensive Stent Graft Coverage to Minimize Re-entry
Frank R. Arko

Carolinas Healthcare System, Charlotte, NC
3:50 p.m. The Optimal Strategy is a Composite Graft
Eugene M. Langan, III

Greenville Hospital System, Greenville, SC
3:55 p.m. PANEL DISCUSSION
SESSION VII: MISCELLANEOUS NEW TECHNOLOGIES
4:05 p.m. The HERO graft
Ehab Sorial

University of Kentucky Medical Center, Lexington, KY
4:10 p.m. ClariVein
Lori L. Pounds

University of Texas Health Science, San Antonio, TX
4:15 p.m. PANEL DISCUSSION
4:25 p.m. Wrap-Up
David J. Minion

University of Kentucky Medical Center, Lexington, KY
4:30 p.m. ADJOURN
6:30 p.m. - 8:00 p.m. Welcome Reception
Royal Deck
COMPLETION OF THIS COURSE QUALIFIES FOR MOC PART 2,
SELF-ASSESSMENT CREDIT
THURSDAY, JANUARY 24, 2013
6:30 - 7:30 a.m. 5K Fun Run
Start Point: Royal Deck
6:30 - 7:30 a.m. NEW MEMBERS' BREAKFAST
7:30 - 8:00 a.m. PRESIDENTIAL WELCOME
Spence M. Taylor

Introduction of New Members
Presentation of the S. Timothy String Presidential Award

8:00 - 9:40 a.m. SCIENTIFIC SESSION I
Presiding: Marc E. Mitchell
Eric D. Endean
8:00 a.m. 1. The Need for Treatment of Hypotension or Hypertension after Carotid Endarterectomy is Associated with Increased Perioperative Mortality and Morbidity
Tze-Woei Tan1, Mohammad Eslami1, Denis Rybin1, Jeffrey Kalish1, Robert Eberhardt1, Naomi Hamburg1, Gheorghe Doros1, Philip Goodney2, Jack Cronenwett2, Alik Farber1
1Boston University Medical Center, Boston, MA; 2Dartmouth-Hitchcock Medical Center, Lebanon, NH
8:20 a.m. 2. Outcomes of Medically Managed Carotid Artery Dissection After Repair of Acute Aortic Dissection
Kristofer M. Charlton-Ouw1, Ali Sawal2, Samuel S. Leake1, Harleen K. Sandhu1, Charles C. Miller, III3, Sheila M. Coogan1, Ali Azizzadeh1, Anthony L. Estrera1, Hazim J. Safi1
1University of Texas Medical School, Houston, TX; 2William Carey University College of Osteopathic Medicine, Hattiesburg, MS; 3Texas Tech University Paul L. Foster School of Medicine, El Paso, TX
8:40 a.m. 3. The Effect of Surgeon's Specialty and Volume on Perioperative Outcome of Carotid Endarterectomy
Ali F. AbuRahma, Mohit Srivastava, Stephen M. Hass, Albeir Y. Mousa, Patrick A. Stone, L. Scott Dean, John E. Campbell, Benny Y. Chong
Robert C. Byrd Health Sciences Center of W. Va. Univ., Charleston, WV
9:00 a.m. 4. Optimal Medical Therapy Predicts Amputation-Free Survival in Patients with Chronic Critical Limb Ischemia
Jayer Chung, David E. Timaran, J. Gregory Modrall, Chul Ahn, Carlos H. Timaran, Melissa L. Kirkwood, Mirza S. Baig, Shirling Tsai, R. James Valentine
University of Texas Southwestern Medical Center, Dallas, TX
9:20 a.m. 5. Carotid-Subclavian Bypass and Subclavian-Carotid Transposition in the TEVAR Era
Arin L Madenci1, C. Keith Ozaki2, Michael Belkin2, James T McPhee2
1University of Michigan Medical School, Ann Arbor, MI; 2Brigham and Women's Hospital, Boston, MA
9:40 a.m. FOUNDERS' AWARD PAPER
Improved Procedural, Hemodynamic, and Late Clinical Outcomes Using Intravascular Ultrasound Anatomic Guidance During Carotid Artery Stent-Angioplasty

Megan I. Carroll, Patrick McNair, Martin R. Back, Neil Moudgill, Murray L. Shames, Karl A. Illig, Brad L. Johnson, Paul A. Armstrong
University of South Florida, Tampa, FL
10:00 a.m. INTRODUCTION AND PRESENTATION OF AWARD
Marc E. Mitchell
10:05 - 10:35 a.m. COFFEE BREAK - VISIT EXHIBITS
10:35 - 12:15 p.m. SCIENTIFIC SESSION II
Presiding: Marc E. Mitchell
Eric D. Endean
10:35 a.m. 6. Stress Tests are Overutilized in the Preoperative Evaluation of Endovascular Aneurysm Repair
Siddharth Patel, Richard Gilmore, Yazan Duwayri, Ravi Rajani, James Reeves, Luke Brewster, Thomas Dodson, Ravi Veeraswamy
Emory University School of Medicine, Atlanta, GA
10:55 a.m. 7. Percutaneous Endovascular Aortic Aneurysm Repair (PEVAR): Results from the First Prospective, Multicenter Randomized Trial-72
Peter R. Nelson
University of Florida College of Medicine, Gainesville, FL
11:15 a.m. 8. VIDEO: Sequential Catheterization Amid Progressive Endograft Deployment for Fenestrated and Branched Endovascular Aortic Aneurysm Repair
Gregory A. Stanley, Carlos H. Timaran, M. Shadman Baig, J. Gregory Modrall, David E. Timaran, L. F. Gomez, R. James Valentine
UT Southwestern, Dallas, TX
11:35 a.m. 9. A Case Matched Validation Study of Anatomic Severity Grade Score in Predicting Reinterventions after Endovascular Aortic Aneurysm Repair
Patricia G. Johnson, Candice R. Chipman, Jung H. Kim, Samuel N. Steerman, Jonathan A. Higgins, David J. Dexter, Sadaf S. Ahanchi, Jean M. Panneton
Eastern Virginia Medical School, Norfolk, VA
11:55 a.m. 10. The Risk of Elevated Radiation Dose in Complex Endovascular Procedures: Surgeon Education Improves Patient Safety
Melissa L. Kirkwood, Gary M. Arbique, Jeffrey B. Guild, Carlos Timaran, R. James Valentine, Jayer Chung, Jon A. Anderson
UT Southwestern Medical Center, Dallas, TX
12:15 p.m. THE JESSE E. THOMPSON, M.D. DISTINGUISHED GUEST LECTURER
Introduction: Spence M. Taylor

VascuLeaks:
Revealing Classified Information from Linnaeus to Rutherford

Joseph L. Mills, Sr., M.D.
University of Arizona, Tucson, Arizona

Who Determines Quality. Winners and Losers.
George Andros
Amputation Prevention Center Valley Presbyterian Hospital, Van Nuys, CA

12:45 p.m. ADJOURN
6:30 p.m. - 8:00 p.m. General Reception
Dig Deck
FRIDAY, JANUARY 25, 2013
7:00 - 8:00 a.m. ENDOVASCULAR CASE CONFERENCE
Moderator: Marc E. Mitchell
Panel: Mark P. Androes
Frank R. Arko
Samuel R. Money
7:00 a.m. E1. Endovascular Repair of a Ruptured Subclavian Artery Aneurysm in a Patient with Ehlers-Danlos Syndrome Using a Sandwich Technique
Sapan S. Desai, Maria Codreanu, Kristofer Charlton-Ouw, Hazim Safi, Ali Azizzadeh
University of Texas Houston Medical School and Memorial Hermann Hospital, Houston, TX
7:15 a.m. E2. Urgent Fenestrated Endovascular Aortic Aneurysm Repair (FEVAR) for a Contained Rupture of a Juxtarenal Pseudoaneurysm Secondary to Transrenal Stent Fracture - 166
Martyn Knowles, Gregory A. Stanley, M. Shadman Baig, R. James Valentine, Carlos H. Timaran
University of Texas - Southwestern, Dallas, TX
7:30 a.m. E3. Endovascular Repair of Blunt Popliteal Artery Injury via Retrograde Tibial Access-
Jeff Luh, Lori Choi, Charlie C. Cheng, Z Faisal Cheema, Michael B. Silva, Jr.
UTMB, Galveston, TX
7:45 a.m. E4. Complex Endovascular Peri-Renal Aortic Aneurysm Repair Preserving Perfusion to a Horseshoe Kidney
Jane K. Yang, Lee J. Goldstein, Jorge Rey, Omaida C. Velazquez
University of Miami, Miller School of Medicine, Miami, FL
8:00 - 9:00 a.m. SCIENTIFIC SESSION III
Presiding: Mohammed M. Moursi
Eric D. Endean
8:00 a.m. 11. Pulmonary Embolism Risk Following Upper Extremity DVT in a Single-Center Series of 500 Consecutive Patients
Ayorinde Akinrinlola, Francisco C. Albuquerque, Micheal F. Amendola, Mark M. Levy
Virginia Commonwealth University, Richmond, VA
8:20 a.m. 12. Early Outcomes After Inferior Vena Cava Thrombectomy and Reconstruction For Advanced Renal Cell Carcinoma With Tumor Thrombus
Paul A. Armstrong1, Megan I. Caroll1, Martin R. Back1, Murray L. Shames1, Samuel M. Lawindy1, Wade J. Sexton2, Philippe E. Spiess2
1University of South Florida, Tampa, FL; 2Moffitt Cancer Center, Tampa, FL
8:40 a.m. 13. VIDEO: Nutcracker Syndrome in a Pelvic Kidney Treated with Open Iliac Vein Reconstruction
James Jen, Sharif Ellozy, Jeffrey Saland, Anna Rosenblatt, Michael Marin, Peter Faries
Mount Sinai Medical Center, New York, NY
9:00 - 9:30 a.m. COFFEE BREAK - VISIT EXHIBITS
9:30 - 10:30 a.m. SCIENTIFIC SESSION IV
Presiding: Mohammed M. Moursi
Eric D. Endean
9:30 a.m. 14. A Six-Year Experience with the Proximal Radial Artery Fistula - Does a Previous Access Matter?
Michael F. Amendola1, John Pfeifer2, Francisco Albuquerque3, Mark Levy3, Luke Wolfe3, Marcela Woogen-Fisher2, Ronald Davis2
1VA Medical Center/VCU, Richmond, VA; 2VA Medical Center, Richmond, VA; 3VCU Medical Center, Richmond, VA
9:50 a.m. 15. Fistula Flow Volumes: How Accurate Are They in Predicting Maturity?
William B. Harris, Larry R. Sprouse, Christopher J. Lesar, Heather Mixon, Joel B. Clements, Mark Fugate, Charles S. Joels, Michael S. Greer, Sachin V. Phade, Daniel F. Fisher
University of Tennessee, Chattanooga, Chattanooga, TN
10:10 a.m. 16. VIDEO: A Novel Technique to Remove Inferior Vena Cava Filters Using a Homemade Snare Device
Kuldeep Singh, Sean A. Marco, Rajni K. Sandhu
Staten Island University Hospital, Staten Island, NY
10:00 a.m. Women's Tennis Open Play
Tennis Courts
10:30 - 11:30 a.m. CASE REPORT PANEL DISCUSSION
Moderator: Edward H. Garrett, Jr.
Panel: William D. Jordan, Jr.
Bruce A. Perler
Gilbert R. Upchurch, Jr.
CASE REPORTS
10:30 a.m. C1. Utilizing Hybrid graft in Open Repair of TAAA to Decrease Mesenteric and Renal Ischemia Time
Shadi J. Abu-Halimah
WVU-Charleston Division, Charleston, WV
10:45 a.m. C2. Perioperative Arteriovenous Fistula and Pseudoaneurysm after Plantar Fascia Release: Diagnosis and Intervention
Ginger L. Manos, Stuart A. Harlin, Aaron B. Montgomery
Coastal Vascular & Interventional, PLLC, Pensacola, FL
11:00 a.m. C3. Fetal Demise Due To Uterine Trauma With Massive Intraperitoneal Hemorrhage Associated With Chronic Perforation Of The Inferior Vena Cava By An Infrarenal Filter: A Case Report With Call For Definitive Consensus Regarding Filter Positioning In Nonpregnant
John G. Maijub, Charles B. Ross, Molly V. Houser, Marvin E. Morris
Norton Hospital, Louisville, KY
11:15 a.m. C4. Minimally Invasive Management Of Symptomatic Pulmonary Sequestration With An Aneurysmal Feeding Vessel: Coil Embolization Combined With Thorascopic Resection
Kyla Shelton, Matthew Steliga, John Eidt
University of Arkansas for Medical Sciences, Little Rock, AR
11:30 a.m. INTRODUCTION OF SPENCE M. TAYLOR
Thomas S. Huber
11:45 a.m. PRESIDENTIAL ADDRESS
Vascular Surgery, Self Awareness and the University of South Carolina School of Medicine Greenville
Spence M. Taylor

Greenville Hospital System, University Medical Group, Greenville, SC
12:15 p.m. ADJOURN
12:30 p.m. Golf Tournament Transportation
To depart from Front Entrance of the Royal Towers
12:45 p.m. Golf Tournament*
Ocean Course

*Maximum of 48 players. Space available on a first come, first serve basis.
1:00 p.m. Men's Tennis Open Play
Tennis Courts
7:00 p.m. - 11:00 p.m. President's Reception & Banquet
Grand Foyer & Grand Ballroom, Coral Towers
10:00 p.m. - 1:00 a.m. President's After Party
Fathoms
SATURDAY, JANUARY 26, 2013
7:00 - 8:00 a.m. BASIC SCIENCE SESSION
Moderator: Randolph L. Geary
7:00 a.m. B1. Interleukin-1β Pathway Antagonism Prevents and Treats Experimental Aortic Aneurysms
William F. Johnston, Morgan Salmon, Gang Su, Yunge Zhou, Gary K. Owens, Gilbert R. Upchurch, Jr., Gorav Ailawadi
University of Virginia, Charlottesville, VA
7:15 a.m. B2. A Novel Depletion Approach Attenuates A Surge Of CD34 Progenitors After Vascular Injury: Implications for Restenotic Vascular Disease
Bryan Tillman, Justine Kim, Adriana Harbuzariu
University of Pittsburgh School of Medicine, Pittsburgh, PA
7:30 a.m. B3. Alpha 2a Agonist Dexmedetomidine Interupts Macrophage Toll-Like Receptor 4 Signaling in Murine Model of Spinal Cord Iscehmia Repferfusion
Marshall T. Bell, Viktor A. Agoston, Ferenc Puskas, Joseph C. Cleveland, Jr., David A. Fullerton, Kristen Freeman, Fabia Gamboni, Paco Herson, Joshua Mares, Michael J. Weyant, T. Brett Reece
University of Colorado, Aurora, CO
7:45 a.m. B4. Homocysteine Upregulates Expression Of NR2D-Containing N-Methyl-D-Aspartate Receptors In A Rat Carotid Endarterectomy Model
Mohammed Moursi, Hongju Deng, John Nyalala
University of Arkansas for Medical Sciences, Little Rock, AR
8:00 - 9:00 a.m. MODERATED POSTER SESSION
View Poster Listing and Abstracts
9:00 - 10:00 a.m. SCIENTIFIC SESSION V
Presiding: Eugene M. Langan, III
Eric D. Endean
9:00 a.m. 17. Atherectomy Offers No Benefits Over Balloon Angioplasty in Tibial Interventions for Critical Limb Ischemia
Kevin E. Todd, Jr., Christian A. Maurer, Johnathan A. Higgins, Jung H. Kim, Sadaf S. Ahanchi, Jean M. Panneton
Eastern Virginia Medical School, Norfolk, VA
9:20 a.m. 18. Prospective, Multicenter Analysis of Peri-Operative Patency for Tibial Bypass: Comparison Among Different Conduit Configurations
Bao-Ngoc H. Nguyen, Richard F. Neville, Richard Amdur, Mustafa Abugideiri, Anton Sidawy
George Washington University, Washington, DC
9:40 a.m. 19. Spliced Arm Vein Grafts For Critical Lower Limb Ischemia
Luigi Pascarella, Leila Mureebe, Mitchell W. Cox, Richard L. McCann
Duke University Medical Center, Durham, NC
10:00 - 10:30 a.m. COFFEE BREAK - VISIT EXHIBITS
10:30 - 11:50 a.m. SCIENTIFIC SESSION VI
Presiding: Eugene M. Langan, III
Eric D. Endean
10:30 a.m. 20. Comparison of Long-term Outcomes following Endovascular Repair of Abdominal Aortic Aneurysms Based on Size Threshold
Charles J. Keith, Jr., Marc A. Passman, Michael J. Gaffud, Zdenek Novak, Marjan U. Mujib, Thomas C. Matthews, Mark A. Patterson, William D. Jordan, Jr.
University of Alabama at Birmingham, Birmingham, AL
10:50 a.m. 21. VIDEO: Percutaneous Endovascular Repair Of Juxtarenal Aortic Aneurysm Using Customized Cook Zenith Fenestrated Stent Graft
Mateus P. Correa, Gustavo S. Oderich
Mayo Clinic, Rochester, MN
11:10 a.m. 22. Long-Term Results for Endovascular Repair of Acute Complicated Type B Aortic Dissection
Jennifer M. Hanna, Asvin Ganapathi, Nicholas Andersen, Richard L. McCann, G. Chad Hughes
Duke University Medical Center, Durham, NC
11:30 a.m. 23. In Situ Laser Fenestration During Thoracic Endovascular Aortic Repair is an Effective Method for Left Subclavian Artery Revascularization
Richard E. Redlinger, Jr., Sadaf S. Ahanchi, Jean M. Panneton
Eastern Virginia Medical School, Norfolk, VA
11:50 a.m. ANNUAL BUSINESS MEETING (Members Only)
12:20 p.m. ADJOURN
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