Southern Association For Vascular Surgery

Program and Abstracts | Posters | Social Program

WEDNESDAY, JANUARY 23, 2019
7:00 am
MOCK ORAL EXAMS
12:25-5:00 pm
POSTGRADUATE COURSE SAFER SURGERY: IMPROVING PATIENT SELECTION AND RESCUE OF COMPLICATIONS

Goal: To educate the vascular surgery community to the increasing use of reporting of surgical outcomes and metrics to performance, and improve individual vascular surgeon skills and decision making in challenging clinical scenarios.
12:25 - 12:30 pm
Professional development in the Observed/Expected World
James H. Black, III, CME Chair
John Hopkins Hospital, Baltimore, MD

LIMB SALVAGE
Moderators: Richard F. Neville & Matthew S. Edwards
CASE PRESENTATIONS:
12:30 - 12:37 pm
The Known - Tibial Bypass Case (Vein vs Prosthetic)
Jayer Chung, MD
Baylor College of Medicine, Houston, TX
12:37 - 12:44 pm
The Unkown - Tibial Endo Case (Pedal Loop, Retrograde Pedal Access)
Richard F. Neville
Inova Heart and Vascular Institute, Falls Church, VA
12:44 - 12:51 pm
The Undetermined - Lytic case +/- Intervention
Maureen K. Sheehan
Wake Forest Baptist Health Center, Winston-Salem, NC
EXPECTED OUTCOMES
12:51 - 1:00 pm
Outcomes Based Medicine; Do We have Data Regarding Tibial Bypass, DES, DCB upon which to Base Decisions?
Margaret Tracci
University of Virginia Health System, Charlottesville, VA
PATIENT SELECTION
1:00 - 1:10 pm
The "Futility Index"; When Should We Give Up?
David L. Cull
Greenville Health System, Greenville, SC
1:10 - 1:20 pm
Are there any Alternatives for the "No Option" Revascularization Patient?
Patrick A. Stone
The Vanderbilt Clinic, Nashville, TN
1:20 - 1:30 pm
Panel Discussion

PE MANAGEMENT
Moderators: Alan B. Lumsden & Charles B. Ross
CASE PRESENTATIONS
1:30 - 1:37 pm
Intermediate High-Risk Pulmonary Embolism
William P. Shutze
Texas Vascular Associates, Dallas, TX
1:37 - 1:44 pm
High-Risk Pulmonary Embolism
Charles D. Kiell
Cardiac Surgrery Associates, Indianaplois, IN
1:44 - 1:51 pm
Intermediate High-Risk Pulmonary Embolism - Deterioration After Initial Management
Linda Le
Houston Methodist, Houston, TX
PATIENT SELECTION
1:51 - 2:00 pm
Stratification of Risk and Patient Selection for Intervention
Alan B. Lumsden
Methodist DeBakey Heart & Vascular Center, Houston, TX
EXPECTED OUTCOMES
2:00 - 2:10 pm
What Can/Should we Achieve for Submassive and Massive PE?
Peter H. Lin
University Vascular Associates, Los Angeles, CA
2:10 - 2:20 pm
Pulmonary Embolism Response Teams: What is the Value Added?
Charles B. Ross
Piedmont Heart Institute, Atlanta, GA
2:20 - 2:30 pm
Panel Discussion
2:30 - 3:00 pm
Coffee Break

CAROTID INTERVENTIONS
Moderators: Matthew Corriere & Jeff Dattilo
CASE PRESENTATIONS
3:00 - 3:07 pm
Evidence, Anatomy, and/or Patient Risk Clearly Pointed to the Best Option for Carotid Intervention
Kristina A. Giles
University of Florida, Gainesville, FL
3:07 - 3:14 pm
The Best Option for Carotid Intervention was Not Obvious. How I Decided, and if I Would Do it the Same Way Next Time
Jeffery B. Dattilo
Saint Thomas Health, Nashville, TN
3:14 - 3:21 pm
High Risk Patient where Options were Limited, a Bad Outcome was likely, and None of the Options were Appealing
Michael C. Stoner
University of Rochester Medical Center, Rochester, NY
EXPECTED OUTCOMES
3:21 - 3:30 pm
Quality Benchmarking for Carotid Interventions: Linking Indications, Outcomes and Volume to Reimbursement and Credentialing
Yazan Duwayri
Emory University, Atlanta, GA
PATIENT SELECTION
3:30 - 3:40 pm
Choosing between TCAR and Carotid Endarterectomy, and Who Still Needs a Transfemoral Carotid Stent?
Mahmoud Malas
University of California, San Diego, CA
3:40 - 3:50
Patient Selection for Innominate and Common Carotid Artery Interventions
Carlos H. Timaran
University of Texas Southwestern Medical Ctr, Dallas, TX
3:50 - 4:00 pm
Panel Discussion

AORTIC SURGERY
Moderators: James H. Black, III & Adam W. Beck
CASE PRESENTATIONS
4:00 - 4:07 pm
What is my Checklist for rAAA when Going EVAR?
Leila Mureebe
Duke University Medical Center, Raleigh, NC
4:07 - 4:14 pm
Renal Artery Complications in Aortic Surgery…How to Avoid Them.
Martin R. Back
UF Health Division of Vascular Surgery, Gainesville, FL
4:14 - 4:21 pm
The f/bEVAR Case I Wish I Didn't Do
Adam W. Beck
University of Alabama, Birmingham, AL
EXPECTED OUTCOMES
4:21 - 4:30 pm
VQI and NSQIP AAA Outcomes and Where Should We Be?
Salvatore T. Scali
University of Florida, Gainesville, FL
PATIENT SELECTION
4:30 - 4:40 pm
What Anatomy Drives me to Chimney AAA Repairs?
David J. Minion
University of KY Med Ctr, Lexington, KY
4:40 - 4:50 pm
Who Should Still Get an Open AAA?
James H. Black, III
John Hopkins Hospital, Baltimore, MD
4:50 - 5:00 pm
Panel Discussion
5:00 pm
Adjourn
7:00 pm - 8:30 pm
WELCOME RECEPTION

THURSDAY, JANUARY 24, 2019
6:30 am
5K RUN
6:30-7:30 am
NEW MEMBERS' BREAKFAST
7:45-7:50 am
PRESIDENTIAL WELCOME
Matthew S. Edwards
7:50-9:30 am
SCIENTIFIC SESSION I
Presiding: Ali Azizzadeh
William D. Jordan, Jr.
7:50 am
1. Comparative Outcomes of Open, Hybrid, and Fenestrated Branched Endovascular Repair of Extent II and III Thoracoabdominal Aortic Aneurysms
Dean J. Arnaoutakis, Salvatore T. Scali, Adam W. Beck, Thomas S. Huber, Andrew J. Martin, Liza F. Laquian, Thomas M. Beaver, Gilbert R. Upchurch
University of Florida- Gainesville, Gainesville, FL

Discussant: Hazim J. Safi
8:10 am
2. Type B Aortic Intramural Hematoma: To TEVAR or not to TEVAR?
Tomaz Mesar, Maggie J. Lin, Ishraq Kabir, David Dexter, Animesh Rathore, Gordon K. Stokes, Jean M. Panneton
Eastern Virginia Medical School, Norfolk, VA

Discussant: James H. Black, III
8:30 am
3. Association of Preoperative Spinal Drainage Placement with Spinal Cord Ischemia Among Patients Undergoing Thoracic Endovascular Aortic Repair
Alejandro Suarez-Pierre, Xun Zhou, Jose E. Gonzalez, Muhammad Rizwan, Charles D. Fraser, III, Cecillia Lui, Mahmoud B. Malas, Christopher J. Abularrage, James H. Black, III
Johns Hopkins University, Baltimore, MD

Discussant: Kristofer M. Charlton-Ouw
8:50 am
4. Impact of Suprarenal Neck Angulation on EVAR Outcomes
Asma Mathlouthi, Satinderjit Locham, Hanaa Dakour Aridi, James H. Black, Mahmoud B. Malas
The Johns Hopkins University, Baltimore, MD

Discussant: Mark A. Farber
9:10 am
5. Influence of Hospital Volume on Patient Selection, Risk of Complications, and Mortality from Failure to Rescue after Open Abdominal Aortic Aneurysm Repair
Kristina A. Giles1, Thomas S. Huber1, Gilbert R. Upchurch1, Adam W. Beck2, Dean Arnaoutakis1, Martin R. Back1, Salvatore T. Scali1
1University of Florida- Gainesville, Gainesville, FL;2University of Alabama at Birmingham, Birmingham, AL

Discussant: W. Charles Sternbergh, III
9:30 am
FOUNDERS' AWARD PAPER

Outpatient Grip Strength Measurement Predicts Survival, Perioperative Adverse Events, and Non-Home Discharge Among Patients with Vascular Disease
Thomas E. Reeve, IV, Timothy E. Craven, Matthew P. Goldman, Justin B. Hurie, Gabriela Velazquez-Ramirez, Matthew S. Edwards, Matthew A. Corriere
Wake Forest University School of Medicine, Winston Salem, NC
9:50 am
Introduction of New Members
Presentation of the S. Timothy String Presidential Award

Matthew S. Edwards
10:00 am
WOMEN'S TENNIS OPEN PLAY
10:05-10:35 am
COFFEE BREAK - VISIT EXHIBITS
10:35 am-12:15 pm
SCIENTIFIC SESSION II
Presiding: Ali Azizzadeh
William D. Jordan, Jr.
10:35 am
6. Development of a Multifunctionalized Vascular Scaffolding System to Induce In Situ Endothelialization
Lauren N. West-Livingston1, Sang Jin Lee2, Young Min Ju2, Hyeongjin Lee2
1Wake Forest School of Medicine, Winston-Salem, NC;2Wake Forest Institute of Regenerative Medicine, Winston-Salem, NC

Discussant: Luke P. Brewster
10:55 am
7. Scope and Prevalence of Conflicts of Interest Among Highly Cited Peripheral Artery Disease Research Studies
Tiffany R. Bellomo, Charles Hwang, Matthew A. Corriere
University of Michigan Health System, Ann Arbor, MI

Discussant: Cynthia K. Shortell
11:15 am
8. Outcomes of Staged versus Primary Amputations for Diabetic Foot Disease
Tracy Cheun, Mark Davies
UT Health San Antonio, San Antonio, TX

Discussant: TBD
11:35 am
9. Process Improvement in VTE Prophylaxis
Cheryl D. Richie, George Davis, Qiang He, Joseph Bobadilla, Eleftherios Xenos
University of Kentucky, Lexington, KY

Discussant: Leila Mureebe
11:55 am
10. Missed Readmissions to a Different Hospital in Patients with Peripheral Vascular Disease Associated with Significantly Higher Mortality
Rennier A. Martinez, Joshua Parreco, Reagan Lindsay Ross
University of Miami, West Palm Beach, FL

Discussant: Kristina A. Giles
12:15 pm
THE JESSE E. THOMPSON, M.D. DISTINGUED GUEST LECTURER
Introduced By: Matthew S. Edwards

Richard H. Dean, MD
Wake Forest University School of Medicine, Winston-Salem, NC
12:45 pm
ADJOURN
6:00 - 7:00 pm
COCKTAIL RECEPTION

FRIDAY, JANUARY 25, 2019
7:00 - 8:00 am
MODERATED POSTER SESSION
Moderators: Ali Azizzadeh
Yazan Duwayri
Mohammed M. Moursi
Murray L. Shames
William Shutze
8:00 - 9:00 am
SCIENTIFIC SESSION III
Presiding: Adam W. Beck
Melissa Kirkwood
8:00 am
11. Clinical Outcome of Drug-Eluting Balloon Angioplasty in Patients with Femoropopliteal Disease: Real World Single Center Experience
Ali F. AbuRahma, Zachary AbuRahma, Grant Scott, Elliot Adams, Matthew Beasley, Meghan Davis, L. Scott Dean, Elaine Davis Robert C. Byrd
Health Sciences Center of W. Va. Univ., Charleston, WV

Discussant: Eva M. Rzucidlo
8:20 am
12. Fenestrated/Branched Endovascular Aortic Repair in Patients with Chronic Kidney Disease
Mitri Khoury, David Timaran-Montenegro, Marilisa Soto-Gonzalez, Carlos Timaran
Univ of Texas Southwestern Med Ctr, Dallas, TX

Discussant: Benjamin J. Pearce
8:40 am
13. Use of Indocyanine Green Flourescence Imaging in Predicting Distal Ischemia Following AV Fistula Placement
James W. Dennis, Alexandra Mercel, Joseph H. Habib
University of Florida College of Medicine, Jacksonville, FL

Discussant: Salvatore T. Scali
9:00 - 9:30 am
COFFEE BREAK - VISIT EXHIBITS
9:30 - 10:30 am
SCIENTIFIC SESSION IV
Presiding: Adam W. Beck
Kristofer Charlton-Ouw
9:30 am
14. Socioeconomically Distressed Communities Index Independently Predicts Major Adverse Limb Events After Infrainguinal Bypass in a National Cohort
Robert B. Hawkins, J. Hunter Mehaffey, Eric J Charles, Eric B Schneider, Margaret C Tracci
University of Virginia, Charlottesville, VA

Discussant: Matthew A. Corriere
9:50 am
15. Balloon Assisted Remote External Iliac Artery Endarterectomy - A Safe and Durable Technique for the Treatment of Iliac Artery Occlusive Disease
John P. Henretta, Lemuel B. Kirby, Michael G. Douglas, Douglas P. MacMillan, Weldon K. Williamson
Mission-St. Joseph's Hospital, Asheville, NC

Discussant: Peter R. Nelson
10:10 am
16. Prevalence of Chronic Opioid Use in Patients with Peripheral Arterial Disease Undergoing Lower Extremity Interventions
Gabriela Velazquez-Ramirez, Jonathan Krebs, Jeannette Stafford, Rebecca Ur, Timothy Craven, Anthony Bleyer, Matthew Goldman, Justin Hurie, Matthew Edwards
Wake Forest University School Of Medicine, Winston-Salem, NC

Discussant: Melissa Kirkwood
10:30 - 11:30 am
Advanced Imaging Techniques

The Hybrid Operating Room of the Future
Alan B. Lumsden
Methodist DeBakey Heart & Vascular Center, Houston, TX

Using Image Overlay for Advanced Aortic Interventions
Murray L. Shames
University of South Florida, Tampa, FL

Advanced Imaging Techniques in EVAR
Mark A. Farber
University of North Carolina, Chapel Hill, NC

Reducing Radiation Exposure
Melissa Kirkwood
UT Southwestern Medical Center, Dallas, TX

What's New on Imaging for PAD
Joseph L. Mills, Sr.
Baylor College of Medicine, Houston, TX
11:30 am
INTRODUCTION OF MATHEW S. EDWARDS
W. Charles Sternbergh, III
11:45 am
PRESIDENTIAL ADDRESS
Matthew S. Edwards
12:15 pm
ADJOURN
1:00 pm
GOLF TOURNAMENT
1:00 pm
MEN'S TENNIS OPEN PLAY
7:00 - 10:00 pm
PRESIDENT'S RECEPTION & DINNER
10:00 - 1:00 am
PRESIDENT'S AFTER PARTY

SATURDAY, JANUARY 26, 2019
7:00 am - 9:00 am
POTPOURRI
Moderators: R. Clement Darling, III
Alan B. Lumsden
Michael M. McNally
Amy B. Reed
7:00 am
C1. A Diagnosis and Treatment of Middle Aortic Syndrome
Lauren Story-Hefta, Mohammed Moursi
UAMS and Arkansas Children's Hospital, Little Rock, AR
7:09 am
C2. Angiosarcoma of the Abdominal Aorta after Endovascular Aneurysm Repair
Brett Aplin, Patrick Yu, William Omlie, Amy B. Reed
University of Minnesota / Fairview, Minneapolis, MN
7:18 am
7:27 am
V1. Endovascular Aortic Arch Reconstruction Using An Off-The-Shelf Solution
John W. Ohman, Luis A. Sanchez, Marc R. Moon
Washington University School of Medicine, Saint Louis, MO
7:36 am
C4. Treatment of Recurrent Ischemic Priapism by Saphenocavernous Shunt
Nicholas S Cortolillo, Rennier Martinez, Michael Lopez, Rebecca Lee, Reagan Ross
University of Miami Miller School of Medicine, Atlantis, FL
7:45 am
C5. Arterialization of the Venous System for Treatment of Limb Threatening Hand Ischemia
Mary Kala Zorn1, Malachi Sheahan2, Gleb Medvedeb1, Nicolas Zea2
1Tulane Medical Center, New Orleans, LA;2LSU, New Orleans, LA
7:54 am
C6. Predicting Aortic Endograft Shape and Spatial Position Pre-operatively Using 3D and Virtual Reality Technologies
Davis Moon, Caleb Stewart, John McGee, WC Sternbergh, III, Richard Milani, Korak Sarkar, Hernan A. Bazan
Ochsner Clinic Foundation, New Orleans, LA
8:03 am
8:21 am
C8. The "Two Cut - Monorail" Technique, For The Percutaneous Removal Of The Impella CP Device, Without Preclose Arterial Access
Dimitrios Miserlis1, Maria Tecos2, Nitin Garg2, Jason N. MacTaggart2, Mark Davies1, Timothy B. Baxter2, Iraklis I. Pipinos2
1University of Texas Health Science center at San Antonio, San Antonio, TX;2University of Nebraska Medical Center, Omaha, NE
8:30 am
C9. Great Vessel Revascularization for Anterior Ischemic Optic Neuropathy
Evan R. Brownie, Puja Kachroo, J. Westley Ohman
Barnes-Jewish Hospital, St. Louis, MO
8:39 am
C10. Posterior Tibial Vein Aneurysm Masquerading as a Baker's Cyst
Hunter M. Ray, Juan B. Umana Pizano, Paul G. Haddad, Stuart A. Harlin
The University of Texas Health Science Center at Houston (UT Health), McGovern Medical School, Houston, TX
8:48 am
V3. Trans Radial Access
Alan B. Lumsden, Zsolt Garami
Houston Methodist DeBakey Heart & Vascular Center, Houston, TX
9:00 - 10:00 am
SCIENTIFIC SESSION V
Presiding: Justin B. Hurie, MD
Ravi Veeraswamy, MD
9:00 am
17. Bleeding and Thrombotic Outcomes Associated with Postoperative Use of Direct Oral Anticoagulants Following Open Peripheral Artery Bypass Procedures
Andrea T. Obi, Jonathan R. Thompson, Nicholas H. Osborne, Jeremy Albright, Loay Kabbani, Robert Bealieu, Katherine A. Gallagher, Peter K. Henke
University of Michigan, Ann Arbor, MI

Discussant: Ellen D. Dillavou
9:20 am
18. A Prospective Randomized Study Comparing Ultrasound versus Fluoroscopic Guided Femoral Arterial Access in Non-Cardiac Vascular Patients
Patrick A. Stone1, John E. Campbell2, Zachary AbuRahma3, Stephanie N. Thompson3
1Vanderbilt University Medical Center, Nashville, TN;2West Virginia University - Charleston Division, Charleston, WV;3Charleston Area Medical Center, Charleston, WV

Discussant: Malachi G. Sheahan
9:40 am
19. Liposomal Nanocarriers Designed for Sub-Endothelial Matrix Targeting UnderVascular Sheer Stress
Lauren B. Grimsley, Richard K. Fisher, III, Raymond A. Dieter, III, Joshua D. Arnold, M. Ryan Buckley, Michael M. McNally, Scott L. Stevens, Michael B. Freeman, Deidra J.H. Mountain, Oscar H. Grandas
University of Tennessee Graduate School of Medicine, Knoxville, TN

Discussant: Randolph L. Geary
10:00 - 10:30 am
COFFEE BREAK - VISIT EXHIBITS
10:30 - 11:50 am
SCIENTIFIC SESSION VI
Presiding: Justin B. Hurie, MD
Benjamin J. Pearce
10:30 am
20. National Incidence, Mortality Outcomes, and Predictors of Spinal Cord Ischemia after Thoracic Endovascular Aortic Repair
Salvatore T. Scali1, Kristina A. Giles1, Grace J. Wang2, Thomas S. Huber1, Gilbert R. Upchurch1, Jeffrey J. Siracuse3, William P. Shutze1, Adam W. Beck4
1University of Florida- Gainesville, Gainesville, FL;2University of Pennsylvania, Philadelphia, PA;3Boston University Medical Center, Boston, MA;4University of Alabama at Birmingham, Birmingham, AL

Discussant: Yazan Duwayri
10:50 am
21. Influence of Gender and Frailty on Mortality after Elective Aortic Aneurysm Repair
Sarah Barbey1, Lusine Yaghjyan1, Paul Kubilis1, Adam W. Beck2, Philip Goodney3, Kristina A. Giles1, Thomas S. Huber1, Gilbert R. Upchurch1, Salvatore T. Scali1
1University of Florida- Gainesville, Gainesville, FL;2University of Alabama-Birmingham, Birmingham, AL

Discussant: Lori L. Pounds
11:10 am
22. Effects of Statin and Antiplatelet Therapy Noncompliance and Intolerance on Patient Outcomes following Vascular Surgery
Johnston L. Moore, Zdenek Novak, Graeme E. McFarland, Mark A. Patterson, Marc A. Passman, Emily L. Spangler, Benjamin J. Pearce, Adam W. Beck
University of Alabama at Birmingham School of Medicine, Division of Vascular Surgery and Endovascular Therapy, Birmingham, AL

Discussant: Michael C. Stoner
11:30 am
23. Endograft Exclusion of the False Lumen Restores Local Hemodynamics in a Model of Type B Aortic Dissection
Joav Birjiniuk1, John Oshinski1, David Ku2, Ravi Veeraswamy3
1Emory University School of Medicine, Atlanta, GA;2Georgia Institute of Technology, Atlanta, GA;3Medical University of South Carolina, Charleston, SC

Discussant: Gilbert R. Upchurch, Jr.
11:50 am
ANNUAL BUSINESS MEETING (Members Only)
12:20 pm
ADJOURN