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Southern Association For Vascular Surgery

Program and Abstracts | Moderated Posters | Video Display Abstracts | Social Program

WEDNESDAY, JANUARY 8, 2020
7:00 am
MOCK ORAL EXAMS
12:25 pm-12:30 pm
Introduction
Richard F. Neville, CME Chair
12:30 pm-1:40 pm
Asymptomatic Carotid Disease Medical Therapy is the Way to Go
Moderator: Matthew Corriere
12:30 pm
Case Presentation
Danielle C. Sutzko
University of Alabama, Birmingham, AL
1:10 pm
Lecture: Pro
Thomas E. Brothers
Medical University of South Carolina, Charleston, SC
1:10 pm
Lecture: Con
Caitlin W. Hicks
Johns Hopkins Hospital, Baltimore, MD
1:20 pm
Panel Discussion/Debate
1:35 pm
Case Review / Audience Vote
1:40 pm-2:30 pm
Lower Extremity: Endovascular First is Always the Best Approach
Moderator: Richard Neville
1:40 pm
Case Presentation
Robert McMurray
INOVA, Falls Church, VA
1:50 pm
Lecture: Pro
William P. Robinson
East Carolina University Brody School of Medicine, Greenville, NC
2:00 pm
Lecture: Con
Jayer Chung
Baylor College of Medicine, Houston, TX
2:10 pm
Panel Discussion/Debate
2:25 pm
Case Review / Audience Vote
2:30 pm-3:00 pm
COFFEE BREAK
3:00 pm-4:00 pm
AAA-Open Repair is Coming Back
Moderator: Margaret Tracci
3:00 pm
Case Presentation
Tommy Gianis
University of Virginia Health System, Charlottesville, VA
3:10 pm
Lecture: Pro
Yazan Duwayri
Emory University, Atlanta, GA
3:20 pm
Lecture: Con
Kenneth J. Cherry, Jr.
University of Virginia Hospital, Charlottesville, VA
3:30 pm
Panel Discussion/Debate
3:45 pm
Case Review / Audience Vote
4:00 pm-4:50 pm
Thoracic Aortic Dissection: Need to Intervene Early to Improve Long Term Outcomes
Moderator: Martin Back
4:00 pm
Case Presentation
Zain Shahid
University of Florida, Gainesville, FL
4:10 pm
Lecture: Pro
Jean M. Panneton
Eastern Virginia Medical School, Norfolk, VA
4:20 pm
Lecture: Con
Benjamin J. Pearce
University of Alabama, Birmingham, AL
4:30 pm
Panel Discussion/Debate
4:45 pm
Case Review / Audience Vote
4:50 pm-5:00 pm
ADJOURN
6:00-7:30 pm
WELCOME RECEPTION

THURSDAY, JANUARY 9, 2020
6:00 am
5K RUN
6:30-7:30 am
New Members' & Scholarship Recipients Breakfast
7:00-8:00 am
CONTINENTAL BREAKFAST - VISIT EXHIBITS
7:45-7:50 am
PRESIDENTIAL WELCOME
W. Charles Sternbergh, III
7:50-9:30 am
SCIENTIFIC SESSION I
Presiding: Adam W. Beck
William D. Jordan, Jr.
7:50 am
1. Revascularization of Intermittent Claudicants Leads to Higher Rates of Chronic Limb Threatening Ischemia and Rates of Amputation
Vashisht Madabhushi, Daniel Davenport, Michael Bounds, David Minion, Nathan Orr, Eric Endean, Sam Tyagi
University of Kentucky, Lexington, KY

Discussant: Malachi G. Sheahan
8:10 am
2. Data Analysis of Vascular Surgery Instrument Trays Yield Large Cost and Efficiency Savings
Martyn Knowles1, Samuel S. Gay1, Sarah K. Konchan1, Robert Mendes1, Sandeep Rath2, Vinayak Deshpande2, Mark A. Farber3, Benjamin C. Wood1
1UNC Rex Hospital, Raleigh, NC;2University of North Carolina Business School, Department of Operations, Chapel Hill, NC;3University of North Carolina, Division of Vascular Surgery, Chapel Hill, NC

Discussant: Matthew A. Corriere
8:30 am
3. Multi-Institutional Two-Year Outcomes in Dialysis Graft Management: Real World Evidence
Sapan S. Desai1, Vascular Outcomes Collaborative2
1Northwest Community Healthcare, Arlington Heights, IL;2Vascular Outcomes Collaborative, Chicago, IL

Discussant: Ellen D. Dillavou
8:50 am
4. Permanent Inferior Vena Cava Filters Offer Greater Expected Patient Utility at Lower Predicted Cost
Thomas E. Brothers, Thomas M. Todoran
Medical University of South Carolina, Charleston, SC

Discussant: Linda Le
9:10 am
5. Current Outcomes of Blunt Vertebral Artery Injuries
Andrew Sticco, Sagar Ghandi, Bryan Knoedler, Geoff Marston, Alex Ewing, Gene Langan, III, Christopher Carsten, III
Prisma Health, Greenville, SC

Discussant: Timothy K. Williams
9:30 am
FOUNDERS' AWARD PAPER
Rapid Progression of Carotid Stenosis is Rare in a Large Integrated Healthcare System Over an Eight-Year Period
Carney Chan, Daniel Fort, Cruz Velasco-Gonzalez, Ryan Bedi, Thomas N Hawken, Charles C Leithead, Clayton J Brinster, Waldemar C Sternbergh, III, Hernan A Bazan
Ochsner Clinic, New Orleans, LA
9:50 am
INTRODUCTION OF NEW MEMBERS
PRESENTATION OF THE S. TIMOTHY STRING PRESIDENTIAL AWARD
W. Charles Sternbergh, III
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: Adam W. Beck
William D. Jordan, Jr.
10:35 am
6. The Intricate Association between Case Volume and Years of Practice Experience on Open AAA Repair
Salvatore T. Scali1, Dan Neal1, Kristina A. Giles1, Martin R. Back1, Scott A. Berceli1, Dean J. Arnaoutakis1, Adam W. Beck2, Gilbert R. Upchurch, Jr.1, Thomas S. Huber1, David H. Stone3
1University of Florida, Gainesville, FL;2University of Alabama, Birmingham, AL;3Dartmouth-Hitchcock Medical Center, Lebanon, NH

Discussant: Kenneth J. Cherry, Jr
10:55 am
7. Dual Fluoroscopy with Live-Image Zooming Significantly Reduces Patient and Operating Staff Radiation During Fenestrated/Branched Endovascular Aortic Aneurysm Repair (F-BEVAR)
Laura Timaran1, Carlos Timaran2, Carla Scott2, Marilisa Soto-Gonzalez2, David Timaran-Montenegro2, Melissa Kirkwood2
1University of Pittsburgh, Pittsburgh, PA;2UT Southwestern Med Ctr, Dallas, TX

Discussant: Margaret Tracci
11:15 am
8. Zone 3 Versus Zone 2 Tevar for Acute Type B Aortic Dissection: The Case for a More Proximal Landing Zone
Tomaz Mesar, Fanny Alie-Cusson, Animesh Rathore, David J. Dexter, Gordon K. Stokes, Jean M. Panneton
1Eastern Virginia Medical School, Norfolk, VA.

Discussant: Ali Azizzadeh
11:35 am
9. Implications of Aortic Remodeling on Re-intervention and Survival after Endovascular Repair of Chronic Type B Aortic Dissection with Aneurysm
Dean J. Arnaoutakis, Tabassum A. Khan, Salvatore T. Scali, Kristina A. Giles, Michol Cooper, Scott A. Berceli, Thomas S. Huber, Gilbert R. Upchurch, Jr., Martin Back
University of Florida, Gainesville, FL

Discussant: Jean M. Panneton
11:55 am
10. Initial Experience with the Terumo Aortic "Treo" Device For Fenestrated EVAR
Jake F. Hemingway, Benjamin W. Starnes, Brenda Allen-Kline, Niten Singh
University of Washington, Seattle, WA

Discussant: Carlos H. Timaran
12:15 pm
THE JESSE E. THOMPSON, M.D. DISTINGUED GUEST LECTURER
Introduction: W. Charles Sternbergh, III

Michel S. Makaroun
UPMC Presbyterian, Pittsburgh, PA
12:45 pm
ADJOURN
6:00-7:00 pm
COCKTAIL RECEPTION

FRIDAY, JANUARY 10, 2020
6:30-7:30 am
CONTINENTAL BREAKFAST - VISIT EXHIBITS
7:00-8:00 am
MODERATED POSTER SESSION
Moderators: Adam W. Beck
8:00-9:00 am
SCIENTIFIC SESSION III
Presiding: Gabriela Velazquez-Ramirez
Melissa Kirkwood
8:00 am
11. Trends in Use of Cerebrospinal Drains and Outcomes Related to Spinal Cord Ischemia in the Vascular Quality Initiative
Victoria Aucoin1, Bolanle Bolaji1, Zdenek Novak1, Emily Spangler1, Danielle Sutzko1, Graeme McFarland1, Benjamin Pearce1, Scali Salvatore2, Adam Beck1
1University of Alabama at Birmingham, Birmingham, AL;2University of Florida, Gainesville, FL

Discussant: James H. Black, III
8:20 am
12. Abdominal Aortic Remodeling After Thoracic Endovascular Aortic Repair for Type B (DeBakey IIIb) Aortic Dissection
Hunter M. Ray1, Daniel Ocazionez1, Charles C. Miller, III1, Harleen K. Sandhu1, Naveed U. Saqib1, Kristofer M. Charlton-Ouw1, Hazim J. Safi1, Ali Azizzadeh2
1The University of Texas Health Science Center at Houston, Houston, TX;2Cedars-Sinai, Los Angeles, CA

Discussant: Claudie Sheahan
8:40 am
13. Endovascular Repair of Thoracoabdominal Aneurysms: The Impact of Extent on Mortality
Ryan T. Heslin1, John C. Axley2, Zdenek Novak2, Danielle C. Sutzko2, Benjamin J. Pearce2, Graeme E. McFarland2, Adam W. Beck2
1University of South Alabama College of Medicine, Mobile, AL;2University of Alabama at Birmingham, Birmingham, AL

Discussant: Larry H. Hollier
9:00-9:30 am
COFFEE BREAK - VISIT EXHIBITS
9:30-10:30 am
SCIENTIFIC SESSION IV
Presiding: Gabriela Velazquez-Ramirez
Murray L. Shames
9:30 am
14. Arteriovenous Graft versus Arteriovenous Fistula as Initial Hemodialysis Access in the Super Elderly: A Vascular Quality Initiative Analysis
Elizabeth H. Weissler, Leila H. Mureebe, Lindsey A. Olivere, Chandler H. Long, Kevin W. Southerland
Duke University, Durham, NC

Discussant: Salvatore T. Scali
9:50 am
15. Patient Comprehension Necessary for Informed Consent for Vascular Procedures is Poor and Related to Frailty
Jack Ruske, Gaurav Sharma, Kevin Makie, Katherine He, C.K. Ozaki, Matthew T. Menard, Michael Belkin, Samir K. Shah
Brigham and Women's Hospital, Boston, MA

Discussant: Michael M. McNally
10:10 am
16. Patient and Donor Characteristics which Influence Patency Rates of Cryopreserved Conduits Used in Lower Extremity Limb Salvage
Aaron Hayson, Panagiotis Koutakis, Derek Hillison, Adam Bullock, Ahmed Ismaeel, Dan Kaelin, Denise Smith, Robert Brumberg
Vascular Surgery Associates, Tallahassee, FL

Discussant: Mark A. Patterson
10:30-11:30 am
DEFINING THE VALUE OF VASCULAR SURGEONS IN A HOSPITAL SYSTEM
Presiding: Deepak Nair
 
Institutes and Service Lines: The Role of the Vascular Surgeon
What works?
Michael C. Stoner
University of Rochester Medical Center, Rochester, NY

What doesn't work?
Malachi G. Sheahan
LSUHSC, New Orleans, LA
 
Intangible Value to the Health System: Consults, Iatrogenic Injuries, Intraoperative Consults and "Backup"
Benjamin J. Pearce
University of Alabama, Birmingham, AL

Coding/Billing and Ways to Maximize Reimbursement for The Work Done
Russell H. Samson
Sarasota Vascular Specialists, Sarasota, FL

Improving Efficiency in Healthcare: Enhanced Recovery and the VQI
Katharine L. McGinigle
University of North Carolina, Chapel Hill, NC
11:30 am
INTRODUCTION OF W. CHARLES STERNBERGH, III
Gilbert R. Upchurch, Jr.
11:45 am
PRESIDENTIAL ADDRESS
Triumph, Tragedy and the Pursuit of Happiness: A Journey of Self-Awareness
W. Charles Sternbergh, III

Ochsner Clinic Foundation, New Orleans, LA
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 11, 2020
6:30-7:30 am
CONTINENTAL BREAKFAST - VISIT EXHIBITS
7:00 am-8:05 am
POTPOURRI
Presiding: Alan Lumsden
Leila Murebee
7:00 am
V1. Reconstruction Techniques for Retroperitoneal Sarcoma Resection Involving The Juxta-Renal IVC
Tam T. Huynh
University of Texas MD Anderson Cancer Center, Houston, TX
7:05 am
V2. Transthoracic Robotic First Rib Resection for Neurogenic Thoracic Outlet Syndrome
Bryan M. Burt
Baylor College of Medicine, Houston, TX
7:10 am
V3. Thoracofemoral Bypass: A Feasible Alternative for the Management of Aortic Graft Infection
Edward Andraos, Maham Rahimi
Houston Methodist, Houston, TX
7:15 am
V4. Patient Specific Animation of Carotid Body Tumor Resection
Alan B. Lumsden
Houston Methodist DeBakey Heart & Vascular Center, Houston, TX
7:20 am
PANEL DISCUSSION
7:25 am
C1. Management of a Large Symptomatic Portal Vein Aneurysm
Jeffrey B. Edwards1, Lila B. Cohen1, Amy Lu2
1University of South Florida, Tampa, FL; 2Tampa General Hospital, Tampa, FL
7:30 am
C2. Branch Renal Artery Fibromuscular Dysplasia Presenting as Preeclampsia Cured with Second Trimester Balloon Angioplasty
Taylor C. Standiford, Gloria Y. Kim, Dawn M. Coleman, Matthew A. Corriere
University of Michigan Health System, Ann Arbor, MI
7:35 am
C3. Endovascular Rescue for Acute Aortic Dissection in Elderly Female with Marfan
Yang M. Jiang, Sila Solak, Albert Hakaim, Houssam Farres
Mayo Clinic FL, Jacksonville, FL
7:40 am
PANEL DISCUSSION
7:45 am
C4. Alpha-Gal Syndrome as a Cause for Recurrent Common Femoral Artery Stenosis after Patch Angioplasty with Bovine Pericardium
Ankur Aggarwal1, Allison E. Kirkner2, Christopher Moskaluk3, Morgan D. Salmon4, Wilson M. Jeffrey4, Rung-Chi Li4, Robert B. Hawkins2, James A. Platts-Mills4, W. Darrin Clouse1, Margaret C. Tracci1
1University of Virginia, Department of Cardiothoracic and Vascular Surgery, Division of Vascular and Endovascular Surgery, Charlottesville, VA;2University of Virginia, Department of Cardiothoracic and Vascular Surgery, Charlottesville, VA;3University of Virginia, Department of Pathology, Charlottesville, VA;4University of Virginia, Department of Allergy and Immunology, Charlottesville, VA
7:51 am
C5. Erosion of IVC Filter causing Pneumoperitonitis
John Gigioli, Tamas Kovacs, Jesus G. Jimenez
FAU Charles E. Schmidt College of Medicine, Boca Raton, FL
8:05-9:00 am
VASCULAR CASE CONFERENCE
Presiding: Sam Money
Panelist: Jeffery B. Dattilo
The Surgical Clinic, Nashville, TN

Reagan L. Ross
Bethesda General & Vascular Surgery, Boynton Beach, FL
8:05 am
C7. Endovascular Management of Penetrating Carotid Trauma with Flow Diverting Stents
Jaime Benarroch-Gampel, Diogo C. Haussen, Ravi R. Rajani
Emory University School of Medicine, Atlanta, GA
8:20 am
C8. Obtaining Seal in the False Lumen
Marc Salhanick, Carlos Timaran
UTSW, Dallas, TX
8:45 am
C9. Mycotic Right Subclavian Artery Aneurysm: A Rare and Challenging Patholog
Lily Fatula1, Tyler Fleming2, Brian Jones1, Christopher Carsten1
1Prisma Health System Upstate, Greenville, SC; 2University of South Carolina School of Medicine Greenville, Greenville, SC
9:00-10:00 am
SCIENTIFIC SESSION V
(10 Minute Presentation/ 5 Minute Discussion)
Presiding: Hernan Bazan
Matthew Edwards
9:00 am
17. Effects of Preoperative Visceral Artery Stenosis on Target Artery Outcomes after Fenestrated/Branched Endovascular Aortic Aneurysm Repair (F-BEVAR)
Carla K. Scott, David E. Timaran, Marilisa Soto Gonzalez, Fatemeh Malekpour Ghorbani, Melissa L. Kirkwood, Carlos H. Timaran
UT Southwestern Medical Center, Dallas, TX

Discussant: Mark A. Farber
9:15 am
18. Outcomes Following Open Lower Extremity Revascularization for Patients with Critical Limb Ischemia and Previous Interventions
Mitri K. Khoury, John G. Modrall
University of Texas, Southwestern, Dallas, TX

Discussant: Olamide Alabi
9:30 am
19. Results of First in Man implantation of a Prosthetic Venous Valve
Marc H. Glickman, Jorge H. Ulloa
Universidad de los Andes, Bogota, Colombia

Discussant: Seshadri Raju
9:45 am
20. Metformin Does Not Attenuate Angiotensin II-Induced Abdominal Aortic Aneurysms in Low-Density Lipoprotein Receptor Deficient Mice
Sam Tyagi1, Deborah Howatt1, Michael Franklin1, Eric Endean1, Eugene Lee2, Hong Lu1, Alan Daugherty1
1University of Kentucky, Lexington, KY;2University of California Davis, Sacramento, CA

Discussant: John A. Curi
10:00-10:30 am
COFFEE BREAK - VISIT EXHIBITS
10:30-11:50 am
SCIENTIFIC SESSION VI
(10 Minute Presentation/ 5 Minute Discussion)
Presiding: Hernan Bazan
Eric D. Endean
10:30 am
21. Distal Revascularization and Interval Ligation for Dialysis Access-Related Ischemia is Best Performed Utilizing Arm Vein Conduit
M. Libby Weaver, Courtenay Holscher, Alexis Graham, Thomas Reifsnyder
Johns Hopkins Hospital, Baltimore, MD

Discussant: Victoria J. Teodorescu
10:45 am
22. Performance of Viabahn Balloon Expandable Stent (VBX) Compared to Self-Expandable Covered Stents (SES)for Fenestrated-Branched Endovascular Aortic Repair
Fernando Motta, Frederico E. Parodi, Jason R. Crowner, Luigi Pascarella, Katharine L. McGinigle, William A. Marston, Melina R. Kibbe, Mark A. Farber
University of North Carolina - Chapel Hill, Chapel Hill, NC

Discussant: Yazan Duwayri
11:00 am
23. Diagnosis and Management of Silent Myocardial Ischemia in Patients Undergoing Carotid Endarterectomy
Dainis K. Krievins1, Edgars Zellans2, Andrejs Erglis1, Ligita Zvaigzne2, Roberts Rumba2, Sanda Jegere2, Indulis Kumsars1, Karlis Kaufmanis2, Gustavs Latkovskis1, Christopher K. Zarins3
1University of Latvia, Riga, Latvia2Paul Stradins Clinical University Hospital, Riga, Latvia3HeartFlow, Inc, Redwood City, CA

Discussant: Kristina Giles
11:15 am
24. Fenestrated Endograft Repair is Associated with Improved Perioperative Outcomes but Absence of Hospital Volume Relationship in Comparison to Open Surgical Repair of Complex Abdominal Aortic Aneurysms
Frank M. Davis1, Jeremy Albright1, Jonathan Eliason1, Nicholas Osborne1, Dawn Coleman1, Nicolas Mouawad2, Jordan Knepper3, Ashraf Mansour4, Matthew Corriere1, Peter K. Henke1
1University of Michigan, Ann Arbor, MI;2McLaren Bay Regional, Bay City, MI;3Henry Ford Health System, Jackson, MI;4Spectrum Health System,, Grand Rapids, MI

Discussant: David J. Minion
11:30 am
25. Defining the Ninety-Day Cost Structure of Lower Extremity Revascularization for Alternative Payment Model Assessment
Yazan Duwayri1, Francesco A Aiello2, Margaret C Tracci3, Patrick C Ryan4, John G Adams, Jr.5, William P Shutze6, Ying Wei Lum7, Karen Woo8, Robert M Zwolak9
1Emory University, Atlanta, GA;2University of Massachusetts Medical School, Worcester, MA;3University of Virginia, Charlottesville, VA;4Nashville Vascular and Vein Institute,, Nashville, TN;5Columbia Surgical Associates, Columbia, MO;6Texas Vascular Associates, Plano, TX;7Johns Hopkins School of Medicine, Baltimore, MD;8David Geffen School of Medicine at University of California, Los Angeles, Los Angeles, CA;9Dartmouth-Hitchcock Medical Center, Lebanon, NH

Discussant: Katharine L. McGinigle
11:45 am
ANNUAL BUSINESS MEETING (Members Only)
12:20 pm
ADJOURN