Southern Association for Vascular surgery

2009 Program & Abstracts

SAVS 33rd Annual Meeting, January 14 - 17, 2009, Loews Ventana Kanyon Resort, Tucson, Arizona

SOUTHERN ASSOCIATION FOR VASCULAR SURGERY
SCIENTIFIC PROGRAM

33rd Annual Meeting – January 14-17, 2009
Loews Ventana Canyon Resort – Tucson, Arizona

WEDNESDAY, JANUARY 14, 2009
 
7:00 a.m.   MOCK ORAL EXAMS
12:30 p.m.   POSTGRADUATE COURSE
Business Practice Management
 
THURSDAY, JANUARY 15, 2009
6:30 a.m.   5K RUN
7:30 - 8:00 a.m.   PRESIDENTIAL WELCOME
Thomas C. Naslund, MD

Introduction of New Members
Presentation of the 2008 President’s Award
S. Timothy String Presidential Award
8:00 - 9:40 a.m.   SCIENTIFIC SESSION I
Presiding: J. Gregory Modrall, MD
Spence M. Taylor, MD
8:00 a.m.   1. Atherosclerotic Renovascular Disease Among Hypertensive Adults
Ross P. Davis, Jeffrey D. Pearce, Timothy E. Craven*, Matthew S. Edwards, Christopher J. Godshall*, Randolph L. Geary, Kimberley J. Hansen
Wake Forest University School of Medicine, Winston-Salem, NC


Discussant: G. Patrick Clagett, MD
8:20 a.m.   2. Improved Long-Term Outcomes Following Temporary Vascular Shunting for Wartime Vascular Injury: A Case Control Analysis from the GWOT Vascular Initiative
Shaun M. Gifford*1, Gilbert Aidinian*2, W. Darrin Clouse1, Charles J. Fox*2, W. Tracey Jones*1, Brandon W. Propper*1, Gabriel E. Burkhardt*1, Todd E. Rasmussen*1
1Wilford Hall Medical Center, San Antonio, TX; 2Walter Reed Army Medical Center, Washington, DC


Discussant: Norman M. Rich, MD
8:40 a.m.   3. Dynamic Geometry and Spatial Orientation of the IVC: Risk Factors for Migration of Vena Caval Filters
Erin H. Murphy*1, Frank R. Arko, III1, Clayton K. Trimmer*1, Thomas J. Fogarty2, Christopher K. Zarins1
1University of Texas Southwestern Medical Center, Dallas, TX; 2Stanford University Medical Center, Stamford, CA


Discussant: Marc A. Passman, MD
9:00 a.m.   4. Prediction of Long-term Change in Post-EVAR Aneurysm Sac Size
Stephen G. Lalka1, Roy K. Greenberg2, Timothy A. Chuter3, Lorraine A. Nolte4
1Sanger Clinic, Charlotte, NC; 2Cleveland Clinic, Cleveland, OH; 3University of California-San Francisco, San Francisco, CA; 4MED Institute Inc., West Lafayette, IN


Discussant: W. Charles Sternbergh, MD
9:20 a.m.   5. The Effect of Gender on 30-day Outcomes for Endovascular Repair of Abdominal Aortic and Iliac Artery Aneurysms
Nick N. Abedi*, Daniel L. Davenport*, Eleftherios Xenos, Ehab Sorial, David J. Minion, Eric D. Endean
University of Kentucky, Lexington, KY


Discussant: Carlos H. Timaran, MD
9:30 a.m.   WOMEN'S TENNIS TOURNAMENT
9:40 a.m.   FOUNDERS’ AWARD PAPER

Restenosis Following Renal Artery Angioplasty and Stenting: Incidence and Risk Factors
Matthew A. Corriere, Matthew S. Edwards, Jeffrey D. Pearce, Jeanette S. Andrews*, Randolph L. Geary, Kimberley J. Hansen
Wake Forest University Baptist Medical Center, Winston- Salem, NC


10:00 a.m.   INTRODUCTION AND PRESENTATION OF AWARD
Presented by: J. Gregory Modrall, MD
10:05 - 10:35 a.m.   COFFEE BREAK
10:35 - 12:15 p.m.   SCIENTIFIC SESSION II
Presiding: J. Gregory Modrall, MD
Spence M. Taylor, MD
10:35 a.m.   6. Long-term Safety of Renal Vein Division and Ligation to Expedite Complex Abdominal Aortic Surgery
Russell H. Samson, Michael R. Lepore, Jr., David P. Showalter*, Deepak G. Nair*, Julien Lanoue*
The Mote Vascular Foundation, Inc., Sarasota, FL


Discussant: Randolph L. Geary, MD
10:55 a.m.   7. Should the Standard Duplex Velocities Criteria for the Diagnosis of Carotid Stenosis be Changed After Carotid Endarterectomy with Patch Closure: Results from Randomized Carotid Trial
Ali F. AbuRahma1, Patrick A. Stone1, Samuel Deem*1, L. Scott Dean*2, Tammi Keiffer*2, Emily Deem*2
1Robert C. Byrd Health Sciences Center of West Virginia University, Charleston, WV; 2Charleston Area Medical Center, Charleston, WV


Discussant: Mark R. Jackson, MD
11:15 a.m.   8. Outpatient Management of Venous Reflux with Radiofrequency Closure of Incompetent Perforator Veins in a Clinical Practice
Mark H. Smith, Jr.*1, James P. David2
1LSUHSC-Shreveport, Shreveport, LA; 2Vascular Clinic Vein Care Center, Alexandria, LA


Discussant: William A. Marston, MD
11:35 a.m.   9. Endoleak after Endovascular Aneurysm Repair: Duplex Ultrasound is Better than CT at Determining the Need for Intervention
Japa A. Volchok*, Christopher L. Stout*, Greg C. Schmieder*, Gordon K. Stokes*, Jean M. Panneton
Eastern Virginia Medical School, Norfolk, VA


Discussant: Britt H. Tonnesson, MD
11:55 a.m.   10. Is Clinical Success After Lower Extremity Revascularization for Ischemic Tissue Loss Affected by Method of Revascularization?
Spence M. Taylor, John W. York, David L. Cull, Corey A. Kalbaugh*, Christopher G. Carsten, III, Eugene M. Langan, III, Bruce A. Snyder, Tod M. Hanover, Mark Androes*, Bruce H. Gray*
Greenville Hospital System University Medical Center, Greenville, SC


Discussant: David J. Minion, MD
12:15 p.m.   DISTINGUISHED GUEST LECTURE
Fred A. Weaver, MD, FACS
University of Southern California
Introduced by: Thomas C. Naslund, MD
12:45 p.m.   ADJOURN
1:00 p.m.   HIKE – VENTANA CANYON TRAIL
1:30 p.m.   SPORTING CLAYS – TUCSON TRAP & SKEET CLUB
* = By Invitation
 
FRIDAY, JANUARY 16, 2009
7:00 – 8:00 a.m.   CASE REPORT PANEL DISCUSSION I
Moderator: Alan B. Lumsden, MD
Panelists: Samuel R. Money, MD
Marc E. Mitchell, MD
Marshall E. Benjamin, MD
7:00 a.m.   C1. Management of a Thoracic Endograft Infection Through Ascending to Descending Extra-Anatomic Aortic Bypass and Endograft Explantation
Paul J. Riesenman*, Mark A. Farber
University of North Carolina Hospitals, Chapel Hill, NC
7:10 a.m.   C2. Endovascular AAA Repair in Patient with Persistent Sciatic Artery
Michelle L. DesChamplain*, Derek Brinster*
Virginia Commonwealth University-Medical College of Virginia, Richmond, VA
7:20 a.m.   C3. Endovascular Treatment of Segmental Renal Artery Aneurysm Using Neurovascular Technique
Racheed Ghanami*, Venkat Kalapatapu, Ali Ahsan, John Eidt
University of Arkansas for Medical Sciences, Little Rock, AR
7:30 a.m.   C4. Endovascular Repair of a Blunt Traumatic Avulsion of the Axillary Artery
James E. Chalk, Scott Stevens
University of Tennessee Graduate School of Medicine, Knoxville, TN
7:40 a.m.   C5. A Unique Exposure of the Profunda Femoral Artery to Repair a Popliteal Artery Aneurysm
Christopher R. Schneider*, Christopher Carsten
Greenville Hospital System University Medical Center, Greenville, SC
7:50 a.m.   C6. Spontaneous Splanchnic Dissection: Application and Timing of Therapeutic Options
Thomas J. Takach*, Jeko M. Madjarov*, Jeremiah H. Holleman, Timothy S. Roush
Carolinas Medical Center, Charlotte, NC
8:00 – 9:00 a.m.   SCIENTIFIC SESSION III
Presiding: Randolph L. Geary, MD
Spence M. Taylor, MD
8:00 a.m.   11. Combined Carotid Endarterectomy and CoronaryArtery Bypass Grafting vs. Sequential Procedures: A Retrospective Review of Outcomes at Our Institution
Amanda M. Dick, Thomas Brothers, John Ikonomidis, Jacob G. Robison, Bruce M. Elliott, John Kratz, Matt Toole, Arthur Crumbley, Fred A. Crawford, Jr.
Medical University of South Carolina, Charleston, SC


Discussant: Charles West Jr., MD
8:20 a.m.   12. Incidence and Clinical Significance of Distal Embolization During Percutaneous Lower Extremity Arterial Interventions: Results in 1218 Consecutive Lesions
Nicholas Morrissey*, Cassandra Villegas*, Jeannine Giacovelli*, John Karwowski*, James McKinsey*, K. Kent*
Columbia/Weill Cornell Division of Vascular Surgery, New York, NY


Discussant: Scott L. Stevens, MD
8:40 a.m.   13. Predicting Blood Pressure Response after Renal Artery Stent Placement
Adam Beck*, Brian W. Nolan*, Randall De Martino*, Philip P. Goodney*, Theodore H. Yuo*, William Tanski*, David H. Stone*, Daniel B. Walsh, Richard P. Powell
Dartmouth-Hitchcock Medical Center, Lebanon, NH


Discussant: Matthew S. Edwards, MD
9:00 – 9:30 a.m.   COFFEE BREAK – VISIT EXHIBITS
9:30 – 10:30 a.m.   SCIENTIFIC SESSION IV
Presiding: Randolph L. Geary, MD
Spence M. Taylor, MD
9:30 a.m.   14. Carotid Angioplasty and Stenting in Anatomically High Risk Patients: Safe and Durable, Except for Radiation-induced Stenosis
Susanna H. Shin*, Albert I. Richardson*, Christopher L. Stout*, Richard J. DeMasi, Rasesh M. Shah*, Jean M. Panneton
Eastern Virginia Medical School, Norfolk, VA


Discussant: Peter H. Lin, MD
9:50 a.m.   15. Mid-Term Durability of a Selected Treatment Algorithm for Proximal Attachment Site Failure After EVAR
Martin R. Back, Ann Lopez*, Bruce Zweibel*, Murray Shames
University of South Florida, Tampa, FL


Discussant: Frank R. Arko, III, MD
10:10 a.m.   16. Effect of Hospital Volume on In-Hospital Mortality for Renal Artery Bypass
J. Gregory Modrall, Eric B. Rosero*, Stephen T. Smith*, Frank R. Arko, III, R. James Valentine, G. Patrick Clagett, Carlos H. Timaran
University of Texas Southwestern Medical Center, Dallas, TX


Discussant: Bruce A. Perler, MD
10:30 - 11:30 a.m.   CASE REPORT PANEL DISCUSSION II
Moderator: William D. Jordan, MD
Panel: Ruth L. Bush, MD
Stuart A. Harlin, MD
Karthikeshwar Kasirajan, MD
10:30 a.m.   C7. Endovascular Repair of Ruptured Thoracic Aortic Aneurysm with Right Sided Aortic Arch
Alexander M. Tummers*, Mike Lebow, Scott Stevens
University of Tennessee Knoxville, Knoxville, TN
10:40 a.m.   C8. The Sutureless Anastamosis: A Technique for the Treatment of Circumferential Calcification
John Frederick*, John Eidt, Kousta Foteh*, Moursi Mohammed, Venkat Kalapatapu, Ahsan Ali
University of Arkansas for Medical Sciences, Little Rock, AR
10:50 a.m.   C9. Cystic Adventitial Disease of the Popliteal Vein Presenting as a DVT: A Case Report
Catherine M. Bronder*, Marion R. Hochstetler, Jr.*, Christopher G. Carsten, III
Greenville Hospital System University Medical Center, Greenville, SC
11:00 a.m.   C10. Successful Repair of a Ruptured Acute Type B Aortic Dissection during Pregnancy
Japa A. Volchok*, Christopher L. Stout*, Gordon K. Stokes*, Jean M. Panneton
Eastern Virginia Medical School, Norfolk, VA
11:10 a.m.   C11. Endovascular Repair of Traumatic Aortic Injury in a Pediatric Patient
Kourosh Keyhani*, Hazim J. Safi, Sheila Coogan, Anthony Estrera*, David Lau*, Ali Azizzadeh
University of Texas Health Science Center-Houston, Houston, TX
11:20 a.m.   C12. Aberrant Vascular Anatomy Contributing to Mesenteric Ischemia
Michael B. Hogan, Larry Richard Sprouse, III
Univ Tennessee-Chattanooga, Chattanooga, TN
11:30 a.m.   PRESIDENTIAL ADDRESS
Thomas C. Naslund, MD
Introduced by: Bruce A. Perler, MD
12:00 p.m.   ADJOURN
1:00 p.m.   ANNUAL GOLF TOURNAMENT
1:00 p.m.   MEN'S TENNIS TOURNAMENT
* = By Invitation
 
SATURDAY, JANUARY 17, 2009
7:00 – 8:00 a.m.   BASIC SCIENCE SESSION
Moderator: Raul J. Guzman, MD
7:00 a.m.   B1. Inflammation and Diminished Omega-3 Fatty Acids Characterize Unstable Carotid Plaques
Hernan Bazan1, Song Hong*1, Yan Lu*1, Malachi Sheahan1, Larry H. Hollier1, Alan Dardik*2
1LSUHSC School of Medicine, New Orleans, LA; 2Yale University School of Medicine, New Haven, CT
7:15 a.m.   B2. Implications of the Patterns of G-Protein Expression Induced in Murine Vein Grafts
Mark G. Davies*, Yiping Zou*, Yan Qi*, Alan B. Lumsden
Methodist Debakey Heart and Vascular Center, Houston, TX
7:30 a.m.   B3. Suprarenal Aortic Clamping and Reperfusion Above the Superior Mesenteric Artery (SMA-SRACR) and Not Below the SMA (Renal-SRACR) Induces Early Renal Apoptosis
Stuart I. Myers1, Li Wang*1, Daniel J. Myers*2
1University Of Tennessee, Chattanooga Campus, Chattanooga, TN; 2Johns Hopkins University, Baltmore, MD
7:45 a.m.   B4. Bioreactor preconditioning of endothelium for bioengineered vascular constructs
Bryan W. Tillman1, Saami K. Yazdani*2, Shay Soker*3, Joel Berry*2, Randolph L. Geary4
1Department of Vascular and Endovascular Surgery and Wake Forest Institute for Regenerative Medicine, Winston-Salem, NC; 2Department of Biomedical Engineering, Winston-Salem, NC; 3Wake Forest Institute for Regenerative Medicine, Winston-Salem, NC; 4Department of Vascular and Endovascular Surgery, Wake Forest University School of Medicine, Winston-Salem, NC
8:00 - 9:00 a.m.   SPECIAL TOPICS SESSION – Current Issues in the Treatment of Infrainguinal Arterial Occlusive Diseases
Moderator: Scott L. Stevens, MD
8:00 a.m.   S1. Mechanical Thrombectomy and Thombolysis: The Latest Tools and Their Utility for the Vascular Surgeon
Presenter: Ross Milner, MD
8:15 a.m.   S2. Stenosis and Restenosis: Prevention and Treatment in the Endovascular Era
Presenter: Joseph Mills, MD
8:30 a.m.   S3. Open and Endovascular Revascularization: What are the Data and Do They Matter?
Presenter: John F. Eidt, MD
8:45 a.m.   Panel Discussion
9:00 - 10:00 a.m.   SCIENTIFIC SESSION V
Presiding: Scott L. Stevens, MD
Spence M. Taylor, MD
9:00 a.m.   17. Contralateral Internal Carotid Occlusion Does Not Increase the Periprocedural Risk of Carotid Stenting
Magdy M. El-Sayed Ahmed*, Ravi K. Veeraswamy, Ross Milner, Karthikeshwar Kasirajan, Andrew J. Page, Thomas F. Dodson, Elliot L. Chaikof, Atef A. Salam
Emory University, School of Medicine, Atlanta, GA


Discussant: R. James Valentine, MD
9:20 a.m.   18. Endovascular Management of Iliac Rupture During Endovascular Aneurysm Repair: A Single Center’s Experience
John M. Craig*, Joss D. Fernandez*, Harvey Edward Garrett, Jr.
University of Tennessee -Memphis, Memphis, TN


Discussant: W. Anthony Lee, MD
9:40 a.m.   19. Feasability of Office Based Endovascular Practice
Michael B. Hogan, Larry Richard Sprouse, III, Michael Greer, Christopher LeSar, Luke Erdoes, Paul Papillon, Earl Gensolin*
University Tennessee-Chattanooga, Chattanooga, TN


Discussant: Spence M. Taylor, MD
10:00 - 10:30 a.m.   COFFEE BREAK - VISIT EXHIBITS
10:30 - 11:50 a.m.   SCIENTIFIC SESSION VI
Presiding: Scott L. Stevens, MD
Spence M. Taylor, MD
10:30 a.m.   20. Iatrogenic Injuries of the Common Femoral Artery (CFA) and External Iliac Artery (EIA) During Endograft Placement: An Underdiagnosed Entity
Anil Hingorani*, Enrico Ascher, Alexander Shiferson*, Natalie Marks*, Nirav Patel*, Kapil Gopal*, Theresa Jacob*
Maimonides Medical Center, Brooklyn, NY


Discussant: Mark A. Farber, MD
10:50 a.m.   21. The Impact of Isolated Tibial Disease on Outcomes in the Critical Limb Ischemic Population
Bruce H. Gray*, April A. Grant*, Corey A. Kalbaugh*, Eugene M. Langan, III, Spence M. Taylor, David L. Cull
Greenville Hospital System University Medical Center, Greenville, SC


Discussant: Charles B. Ross, MD
11:10 a.m.   22. Dialysis Access Outcomes in the Era of the Fistula First Initiative
Christopher Seaver*, Beverly Childress*, Thomas Huber, Scott Berceli
University of Florida, Gainesville, FL


Discussant: Christopher G. Carsten, MD
11:30 a.m.   23. Contemporary Safety Profile of Catheter-Directed Thrombolysis
Steven C. Agle*, Michael M. McNally*, Christopher I. Jones*, Sheila K. Kori*, William F. Curry*, Frank M. Parker, William M. Bogey, Jr., C. Steven Powell, Michael C. Stoner
Brody School of Medicine, East Carolina University, Greenville, NC


Discussant: Cynthia K. Shortell, MD
11:50 a.m.   ANNUAL BUSINESS MEETING (Members Only)
12:20 p.m.   ADJOURN
* = By Invitation