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. Goodney1*, Brian W. Nolan1*, Jens Eldrup-Jorgensen2*, Andrew C. Stanley3*, Donald S. Likosky1*, 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 Endarterectomy
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. Saphenous 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 Hypothermia 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: Revisiting 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