Southern Association for Vascular surgery

2011 Program and Abstracts

SOUTHERN ASSOCIATION FOR VASCULAR SURGERY
SCIENTIFIC PROGRAM

35th Annual Meeting ~ January 19-22, 2011
The Ritz-Carlton ~ Naples, Florida
~Subject to Change~


WEDNESDAY, JANUARY 19, 2011
7:00 a.m.   MOCK ORAL EXAMS
12:25 – 4:00 PM   POSTGRADUATE COURSE: VENOUS DISEASE: UPDATE ON EXPANDING TREATMENT OPTIONS
12:25 – 12:30 p.m.   PRESIDENTIAL WELCOME
Daniel S. Rush, M.D.
12:30 – 2:15 p.m.   SESSION I
Moderator: W. Charles Sternbergh, MD
12:30 p.m.   An Overview of Venous Disease: Scope of the Problem
• Incidence of DVT and post-phlebitic morbidity
• Chronic venous insufficiency
Peter Gloviczki, MD
12:45 p.m.   Interventional Treatment for Acute DVT
• Guidelines from ACCP
• Pharmacologic, mechanical, radiofrequency assisted. What works best?
• Tricks and tips for best outcome
• Briefly discuss thombolysis for PE
Frank R. Arko, MD
1:00 p.m.   Vena Cava Filter Use
• Indications, Therapeutic and Prophylactic
• Are they needed prophetically during venous thrombolysis? Trauma?
• Bedside placement with IVUS
• SVC filters
Marc A. Passman, MD
1:15 p.m.   Iliac and Caval Occlusion
• Techniques, tricks and tips for treatment
• Management of the chronically occluded IVC filter
Ruth L. Bush, MD
1:30 p.m.   May-Thurner Syndrome
• How to diagnose and treat effectively
Ross Milner, MD
1:45 p.m.   SVC Syndrome
Mark G. Davies, MD
2:00 p.m.   DISCUSSION
2:15 p.m.   COFFEE BREAK
2:30 – 4:00 p.m.   SESSION II
Moderator: David R. Minion, MD
2:30 p.m.   Saphenous Vein Reflux Treatment: What’s New?
• EVLT vs. Radioablation
• Foam Sclerotherapy
• Small Saphenous?
• Imaging? (i.e., what to look for on ultrasound, role of MR, CT, etc.)
Peter R. Nelson, MD
2:45 p.m.   Varicose Vein Treatment Beyond the Saphenous Vein
• Sclerotherapy vs. Laser
• Stab Phlebectomy: How and When?
• Spider Veins?
• Perforator Vein Intervention
William A. Marston, MD
3:00 p.m.   Venous Angioplasty as a Treatment for Multiple Sclerosis: Should it Become More Commonplace?
Eleftherios L. Xenos, MD
3:15 p.m.   Pelvic Congestion Syndrome
David Gillespie, MD
3:30 p.m.   Paget-von Schrotter Syndrome
Nancy L. Harthun, MD
3:45 p.m.   DISCUSSION
4:00 p.m.   ADJOURN
6:00 p.m. - 7:30 p.m.   Welcome Reception
 
THURSDAY, JANUARY 20, 2011
6:30 a.m.   5k Run
7:30 - 8:00 a.m.   PRESIDENTIAL WELCOME
Daniel S. Rush, M.D.

Introduction of New Members
Presentation of the S. Timothy String Presidential Award
8:00 - 9:40 a.m.   SCIENTIFIC SESSION I
Presiding: Ali F. AbuRahma, MD
Spence M. Taylor, MD
8:00 a.m.   1. A Cost and Outcome Analysis of Endovascular vs. Open Repair of Blunt Traumatic Aortic Injuries
Ali Azizzadeh, Kristofer M. Charlton-Ouw*, Zhongxue Chen*, Anthony L. Estrera*, Sheila M. Coogan, Mohammad H. Rahbar*, John B. Holcomb*, Hazim J. Safi
University of Texas Health Science Center, Houston, TX
Discussant: Robert J. Feezor, MD
8:20 a.m.   2. Long-term Secondary Procedures after Aneurysm Repair: Is EVAR Really Worse Than Open Repair ?
Brenton E. Quinney, Shardul B. Nagre*, Marc A. Passman, Mark A. Patterson, Steve M. Taylor, Bart R. Combs*, Bruce G. Lowman*, William D. Jordan, Jr.
University of Alabama at Birmingham, Birmingham, AL
Discussant: Karthikeshwar Kasirajian, MD
8:40 a.m.   3. National Utilization and Outcome of Carotid Artery Revascularization in Octogenarians
Caron B. Rockman*, Glenn R. Jacobowitz*, Neal S. Cayne*, Firas F. Mussa*, Mark A. Adelman*, Thomas S. Maldonado*
New York University Medical School, New York, NY
Discussant: Samuel R. Money, MD
9:00 a.m.   4. Renal Artery Stenting for Salvage of Renal Function: Preoperative Predictors of Outcome Guide Patient Selection
J. Gregory Modrall, Carlos H. Timaran, Eric B. Rosero*, Jayer Chung*, Frank A. Arko, III, R. James Valentine, G. Patrick Clagett, Clayton Trimmer*
University of Texas Southwestern Medical Center, Dallas, TX
Discussant: Matthew S. Edwards, MD
9:20 a.m.   5. Carotid Revascularization Outcomes Comparing Distal Filters, Flow Reversal and Endarterectomy
Robert Beaulieu*, Luke P. Brewster*, Atef Salam, Ravi Veeraswamy*, Thomas F. Dodson, Karthikeshwar Kasirajan
Emory University Hospital, Atlanta, GA
Discussant: Carlos H. Timaran, MD
*By Invitation
9:40 a.m.   FOUNDERS’ AWARD PAPER
Endovascular Aneurysm Repair and the Anatomic Severity Grading Score: A Validation Study with Early Outcomes and Cost Analysis
Sadaf S. Ahanchi*, Megan Carroll*, Babatunde H. Almaroof*, Jean M. Panneton
Eastern Virginia Medical School, Norfolk, VA
*By Invitation
10:00 a.m.   INTRODUCTION AND PRESENTATION OF AWARD
Presented by: Ali F. AbuRahma, MD
10:05 - 10:35 a.m.   COFFEE BREAK
10:35 - 12:15 p.m.   SCIENTIFIC SESSION II
Presiding: Ali F. AbuRahma, MD
Spence M. Taylor, MD
10:35 a.m.   6. Mesenteric/Celiac Duplex Ultrasound Interpretation Criteria Revisited
Ali F. AbuRahma, Patrick A. Stone, Mohit Srivastava*, L. Scott Dean*, Tammi Keiffer*, Stephen M Hass*, Albeir Y. Mousa*
Robert C. Byrd Health Sciences Center of W. Va. Univ., Charleston, WV
Discussant: Paul A. Armstrong, MD
10:55 a.m.   7. Impact of Metabolic Syndrome on SFA Interventions
Christopher J. Smolock*, Javier Anaya Ayala*, Jean Bismuth*, Joseph J. Naoum*, Hosam F. El-Sayed*, Heitham Hassoun* Eric K. Peden, Alan B. Lumsden, Mark G. Davies
The Methodist Hospital, DeBakey Heart and Vascular Center, Houston, TX
Discussant: Scott L. Stevens, MD
11:15 a.m.   8. Randomized Clinical Trial of Open-cell vs. Closed-cell Stents for Carotid Stenting: Effects of Stent Design on Cerebral Embolization
Carlos H. Timaran, Eric B. Rosero*, Adriana Higuera*, Adriana Ilarraza*, J. Gregory Modrall, G. Patrick Clagett
University of Texas SW Medical Center, Dallas, TX
Discussant: Charles B. Ross, MD
11:35 a.m.   9. The Role of Statin Therapy and Angiotensin Blockade on Asymptomic Moderate Carotid Artery Stenosis: A Clinical and Pharacoecoeconomic Analysis
Christopher A. Durham*, Bryan A. Ehlert*, Steven C. Agle*, Ashley C. Mays*, Frank M. Parker, William M. Bogey, Charles S. Powell, Michael C. Stoner
East Carolina University, Greenville, NC
Discussant: Bruce A. Perler, MD
11:55 a.m.   10. Trends, Charges, and Outcomes in Endovascular Therapy for Peripheral Arterial Disease in Florida
Michael S. Hong*, Khayree Butler*, Trevan D. Fischer*, Peter R. Nelson
University of Florida, Gainesville, FL
Discussant: Russell H. Samson, MD
*By Invitation
12:15 p.m.   DISTINGUISHED GUEST LECTURE
The Evolution of Aortic Stent Graft Devices and Clinical Trials

Ronald M. Fairman, MD
Hospital of the University of Pennsylvania
Philadelphia, PA
Introduced by: Daniel S. Rush, M.D.
12:45 p.m.   ADJOURN
6:00 – 7:30 p.m.   General Reception
 
FRIDAY, JANUARY 21, 2011
6:30 – 7:30 a.m.   Women's Networking Breakfast
7:00 – 8:00 a.m.   ENDOVASCULAR CASE CONFERENCE
Moderator: Mark A. Farber, MD
Panelists: Scott Stevens, MD
Christopher J. Kwolek, MD
David J. Minion, MD
7:00 a.m.   E1. Endovascular Retrieval of a Permanent IVC Filter Placed within the Aorta
Sailen G. Naidu*, William M. Stone*, John P. Sweeney*, Samuel R. Money
Mayo Clinic Arizona, Phoenix, AZ
7:15 a.m.   E2. Stent-Assisted Coiling of Carotid Aneurysm with Symptomatic Stenosis Under Embolic Protection with Flow Reversal
Carlos H. Timaran, Eric B. Rosero*, J. Gregory Modrall, G. Patrick Clagett
University of Texas Med Center, Dallas, TX
7:30 a.m.   E3. DYNA CT Scanning Image Fusion, and Virtual Guidance Systems for Direct SAC Access in Therapy of Persistent Type II Endoleaks after EVAR
Christopher J. Smolock*1, Javier Anaya Ayala*1, Jean Bismuth*1, Christof Karmonik*2, Mark G. Davies1, Alan B Lumsden1
1The Methodist Hospital, DeBakey Heart and Vascular Center, Houston, TX; 2The Methodist Hospital Research Institute, Houston, TX
7:45 a.m.   E4. Transeptal Renal Preservation During Endovascular Exclusion of a Chronic Aortic Dissection
Shadi J. Abu-Halimah*, Mark A. Farber, William A. Marston, Matthew A. Mauro*
University of North Carolina, Chapel Hill, NC
*By Invitation
8:00 – 9:00 a.m.   SCIENTIFIC SESSION III
Presiding: William D. Jordan.,Jr. MD
Spence M. Taylor, MD
8:00 a.m.   11. The Value of Carotid Duplex Surveillence Program for Stroke Prevention
Terry Cole, David Cull, Brent Johnson, Eric Walker, Blair Miller, Spence Taylor
Greenville Hospital System, Greenville, SC
Discussant: Alan B. Lumsden, MD
8:20 a.m.   12. Preoperative Thrombus Load/Location and Type II Endoleak and Late Sac Regression/Expansion
Ali F. AbuRahma, Albeir Y. Mousa*, John E. Campbell, Stephen M. Hass*, Patrick A. Stone, Aravinda Nanjundappa*, L. Scott Dean*, Tammi Keiffer
Robert C. Byrd Health Sciences Center of West Virginia University, Charleston, WV
Discussant: Marc A. Passman, MD
8:40 a.m.   13. Endovascular Treatment of Acute and Chronic Aortic Pathology in Patients with Marfan’s Syndrome
Alyson L. Waterman*, Robert J. Feezor, Peter R. Nelson, W. Anthony Lee, Philip J. Hess, Tomas D. Martin, Thomas S. Huber, Adam W. Beck
University of Florida, Gainesville, FL
Discussant: Eric D. Endean, MD
*By Invitation
9:00 – 9:30 a.m.   COFFEE BREAK – VISIT EXHIBITS
9:30 – 10:30 a.m.   SCIENTIFIC SESSION IV
Presiding: William Jordan, MD
Spence M. Taylor, MD
9:30 a.m.   14. Protocol Implementation of Selective Post-Operative Lumbar Spinal Drainage after Thoracic Aortic Endograft
Charles J. Keith*, Marc A. Passman, Mark A. Patterson, Steve M. Taylor, William D. Jordan, Jr.
University of Alabama at Birmingham, Birmingham, AL
Discussant: Peter H. Lin, MD
9:50 a.m.   15. Emergency Procedures on the Descending Thoracic Aorta in the Endovascular Era
Marc E. Mitchell, Fred W. Rushton, Jr., A. Bradley Boland*, Taylor C. Byrd, Zachary K. Baldwin*
University of Mississippi, Jackson, MS
Discussant: Jeffery Dattilo, MD
10:10 a.m.   16. Volumetric Analysis of the Thoracic Aorta in Type B Dissection Treated with TEVAR
Gregory A. Stanley*, Martyn Knowles*, Erin H. Murphy*, Mihaila Ilves*, Carlos H. Timaran, Michael Jessen*, J. Michael Dimaio*, Frank R. Arko
University of Texas Southwestern, Dallas, TX
Discussant: Eugene M. Langan, III MD
*By Invitation
10:30 - 11:30 a.m.   CASE REPORT OPEN/ENDO PANEL DISCUSSION
Moderator: William D. Jordan, Jr. MD
Panelists: Marshall E. Benjamin, MD
R. Clement Darling, MD
Patrick A. Stone, MD
10:30 a.m.   C1. A Longitudinal Study of the Positional Stability of TEVAR Using Computational Fluid Dynamics
Carlos A. Figueroa*, Madhu L. Gorrepati*, Lillian K. To*, Victoria Yeh*, Anamika Prasad*, Christopher K. Zarins*
Stanford University, Stanford, CA
10:45 a.m.   C2. Aortic to Meandering Mesenteric Artery Bypass in Chronic Mesenteric Ischemia: A Case Report
Daniel J. Mazur*, Mark L. Keldahl*, Heron E. Rodriguez*
Northwestern Memorial Hospital, Chicago, IL
11:00 a.m.   C3. Carotid Endarterectomy for Treatment of Instent Restenosis
Alberto J. Gonzalez*1, Michael A. Drummond2, R. Scott McCord*2, H. Edward Garrett Jr.1
1UT-Memphis, Memphis, TN;2Vascular Associates of Birmingham, Birmingham, AL
11:15 a.m.   C4. Bilateral Common Carotid Occlusion in Type IV Ehler Danlos Syndrome
Amit J. Dwivedi, Andrea E. Yancey, Marvin E. Morris*, Charles B. Ross
University of Louisville, Louisville, KY
*By Invitation
11:30 a.m.   PRESIDENTIAL ADDRESS
Daniel S. Rush, MD
Introduced by: John F. Eidt, MD
12:00 p.m.   ADJOURN
7:00 – 8:00 p.m.   President's Reception and Dinner
 
SATURDAY, JANUARY 22, 2011
7:00 – 8:00 a.m.   BASIC SCIENCE SESSION
Moderator: Stuart T. Myers, MD
Scott A. Berceli, MD
7:00 a.m.   B1. Proteomic Analysis of Microparticles from Patients with Abdominal Aortic Aneurysms
Nancy L Harthun1, David M. Smalley*2, Kristina M. Little*3, Klaus Ley*3
1Johns Hopkins Medical Institutes, Baltimore, MD;2 University of North Carolina, Chapel Hill, NC;3La Jolla Institute for Allergy & Immunology, La Jolla, CA
7:15 a.m.   B2. Does Estrogen Replacement Improve Exaggerated Hyperplasia Following Endarerectomy?
Mohammed M. Moursi1, John Nyalala*2, Aliza Brown*2, Shaoke Luo2
1University of Arkansas for medical Sciences/Central Arkansas Veterans HCS, Little Rock, AR; 2University of Arkansas for medical Sciences, Little Rock, AR
7:30 a.m.   B3. Intraluminal Stent Effects on Duplex Velocity Estimates
Christopher S. Kuppler*, William B. Newton, III*, Timothy E. Craven*, Racheed J. Ghanami*, Shawn H. Fleming*, Kimberley J. Hansen, Christopher J. Godshall
Wake Forest University Baptist Medical Center, Winston-Salem, NC
7:45 a.m.   B4. Hormone Replacement Therapy Influences Matrix Metalloproteinase Expression and Intimal Hyperplasia Development after Vascular Injury: A Follow-up Study
Richard B. Cook, Deidra J. Mountain*, Stacy S. Kirkpatrick*, James E. Chalk, David C. Cassada, Scott L. Stevens, Michael B. Freeman, Mitchell H. Goldman, Oscar H. Grandas
University of Tennessee Graduate School of Medicine, Knoxville, TN
*By Invitation
8:00 - 9:00 a.m.   SPECIAL TOPICS SESSION: CONTROVERSIES IN VASCULAR/ENDOVASCULAR SURGERY
Moderator: Marc E. Mitchell, MD
Spence M. Taylor, MD
8:00 am   S1. Small AAA (equal or < 5cm) should be repaired with EVAR
William Jordan, MD
8:10 am   S2. Small AAA (equal or < 5cm) should not be repaired and should undergo surveillance
John Eidt, MD
8:20 am   Discussion
8:30 am   S3. Life After CREST: Carotid Stenting is at Least as Good as CEA
Alan B. Lumsden, MD
8:40 am   S4. Life after CREST: CEA is Still the Gold Standard
Bruce A. Perler, MD
8:50 am   Discussion
*By Invitation
9:00 - 10:00 a.m.   SCIENTIFIC SESSION V
Presiding: Marc E. Mitchell, MD
Spence M. Taylor, MD
9:00 a.m.   17. National Trends in Repair of Intact Abdominal Aortic Aneurysms in the Medicare Population
Mounir J. Haurani*, Mark F. Conrad*, Virendra I. Patel*, Emel A. Ergul*, Christopher J. Kwolek, Richard P. Cambria*
Massachusetts General Hospital, Harvard Medical School, Boston, MA
Discussant: Gilbert R. Upchurch, MD
9:20 a.m.   18. Surgical Site Infection after Arterial Intervention with a Groin Incision
Alexander J. Boyle*, Justin M. Rizer*, Kelley D. Hodgkiss-Harlow*, Paul A. Armstrong, Dennis F. Bandyk
University of South Florida, Tampa, FL
Discussant: Patrick A. Stone, MD
9:40 a.m.   19. Timing of Venous Thromboembolism After Colorectal Cancer Resection
Eleftherios S. Xenos, Daniel L. Davenport*, David J. Minion, Ehab E. Sorial, Shane D. O'Keeffe*, Eric D. Endean
University Of Kentucky Medical Center, Lexington, KY
Discussant: Thomas S. Huber, MD
*By Invitation
10:00 - 10:30 a.m.   COFFEE BREAK - VISIT EXHIBITS
10:30 - 11:50 a.m.   SCIENTIFIC SESSION VI
Presiding: Marc E. Mitchell, MD
Spence M. Taylor, MD
10:30 a.m.   20. Diastolic Function Predicts Survival After Renal Revascularization
Racheed J. Ghanami*1, Hamza Rana*1, Tim Craven*1, Matthew A. Corriere2, Phillip Moore1, John Hoyle*1, Randolph L. Geary1, Matthew S. Edwards1, Christopher J. Godshall1, Kimberley J. Hansen1
1Wake Forest University Baptist Medical Center, Winston-Salem, NC; 2Emory University School of Medicine, Atlanta, GA
Discussant: Mark G. Davies, MD
10:50 a.m.   21. Treatment of Proximal Vertebral Artery Disease
Joshua L. Gierman*, Karen McQuade*, William Shutze, Stephen Hohmann*, Gregory Pearl*, Bertram Smith, Dennis Gable, Bradley Grimsley, John Kedora*, Toby Dunn*
Baylor University Medical Center, Dallas, TX
Discussant: William H. Edwards Jr., MD
11:10 a.m.   22. Outcomes of Acute Surgical Conversion during Endovascular Aortic Aneurysm Repair
William B. Newton, III*1, Jeanette S. Andrews*1, Matthew A. Corriere2, Philip P. Goodney*3, Racheed J. Ghanami*1, Randolph L. Geary1, Christopher J. Godshall1, Kimberley J. Hansen1, Matthew S. Edwards1
1Wake Forest University Baptist Medical Center, Winston-Salem, NC; 2Emory University School of Medicine, Atlanta, GA; 3Dartmouth-Hitchcock Medical Center, Lebanon, NH
Discussant: Murray L. Shames, MD
11:30 a.m.   23. A Single Center Experience Comparing Tibial Bypass With Heparin Bonded PTFE Versus Saphenous Vein
Richard F. Neville, Avery Capone*, Richard Amdur*
Georgetown University, Washington, DC
Discussant: John W. York, MD
*By Invitation
11:50 a.m.   ANNUAL BUSINESS MEETING (Members Only)
12:20 p.m.   ADJOURN