Program 2018

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2018 Scientific Program

THURSDAY, JUNE 14, 2018
6:30 a.m. – 6:30 p.m. Registration (Tahoma Lobby)
7:35 a.m. – 5:00 p.m. PNEC Simulation Summit for Vascular Trainees (Tahoma 1-2 & Tahoma 3)
5:00 p.m. – 6:30 p.m. Welcome Reception and Visit Exhibits (Tahoma 4-5)
FRIDAY, JUNE 15, 2018
All scientific sessions will take place in Tahoma Room 1-2, unless otherwise noted below.
6:30 a.m. – 6:30 p.m. Registration (Tahoma Lobby)
7:00 a.m. Continental Breakfast and Visit Exhibits (Tahoma 4-5)
7:00 a.m. Resident Competition: Suturing (Tahoma 4-5)
7:55 a.m. Welcoming Remarks Dr. Singh
Session I: Aortic – Modern Management Moderators: Drs. Schanzer and Starnes
8:00 a.m. The Preference for Open vs Endovascular Repair of AAA (PROVE-AAA) Trial: Focusing on the Patient’s Preference for the Type of Repair Dr. Goodney
8:10 a.m. Can Randomized Controlled Trials (RCT’s) for AAAs be Misleading? Dr. Forbes
8:20 a.m. Iliac Branch Grafts (IBD): What is the Best Way to Utilize this Device? Dr. D. Schneider
8:30 a.m. Symptomatic AAAs: How Do These Patients Do in the Long-term? Dr. Chandra
Debate: Rematch About Proximal Seal
8:40 a.m. Now that Endoanchors Are Approved to Treat Short Necks, We Have a Durable Solution to the Problem Dr. Deaton
8:45 a.m. Not So Fast! FEVAR is Still the Answer to the Issue with Short Necks and Liberalizing the Use of Current Infrarenal Grafts for This Issue Will Lead to More Problems Dr. Starnes
8:50 a.m. Re-Intervention After FEVAR: Are We Seeing the Same Problems and How Do We Intervene? Dr. Schanzer
9:00 a.m. Re-Interventions After TEVAR: How Often Does It Occur and What Are Procedures Most Commonly Utilized to Treat These Issues Dr. Fairman
9:10 a.m. Recent Outcomes of the Conformable Stent Grafts for Acute Complicated and Uncomplicated Type B Aortic Dissection? Dr. Fu
9:10 a.m. Recent Outcomes of the Conformable Stent Grafts for Acute Complicated and Uncomplicated Type B Aortic Dissection? Dr. Fu
9:20 a.m. The Thoracic Branch Endografts: What is the Role and Expectations of This Graft? Dr. Conrad
9:30 a.m. Update on Automated Software to Simplify FEVAR: Have We Finally Found the “Easy” Button for Planning? Dr. Starnes
9:40 a.m. Fenestrated Endografts for Arch Pathologies: Experience from China Dr. H. Zhang
9:50 a.m. Panel Discussion and Audience Questions Drs. Chandra, Conrad, Deaton, Fairman, Forbes, Fu, Goodney, Schanzer, D. Schneider, Singh and H. Zhang
Refreshment Break and Visit Exhibits (Tahoma 4-5)
10:30 a.m. – 12:00 p.m. Concurrent Focus Session: Vascular Nursing (Tahoma 3) Moderators: Ms. Allen and Dr. Quiroga
Session II: Lower Extremity Moderators:Drs. Abularrage and Singh
10:30 a.m. Overview of Emerging Endovascular Treatments for Femoropopliteal Disease: Percutaneous Bypass, Tacks and Adventitial Drug Delivery Dr. Armstrong
10:40 a.m. Which Stent is Best for Various Femoropopliteal Pathology? Dr. DeRubertis
10:50 a.m. Why is the Tack Device a Better Option Than Stents for Infrageniculate Arteries? Dr. Rundback
11:00 a.m. Do the Current Results of Drug Coated Balloons and Drug-Eluting Stents Warrant the Use of These Modalities as the Primary Modality of Therapy in the SFA? Dr. P. Schneider
11:10 a.m. Laser Atherectomy for Lower Extremity Occlusive Disease: Has This Technology Improved and Are the Results Showing ? Dr. Laird
11:20 a.m. Treating In-Stent Restenosis with the Brachytherapy: Does It Actually Work? Dr. Menard
11:30 a.m. Is Infrainguinal Bypass a Dying Procedure? What Do Contemporary Outcomes Tell Us? Dr. Robinson
11:40 a.m. Outcomes of Patients with CLI in a Large Urban Safety Net Hospital: What Are the Results in This Setting? Dr. Rowe
11:50 a.m. BEST- CLI Trial Update Dr. Farber
12:00 a.m. Panel Discussion and Audience Questions
12:15 a.m. Lunch and Visit Exhibits (Tahoma 4-5)
12:15 a.m. Resident Competition: EVAR Planning (Tahoma 4-5)
Session III: Venous Moderators: Drs. Meissner and Shortell
1:15 p.m. How Do the ATTRACT and CAVENT Trials Change the Role of Thrombolytic Therapy in the Treatment of Acute DVT? Dr. Rigberg
Debate: Pulmonary Embolism Response Teams (PERT)
1:25 p.m. Early Intervention Should Be the Standard Every Hospital Strives For! Dr. Muck
1:35 p.m. Not So Fast! Early Intervention is a House of Cards Dr. Meissner
1:45 p.m. Non-Thermal Options for Saphenous Ablation: What is Their Role in the Venous Armamentarium and When Should I Consider Them? Dr. Garland
1:55 p.m. History is Flawed: A New Paradigm for Understanding Abdominal and Pelvic Venous Disorders Dr. Meissner
2:05 p.m. Iliac Venous Obstruction: What Have We Learned About Stent Failure? Dr. Marston
2:15 p.m. The Failing Venous Stent: Underlying Causes and How to Identify and Treat Them Dr. Jayaraj
2:25 p.m. Contemporary Evaluation and Management of Venous Malformations Dr. Shortell
2:35 p.m. Panel Discussion and Audience Questions Drs. Garland, Jayaraj, Marston, Muck and Rollo
2:35 p.m. – 2:45 p.m. Concurrent Focus Session: Limb Preservation and Wound Care (Tahoma 3) Moderator: Dr. Fiorito
Session IV: Physician Practice Moderators: Drs. Matteson and Roddy
2:45 p.m. The Value of a Vascular Surgeon at Your Hospital: Is Our Specialty Underappreciated? Dr. Weaver
2:55 p.m. Narcotic Prescribing and Monitoring in Vascular Surgery Patients: How Can We Stop the Abuse? Dr. Brooke
3:05 p.m. Plavix and Dual Antiplatelet Medication at the Time of Surgery: Should These Medications be Held? Dr. Stone
3:15 p.m. How Do We Use a Frailty Index to Optimize Results for Our Patients? Dr. Abularrage/td>
3:25 p.m. Optimizing Physician Documentation Will Improve Revenue, Profiling and Quality Metrics Dr. Aiello
3:35 p.m. How to Save Your Neck and Back and Prolong Your Career: Vascular Surgeon Ergonomics Dr. Davis
3:45 p.m. Vascular Coding Update Dr. Roddy
3:55 p.m. Panel Discussion and Audience Questions Drs. Abularrage, Aiello, Brooke, Davis, Stone and Weaver
4:05 p.m. Refreshment Break and Visit Exhibits (Tahoma 4-5)
4:05 p.m. Resident Competition: “The $10,000 Pyramid” (Tahoma 4-5)
4:35 p.m. – 6:05 p.m. Concurrent Focus Session: Vascular Ultrasound (Tahoma 3) Moderator: Dr. Fiorito
Session V: Technique Moderators: Drs. Arthurs and Schanzer
4:35 p.m. Iliac Branch Grafts: Tips and Techniques Dr. Dawson
4:45 p.m. Transcervical Carotid Stenting (TCAR): How I Do It Dr. Rollo
4:55 p.m. Advances in Vascular Imaging: What is Coming Next? Dr. Jazaeri
5:05 p.m. Femoral Vein Transposition for Dialysis Access: How I Do It Dr. Farber
5:15 p.m. Endovascular Mesenteric Arterial Reconstruction: Tips and Techniques Dr. Zhang
5:25 p.m. Panel Discussion and Audience Questions Drs. Dawson, Farber, Jazaeri, Rollo and Zhang
Session VI: Case Presentation Series Moderators: Drs. Arthurs and Sweet

Panel: Drs. Menard, Rigberg, Rundback and D. Schneider

5:35 p.m. Case 1 Dr. Gilbertson
5:45 p.m. Case 2 Dr. Nathan
5:55 p.m. Case 3 Dr. Nevidomskyte
6:05 p.m. Case 4 TBD
6:15 p.m. Case 5 TBD
6:25 p.m. Closing Keynote Lecture Dr. P. Schneider
6:35 p.m. Adjourn
7:00 p.m. – 9:00 p.m. Closing Dinner and Resident Competition Award Presentation (Crystal Ballroom in the Washington Athletic Club)
FRIDAY, JUNE 15, 2018
10:30 a.m. – 12:00 p.m. Concurrent Focus Session: Vascular Nursing (Tahoma 3) Moderators: Ms. Allen-Kline and Dr. Quiroga
10:30 a.m. Vascular Ultrasound: What to Order and Why Ms. Wise, RRT
10:40 a.m. Claudication: Keep Up the Pace Ms. Waterman, MN, ARNP
10:50 a.m.
Swollen Leg: How to Triage a Common Clinic
Ms. Whitehead, MN, ARNP
11:00 a.m.
Medically Optimizing the Vascular Patient, Part 1
Dr. Thompson
11:10 a.m.
Medically Optimizing the Vascular Patient, Part 2
Dr. Shen
11:20 a.m.
Infectious Disease and the Vascular Patient
Dr. Dhanireddy
11:30 a.m. Women and Vascular Disease Dr. Quiroga
11:40 a.m. Hyperbaric Therapy for the Vascular Patients Ms. Williamson, RN
11:50 a.m. Wound Care With Demonstration Mr. Goetcheus, CWCN, RN
12:00 p.m. Adjourn
FRIDAY, JUNE 15, 2018
2:35 p.m. – 4:05 p.m. Concurrent Focus Session: Limb Preservation and Wound Care (Tahoma 3)
Moderator: Dr. Fiorito
2:35 p.m. Chronic Wounds: New Era for an Old Disease Dr. Norsworthy
2:45 p.m. Fluorescent Angiography: Practical Uses in the Clinical Setting Dr. Andersen
2:55 p.m.
WiFi: Can Risk Stratification Improve the Quality of Treatment of At Risk Limbs?
Dr. Marston
3:05 p.m.
Chronic Plantar Foot Ulcers: Clinical and Surgical Offloading Tools and Techniques
Dr. Fiorito
3:15 p.m. Determining the Appropriate Level of Amputation in At Risk Limbs Dr. Smith
3:35 p.m.
An Effective Team Approach to Rehabilitation After Major Lower Limb Amputation
Dr. Friedly
3:45 p.m. Case Presentations
3:55 p.m. Panel Discussion Drs. Andersen, Friedly, Marston, Norsworthy and Smith
Adjourn
FRIDAY, JUNE 15, 2018
4:35 p.m. – 6:05 p.m. Concurrent Focus Session: Vascular Ultrasound (Tahoma 3)
Moderator:Dr. Shalhub and Ms. Zaccardi
4:35 p.m.
Portal Duplex – A Case Study
Ms. B. Brown, RVT
4:40 p.m. Interesting Case from the V.A. Ms. Barnes, RVT and Ms. Henson, BS, RVT
4:45 p.m.
EVAR – Duplex Follow Up
Mr. J. Brown, RVT
4:50 p.m.
Comparison of Reflux Testing Methods
Ms. Elliot, RVT
4:55 p.m. Usefulness of Ultrasound in Stroke Ms. Moore, RVT
5:00 p.m. Everything But the Kitchen Sink: The Utility of Extravascular Ultrasound Dr. Vea and Ms. Sommerset, RVT
5:10 p.m.
Arterial Aneurysms in a Patient with Vascular Ehlers-Danlos Syndrome
Mr. W. Smith, RVT
5:15 p.m. Student Case #1: TCD and EC-IC Bypass Ms. Siyar
5:20 p.m. Student Case #2: Systic Adventitial Disease Ms. Van de Roovaart
5:25 p.m.
Arteriovenous Fistula Aneurysm Assessment
Dr. Shalhub
5:35 p.m. Two Point Compression for DVT Dr. Shin
5:45 p.m. Vascular Ultrasound Breakout Session: Panel Discussion Drs. Shin and Vea; Ms. Barnes, B.Brown, Elliot, Henson, Moore, Sommerset and Van de Roovaart; Mr. J. Brown, Siyar and W. Smith
6:05 p.m. Adjourn

The PNEC Simulation Summit for Vascular Trainees offers the opportunity of focused training and certification in the use of endovascular techniques for the management of aortic dissection and rAAA. The Summit provides senior cardiovascular trainees a forum to learn advanced endovascular techniques for the management of aortic dissection and ruptured AAA (rAAA). It also allows the senior trainees the opportunity to attend PNEC, the premier endovascular meeting in the Pacific Northwest. The PNEC Simulation Summit for Vascular Trainees will be held at the Conference Convention Center at Convention Place on Thursday, June 14, 2018, the day prior to PNEC.

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THURSDAY, JUNE 14, 2018
All scientific sessions will take place in Tahoma Room 1-2, unless otherwise noted below.

 

6:30 a.m. – 6:30 p.m. Registration (Tahoma Lobby)
7:00 a.m. Continental Breakfast (Tahoma Lobby)
7:35 a.m. Introduction and Overview Dr. Tran
Modern Management of PAD and CLI Moderator: Dr. Singh
7:40 a.m. Endovascular Treatment versus Open Surgical Bypass: What is the “Best” Revascularization Option? Dr. Farber
7:45 a.m. Atherectomy: Laser and Mechanical Devices and Incorporating These Modalities in Practice Dr. Garland
7:50 a.m. Drug-Coated Balloons (DCBs): Mechanism of Action and Current Results Dr. Singh
7:55 a.m. Stent Selection for Peripheral Procedures: Drug Eluting, Standard Nitinol or Woven Nitinol? Dr. Chandra
8:00 a.m. Percutaneous Mechanical Thrombectomy Techniques and Options Dr. Muck
8:05 a.m. Panel Discussion Drs. Chandra, Farber, Garland, Muck and Singh
8:15 – 9:00 a.m. Case Reviews: What Would You Do? Moderator: Dr. Chandra
Venous and Wounds Moderator: Dr. Marston
9:00 a.m. Setting Up a Venous Practice: What Are the Essential Requirements and What Are the Tips to Be Successful? Dr. Marston
9:05 a.m. Iliocaval Venous Stenting: How I Do It Dr. DeRubertis
9:10 a.m. Sclerotherapy and Treating Telangiectasias: What You Need to Know Dr. Muck
9:15 a.m. I Am the New Guy and Do Veins and Wounds…I Guess? Tips on Starting Out in Wound Care Dr. McLafferty
9:20 a.m. RFA, EVLT and Nonthermal Therapy for Superficial Venous Reflux: How to Choose? Dr. Arthurs
9:25 a.m. Panel Discussion Drs. Arthurs, DeRubertis, Marston and McLafferty
9:35 -10:00 a.m. Case Reviews: What Would You Do? Moderator: Dr. Marston
10:00 a.m. Refreshment Break
10:15 a.m. Hands-On Rotation: Endovascular Simulation (Tahoma 3)(Tahoma Lobby) All faculty
11:00 a.m. Hands-On Rotation: Endovascular Simulation (Tahoma 3)(Tahoma Lobby) All faculty
11:45 a.m. Lunch Break
Practice Management Session Moderator: Dr. Tang
12:30 p.m. Finding the “Perfect Job” If It Exists: My Experience and Lessons I Learned Dr. Nathan
12:40 p.m. Identifying Research Possibilities in Your Practice Dr. Tang
12:50 p.m. Billing and Coding in Practice: What Do I Need to Know and What Are My Resources? Dr. Roddy
1:00 p.m. Panel Discussion Drs. Nathan, Roddy and Tang
Management of Aortic Pathologies Moderator: Dr. Starnes
1:10 p.m. Endovascular Management of Acute Type B Aortic Dissection: When to Intervene Dr. Schanzer
1:15 p.m. Endovascular Management of Chronic Type B Aortic Dissections: When to Intervene Dr. Starnes
1:20 p.m. Management of Branch Vessel Occlusions and Lower Extremity Ischemia Associated with Aortic Dissection Dr. Zhang
1:25 p.m. Optimal Medical Management of Type B Dissections: What Is It and Have There Been Any Advances in This Modality? Dr. Rigberg
1:30 p.m. When and How to Incorporate Adjunctive Proximal Sealing Technology Such as Endoanchors Dr. Jim
1:35 p.m. How I Do It Step by Step: EVAR for rAAA Dr. Tran
1:40 p.m. How I Do It Step by Step: TEVAR for Traumatic Aortic Dissection Dr. Quiroga
1:45 p.m. How I Do It Step by Step: FEVAR Dr. Starnes
1:50 a.m. Panel Discussion Drs. Jim, Quiroga, Rigberg, Schanzer, Shalhub, Tran and Zhang
2:00-3:00 p.m. Case Reviews: What Would You Do? Moderator: Dr. Jim
3:00 p.m. Refreshment Break
3:15 p.m. Hands-On Rotation: Endovascular Simulation (Tahoma 3)(Tahoma Lobby) All faculty
4:00 p.m. Hands-On Rotation: Endovascular Simulation (Tahoma 3)(Tahoma Lobby) All faculty
4:55 p.m. Conclusion and Course Evaluation Dr. Tran