Program 2019

2019 Scientific Program

Thursday, May 23, 2019

7:35 a.m. – 5:00 p.m. Simulation Summit for Vascular Trainees
5:00 p.m. – 6:30 p.m. Welcome Reception and Visit Exhibits
5:30 p.m. – 6:30 p.m. Resident Competition: Suturing

Friday, May 24, 2019

7:00 a.m. Continental Breakfast and Visit Exhibits
7:00 a.m. Industry Morning Session (Non-CME)
7:00 a.m. Abstract Poster Presentations
7:55 a.m. Welcoming Remarks Niten Singh, MD

Session I: Aortic – Modern Management

Moderators: Andres Schanzer, MD and Benjamin Starnes, MD
8:00 a.m. Fenestrated EVAR (FEVAR) is the Best Treatment for Juxtarenal Aneurysms but There are Limitations Tom Forbes, MD
8:10 a.m. Where Are We Headed with FEVAR? Are We Better at Adopting This Technology Now? Andres Schanzer, MD
8:20 a.m. We Had to Learn How to Plan for EVAR and Planning for FEVAR is Not That Hard: Tips for Success Benjamin Starnes, MD
8:30 a.m. Large Diameter Aneurysms Do Not Do As Well, And It Is All About The Seal Venita Chandra, MD
8:40 a.m. EVAR Technology: Engineering And Historical Perspectives. Have We Made Significant Progress? David Deaton, MD
8:45 a.m. Iliac Branch Device: Should We Now Be Adopting This Modality For All Anatomically Eligible Patients? Darren Schneider, MD
8:50 a.m. Endoanchors In Your Practice: When Should This Technology Be Utilized? Jeffrey Jim, MD
9:00 a.m. Recognizing Genetically Triggered Aortopathy In Your Practice And The Implications It May Have Sherene Shalhub, MD
9:10 a.m. Utilizing TEVAR to Convert TAAA to a More Manageable Situation: How I Do It. Mark Conrad, MD
9:20 a.m. What Are The Characteristics of TAAA Patients That Make Endovascular Options More Formidable? Matthew Sweet, MD
9:30 a.m. Risk Scores for Ruptured AAA: Are They Practical? Matt Mell, MD
9:40 a.m. Implications Of The European Guidelines On Aortic Practice Anders Wanhainen, MD
9:50 a.m. Panel Discussion and Audience Questions
10:00 a.m. Refreshment Break and Visit Exhibits
10:30 a.m. – 12:00 p.m. Concurrent Focus Session: Vascular Nursing Moderators: Elina Quiroga, M.D. and Brenda Allen-Kline, MN, ARNP, NP-C

Session II: Lower Extremity

Moderators: Chris Abularrage, MD and Niten Singh, MD
10:30 a.m. Emerging Technology: So Much Is Available, How Do You Incorporate It In Your Practice And With Cost Constraints? John Laird, MD
10:40 a.m. Tibial Artery Interventions: What Is On The Horizon? John Rundback, MD
10:50 a.m. What Is The Best Predictor of Wound Healing? Angiosomes, WIFI Classification, Etc. Chris Abularrage, MD
11:00 a.m. Drug Technology in Peripheral Interventions (DCB/DES) Has Proven Benefits and Changed the Way We Treat Patients John Laird, MD
11:10 a.m. What is the Purported Risk of Drug Technology (Paclitaxel) and How Should it Affect the Way We Treat Patients? Peter Schneider, MD
11:20 a.m. Current Status of Endovascular Options for Acute Limb Ischemia: Are we Reaching a Point Where it Should be the First Option? Patrick Muck, MD
11:30 a.m. Bioresorbable Stents: Is This A Technology Worth Further Investigation in the Lower Extremity? Brian DeRubertis, MD
11:40 a.m. Medical Management of PAD: What Do You Need To Know? Matthew Menard, MD
11:50 a.m. Panel Discussion and Audience Questions
12:00 p.m. Lunch and Visit Exhibits
12:00 p.m. Resident Competition: EVAR Planning
12:15 p.m. Industry Lunch Session (Non-CME)

Session III: Venous

Moderators: Mark Meissner, MD and Cynthia Shortell, MD
1:15 p.m. Current Status of New Venous Stents: What is On the Horizon? Bill Marston, MD
1:25 p.m. Can a DVT be Cleared in a Single Session With the Current Devices Available? Patrick Muck, MD
1:35 p.m. ECMO in the Treatment of PE: Does it Work and What do We Need to Know? Sundeep Guliani, MD
1:45 p.m. Debate: Pelvic Venous Disorders – Nutcracker Syndrome: My Technique and Why it Works Cynthia Shortell, MD
1:55 p.m. Debate: Nutcracker Syndrome: I Do it Differently and I Believe My Technique is Better! Mark Meissner, MD
2:05 p.m. Anticoagulation After Venous Interventions for May-Thurner: What is the Optimal Method? David Rigberg, MD
2:15 p.m. Imaging the Pelvic Venous System: Tips and Tricks that Make a Difference! Mark Meissner, MD
2:25 p.m. Superficial Venous Ablation: How to be Efficient With the Current Technology Available John Rollo, MD
2:35 p.m. Panel Discussion and Audience Questions
2:35 p.m. – 4:05 p.m. Concurrent Focus Session: Limb Preservation and Wound Care Moderator: Joseph Fiorito, DPM

Session IV: Physician Practice

Moderators: Ben Brooke, MD and Brian Matteson, MD
2:45 p.m. Implementing the WIfI Scoring System In Your Practice: It Will Improve Your Ability To Care For Patients With CLI William Robinson, MD
2:55 p.m. What is the Actual Cost of Treating Patients With PAD? Phil Goodney MD
3:05 p.m. Cognitive Effects After Carotid Intervention: Can Patients Actually Have Improved Function? Wei Zhou, MD
3:15 p.m. Stress Testing on Our Patients: What Does the Data Say? David Stone, MD
3:25 p.m. Update on Coding/Legislation Francesco Aiello, MD
3:35 p.m. Clinical Decision Making in Vascular Surgery When Caring for Frail and Vulnerable Adults: Is it Ethical to Not Offer Them an Operation? Ben Brooke, MD
3:45 p.m. One or Two Stage Basilic Vein Transpositions: What Does The Data Say? Tze-Woei Tan, MD
3:55 p.m. Panel Discussion and Audience Questions
4:05 p.m. Refreshment Break and Visit Exhibits
4:35 p.m. – 6:05 p.m. Concurrent Focus Session: Vascular Ultrasound


Moderators: Susanna Shin, M.D. and Molly Zaccardi, MHA, RVT

Session V: Technical Pearls and Debate

Moderators: Andres Schanzer, MD and Cynthia Shortell, MD
4:35 p.m. My Technique for CLI – Distal Bypass Vince Rowe, MD
4:45 p.m. My Technique For CLI – Multiple Tibial Vessel Revascularization Venita Chandra, MD
4:55 p.m. Popliteal Aneurysm Repair: We Need to Transition to Endovascular Repair Peter Rossi, MD
5:05 p.m. Not So Fast: Endovascular Repair Has a Long Way to Go to Replicate the Open Results! Patrick Muck, MD
5:15 p.m. How I Fix a Juxtarenal Aneurysm: Retroperitoneal Approach Clem Darling, MD
5:25 p.m. How I Fix a Juxtarenal Aneurysm: FEVAR Benjamin Starnes, MD
5:35 p.m. Resident Competition: “The $10,000 Pyramid”
6:15 p.m. Closing Talk:  Did I Learn Anything in 28 Years of Vascular Practice?  Peter Schneider, MD
6:25 p.m. Adjourn
7:00 p.m. – 9:00 p.m. Closing Dinner and Resident Competition Award Presentation

Friday, May 24, 2019

10:30 a.m. – 12:00 p.m. Concurrent Focus Session: Vascular Nursing Moderators: Ms. Allen-Kline and Dr. Quiroga
10:30 a.m. Vascular Ultrasound: What to Order and Why Jodi Wise, RRT
10:40 a.m. Medically Optimizing the Vascular Patient Edie Shen, MD
10:50 a.m. Treatment of the  Dialysis Patient Susana Shin, MD
11:00 a.m. Women and Vascular Disease Elina Quiroga, MD
11:10 a.m. Genetics and Vascular Surgery: What You Need to Know Sherene Shalhub, MD
11:20 a.m. Geriatrics: What Are Best Practices for Our Elderly Patients
11:30 a.m. Swollen Leg: How to Triage a Common Clinic Sarah Whitehead, MN, ARNP
11:40 a.m. Limb Preservation Mark Goetcheus, CWCN, RN
11:50 a.m. Panel Discussion
12:00 p.m. Adjourn

Friday, May 24, 2019

2:35 p.m. – 4:05 p.m. Concurrent Focus Session: Limb Preservation and Wound Care Moderator: Joseph Fiorito, DPM
2:35 p.m. Current Consensus: Efficacy of HBO and Diabetic Foot Ulcers Nilufer Norsworthy, MD
2:45 p.m. A Life in the Practice of Limb Preservation: Key Essentials to Success Charles Andersen, MD
2:55 p.m. Limb Preservation: Ways to Incorporate Clinical Research into Your Practice William Marston, MD
3:05 p.m. Toe Be or Not Toe Be: A 5-year Perspective on Efficacy of Toe Amputations vs. Transmetarsal Amputations Joseph Fiorito, DPM
3:15 p.m. Now or Later? How to Decide on the Urgency of Surgery in a High-Risk Limb Sara Mahmood, DPM
3:25 p.m. Keeping the Fire and the Power of an LPS Team Robert McLafferty, MD
3:35 p.m. Why Stage Your Limb Preservation Surgeries? Mario Ponticello, MD
3:45 p.m. Case Presentations Joseph Fiorito, DPM
3:55 p.m. Key Components to Establishing a Successful Inpatient Wound Care Team Mark Goetcheus, RN, CWCN

Friday May 24, 2019

4:35 p.m. – 6:05 p.m. Concurrent Focus Session: Vascular Ultrasound Moderators: Susanna Shin, MD, Gene Zierler, MD and Molly Zaccardi, MHA, RVT
4:35 p.m. Welcome Remarks Susanna Shin, MD and Molly Zaccardi, MHA, RVT
4:40 p.m. Criteria for Surveillance After Stenting Ankur Shukla, MD
4:55 p.m. Two EVAR Case Presentations

  • Type 3 Enodoleak
  • Type 2 Enodleak
Becky Holesapple, RVT

Bethany Cookro, RVT

5:05 p.m. EVAR Surveillance Susanna Shin, MD
5:20 p.m. Two Stent Case Presentations

Bonnie Brown, RVT

Janelle Barnes, RVT

5:30 p.m. Special Considerations in HD Access Warren Chow, MD
5:45 p.m. Two Dialysis Access Case Presentations

Mariah Elliott, RVT

Watson Smith, RVT

5:55 p.m. Questions Panel

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, May 23, 2019, the day prior to PNEC.

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Thursday, May 23, 2019

6:30 a.m. – 6:30 p.m. Registration
7:00 a.m. Continental Breakfast
7:35 a.m. Introduction and Overview Drs. Singh and Tran

Modern Management of PAD and CLI

Moderators: Drs. Chandra and Malka
7:40 a.m. Endovascular Treatment versus Open Surgical Bypass: What is the “Best” Revascularization Option? Dr. Menard
7:45 a.m. Atherectomy: Laser and Mechanical Devices and Incorporating These Modalities in Practice Dr. Armstrong
7:50 a.m. Drug-Coated Balloons (DCBs): Mechanism of Action and Current Results Dr. Hicks
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. Armstrong, Chandra, Hicks, Menard and Muck 
8:15 a.m. Case Reviews: What Would You Do? Moderators: Drs. Chandra and Malka

Panel: Drs. Armstrong, Hicks, Menard and Muck 

Venous and Wounds

Moderators: Drs. Marston and Recht
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. Rollo
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. Recht
9:25 a.m. Panel Discussion Drs. Marston, McLafferty, Muck and Rollo
9:35 a.m. Case Reviews: What Would You Do? Moderator: Dr. Marston

Panel: Drs. McLafferty, Muck, Recht and Rollo

10:00 a.m. Refreshment Break
10:15 a.m. Hands-On Rotation: Endovascular Simulation All Faculty
11:45 a.m. Lunch Break

Practice Management Session

Moderators: Drs. Chow and Tang
12:30 p.m. Lessons I am learning in my first year of practice Dr. Malka
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. Aiello
1:00 p.m. Panel Discussion Drs. Aiello, Malka and Tang

Management of Aortic Pathologies

Moderators: Drs. Rigberg and Shalhub
1:10 p.m. Endovascular Management of Acute Type B Aortic Dissection: When to Intervene Dr. Shalhub
1:15 p.m. Endovascular Management of Chronic Type B Aortic Dissections: When to Intervene Dr. Nathan
1:20 p.m. Management of Branch Vessel Occlusions and Lower Extremity Ischemia Associated With Aortic Dissection Dr. Wohlauer
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. Quiroga
1:40 p.m. How I Choose My Endograft for TEVAR Dr. Kansal
1:45 p.m. Panel Discussion Drs. Jim, Kansal, Nathan, Quiroga and Wohlauer
2:00 p.m. Case Reviews: What Would You Do? Moderators: Drs. Jim and Malka

Panel: Drs. Kansal, Nathan, Quiroga, Rigberg, Shalhub and  Wohlauer

3:00 p.m. Refreshment Break
3:15 p.m. Hands-On Rotation Simulator All Faculty
4:55 p.m. Conclusion and Course Evaluation Dr. Tran
5:00 p.m. – 6:30 p.m. Welcome Reception and Visit Exhibits

PNEC International Oral Abstract Presentation Session


Thursday, May 23, 2019

Lectures are 8 minutes long with a 2-minute buffer.

1:00 p.m. Introduction and Overview Dr. Zhang
Oral Abstract Presentations Moderators: Drs. Wanhainen and Zhang
1:10 p.m. Highlighting the Importance of Uterine and Ovarian Artery Variant Anatomy During Uterine Fibroid Embolization Syed Faraz Rizvi
1:20 p.m. Best Practices for Curating, Delivering and Managing Clinical Information for Future Access
by Medical Communication Teams – Stage 1 of 2.
Victoria Hansicker Sanko
1:30 p.m.  “Clot in Transit” Percutaneous or Surgical Approach? Ebrahim Sabbagh, DO
1:40 p.m. Comparison of Transradial vs. Traditional Approach in Percutaneous Mechanical Thrombectomy of Arteriovenous Hemodialysis Graft Neginder Saini
1:50 p.m. Endovascular Management of Anatomically Hostile Carotid Lesions with Direct  Arterial Access and Flow Reversal Carlos Donayre
2:00 p.m. Outcomes of Total Aortoilac Reconstruction with Kissing Self-Expanding Covered Stents in Chinese Population  Chenyang Shen
2:10 p.m. Endovascular Repair of Penetrating Artheosclerotic Aortic Ulcer of the Descending Thoracic Aorta with Associated Intramural Hematoma Jessielyn Sia
2:20 p.m. Short-term Outcomes of In-situ Laser Fenestration during TEVAR and Analysis of its Complications Chong Li
2:30 p.m. Paclitaxel-Coated Balloons for Long and Occlusive Femoropopliteal Artery Disease 1-Year Results Xin Zhang
2:40 p.m. Treatment for Aortic Arch Diseases with Three Fenestrated Stent Graft of In-situ Fenestration and Pre-Fenestration. Zhao Liu
2:50 p.m. 3D Printing and Customized Pre-fenestration and Branched Stent Graft for the Treatment for Thoracoabdominal Aortic Diseases. Zhao Liu
3:00 p.m. Fan’s Classification of Aortic Arch and its Effect on Thoracic Endovascular Aortic Repair. Weidong Fan
3:10 p.m. Intravenous Lymphatic Cyst in Inferior Vena Cava – A Rare Casue of Budd-Chiari Syndrome. Weihao Li
3:20 p.m. Panel Discussion Drs. Conrad, Darling, Deaton, Forbes, Matteson, Menard, D. Schneider, Singh and Starnes
3:30 p.m. Adjourn