2008 Annual Meeting

2008 Annual Scientific Program and Abstracts

THURSDAY, SEPTEMBER 11, 2008

1:00 P.M. – 3:00 P.M.
SESSION I

1. Educational Challenges for Vascular Surgery Training Programs: An Initial Proposal for a Skills Module-based Open Vascular and Endovascular Surgical Skills Curriculum
Mark A. Mattos, MD, Ken Granke, MD, Jeffrey R. Rubin, MD, Phillip J. Bendick, Ph.D., Harvey Groehn, RVT and O. William Brown, MD
From: Dept. of Surgery, Div. of Vascular Surgery, Wayne State University School of Medicine; Detroit, MI, Detroit Medical Center, Noninvasive Vascular Laboratory, William Beaumont Hospital, Royal Oak, MI

2. Outcome of Critical Limb Ischemia Managed with Directional Percutaneous Atherectomy
Timothy J. Nypaver, MD, Stavros K. Kakkos, MD, , Daniel J. Reddy, MD, Mitchell R. Weaver, MD, Judith C. Lin, MD, Alexander D. Shepard, MD and Georges K. Haddad, MD.
From: Division of Vascular Surgery, Department of Surgery, Henry Ford Hospital, Detroit, MI, USA

3. Revisiting Bovine Carotid Artery Grafts for Dialysis Access - Early and Mid Term Results of a Comparative Analysis Using PTFE and Bovine Carotid Artery Conduits
Raghunandan L. Motaganahalli, MD, James R. Mark, Pawel T. Dyk, Melissa Grammer and Paul G. Garvin, MD
From: Vascular Surgery, St Louis Univ Hospital, St Louis, MO

4. Long-Term Complication and Patency Rates of Vectra and IMPRA Carboflo Vascular Access Grafts with Aggressive Monitoring, Surveillance and Endovascular Management
Dimitrios Topalidis, MD, Stavros K. Kakkos, MD, Roger Haddad, MD and Georges K. Haddad, MD
From: Surgery, Division of Vascular Surgery, Henry Ford Hospital, Detroit, MI

5. Quantification of Reduced Power Output During Ambulation for Affected and Non-affected Limbs in Patients with Unilateral Claudication
Jason M. Johanning, MD, Iraklis I. Pipinos, MD, Rolando Celis, MD, Sara A. Myers, Panos Koutakis and Nicholas Stergiou, PhD
From: Department of Surgery, University of Nebraska, Omaha, NE

6. Peripheral Arterial Waveform Descriptors: Absent, Vague, and Contradictory
Anthony J. Comerota, MD and Robert P. Scissons, RVT
From: Jobst Vascular Center, The Toledo Hospital, Toledo, OH

7. Functional Popliteal Artery Entrapment Syndrome (FPAES); A Poorly Understood and Often Missed Diagnosis Frequently Mistreated
William D. Turnipseed, MD
From: Vascular Surgery, UW Medical School, Madison, WI

8. Office Based Vascular Procedures are Safe and Effective
Mark Rummel, MD, Krishna Jain, MD, John Munn, MD, Sarat Vaddineni, MD, Tammy Klemens, RN and Shikha Jain, MD
From: Advanced Vascular Surgery, Kalamazoo, MI and Michigan State University, East Lansing, MI

3:00 P.M. – 6:00 P.M.
NEW HORIZONS IN ENDOVASCULAR SURGERY

Session I - Procedures Performed in an Office Setting

Office-Based Vascular Lab: Is It Worth the Effort?
M. Ashraf Mansour, MD
MMPC Vascular Surgery
Grand Rapids, MI

Update on Venous Procedures Performed
in the Office Setting
Sandra C. Carr, MD
Wisconsin Heart Cardiac and Vascular Specialists
Madison, WI

Dialysis Access Procedures Performed in the
Office Setting
Georges K. Haddad, MD
Henry Ford Hospital
Detroit, MI

Billing and Reimbursement for Procedures
in the Office Setting
Gary R. Seabrook, MD
Medical College of Wisconsin
Milwaukee, WI

Office Procedures and the Law
O. William Brown, MD
William H. Beaumont Hospital
Detroit, MI

FRIDAY, SEPTEMBER 12, 2008

8:00 A.M. – 9:45 A.M.
SESSION II

9. Thrombolytic Therapy Using Low-to-intermediate rt-PA Dose Regimen: Safety Profile and Predictors of Procedural Success and Delayed Patency
Rachel M. Nicholson, MD, Mel J. Sharafuddin, Timothy F. Kresowik, MD, William J. Sharp, MD and Jamal J. Hoballah, MD
From: Surgery, University of Iowa College of Medicine, Iowa City, IA

10. Factors Associated with Long Term Survival after EVAR in Octogenarians: Single Institution Experience
Yevgeniy Rits, MD, Gustavo S. Oderich, MD, David Slovut, MD and Michael J. Bacharach, MD
From: North Central Heart Institute, Sioux Falls, SD, Rochester, MN and Salem, MA

11. Endovascular Infrainguinal Interventions With Embolic Protection Device - Who Requires It?
Raghunandan L. Motaganahalli, MD, Donald L. Jacobs, MD, Brian G. Peterson, MD, Murtuazza Habeeb, MD, Catherine M. Wittgen, MD and Gary J. Peterson, MD
From: Vascular Surgery, St Louis Univ Hospital, St Louis, MO

12. Increased Original Excluder Component Overlap Not Correlated With Aneurysm Sac Shrinkage
Gale L. Tang, MD, Mark F. Fillinger, MD and Jon S. Matsumura, MD
From: Division of Vascular Surgery, Northwestern University, Chicago, IL and Lebanon, NH

13. Results of a Community Screening Program Reveal the Prevalence of Undiagnosed Peripheral Arterial Disease
Robert G. Molnar, MD, Edward Kang, MD, Joanne Drago, Ann Inskeep, Brenda Buckle, Joan Brown, David B. Wilson, MD, Russell W. Becker D.O. and Carlo A. Dall’Olmo, MD
From: Michigan Vascular Center, Flint, MI and McLaren Regional Medical Center,
Flint, MI

14. Coagulopathy Associated with Thoracoabdominal Aneurysms Treated with Endovascular Devices
Tara M. Mastracci, MD, Roy K. Greenberg, MD, Theodore Marks, MD, Katherine Pfaff and Catherine Morales
From: Vascular Surgery, Cleveland Clinic Foundation, Cleveland, OH

15. Contemporary Analysis of Incidentally Diagnosed Renal Artery Aneurysms: Observation versus Surgical Repair
Adnan Z. Rizvi, MD, Audra A. Duncan, MD, Manju Kalra, MD, Gustavo S. Oderich, MD, Joseph J. Ricotta, MD, Thomas C. Bower, MD, Stephen S. Cha and Peter Gloviczki, MD
From: Vascular and Endovascular Surgery, Mayo Clinic, Rochester, MN

10:15 A.M. - NOON
SESSION III

16. A Modern Theory of Paraplegia in the Treatment of Thoracoabdominal Aortic Aneurysms (and Why We Are on the Verge of Missing the Point Again)
Charles W. Acher, MD, Martha M. Wynn, MD, Matthew W. Mell, MD, Girma Tefera, MD and John R. Hoch, MD
From: Surgery, University of Wisconsin, Madison, WI

17. 2008 D. EMERICK SZILAGYI AWARD
Endovascular Graft Migration: Aortic Cuffs are not Always the Answer
Bradley G. Thomas, MD, Patrick J. Geraghty, MD, Brian G. Rubin, MD, M. Wayne Flye, MD, Gregorio A. Sicard, MD, W. Charles Sternberg, III, MD, Samuel R. Money, MD and Luis A. Sanchez, MD
From: Vascular Surgery, Washington University, Saint Louis, MO

18. 2008 CHARLES C. GUTHRIE AWARD
Effect of Positional Changes across Joints on In Vivo Graft Blood Flow Using Implanted Sensors
John C. Wang, MD, John Blebea, MD, Rashad Choudry, Michael Salvatore, Vittorio Rotella, MD, Tom Chilipka and David Vilkomerson, PhD
From: Vascular Surgery, Temple University Hospital, Philadelphia, PA and Princeton, NJ

11:00 A.M. - NOON PRESIDENTIAL ADDRESS
The Janus Chronicles
Brian G. Rubin, M.D.
Introduced by: Gary R. Seabrook, M.D.

1:30 P.M. – 2:00 P.M.
RAPID FIRE SESSION I

RF1 An Illustrative Account of Vascular Injuries Encountered During Lumbar Disk Surgery
Ramyar Gilani, MD, Anthony Rizzo, MD and George Anton, MD
From: Vascular Surgery, Cleveland Clinic Foundation, Cleveland, OH

RF2 Clostridium septicum Aortitis: Report of Two Cases and Review of the Literature
Christopher W. Seder, MD, Michael Kramer, Graham Long, MD, Maciej R. Uzieblo, MD, Charles J. Shanley, MD and Paul Bove, MD
From: Surgery, William Beaumont Hospitals, Royal Oak, MI

RF3 An Unusual Presentation of an Epitheliod Hemangioma Arising from an Arteriovenous Malformation of the Brachial Artery
Daniel Johnston, MD and Daniel Reddy, MD
From: Vascular Surgery, Henry Ford Hospital, Detroit, MI

RF4 Management of Aberrant Subclavian Artery Complications
B. Seth DeCamp, MD, M. Ashraf Mansour, MD and Jill M. Gorsuch, MD
From: Vascular Surgery, GRMERC-MSU, Grand Rapids, MI

RF5 Full Metal Thorax: Endovascular and Endobronchial Management of Main stem Bronchial Compression by Thoracic Aortic Aneurysm
Amy B. Reed, MD and Michael F. Reed, MD
From: Surgery, University of Cincinnati Medical Center, Cincinnati, OH

2:00 P.M. – 6:00 P.M.
NEW HORIZONS IN ENDOVASCULAR SURGERY

Session II – Endovascular Aneurysm Repair

Optimal Imaging Evaluation for AAA
Girma Tefera, MD
University of Wisconsin
Madison, WI

Femoral Arterial Access Management for EVAR: Evolution and Outcome
Shoaib Shafique, MD
University Vascular Surgery
Indianapolis, IN

Update on EVAR for the Treatment of Ruptured AAA
Mark D. Morasch, MD
The Feinberg School of Medicine
Northwestern University
Chicago, IL

Debranching versus Fenestrated EVAR – What to do?
Luis A. Sanchez, MD
Washington University School of Medicine
St. Louis, MO

Third and Fourth Generation Endografts –
What’s Coming Down the Pike?
Audra A. Duncan, MD
Mayo Clinic
Rochester, MN

EVAR versus Open Repair...Why and Why Not?
Gilbert R. Upchurch, Jr., MD
The University of Michigan Health System
Ann Arbor, MI

NEW HORIZONS IN ENDOVASCULAR SURGERY

Session III – Update on Dialysis Access

K/DOQI and Fistula First – Update for Dialysis Access
Timothy P. O'Connor, MD
RenalCare Associates
Peoria, IL

Management of Central Venous Stenosis
Colleen M. Johnson, MD
Southern Illinois University School of Medicine
Springfield, IL

Options and Outcome of Steal Syndrome
Gary Lemmon, MD
Good Samaritan Hospital
Dayton, OH

Tricks to Enhance Fistula Maturation and Prevent Failure
Robert B. McLafferty, MD
Southern IL University School of Medicine
Springfield, IL

New Technologies in Dialysis Access
Judith Lin, MD
Henry Ford Hospital
Detroit, MI

SATURDAY, SEPTEMBER 13, 2008

8:00 A.M. - 9:15 A.M.
SESSION IV

19. Prospective Evaluation Of 219 Consecutive Carotid Endarterectomies Performed In High-risk Patients
Sachinder S. Hans, MD, Debbie DeSantis, RN and Olan Jareunpoon, MD
From: Vascular Surgery, Henry Ford Macomb Hospital, Clinton Twp., MI

20. Open Surgical and Endovascular Revascularization for Mesenteric Arteritis
Yevgeniy Rits, MD, Gustavo S. Oderich, MD, Thomas C. Bower, MD, Joseph J. Ricotta II, MD, Audra A. Duncan, MD, Manju Kalra, MBBS and Peter Gloviczki, MD
From: Vascular Center, Division of Vascular and Endovascular Surgery, Mayo Clinic, Rochester, MN

21. Internal Carotid Stenosis B-Mode Ultrasound Gray Scale Median (GSM) Analysis: Relationship to Symptoms and Age
Jateen Prema, MD, John G. Carson, MD, Wael E. Shaalan, MD, Mary Beth Loretto RVT and Hisham S. Bassiouny, MD
From: Surgery, University of Chicago, Chicago, IL

22. Assessment of the Duplex Ultrasound Criteria for Renal Artery Stenosis
Yin Ping Liew, MD, Brett Butler, MD, Alaa Alahmad, MD, Tingfei Hu, Linda M. Graham, MD and Teresa L. Carman, MD,
From: Cleveland Clinic and University Hospital Case Medical Center, Cleveland, OH

23. Management of Spontaneous Carotid Dissections
M. A. Mansour, MD, Robert F. Cuff, MD, Jill M. Gorsuch, MD, Peter Y. Wong, MD and Robert F. Cali, MD
From: Vascular Surgery, Spectrum Health, Grand Rapids, MI

9:15 A.M. – 10:00 A.M.
HONORED GUEST LECTURE

Recalibrating the Risk of Infection in the Operating Room Environment: What Can We Learn from Molecular Epidemiology?
Charles E. Edmiston, Jr., Ph.D., M.S., C.I.C.
Professor of Surgery
Division of Vascular Surgery – Medical College of Wisconsin
Hospital Epidemiologist - Froedtert Hospital, Milwaukee, WI

10:30 AM-NOON
NEW HORIZONS IN ENDOVASCULAR SURGERY

The Changing Landscape of Vascular Surgery Education

Creation of the 0 – 5 Vascular Residency Program
Amy B. Reed, MD
University of Cincinnati
Cincinnati, OH

The Role of Vascular Medicine in Vascular Surgery
Thom Rooke, MD
Gonda Vascular Center
Rochester, MN

Maintenance of Certification Review
Donald L. Jacobs, MD
St. Louis University
St. Louis, MO

12:00 Noon – 12:30 P.M.
RAPID FIRE SESSION II

RF6 Retrograde Coil Embolization Of Previously Excluded, Expanding Internal Iliac Artery Aneurysm - Hybrid Technique Using Gluteal Artery Access.
Raghunandan L. Motaganahalli, MD, Scott G. Westfall, MD, Richard C. Pennell, MD, Vito A. Mantese, MD and Ketan Desai, MD
From: Vascular Surgery, St. Louis Univ. Hospital, St Louis, MO, and St. Johns Mercy Medical Center, MO

RF7 Endovascular Repair of an Abdominal Aortic Mycotic Aneurysm
Richard C. Hershberger, MD, Giavonni Lewis, MD and Bernadette Aulivola, MD
From: Vascular Surgery, Loyola University Medical Center, Maywood, IL

RF8 Removal Of Occluded Superficial Femoral Artery Stents And Reestablishing Native Artery Patency: Salvage In The Endovascular Era
Woosup M. Park, MD
From: Iowa Vascular Institute, West Des Moines, IA

RF9 The Endovascular Treatment of a Superior Mesenteric Artery Embolism in a Jehovah’s Witness
Christopher W. Seder, MD, Michael Kramer, Graham Long, MD, Maciej R. Uzieblo, Charles J. Shanley, MD and Paul Bove, MD
From: Surgery, William Beaumont Hospitals, Royal Oak, MI

RF10 Community Hospital Experience with Carotid Stenting
Greg Schultz, MD, Pat Kelly, MD, Richard W. Lee, MD, Mary Ann Sherman PA-C and Dawn Pistulka, RN
From: Sanford Clinic- Vascular Associates, Sioux Falls, SD

12:30 P.M ADJOURN