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Diabetic Foot & Limb SalvageDiabetic Foot & Limb Salvage
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Welcome Message
Dear Friends and Colleagues,
Yours sincerely
Prof. Dr. Ahmed Taha
Ahmed TahaChairman of the Conference
On behalf of the Conference board, it is my great pleasure to welcome you to the 4th Annual Meeting of The Egyptian Academy of Diabetic foot & Limb Salvage ( the EADLS Meeting ).
The Conference has been designed to provide an innovative and comprehensive overview of the latest developments in diabetic foot care and limb salvage. New Trends in Research Diagnosis and Treatment will be highlighted.
Many distinguished professors and scientists have joined the faculty and will take part in this 4th edition of the Conference.
The scientific program is designed to include keynote lectures as well as short presentations. Updates in The International Guidelines of Diabetic foot and Limb salvage will be highlighted and many issues of debate will be thoroughly discussed.
Two Sessions are dedicated for challenging case presentation and Four workshops with superb technical tips and tricks will end this conference.
We hope that you will enjoy the Conference and that your interaction with your colleagues from different specialities and many different countries will stimulate a creative exchange of ideas and will be personally rewarding. We also hope and trust that you will enjoy your visit to Cairo, the Capital of our Beloved Egypt , in December 2016.
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Welcome Message
Dear Friends and Colleagues,
Yours sincerely
Prof. Dr. Rashad Bishara
Rashad BisharaCo-Chairman of the Conference
Diabetic foot patients take an increasingly important role in the practice of the
vascular surgeon, as a result of the continuous increase in the prevalence of
diabetes and its complications. In this conference, we made the effort to cover
all the aspects of diagnosis and management of diabetic foot patients.
In this 4th edition of the conference, the program is enriched by keynote
lectures given by well recognized speakers, multiple debates of controversial
topics, and four workshops. This year we have the pleasure of the participation
of many leaders in the field from neighboring countries.
It is a great pleasure to welcome you to the conference. We sincerely hope the
meeting will add to your knowledge and positively impact your daily practice.
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Name Title Abdel Kader Kotb Professor of Vascular Surgery, Kasr El-AinyAhmed Saad El-Din Professor of Vascular Surgery, Ain Shams UniversityAhmed Taha Professor of Vascular Surgery- Kasr El- Ainy Chairman of Vascular Surgery & Diabetic Foot , The National Institute of Diabetes. Alaa A. Marzouk Professor of Vascular Surgery , Vice President Beni Sweif UniversityAlaa El-Erian Consultant General & Endocrine Surgeon- NIDEAlaa Mubarak Professor of Vascular Surgery, Assuit UniversityAlaa Sharaby Professor of Vascular Surgery, Al-Azhar University Ali Mourad Professor of Vascular Surgery, Military AcademyAli Sabbour Chairman of Vascular Surgery, Ain Shams UniversityAmr A. Gad Professor of Vascular Surgery- Kasr El AinyAmr Abdel-Baky Professor of Vascular Surgery- Kasr El AinyAshraf Hedayet Professor of Vascular Surgery- Kasr El AinyAtef Allam Professor of Vascular Surgery, Al-Azhar UniversityAyman Fakhry Professor of Vascular Surgery, Military AcademyBahgat Thabet Professor of Vascular Surgery, Assuit UniversityEngy Hefnawy Professor of Vascular Surgery, Kasr El-Ainy. Esam El-Kady Professor of Vascular Surgery, Military AcademyHanan Gawish Professor of Internal Medicine and Daibetology , Mansoura UniversityHassan Abdel-Atty Chairman of Vascular Surgery, Tanta UniversityHassan Bakr Professor of Vascular Surgery, Assuit UniversityHassan Soliman Chairman of Vascular Surgery, Kasr El-AinyHisham Bassiouny Consultant of Vascular Surgery,Dar El-Foad HospitalHisham Nabil Professor of Vascular Surgery, Kasr El-AinyHisham Sharaf El-Din Professor of Vascular Surgery, Mansoura UniversityHisham Sharkawy Professor of Vascular Surgery, Kasr El-AinyHosam Tawfik Professor of Vascular Surgery, Zagazig UniversityHussein Kamal El-Din Professor of Vascular Surgery, Kasr El-AinyHussein Khairy Professor of Vascular Surgery, Kasr El-Ainy - President of the Egyptian Medical SyndicateEhab Saad Professor of Vascular Surgery, Mansoura University Khalid Al-Hindawy Professor of Vascular Surgery- Kasr El AinyKhalid El-Kaffas Professor of Radiology , Kasr El-AinyMagdy Haggag Professor of Vascular Surgery, Kasr El-AinyMaged El-Deeb Professor of Vascular Surgery- Ain Shams UniversityMahmoud Sobhy Professor of Vascular Surgery, Ain Shams UniversityMamdouh Kotb Professor of Vascular Surgery, Alexandria UniversityMohamed Abdo Aii El-Din Professor of Vascular Surgery, Kasr El-AinyMohamed El-Batanouny Professor of Vascular Surgery- Kasr El AinyMohamed Hosny Professor of Vascular Surgery- Kasr El Ainy
The Conference Faculty
Chairmen ListAlphabetical Order
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Mohamed El-Maadawy Professor of Vascular Surgery- Kasr El AinyMohamed Omar El-Farouk Consultant vascular surgeon- El Sahel teaching hospital- GOTHI.Mohamed Salem Professor of Vascular Surgery, Alexandria UniversityMohammed Sharkawy Professor of Vascular Surgery, Kasr El-Ainy.Mosaad Soliman Professor of Vascular Surgery, Mansoura University Mostafa Soliman Professor of Vascular Surgery, Ain Shams UniversityMourad El-Kholy Consultant Surgeon, NIDENabil El-Mehairy Professor of Vascular Surgery, Ain Shams UniversityNaser El-Saeed Professor of Vascular Surgery, Military Academy.Omar El-Kashef Professor of Vascular Surgery, Kasr El-Ainy. Raafat Naga Professor of Vascular Surgery, Alexandria UniversityRashad Bishara Chairman of Vascular Surgery, GOTHI Said El-Mallah Professor of Vascular Surgery, Meofya UniversitySameh Wasfy Chairman of Radiology & Cathlab, NIDESherif Balbaa Professor of Vascular Surgery, Kasr El-AinyTarek Radwan Professor military Academy & chairman IMC Walid El-Baz Professor of Vascular Surgery, Beni-Suef University
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Name Title Adel Kamhawy Professor of Vascular Surgery, Tanta UniversityAhmed Al-Taweel Specialist Vascular Surgeon , NIDEAhmed El-Mahrouky Associate Professor of Vascular Surgery, Kasr ElainyAhmed Farghaly Professor of Vascular Surgery - Kasr El AinyAhmed Gamil Sharkawy Professor of Plastic Surgery- kasr El AinyAhmed Gawish Lecturer of Vascular Surgery, Alexandria University.Ahmed Hasan Bakr Assistant professor of Vascular Surgery- Assuot universityAhmed Ismael Lecturer of Vascular Surgery,Tanta UniversityAhmed Sayed Professor of Vascular Surgery, Kasr El-AinyAtef Bassiouny Chairman of Internal Nedicine and Diabatology, NIDEAyman El-Samadouny Professor of Vascular Surgery, Kasr El-Ainy
Name Title
Armin Koller Chief of Division of Technical Orthopaedics, Co-Chief of Interdisciplinary Diabetic Foot Centre @ Mathias-Hospital Rheine, Northrine-Westfalia, Germany
Hany Zayed Consultant Vascular Surgeon, ST Mary Hospital, UK
Hisham Rashid Consultant Vascular Surgeon at King’s College Hospital and an Honorary Senior Lecturer at King’s College London and Lead vascular surgeon at King’s College Hospital
Karim Elsakka Consultant vascular surgeon, Brighton & Sussex University Hospitals
Mahmoud Salah Consultant of Vascular Surgeon , Saudi Germian Hospital , KSA
Mohamad Alshammari Consultant Interventional Radiologist, KSA President of PAIRS
Salma Khuraibet DF & Wound care specialist, DF surgeon, GDFWG - Kuwait MSc. Wound &Skin integrity-UK
TALAL Khader Talal Head of Podiatry Services in Hamad Medical Corporation, Doha Qatar. And Weill Cornell Medical University. Podiatric Surgery Instructor
Walid Masoud MD FRCS, Consultant Vascular and Kidney Transplant Surgeon President of Jordan Vascular Society
International Faculty
National Faculty
Speakers List
Alphabetical Order
Alphabetical Order
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Ayman Salem Chairman of Vascular Surgery, Zagazig University Emad Hussein Professor of Vascular Surgery- Ain Shams University.Foad Saad El-Din Assistant professor of Vascular Surgery- Kasr ElAinyHassan El-Kiki Professor of Radiology- kasr El AinyHisham Moustafa Professor of Vascular Surgery, Kasr El Ainy.Hossam El-Wakeel Professor of Vascular Surgery, Mansoura University Ihab Nabil Consultant Vascular Surgeon, GOTHI Inas Shaltout Professor of Internal Medicine and Daibetology , Kasr El-AinyMohamed Ramadan Specialist Vascular Surgeon , El-Sahel Teaching HospitalMostafa El-Shal Specialist Vascular Surgeon , NIDENader Hamada Professor of Vascular surgery- Ain Shams UniversityNihad Ahmed Foad Specialist Vascular Surgeon , El-Sahel Teaching HospitalSherif Essam Professor of Vascular Surgery- Ain Shams UniversityTarek Abdel-Azim Professor of Vascular Surgery- Ain Shams UniversityUsama Lotfy Professor of Vascular Surgery - Kasr El AinyWael Shaalan Chairman of Vascular Surgery- Alexandria University.Wassila Taha Consultant Angiologist and Vascular Ultrasound, GOTHI
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Registration
Session I
09:00-10:00
10:00-12:00
Thursday
8th
December 2016
Diagnostic Issues
Day 1: Thursday, 8th December 2016
Chairpersons ModeratorHassan Soliman Hussein KhairyNaser El-Saeed Walid El-Baz Sameh Wasfy
Khalid El-Kaffas
Keynote Lecture: Diabetic Foot Imaging; Update Hassan El-Kiki
Avoiding contrast nephropathy during interventions for the Diabetic ischemic footAhmed Gawish
Can Duplex Predict Pedal Arch Integrity. Wassila Taha
Diabetic foot wound Assessment. Salma Khuraibet
Clinical Assessment of Intermittent Claudication& Absent Pedal Pulses;Can they be markers for PVD in Type II Diabetics? Atef Bassiouny
New imaging modalities for diabetic foot; which suits us more? Mohamed Omar El- Farouk
10:00 – 10:15
10:15 – 10:25
10:25 – 10:35
10:35 – 10:45
10:45 – 10:55
10:55 – 11:05
11:05 – 11:20 Discussion
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11:40 – 11:48
11:48 – 11:56
11:20 – 11:28
11:28 – 11:36
Debate :
Debate :
CTA is the imaging modality of choicefor diabetic patients with Critical Limb ischemia;
a. With the motion: Hassan El-Kiki
b. Against the motion: Wassila Taha
MRI is mandatory in the management of diabetic foot?
a. With the motion: Rashad Bishara
b. Againest the motion: Hisham Moustafa
11:36 – 11:40 Voting
11:56 – 12:00 Voting
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Opening Ceremony 12:00- 12:30
Holly Qura’an
National Anthem
History of the Meeting
Chairman Welcome Word
Co-Chairman Welcome Word
Guests of Honor
Thursday
8th
December 2016
Prof. Dr. Hisham El – Hefnawy(General Director of the National Institute of Diabetes)
Prof. Dr. Said El-Mallah(President of Vascular Society of Egypt)
Prof. Dr. Hany Salah Nasr (General Secretary of GOTHI)
Prof. Dr. Hussein Khairy(President of Egyptian Medical Syndicate)
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محاضرة االفتتاحOpening Lecture
تاريخ الطب والجراحة في مصر منذ عهد الحملة الفرنسية حتى العهد الحديث
The History of Medicine & Surgery in Egypt Since Napoleon Time till Now
أ. د أحمد جميل الشرقاوي
Prof. Ahmed Gamil Sharkawy
12:30- 12:50
Coffee Break 12:50-13:30
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Session II 13:30-15:20
Thursday
8th
The Infection Challenges
Chairpersons ModeratorAlaa El-ErianAlaa SharabyAli Mourad Mourad El-KholySherif Balbaa
Tarek Radwan
Keynote Lecture: Operative treatment of infected diabetic foot. Armin Koller
The SVS recommendations for wound management; How they changed my concepts ?Ayman El-Samadouny
IWGDF guidelines for Diabetic Foot management; Challenges in Developing Countries.Foad Saad El-Din
Debridement; Tips and Tricks. Mahmoud Salah
A new anatomical description of the fascial layers at the ankle and distal leg region.Ashraf Hussein
13:30 – 13:45
13:45 – 13:55
13:55 – 14:05
14:05 – 14:15
14:15 – 14:25
December 2016
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Wound Coverage and Minor Foot Amputations; The Way I Do It. Hisham Rashid
NPWT in diabetic foot management, Any added value? Salma Khuraibet
Advanced modalities of wound dressing are useless;
a. With the motion: Hanan Gawish
b. Against the motion:Ihab Nabil
Lunch 15:20-16:30
14:25 – 14:35
14:35– 14:45
15:00 – 15:08
15:08 – 15:16
Debate :
15:16 – 15:20 Voting
14:45 – 15:00 Discussion
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Session III 16:30 -18:00
Thursday
8th
The Non Ischemic Diabetic Foot (The Diabetic Status, Neuropathy, Charcot & Off-loading issues)
Chairpersons ModeratorAhmed Saad El-DinEssam El-KadyHassan Abdel-AttyHosamTawfikMahmoud Sobhy
Karim El-Sakka
Keynote Lecture: Charcot foot reconstruction with external fixation. Armin Koller What the diabetic foot surgeon should know about diabetes control Inas Shaltout
Orthosis and Shoes for the reconstructed Charcot foot. Armin Koller
Footwear; fashion or medicine? Hanan Gawish
Current status of Surgical Off-loading for Diabetic foot ulcer. Tarek Abdel-Azim
The Podiatrist; The Goalkeeper in Diabetic Foot Management. TALAL Khader Talal Confusing Diabetic Foot Lesions. Adel Kamhawy
16:30 – 16:45
16:45 – 16:55
16:55 – 17:05
17:05 – 17:15
17:15 – 17:25
17:25 – 17:35
17:35 – 17:45
December 2016
17:45 – 18:00 Discussion
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Session IV 18:00-19:30
Thursday
8th
December 2016 The Revascularization Challenges (I)
Chairpersons ModeratorAlaa A. MarzoukAlaa MubarakMagdy HaggagOmar El-KashefRaafat Naga
Hisham Bassiouny
Keynote Lecture: Arterial Calcification, Mechanism & Implications on practiceAhmed Taha
When time is tissue? Rashad Bishara
Angiosomal revascularization; why the disagreement still? Hisham Rashid
Hybrid revascularization, indications, options & limitations. Hany Zayed
Intermittent Claudication in Diabetics; Should we have a Paradigm shift in Management.Emad Hussein
What is the treatment of short distance Vascular Claudication?
a. Best medical treatment Wael Shaalan
b. Intervention Ahmed Farghaly
18:00 – 18:15
18:15 – 18:25
18:25 – 18:35
18:35 – 18:45
18:45 – 18:55
19:10 – 19:18
19:18 – 19:26
Debate :
19:26 – 19:30 Voting
18:55 – 19:10 Discussion
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20:25 – 20:40 Discussion
Thursday
8th
December 2016
Session V 19:30-21:00
The Revascularization Challenge (II)
Chairpersons ModeratorAbdel Kader KotbBahgat ThabetHussein Kamal El-DinMamdouh KotbMohamed El-Batanouny
Ali Sabbour
Keynote Lecture: Endovascular Therapy is the first line approach in CLI, Is Surgery Still Needed?Amr A. Gad CO2 Angioplasty; Indications & limitationsHany Zayed
Role of Catheter directed thrombolytic therapy in CLI; Technical tips & tricks. Mohamed Hosny
Thrombolytic therapy for thrombotic arterial occlusions: is there a time window? Ahmed El-Mahrouky
Comparison of Angioplasty and Bypass Surgery for CLI in patients withinfra-popliteal disease using a propensity score analysis.Hany Zayed
Bypass is mandatory to achieve healing of heal ulcer when the ATA is the only supply of the foot.
a. With the motion Hisham Rashid
b. Against the motion Ahmed Taha
19:30 – 19:45
19:45 – 19:55
19:55 – 20:05
20:05 – 20:15
20:15 – 20:25
20:40 – 20:48
20:48 – 20:56
Debate :
20:56 – 21:00 Voting
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Friday
9th
December 2016
Session VI 09:30- 10:40
Challenging Cases (I)
Chairpersons ModeratorIhab SaadMohamed SharkawyMohammad AlshammariMaged El-DeebNabil El-Mehairy
Hisham Rashid
To Achieve limb salvage, Use all your weapons Ayman Salem
Covered stents for thrombotic occlusion of the Aorto-iliac segment; is it Justifiable and worthwhile?Ayman El-Samadouny The impossible native artery; What to do? Sherif Essam
CLI Following an Occluded Femoro-distal bypass; what to do& when to give up? Nader Hamada
Trans-Collateral Approach In Infra-Popliteal Disease; Is It Feasible In Real World Practice? Usama Lotfy
10:20 – 10:40 Discussion
09:30 – 09:40
09:40 – 09:50
09:50 – 10:00
10:00 – 10:10
10:10 – 10:20
Day 2: Friday, 9th December 2016
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Friday
9th
December 2016
Session VII 10:40-11:30
The No-option Ischemic foot
11:20 – 11:30 Discussion
Chairpersons ModeratorAmr Abdel-BakyHisham NabilHisham Sharaf El-DinMohamed SalemMostafa Soliman
Engy Hefnawy
Any Role for Sympathectomy in diabetics?Ahmed Ismael
The Revival of Percutaneous Deep Venous Arterialization limb flow system. Mohamed Omar El-Farouk
Stem cell therapy with adjunctive Platelet Rich Plasma (PRP). Ahmed Ismael When to decide Primary Amputation? Ahmed Al-Taweel
Coffee Break 12:30- 13:00
Friday Prayer 11:30-12:30
10:40 – 10:50
10:50 – 11:00
11:00 – 11:10
11:10 – 11:20
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Friday
9th
December 2016
Session VIII 13:00-14:00
Training & Team building
Chairpersons ModeratorAmr A. GadHassan BakrMohamed Abdo Aii El-DinMosaad SolimanSaid El-Mallah
Khalid El-Hindawy
Towards Amputation Referral Program in our area, Is it worthwhile?Mohammad Al Shammari
Impact of Western Training On Endovascular Skills of Egyptian Trainees.Mohammed Sharkawy Vascular Surgery in Jordan, where do we stand? Walid Masoud How to Build and run a diabetic foot team. Karim El- Sakka
How to create your Endovascular Training program? Ahmed Sayed
13:50 – 14:00 Discussion
13:00 – 13:10
13:10 – 13:20
13:20 – 13:30
13:30 – 13:40
13:40 – 13:50
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Friday
9th
December 2016
Session IX 14:00-15:00
Challenging Cases (II)
Chairpersons ModeratorAshraf HedayetAtef AllamAyman Fakhry Hisham SharkawyMohamed El-Maadawy
Hany Zayed
Fem-fem crossover with adjunctive iliac angioplasty: Case Report. Ahmed Naga
Endovascular Recanalization of Complex Ilio-Femoral Occlusive Disease in CLIAhmed Hassan Bakr Total Calcanectomy for the management of Diabetic Heel Infection. Hossam El-Wakeel
Endovascular Recanalization of Bilateral SFA occlusion via Brachial Approach.Mostafa El-Shal
14:40 – 15:00 Discussion
14:00 – 14:10
14:10 – 14:20
14:20 – 14:30
14:30 – 14:40
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Friday
9th
December 2016Workshops
Offloading Techniques 15:00- 16:00
All Secrets of Tibial Angioplasty in Diabetics 16:00- 17:00
Advanced Wound Care 17:00-17:30
CO2 Angiography Made Easy 17:30-18:00
Cast Moderator: Salma Khuraibet
Walkers Mohamed Ramadan Nihad Ahmed Foad Mohamed Ali Mattar Moderator: Rashad Bishara
Ahmed Taha Rashad Bishara Moderator: Mohamed Omar El-Farouk
Ihab Nabil Amr Abou El-Rous
Ahmed Gawish Mahmoud Hamda
Gala Dinner 20:00 - 23:00
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