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Program Director: James F. McKinsey, MD

Program Co-Directors: Gautam V. Shrikhande, MD Danielle Bajakian, MD • Tzvi Bar-David, DPM • Michael Silane, MD

A CME Accredited Course

May 10–11, 2012 • The Marriott Marquis, NYC

20

12 10th Annual

Innovations in Complex Vascular & Endovascular InterventionsEmphasis on: Complex Arterial and Venous Vascular Procedures, Management Options for Non–healing Wounds & Advances in Podiatric Wound Management

10th Annual Innovations in Complex Vascular & Endovascular InterventionsEmphasis on: Complex Arterial and Venous Vascular Procedures, Management Options for Non–healing Wounds & Advances in Podiatric Wound Management

1

Learning Objectivesn Understand the current surgical and endovascular

treatment methods for patients with vascular diseases including: lower extremity ischemia, aortic aneurysms, carotid disease, venous disease, and AV access

n Review indications, techniques, and results of surgical and endovascular options for complex lower extremity revascularization and limb salvage

n Review the medical and surgical principles in treating the infected foot with soft tissue and/or bone involvement including antibiotic selection, surgical debridement, and reconstruction

n Understand surgical and endovascular best practices and techniques for the treatment of carotid artery disease

n Review the current devices and techniques for the repair of thoracic and abdominal aortic aneurysms

n Review the principles of wound healing and discuss decision making with the most current available modalities to heal chronic wounds including wound healing dressing products, negative pressure wound therapy, local surgical flaps and grafts, hyperbaric oxygen, and skin substitute products

n Review the medical and surgical decision making principles in the management of the neuropathic foot including bracing, reconstruction, and medica-tion selection

n In separate sessions, provide instructions by experienced OR nurses and radiologic technolo-gists on preparation and implementation of complex vascular procedures

n Review the current state-of-the-art on management of AV access and it’s complications

n Review current concepts on treatment of venous disease, including non-thermal ablation of saphenous veins

n Provide advice on setting up an outpatient facility by those who have done it

Overall Goals This symposium is a two-day educational event for clinicians involved in the management of vascular diseases, wound care, and podiatric problems. Addi-tional sessions are dedicated to visiting nurse specialists, OR vascular nurses, fellows-in-train-ing, vascular laboratory techni-cians, and radiologic technolo-gists. Our nationally recognized faculty will address issues in current clinical practice, compli-cations and pitfalls of newer technologies, and discuss the evolution of the field. Attendee participation and interaction will be emphasized and facilitated through debates, Q & A sessions, live case presentations, interac-tive case presentations, and hands-on technical sessions.

Target Audiencen Vascular Surgeonsn Cardiothoracic Surgeons n General Surgeons n Interventional

Cardiologists n Vascular Interventional

Radiologistsn Podiatristsn Wound Care Specialists n Visiting Nurses/Techniciansn OR Vascular Nurses

n Fellows-in-Training

n Vascular Laboratory Technicians

n Radiologic Technologists

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2

Accreditation/Designation of CreditThe College of Physicians and Surgeons of Columbia University is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.The College of Physicians and Surgeons designates this live activity for a maximum of 13.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.Nurses, Physician Assistants, and Technicians are encouraged to check with their accrediting organization to ensure they accept AMA PRA Category 1 Credits™.

Thursday, May 10

General/Vascular Sessions .................................... 7.0 AMA PRA category 1 CreditsTM

Vascular Credits for both days total 13.75

Wound Care and Podiatry Sessions ................... 7.0 AMA PRA category 1 CreditsTM

Wound/Podiatry Credits for both days total 12.5

Radiologic Technologist Sessions ........................ These sessions will be accredited by the American Society of Radiologic Technologists (ASRT). At time of print the number of credits were not assigned.

OR Nurse Sessions ..................................................6.5 AMA PRA category 1 CreditsTM

Fellows Course .................................................5.0 AMA PRA category 1 CreditsTM

Office-based Procedure Sessions .........................2.5 AMA PRA category 1 CreditsTM

Friday, May 11

General/Vascular Sessions ...............................6.75 AMA PRA category 1 CreditsTM

Wound Care and Podiatry Sessions .....................5.5 AMA PRA category 1 CreditsTM

AV Access Sessions............................................2.5 AMA PRA category 1 CreditsTM

Vein Program ............................................................6.5 AMA PRA category 1 CreditsTM

Visiting Nurse Sessions ....................................5.0 AMA PRA category 1 CreditsTM

SupportWe expect support for this program through grants from pharmaceutical and medical device companies.

Disclosure StatementThe College of Physicians and Surgeons must ensure balance, independence, objectivity, and scientific rigor in its educational activities. All faculty participating in this activity are required to disclose to the audience any significant financial interest and/or other relationship with the manufacturers(s) of any commercial product(s) and/or provider(s) of commercial services discussed in his/her presentation and/or the commercial contributor(s) of this activity. When unlabeled uses are discussed, these will also be indicated.

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7TH FLOOR 4TH FLOOR

Thursday May 10

Astor Ballroom

Empire Complex Gotham Soho Herald Gramercy Olmstead Odets

6:00 – 7:00 AM

Registration, Breakfast, and Vendor Exhibits(7th Floor Lobby)

8:00 AM

Vascular Sessions

Wound/Podiatry Sessions

Radiologic Technologist

Sessions

OR Nurse Sessions

Hands-on Technology

Vascular Hands-on Technology

Sessions

Fellows Course

9:00 AM Hands-on Session

at Break (9:15 AM)

10:00 AM

11:00 AM Live Case PresentationAstor Ballroom (7th Floor)

12:05 – 1:15 PM

Lunch Session

Lunch Session

Lunch Session

Lunch Session

Lunch Session

1:15 PM

Vascular Sessions Wound/

Podiatry Sessions

2:00 PM

Radiologic Technologist Hands-on Sessions

OR Nurse Hands-on Sessions

Hands-on Technology

Office-based

Procedure Sessions

Fellows Course

3:00 PM Hands-on Session

at Break (3:00 PM)

4:00 PM

4:30 PM Awards*

5:00 – 7:00 PM

Welcome ReceptionLiberty Ballroom (8th Floor)

* Top two fellow case presentations will be presented and awarded

10th Annual Innovations in Complex Vascular & Endovascular InterventionsEmphasis on: Complex Arterial and Venous Vascular Procedures,

Management Options for Non-healing Wounds & Advances in Podiatric Wound Management

4

7TH FLOOR 4TH FLOOR

Thursday May 10

Astor Ballroom

Empire Complex Gotham Soho Herald Gramercy Olmstead Odets

6:00 – 7:00 AM

Registration, Breakfast, and Vendor Exhibits(7th Floor Lobby)

8:00 AM

Vascular Sessions



Sessions

OR Nurse Sessions

Hands-on Technology

Vascular Hands-on Technology

Sessions

Fellows Course


at Break (9:15 AM)

10:00 AM

11:00 AM Live Case PresentationAstor Ballroom (7th Floor)

12:05 – 1:15 PM

Lunch Session

Lunch Session

Lunch Session

Lunch Session

Lunch Session

1:15 PM

Vascular Sessions Wound/

Podiatry Sessions

2:00 PM

Radiologic Technologist Hands-on Sessions

OR Nurse Hands-on Sessions

Hands-on Technology

Office-based

Procedure Sessions

Fellows Course


at Break (3:00 PM)

4:00 PM

4:30 PM Awards*

5:00 – 7:00 PM

Welcome ReceptionLiberty Ballroom (8th Floor)

7TH FLOOR

Friday May 11

Astor Ballroom

Empire Complex Gotham Soho Herald Gramercy Olmstead

6:00 AM Registration, Breakfast, and Vendor Exhibits(7th Floor Lobby)

7:00 AM Breakfast Session6:45 – 7:45 AM

8:00 AM

Vascular Sessions



Sessions8:30 AM

Wound Hands-on

Session8:30 AM

AV Access Sessions

Vein Program


at Break (9:35 AM)

10:00 AM

11: 00 –11:30 AM

Case Presentations

Case Presentations

11:45 AM– 12:00 PM Break

12:00 – 1:00 PM

Lunch Session

Lunch Session

Lunch Session

Lunch Session

Lunch Session

Lunch Session

1:15 PM

Vascular Sessions



at Break (2:40 PM) Vascular

Technology Breakout

Visiting Nurse

Session

Podiatry Hands-on

Session

Hands-on Vein

Sessions3:00 PM

4:00 PM* Top two fellow case presentations will be presented and awarded





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Vascular Sessions

Day 1 – Thursday, May 10 Location: Astor Ballroom

7:00 AM Registration, Breakfast, & Vendor Exhibits (7th Floor Lobby)

Session 1: Peripheral Arterial Disease 1

TOPIC SPEAKER

8:00 AM Welcome and Introductions James F. McKinsey, MD

8:06 AM Economic Impact of PAD Michael Silane, MD

8:12 AM Optimal Management of the Diabetic Patient with PAD

Matthew Freeby, MD

8:18 AM Role of Statins, Beta Blockers, and Ace Inhibitors in Patients with PAD

Prakash Krishnan, MD

8:24 AM Lesion Classifications: Impact on outcome Andrew Meltzer, MD

8:30 AM Local Wound Treatment of Vascular Lesions Oscar Alvarez, PhD

8:36 AM Role of the Angiosome: Should angiosomes direct revascularization of target vessels?

Tony Das, MD

8:42 AM What is the Extent of Cardiac Testing Required Prior to Vascular Interventions?

Judah Weinberger, MD

8:48 AM Local Compression Therapy and Full Contact Casting

Oscar Alvarez, PhD

8:54 AM Mechanical Thrombectomy for Acute Arterial Occlusion

Peter Connolly, MD

9:00 AM Panel Discussion – Q&A

9:15 AM Break & Vendor Exhibits

Session 2: Peripheral Arterial Disease 2

9:35 AM Office-based SFA Interventions TBA

9:41 AM Endovascular Tips for Managing Calcific Lesions Prakash Krishnan, MD

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Vascular Sessions


TOPIC SPEAKER

9:47 AM Chronic Total Occlusion: Which crossing device to use

Gautam V. Shrikhande, MD

9:53 AM Single Center and Multi Center Result of Atherectomy

James F. McKinsey, MD

9:59 AM Treatment of Peripheral Arterial Disease – Balloons, Stents, Cutting, Coating, and Freezing: What is the real data and what should we do?

Tony Das, MD

10:05 AM Drug Eluting Bio-absorbable Stents: Is it the new frontier?

Koen R. Deloose, MD

10:11 AM Is there a Role for Debulking Atherectomy Prior to Drug Coated Balloon Therapy?


10:17 AM Drug Coated Balloon Therapy: Outcomes from Europe & clinical trials

Koen R. Deloose, MD

10:23 AM Drug Coated Stents for the SFA: 2 Year data Nicholas J. Morrissey, MD

10:29 AM The Data Supports the Use of Coronary Drug Coated Stents in the Tibial Vessels

Prakash Krishnan, MD

10:36 AM The Data Does Not Support the use of Coro-nary Drug Coated Stents in the Tibial Vessels

Frank Pomposelli, MD

10:38 AM Dr. Krishnan’s Response Prakash Krishnan, MD

10:40 AM Dr. Pomposelli’s Response Frank Pomposelli, MD

DEBATE: Management of Long Segment SFA Occlusion

10:42 AM Endovascular Should Still be First Line Therapy Venkatesh G. Ramaiah, MD

10:48 AM Open Bypass is Superior Even if Vein is Not Available

Darren B. Schneider, MD

10:54 AM Endovascular Response Venkatesh G. Ramaiah, MD

10:56 AM Open Bypass Response Darren B. Schneider, MD

11:00 AM Live Case Presentation Danielle Bajakian, MDGautam V. Shrikhande, MD

12:00 PM Lunch, Industry Sponsored Lunch Sessions, & Vendor Exhibits

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Vascular Sessions


Session 3: Carotid Vertebral Interventions

TOPIC SPEAKER

1:15 PM Impact of Relative Cerebral Hypoperfusion during Carotid Intervention: Is there a difference between CAS and CEA?

Eric J. Heyer, MD

1:23 PM CREST: Long-term impact of non Q wave events William A. Gray, MD

1:31 PM Interpreting CREST: Stroke versus MI – surgeon's viewpoint

K. Craig Kent, MD

1:39 PM Carotid Stent Design: Impacts on CAS outcome Rajeev Dayal, MD

1:47 PM Endovascular Management of Innominate Stenosis: Is embolic protection necessary?

John Karwowski, MD

1:55 PM Advances In Embolic Protection Devices and Techniques

Tony Das, MD

2:03 PM Intracranial–Extracranial Bypass: Is there a role for it?

E. Sander Connolly, Jr., MD

2:11 PM Concurrent Intracranial and Extracranial Disease: How to manage

Phillip Meyers, MD

DEBATE: Management of Asympotomatic >80% Stenosis

2:19 PM Medical Management Frank J. Veith, MD

2:24 PM CEA Frank Pomposelli, MD

2:29 PM Carotid Stent William A. Gray, MD

2:34 PM Dr.Veith’s Response Frank J. Veith, MD

2:36 PM Dr. Pomposelli’s Response Frank Pomposelli, MD

2:38 PM Dr. Gray’s Response William A. Gray, MD

2:40 PM Moderator Discussion and Audience Vote

2:45 PM Break & Vendor Exhibits

8


Vascular Sessions


Session 4: Renal and Mesenteric Aneurysmal and Occlusive Disease

TOPIC SPEAKER

3:00 PM Open Bypass is Optimal Therapy for Chronic Mesenteric Ischemia

Gregg S. Landis, MD

3:07 PM Covered Stents Should Be Initial Treatment for Chronic Mesenteric Ischemia

William Jordan, MD

3:14 PM Endovascular Therapy for Acute Mesenteric Ischemia

John H. Rundback, MD

3:21 PM Mesenteric Aneurysms in Association with Mesenteric Stenosis: Is there a Correlation?

Andrew Meltzer, MD

3:28 PM Radiofrequency Renal Artery Denervation for Refractory Hypertension: What is the mechanism of action and what are the clinical outcomes?

Nicholas J. Morrissey, MD

3:35 PM Carotid Body Stimulation for Refractory Hypertension: Results of RHEOS trial

Karl Illig, MD

3:42 PM Update on the CORAL Trial and Renal Embolic Protection


3:49 PM Renal Artery Aneurysms: When is open revascularization still optimal?

Roman Nowygrod, MD

3:56 PM Recurrent Renal Artery Stenosis: What are our treatment options?

Joshua Weintraub, MD

4:03 PM Renal Transplant Arterial Stenosis: How to manage it

Jonathan Sussman, MD

4:10 PM Panel Discussion – Q & A

4:30 PM Top Two Fellow Presentations/Awards

5:00 PM Adjourn

5– 7:00 PM Welcome Reception (Liberty Ballroom – 8th Floor)

9

Vascular Sessions

Day 2 – Friday, May 11 Location: Astor Ballroom


Session 5: Abdominal Aortic Aneurysms

TOPIC SPEAKER

8:00 AM Imaging and Screening Program for Detection of AAA

K. Craig Kent, MD

8:06 AM Iliac Branch Technology: Should we preserve the hypogastric artery?


8:12 AM Chimney Grafts: Long-term solution or only for urgent cases


8:18 AM Is Duplex Ultrasound Alone Sufficient for EVAR Surveillance?

Evan Lipsitz, MD

8:24 AM Management Considerations of the Highly Angulated Neck

Harry L. Bush, Jr., MD

8:30 AM Type I Endoleaks: Management options William Jordan, MD

8:36 AM Percutaneous EVAR: Techniques & outcomes Gautam V. Shrikhande, MD

8:42 AM Off the Shelf P-Branch James F. McKinsey, MD

8:46 AM Is Debranching a Reasonable Option for Complex Juxtarenal Aneurysms?

In-Kyong Kim, MD

8:52 AM Mycotic AAA: Open repair Gregg S. Landis, MD

9:00 AM Panel Discussion – Q & A


Session 6: Additional Aortic Pathology and Management Options

9:30 AM Impact of Type 2 Endoleaks: What is the risk of rupture?

John Karwowski, MD

9:36 AM Aortic Pathology: Management of the shaggy aorta

Joseph Lombardi, MD

9:42 AM Coral Reef Plaques of the Aorta: Is open surgery required?

Jeffrey Carpenter, MD

9:48 AM Hybrid Procedures for Aortoiliac and Ileofemoral Arterial Disease

Evan Lipsitz, MD

10


Vascular Sessions


TOPIC SPEAKER

9:54 AM Nellix: New technology for treatment of Abdominal Aortic Aneurysm

Jeffrey Carpenter, MD

10:00 AM Innovations in AAA Graft Design

Endologix TBA

GORE TBA

COOK Karl Illig, MD

Medtronic TBA

10:40 AM Advances in Fenestrated and Branched Grafts for the Treatment of AAA

Roy K. Greenberg, MD

11:00 AM Taped Case of Pararenal AAA Endovascular Repair




Session 7: Further Considerations in Aortic Disease

1:15 PM Percutaneous Aortic Valve Replacement Mathew R. Williams, MD

1:23 PM Open Repair of Thoraco-Abdominal Aneurysm: Still the gold standard

Richard Cambria, MD

1:31 PM Endovascular Repair of Thoraco-Abdominal Aneurysms will Replace Open Repair

Roy K. Greenberg, MD

1:39 PM Dr. Cambria’s Response Richard Cambria, MD

1:41 PM Dr. Greenberg’s Response Roy K. Greenberg, MD

1:43 PM Chronic Thoracic Type B Dissections: When to intervene & how

Joseph Lombardi, MD

11

Vascular Sessions


TOPIC SPEAKER

1:51 PM Management of Type B Aortic Dissections: Medicare database review of USA results


1:59 PM Covering the Celiac: When is it safe? William Jordan, MD

2:07 PM How to Manage a Short Proximal Neck for Thoracic Endografts

Venkatesh G. Ramaiah, MD

2:15 PM Translumbar Treatment of Type 2 Endoleaks: Technique and outcomes




Session 8: Current Critical Issues and Controversies

3:00 PM When Should We Use Retrievable IVC Filters? Danielle Bajakian, MD

3:10 PM Ruptured AAA: Treatment options Frank J. Veith, MD

3:20 PM Thoracic Outlet Syndrome: Evaluation and indications for intervention

K. Craig Kent, MD

3:30 PM Infraclavicular versus Supraclavicular Approach to TOS: Which provides the best exposure?


3:40 PM Treatment of Chronically Occluded Iliac Veins: Is it warranted?

Steve Elias, MD

3:50 PM Treatment Options for Large Caliber Acute DVT's


4:00 PM Open versus Endovascular Repair of Descending Thoracic Aorta with Subclavian Artery Involvement

Joseph E. Bavaria, MD

4:10 PM SAFARI Technique: Advantage for endovascular treatment of critical limb ischemia or are we putting our outflow vessels at risk?



4:30 PM Adjourn

12

Wound Care & Podiatry Sessions

Day 1 – Thursday, May 10 Location: Empire Complex


Session 1

TOPIC SPEAKER

8:00 AM Welcome and Introductions Danielle Bajakian, MD Tzvi Bar-David, DPM

8:10 AM Wound Bed Evaluation and the Pathophysiology of Healing

Oscar Alvarez, PhD

8:20 AM Applying Evidence Based Data for Wound Healing

Eric Walter, DPM

8:30 AM Vascular Screening In Physician's Office: Is there a role for it?

Danielle Bajakian, MD

8:40 AM Beyond ABIs: Arterial assessment of the ischemic wound


8:50 AM PAD and the Diabetic Ulcer : Risk factors and diagnosis

Kerry Thibodeaux, MD



Session 2

9:30 AM Management of the Ischemic Limb: Revascular-ization options and the Columbia experience


9:40 AM Biofilm: What is it and how do we deal with it? Martin Wendelken, DPM, RN

9:50 AM Regenerative Matrix and Platelet Rich Plasma: Is there an advantage?

Vincent Gramuglia, DPM

10:00 AM Vascular Lab Assessment of Venous Disease Evan Lipsitz, MD

10:10 AM Incidence and Recurrence Rates of Pedal Ulcers in the Diabetic

Stewart M. Kamen, DPM

10:20 AM Non-Vascular Wounds: How do they differ from ischemic wounds?



11:00 AM Live Case Presentation Danielle Bajakian, MD Gautam V. Shrikhande, MD



13



TOPIC SPEAKER

Session 3

1:30 PM Treatment of the Positive Wound Culture Rachelle Parker, MD

1:40 PM Diabetic Foot Infection: Is it an emergency? Robert Fridman, DPM

1:50 PM Osteomyelitis: Diagnosis and treatment options Ronald Soave, DPM

2:00 PM DVT: Incidence and update on treatment Nicholas J. Morrissey, MD

2:10 PM Evaluation and Management of Calcaneal Infections and Ulcers

Alan Jacobs, DPM

2:20 PM The Ulcerated Stump: How do we manage it? Robert Fridman, DPM

2:30 PM Complex Cases: What would you do? Panel


Session 4

3:15 PM The Suspicious Wound: When do we biopsy? William Marston, MD

3:25 PM Biologic Dressing/Dermal Substitutes: What are their roles?

Tzvi Bar-David, DPM

3:35 PM Update on Topical Dressings and their Role in Healing

Kerry Thibodeaux, MD

3:45 PM Hyperbaric Oxygen: It works or is it overrated?

William Marston, MD

3:55 PM Off-loading the Injured Foot: Shoes, braces, and casting

Glenn Paul, CPO

4:05 PM Ultrasonic Debridement and New Techniques for Wound Debridement

Martin Wendelken, DPM, RN

4:15 PM Nerve Release in the Diabetic Foot Christopher J. Winfree, MD

4:25 PM Taped Case Presentation of Revascularization for Critical Limb Ischemia


4:45 PM Panel Discussion – Q&A

5:00 PM Adjourn

5 – 7:00 PM Welcome Reception (Liberty Ballroom – 8th Floor)

14



Day 2 – Friday, May 11 Location: Empire Complex


TOPIC SPEAKER

Session 5

8:00 AM Welcome and Introductions Danielle Bajakian, MD Tzvi Bar-David, DPM

8:05 AM Tendon Procedures for Digital Ulcerations Peter A. Blume, DPM

8:15 AM Surgical Management of Forefoot and Midfoot Ulcerations

John S. Steinberg, DPM

8:35 AM Achilles Lengthening and Tenotomy: Is it an always do procedure?

Alan Jacobs, DPM

8:50 AM Outpatient Management of Incompetent Venous Valves and Perforators

Steve Elias, MD



Session 6

9:50 AM Symes Amputation: Is there a role for it? Justin Greisberg, MD

10:00 AM Controversies in Management: Charcot foot –exostectomy

Alan Jacobs, DPM

10:08 AM Controversies in Management: Charcot foot – Foot reconstruction

Peter A. Blume, DPM

10:16 AM Dr. Jacob's Rebuttal Alan Jacobs, DPM

10:18 AM Dr. Blume's Rebuttal Peter A. Blume, DPM

10:20 AM Forefoot and Midfoot fractures and Management Options

Charles Lombardi, DPM

10:30 AM Toe Implants: Its role in the diabetic patient Tzvi Bar-David, DPM

10:40 AM Complex Soft Tissue Reconstruction of the Diabetic Foot Ulcer

F. Raymond Ortega, MD

10:50 AM Internal and External Fixation in the Diabetic Patient: When is it indicated?

Alan Jacobs, DPM

15



TOPIC SPEAKER

11:00 AMComplex Case Discussion: Panel discussion Faculty

11:30 AMPanel Discussion – Q & A

11:45 AM Lunch Sessions and Hands–on Sessions

Session 7

1:30 PM The Art and Science of Healing DFUs with Total Contact Casting

Lee Markowitz, DPM

1:40 PM Distal Pedal Revascularization of the Severely Ischemic Foot


1:50 PM Skin Substitutes, Skin Graft, or a Flap? Oscar Alvarez, PhD

2:00 PM Role of Negative Pressure Dressings and Wound Healing

Christopher Comfort, MD

2:10 PM Surgery of the Veins: New modalities and outcomes

Steve Elias, MD

2:20 PM Recurrent Venous Ulcerations: Treatment options

William Marston, MD

2:30 PM Panel Discussion – Q&A


3:00 PM Billing Codes for Ulcer Care and Surgery for the Wound Care Specialist: Maximize Your profitability

Eric Walter, DPM

3:15 PM The Essentials of Documentation for the Wound Care Specialist

William Marston, MD

3:35 PM Complex Wound Controversies Oscar Alvarez, PhD William Marston, MD

4:00 PM Adjourn

Radiologic Technologist Sessions

16



Day 1 – Thursday, May 10 Location: Soho

Speakers will include: Robert Weinstein, RT, James F. McKinsey, MD, Danielle Bajakian, MD, Andrew Meltzer, MD, Michael Silane, MD, Harry L. Bush, Jr., MD, and Peter Connolly, Jr., MD


TOPIC

8:00 AM Welcome and Introductions

8:05 AM Radiation Principles: Overview

8:15 AM Radiation Physics

8:25 AM Calculation of Radiation Exposure for the Patient and Staff

8:35 AM Optimizing Use of Distance and Shielding

8:45 AM Optimizing Radiographic Images: Case examples

8:55 AM DSA versus Cine Runs: Minimizing radiation exposure

9:05 AM Use of the Portable C-Arm for Peripheral Interventions

9:15 AM Complex Radiographic Imaging: 3D reconstruction, fusion


9:40 AM How to Set up a for a Peripheral Intervention Case

9:50 AM Arterial Anatomy for Peripheral Arterial Disease Treatment

10:00 AM Devices and Different Therapies

10:15 AM Complex Cases and their Treatments

10:35 AM Arterial Access and Closure Techniques

11:00 AM Live Case Presentation (Astor Ballroom)


2 – 5:00 PM Hands-on Session: Wires, catheters, stents, filters, aortic stents, and atherectomy devices


17

OR Nurse Sessions

Day 1 – Thursday, May 10 Location: Herald


Day 2 – Friday, May 11 Location: Soho


TOPIC MODERATOR

8 – 11:00 AM

Didactic Moderation from Vascular Session Robert Weinstein, RT

11:00 AM Attend Vascular Sessions and Hands-on Sessions

Speakers will include: Jeanette Hofman, RN, Amador DeCastro, RN, James F. McKinsey, MD, Danielle Bajakian, MD, Michael Silane, MD, Peter Connolly, Jr., MD, John Karwowski, MD, and Harry L. Bush, Jr., MD


TOPIC

8:00 AM Welcome and Introductions

8:05 AM Arterial Anatomy For Peripheral Arterial Disease

8:15 AM Arterial Access and Closure Techniques

8:30 AM Setting up for an Endovascular Case: How to set up your table

8:45 AM Wires and Catheters: How to prep and set up

9:05 AM Balloons: Small and large caliber balloons — over the wire and rapid exchange

9:25 AM Stents: Self expanding, balloon expandable, and covered stents


10:00 AM Aortic Stent Grafts: Preparation and ancillary equipment

10:20 AM Carotid Stents: Embolic Protection

10:40 AM Being Prepared for Emergent Conversion

11:00 AM Live Case Presentation (Astor Ballroom)


2 – 5:00 PM Hands-on Session: Wires, Catheters, Stents, Filters, Aortic Stents, and Atherectomy Devices


Fellows Course

18

Day 1 – Thursday, May 10 Location: Herald

Day 2 – Friday, May 11 Location: Soho

Fellows Course

Day 1 – Thursday, May 10 Location: Odets


TOPIC SPEAKER

8:00 AM Welcome and Introductions Enrico Ascher, MD

8:05 – 8:45 AM

Fellow Case Presentations and Discussion


Practice Building Seminars

10:00 AM How to Choose a Practice Francesco Aiello, MD

10:10 AM How to Negotiate Your Contract Enrico Ascher, MD

10:20 AM Practice Building: Interventional radiology Jonathan Sussman, MD

10:30 AM Outpatient Procedures Michael Schwartz, MD

10:40 AM Practice Building: Vascular surgery James F. McKinsey, MD

10:50 AM Practice Building: Interventional cardiology Prakash Krishnan, MD

11:00 AM Live Case Presentation (Astor Ballroom) Danielle Bajakian, MD Gautam V. Shrikhande, MD


1:30 – 2:40 PM

Fellow Case Presentations and Discussion


3:00 PM Faculty Presentation: Cases I wish I had not done and what I learned from them

Enrico Ascher, MD James F. McKinsey, MD Evan Lipsitz, MD Frank Pomposelli, MD Mark A. Adelman, MD

4:00 PM Q&A Faculty

4:20 PM Adjourn

4:30 PM Top Two Case Presentations Presented to Main Meeting (Astor Ballroom)


19

Office-based Procedure Sessions

Day 1 – Thursday, May 10 Location: Olmstead

AV Access Sessions


TOPIC SPEAKER

2:00 PM Welcome and Introductions James F. McKinsey, MD

2:05 PM What is an Office-based Procedure Practice? James F. McKinsey, MD

2:15 PM Equipment and Staff Required for an Office-based Procedure Center

Michael Schwartz, MD

2:30 PM Imaging Equipment for Duplex Guided Procedures

Enrico Ascher, MD

2:45 PM Regulator Issues for an Office-based Procedure Center

Jacqueline Thompson, RN, BSN, CNOR, RNFA

3:05 PM Case Selection for Office-based Procedure Center

Rajeev Dayal, MD

3:25 PM Case Presentations and Discussion Faculty


4:00 PM Safety Measures for an Office-based Procedure Center

Rajeev Dayal, MD

4:15 PM How to Manage Complications in the Office Michael Schwartz, MD

4:30 PM Coding and Billing Jacqueline Thompson, RN, BSN, CNOR, RNFA

4:45 PM Q&A Faculty

5:00 PM Adjourn


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Day 1 – Thursday, May 10 Location: Olmstead

AV Access Sessions

Day 2 – Friday, May 11 Location: Gramercy


TOPIC SPEAKER

8:00 AM Welcome and Introductions Nicholas J. Morrissey, MD

8:05 AM Immediate Access Dialysis Grafts: Are they worth it?


8:15 AM Bailout Techniques for Difficult Venous Anatomy Gregg S. Landis, MD

8:25 AM Vascular Access: When should you re-intervene? Joshua Weintraub, MD

8:35 AM Steal Syndrome: Incidence and solutions Roman Nowygrod, MD

8:45 AM AV Access Aneurysms: Is optimal repair open or with covered stent?


8:55 AM Balloon Access Maturation (BAM) Long-Term Outcomes

Enrico Ascher, MD

9:05 AM Central Vein Stenosis: Detection and management

Karl Illig, MD


9:30 AM Thrombectomy Devices for AV Graft Thrombosis

Peter Connolly, Jr., MD

9:40 AM Alternate Hemodialysis Access-occluded Veins, Lower Extremity Access

Rajeev Dayal, MD

9:50 AM New Synthetic Access Grafts: Are they challenging the AVF first concept?


10:00 AM Endovascular and Open Management of AV Anastomotic Stenosis

Roman Nowygrod, MD

10:10 AM Peritoneal Dialysis and Other Alternatives to Hemodialysis


10:20 AM Managing AV Access in an Office-based Practice Michael Schwartz, MD

10:30 AM Coding for AV Access Procedures and Maintenance

Jacqueline Thompson, RN, BSN, CNOR, RNFA

10:40 AM Q&A Faculty

11:00 AM Adjourn

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TOPIC SPEAKER

8:00 AM Welcome and Introductions Steve Elias, MD

8:05 AM Small Veins: Sclerotherapy – New agents, new techniques


8:15 AM Small Veins: Ohmic Devices – Veinwave/Vein Gogh

Steve Elias, MD

8:25 AM Saphenous Veins: New technology and outcomes

Peter Connolly, MD

8:35 AM Perforator Veins: Guidelines and techniques Steve Elias, MD

8:45 AM Pelvic Vein Incompetence: Diagnosis and treatment


8:55 AM Acute DVT: Algorithm and technique Nicholas J. Morrissey, MD

9:05 AM Q&A Faculty


9:45 AM Pearls for Vascular Lab Evaluation of Veins Harry L. Bush, Jr., MD

9:55 AM Chronic DVT: Algorithm and technique Darren B. Schneider, MD

10:05 AM Venous Coding and Reimbursement Mark Adelman, MD

10:15 AM What Does A Vein Practice Need? Steve Elias, MD

10:25 AM Case Presentations – Q&A Faculty

11:00 AM Live Arterial Case

12 – 1:15 PM

Lunch, Industry Sponsored Lunch Sessions, & Vendor Exhibits

2:00 PM Hands-on Workshops and Simultaneous Case Discussion

5:00 PM Adjourn


Vein Program

Day 2 – Friday, May 11 Location: Olmstead

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Visiting Nurse Sessions

Day 2 – Friday, May 11 Location: Herald

Speakers will include: Oscar Alvarez, PhD, Danielle Bajakian, MD, Gautam V. Shrikhande, MD, and Peter Connolly, MD


TOPIC

8:30 – 11:00 AM

Hands-on Session: Dressings, Casts, and Pressure Dressing

12–1:15 PM Lunch, Industry Sponsored Lunch Sessions, & Vendor Exhibits

2:00 PM Welcome and Introductions

2:05 PM Assessment of the Foot with a Wound

2:15 PM Arterial versus Venous Wounds of the Lower Extremity

2:30 PM Arterial Anatomy For Peripheral Arterial Disease

2:45 PM Treatment Options for Peripheral Arterial Disease

3:05 PM When Should a Wound be Debrided?


3:45 PM Local Treatment Options for Wounds of the Lower Extremity: When to use which dressing?

4:00 PM VAC Therapy for LE wounds: When should you use it and when should you not?

4:20 PM Use of Casting and Pressure Dressings

4:40 PM Q&A

5:00 PM Adjourn

12 – 1:15 PM

Lunch, Industry Sponsored Lunch Sessions, & Vendor Exhibits

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Program Director Program Co-DirectorsFaculty

James F. McKinsey, MD Columbia University College of Physicians and Surgeons

Gautam V. Shrikhande, MD Columbia University College of Physicians and SurgeonsDanielle Bajakian, MD Columbia University College of Physicians and Surgeons

Tzvi Bar-David, DPM Columbia University College of Physicians and SurgeonsMichael Silane, MD Weill Cornell Medical College

Mark A. Adelman, MD New York University Langone Medical CenterOscar Alvarez, PhD Calvary HospitalEnrico Ascher, MD Maimonides Medical CenterJoseph E. Bavaria, MD Hospital of the University of PennsylvaniaPeter A. Blume, DPM Yale School of Medicine Richard Cambria, MD Massachusetts General HospitalJeffrey Carpenter, MD Cooper University HospitalChristopher Comfort, MD Calvary HospitalTony Das, MD Presbyterian Heart Institute, TexasRajeev Dayal, MD North Shore/Long Island Jewish Healthcare SystemKoen R. Deloose, MD A.Z. St. Blasius Hospital DendermondeVincent Gramuglia, DPM Bronx Veterans Administration Hospital

Roy K. Greenberg, MD The Cleveland Clinic Karl Illig, MD University of South FloridaAlan Jacobs, DPM St. Louis University School of MedicineWilliam Jordan, MD University of Alabama HospitalK. Craig Kent, MD University of Wisconsin – School of Medicine and Public HealthPrakash Krishnan, MD Mount Sinai Medical CenterEvan Lipsitz, MD Montefiore Medical CenterCharles Lombardi, DPM New York Hospital QueensJoseph Lombardi, MD Cooper University HospitalLee Markowitz, DPM Calvary HospitalWilliam Marston, MD University of North CarolinaRachelle Parker, MD Calvary HospitalGlenn Paul, CPO Calvary Hospital

Frank Pomposelli, MD St. Elizabeth’s Medical CenterVenkatesh G. Ramaiah, MD Arizona Heart InstituteJohn H. Rundback, MD Holy Name Medical CenterRonald Soave, DPM New York Methodist Hospital John S. Steinberg, DPM Georgetown University School of MedicineKerry Thibodeaux, MD Opelousas General Health SystemJacqueline Thompson, RN, BSN, CNOR, RNFAEVNS Consulting, LLCFrank J. Veith, MD New York University Langone Medical Center; The Cleveland ClinicEric Walter, DPM Montefiore Medical CenterMartin Wendelken, DPM, RN Calvary Hospital

Guest Faculty

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NewYork-Presbyterian Hospital Columbia University College of Physicians and Surgeons Weill Cornell Medical College Faculty

Francesco Aiello, MD Columbia University College of Physicians and SurgeonsHarry L. Bush, Jr., MD Weill Cornell Medical Center E. Sander Connolly Jr., MD Columbia University College of Physicians and SurgeonsPeter Connolly, MD Weill Cornell Medical CenterAmador DeCastro, RN Columbia University College of Physicians and SurgeonsSteve Elias, MD Columbia University College of Physicians and Surgeons Matthew Freeby, MD Columbia University College of Physicians and Surgeons Robert Fridman, DPM Columbia University College of Physicians and SurgeonsWilliam A. Gray, MD Columbia University College of Physicians and Surgeons Justin Greisberg, MD Columbia University College of Physicians and Surgeons

Eric J. Heyer, MD Columbia University College of Physicians and Surgeons Jeanette Hofman, RN Columbia University College of Physicians and SurgeonsStewart M. Kamen, DPM Columbia University College of Physicians and SurgeonsJohn Karwowski, MD Weill Cornell Medical CollegeIn-Kyong Kim, MD Columbia University College of Physicians and Surgeons Gregg S. Landis, MD Weill Cornell Medical College; NewYork Hospital Queens Andrew Meltzer, MD Columbia University College of Physicians and SurgeonsPhillip Meyers, MD Columbia University College of Physicians and SurgeonsNicholas J. Morrissey, MD Columbia University College of Physicians and SurgeonsRoman Nowygrod, MD Columbia University College of Physicians and Surgeons

F. Raymond Ortega, MD Columbia University College of Physicians and SurgeonsDarren B. Schneider, MD Weill Cornell Medical CenterMichael Schwartz, MD Columbia University College of Physicians and Surgeons; Nyack HospitalJonathan Sussman, MD Columbia University College of Physicians and SurgeonsJudah Weinberger, MD Columbia University College of Physicians and Surgeons Robert Weinstein, RT Columbia University College of Physicians and Surgeons Joshua Weintraub, MD Columbia University College of Physicians and Surgeons Mathew R. Williams, MD Columbia University College of Physicians and SurgeonsChristopher J. Winfree, MD Columbia University College of Physicians and Surgeons

Contact InformationNewYork-Presbyterian Hospital/ Columbia University Medical Center Department of Surgery, External Affairs 400 Kelby Street, 11th Floor Fort Lee, NJ 07024

Program Coordinator Nina Scatton Events Coordinator Department of Surgery, External Affairs Columbia University Medical Center Tel: 201-346-7009 Fax: 201-346-7011 E-mail: [email protected]

Program Administrator Deborah Schwarz, RPA, CIBE Executive Director & Chief Communications Officer Department of Surgery, External Affairs Columbia University Medical Center

Program Coordinator Eileen Kieran Vascular Service Line Physician Liaison/Outreach Coordinator NewYork-Presbyterian Hospital Tel: 212-304-5704 Fax: 212-342-5273 E-mail: [email protected]

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For information regarding transportation options and valet parking at the Marriott Marquis New York, please visit www.ColumbiaSurgeryCME.org/nyc-transportation.html

Tuition FeesUntil May 1 .......$300 (1 day) After May 1 ......$400 (1 day)Until May 1 ......$375 (2 days) After May 1 ......$475 (2 days)Nurses, Physician Assistants, Radiologic Technologists, and Vascular Lab Students/Instructors: $50 (1 day) $100 (2 days)Fellows/Residents (w/photo ID): FREE$25 discount for NYPH/Columbia/Weill Cornell staff (w/photo ID)This fee includes academic presentations, course materials and meals, and refreshments. Confirmation of registration will be sent upon receipt of the registration form and payment.

Meeting Location and Hotel InformationMarriott Marquis New York 1535 Broadway at 45th Street New York, NY 10036 Telephone: 212-398-1900 or 1-800-843-4898 www.nymarriottmarquis.com

We have secured a block of rooms for our attendees at the Marriott Marquis New York. In order to take advantage of the negotiated group rate of $289/night plus tax, please make your reservation by Wednesday, April 25, 2012 directly with the Marriott Marquis New York. You must reference NewYork-Presbyterian Hospital to receive the negoti-ated group rate. The room block will be based on a first-come, first-served basis.To make a reservation please call: 1-877-513-6305 and reference NYPH/Columbia University Medical Center

To reserve a room on-line, please visit: https://resweb.passkey.com/go/NYPHColumbiaUniversityMedical

Transportation and Parking (NOTE: parking not included in the registration fee)

Astor Parking LLC 1515 Broadway at 44th St. Between Broadway & 8th Ave. New York, NY 10036 Telephone: 212-869-3543 or 212-354-5318

Champion Parking 53 LLC 251 West 45th St. Between 7th & 8th Ave. New York, NY 10036 Telephone: 212-819-1866

Icon Parking Systems 164 West 46th St. Between 6th & 7th Ave. New York, NY 10036 Telephone: 212-997-9115 or 212-382-3851

The meeting rooms and registration are located on the 7th floor with additional sessions on the 4th floor. Please refer to pages 3 and 4 for all locations.

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regIstrAtIon Please register me for the continuing medical education program titled: 10th Annual Innovations in Complex Vascular & Endovascular Interventions Emphasis on: Complex Arterial and Venous Vascular Procedures, Management Options for Non-healing Wounds & Advances in Podiatric Wound ManagementPlease select day(s) and session(s) of attendance:Thursday, May 10 m General/Vascular Sessions m Wound Care and Podiatry Sessions m Radiologic Technologist Sessions m OR Nurse Sessions m Fellows Course m Office-based Procedure Sessions

First Name (Please print) M.I. Last Name

Company/Institution

Address

City State Zip

Daytime Phone

E-mail (For confirmation purposes)

Specialty

Special Needs (Specify accommodations needed)

Attendee Signature Date

pAyment methodONLINE: To register online or to make an online credit card payment please visit:

www.ColumbiaSurgeryCME.org. For security purposes, credit card payments cannot be accepted in the mail or by phone. (American Express, Discover, MasterCard and Visa only)

BY MAIL: Complete the attached registration form and mail together with full payment to: NewYork-Presbyterian Hospital/Columbia University Medical Center Department of Surgery, External Affairs 400 Kelby Street, 11th Floor, Fort Lee, NJ 07024

Enclose a check or money order made payable to: Columbia University Department of Surgery/Vascular. Checks must be in U.S. dollars drawn on a U.S. bank.

PLEASE NOTE: Registration is limited and will be handled on a first-come, first-served basis. Telephone registrations and/or cancellations are not accepted. Refund of registration fee, less a $25 administrative charge, will be made if written notice of cancellation is received at least ten business days prior to the meeting. No refunds can be made thereafter.

Friday, May 11 m General/Vascular Sessions m Wound Care and Podiatry Sessionsm Radiologic Technologist Sessions m AV Access Sessions m Vein Programm Visiting Nurse Sessions

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Program Director: James F. McKinsey, MD

Program Co-Directors: Gautam V. Shrikhande, MD Danielle Bajakian, MD • Tzvi Bar-David, DPM • Michael Silane, MD

A CME Accredited Course

emphasis on: complex arterial and venous vascular ... · 1 learning objectives nthis symposium is a...

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