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10th ANNUAL CURRENT CONCEPTS IN VASCULAR THERAPIES 2020 MID-ATLANTIC CONFERENCE Sentara Vascular Specialists APRIL 2-4 Hilton Virginia Beach Oceanfront Virginia Beach, Virginia 397 Little Neck Road 3300 South Bldg., Suite 100 Virginia Beach, VA 23452 CURRENT CONCEPTS IN VASCULAR THERAPIES Hilton Virginia Beach Oceanfront • Virginia Beach, Virginia April 2-4, 2020 Jointly provided by Eastern Virginia Medical School Office of Continuing Medical Education and the Sentara Vascular Foundation Fund 7:00 am REGISTRATION / BREAKFAST 7:55 am INTRODUCTION AND WELCOME Rasesh M. Shah, MD Session 1 PAD Moderator(s): Samuel N. Steerman, MD and Richard Sprouse, MD 8:00 am Defining the Critical Limb Epidemic Samuel N. Steerman, MD 8:15 am Clinical Signs of Critical Limb Ischemia Jason R. Moore, MD 8:30 am Comparing Options for Open or Endovascular Surgery in Critical LI Richard Sprouse, MD 8:45 am Paclitaxel for PAD: Safety and Efficacy Kedar S. Lavingia, MD 9:00 am Managing Complications of Arterial Access Huiting “Tina” Chen, MD 9:15 am Radial Access for PAD Christopher Stout, MD 9:30 am Pedal Access for PAD Brandon Cain, MD 9:45 am QUESTIONS / ANSWERS 10:00 am Break Session 2 VASCULAR MEDICINE Moderator(s): Richard J. DeMasi, MD and Deepak R. Talreja, MD 10:30 am Living Related Renal Donor Program Duncan P. Yoder, MD 10:45 am Renovascular Hypertension Jurabek Babadjanov, MD 11:00 am Alternative Therapties for PAD Richard J. DeMasi, MD 11:15 am New Frontiers in Hypercholesterolemia Deepak R. Talreja, MD 11:30 am Vasculitis Aditya Sharma, MBBS 11:45 am DM and Amputation Huiting “Tina” Chen, MD 12:00 noon QUESTIONS / ANSWERS 12:15 pm Lunch 1:15 pm KEYNOTE ADDRESS Kurt Hofelich, VP of Ambulatory Services “The Changing Business of Medical Care” Session 3 VENOUS DISEASE Moderator(s): David J. Dexter, II, MD and C. Scott McEnroe, MD 2:00 pm New Frontiers in Thrombectomy: Can We Do This Without Thrombolysis? Michael Landis, MD 2:15 pm Understanding Deep Venous Reflux: How Can This Be Treated? David J. Dexter, II, MD 2:30 pm Central Venous Obstructions: Surgical and Endovascular Options for Care Hosam F. El Sayed, MBBCh, PhD 2:45 pm Spider Veins to Venous Ulcers: What Is Going on with My Patient? Rasesh M. Shah, MD 3:00 pm Tumescent Based Therapy for SVI C. Scott McEnroe, MD 3:15 pm Non-Thermal/Non-Tumescent Therapy for Superficial Venous Insufficiency (SVI) S. Sadie Ahanchi, MD 3:30 pm QUESTIONS / ANSWERS 3:45 pm Break APRIL 3, 2020 APRIL 3, 2020 continued 7:00 am REGISTRATION / BREAKFAST 7:55 am WELCOME Rasesh M. Shah, MD Session 5 AORTIC Moderator(s): Hosam F. El Sayed, MBBCh, PhD and Jean M. Panneton, MD 8:00 am Should Aortic Care Be Regionalized? Animesh Rathore, MBBS 8:15 am Open Arch Reconstruction Christopher Barreiro, MD 8:30 am Collaboration Between Vascular Surgery and Cardiothoracic Surgery (CTS): How They Do It Dipankar Mukherjee, MD 8:45 am Endovascular Arch Repair: Past, Present and Future Jean M. Panneton, MD 9:00 am Acute Aortic Syndromes: How I Manage This Emergency Hosam F. El Sayed, MBBCh, PhD 9:15 am When Is Endovascular Aneurysm Repair (EVAR) A Bad Choice For Abdominal Aortic Aneurysm (AAA) Repair And Why? Todd W. Gensler, MD 9:30 am QUESTIONS / ANSWERS 9:45 am Break Session 6 CEREBROVASCULAR / NEW TECH Moderator(s): Rasesh M. Shah, MD and S. Sadie Ahanchi, MD 10:00 am Stroke Interventions: Timing Daniel A. Cohen, MD 10:15 am Bioabsorbable Stents Christine J. Ou, MD 10:30 am Vertebrobasilar Insufficiency Justin Milligan, MD 10:45 am Arm Claudication Gregory C. Schmieder, MD 11:00 am Women and Carotid Disease S. Sadie Ahanchi, MD 11:15 am TransCarotid Artery Revascularization (TCAR) Rasesh M. Shah, MD 11:30 am Robotic Intervention Ronald S. McKechnie, MD 11:45 am Alternative Endo Approach to Bypass Samuel N. Steerman, MD 12:00 Noon Percut Fistulas Todd W. Gensler, MD 12:15 pm QUESTIONS / ANSWERS and CLOSING REMARKS 12:30 pm ADJOURN APRIL 4, 2020 Session 4 GREAT DEBATES Moderator(s): Animesh Rathore, MBBS and Todd W. Gensler, MD 4:15 pm Small Abdominal Aortic Aneurysms (4.5 to 5.5 cm) Should Be Left Alone John Ligush, MD 4:30 pm Small Abdominal Aortic Aneurysms (4.5 to 5.5 cm) Should Be Managed Surgically Animesh Rathore, MBBS 4:45 pm All Submassive Pulmonary Embolisms Should Be Treated with Medical Therapy Only Mary Baker, MD 5:00 pm All Submassive Pulmonary Embolisms Should Be Treated with Catheter Directed Therapy Huiting “Tina” Chen, MD 5:15 pm Asyptomatic Critical Carotid Stenosis Should Be Treated with Medical Therapy Only David J. Dexter, II, MD 5:30 pm Asymptomatic Critical Carotid Stenosis Should Always Be Treated Surgically Michael E. Landis, MD 5:45 pm QUESTIONS / ANSWERS 6:00 pm ADJOURN 6:00 pm NETWORKING RECEPTION 7:30 pm FACULTY DINNER 10th ANNUAL CURRENT CONCEPTS IN VASCULAR THERAPIES

10th ANNUAL CURRENT CONCEPTS IN VASCULAR THERAPIESMary Baker, MD Pulmonary Medicine, Critical Care Medicine Christopher Barreiro, MD Sentara Mid-Atlantic Cardiothoracic Surgeons Brandon

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Page 1: 10th ANNUAL CURRENT CONCEPTS IN VASCULAR THERAPIESMary Baker, MD Pulmonary Medicine, Critical Care Medicine Christopher Barreiro, MD Sentara Mid-Atlantic Cardiothoracic Surgeons Brandon

10th ANNUAL CURRENT CONCEPTS IN

VASCULAR THERAPIES

2 0 2 0 M I D - AT L A N T I C

C O N F E R E N C E

Sentara Vascular Specialists

APRIL 2-4Hilton Virginia Beach Oceanfront Virginia Beach, Virginia

397 Little Neck Road 3300 South Bldg., Suite 100Virginia Beach, VA 23452

CURRENT CONCEPTS IN VASCULAR THERAPIESHilton Virginia Beach Oceanfront • Virginia Beach, Virginia

April 2-4, 2020

Jointly provided by Eastern Virginia Medical School Office of Continuing Medical Education and the Sentara Vascular Foundation Fund

7:00 am REGISTRATION / BREAKFAST

7:55 am INTRODUCTION AND WELCOMERasesh M. Shah, MD

Session 1 PAD Moderator(s): Samuel N. Steerman, MD and Richard Sprouse, MD

8:00 am Defining the Critical Limb Epidemic Samuel N. Steerman, MD

8:15 am Clinical Signs of Critical Limb Ischemia Jason R. Moore, MD

8:30 am Comparing Options for Open or Endovascular Surgery in Critical LI

Richard Sprouse, MD

8:45 am Paclitaxel for PAD: Safety and Efficacy Kedar S. Lavingia, MD

9:00 am Managing Complications of Arterial Access

Huiting “Tina” Chen, MD

9:15 am Radial Access for PAD Christopher Stout, MD

9:30 am Pedal Access for PAD Brandon Cain, MD

9:45 am QUESTIONS / ANSWERS

10:00 am Break

Session 2 VASCULAR MEDICINE Moderator(s): Richard J. DeMasi, MD and Deepak R. Talreja, MD

10:30 am Living Related Renal Donor Program Duncan P. Yoder, MD

10:45 am Renovascular Hypertension Jurabek Babadjanov, MD

11:00 am Alternative Therapties for PAD Richard J. DeMasi, MD

11:15 am New Frontiers in Hypercholesterolemia Deepak R. Talreja, MD

11:30 am Vasculitis Aditya Sharma, MBBS

11:45 am DM and Amputation Huiting “Tina” Chen, MD

12:00 noon QUESTIONS / ANSWERS

12:15 pm Lunch

1:15 pm KEYNOTE ADDRESS Kurt Hofelich, VP of Ambulatory Services “The Changing Business of Medical Care”

Session 3 VENOUS DISEASE Moderator(s): David J. Dexter, II, MD and C. Scott McEnroe, MD

2:00 pm New Frontiers in Thrombectomy: Can We Do This Without Thrombolysis?

Michael Landis, MD

2:15 pm Understanding Deep Venous Reflux: How Can This Be Treated?

David J. Dexter, II, MD

2:30 pm Central Venous Obstructions: Surgical and Endovascular Options for Care

Hosam F. El Sayed, MBBCh, PhD

2:45 pm Spider Veins to Venous Ulcers: What Is Going on with My Patient?

Rasesh M. Shah, MD

3:00 pm Tumescent Based Therapy for SVI C. Scott McEnroe, MD

3:15 pm Non-Thermal/Non-Tumescent Therapy for Superficial Venous Insufficiency (SVI)

S. Sadie Ahanchi, MD

3:30 pm QUESTIONS / ANSWERS

3:45 pm Break

APRIL 3, 2020 APRIL 3, 2020 continued

7:00 am REGISTRATION / BREAKFAST

7:55 am WELCOME Rasesh M. Shah, MD

Session 5 AORTIC Moderator(s): Hosam F. El Sayed, MBBCh, PhD and Jean M. Panneton, MD

8:00 am Should Aortic Care Be Regionalized? Animesh Rathore, MBBS

8:15 am Open Arch Reconstruction Christopher Barreiro, MD

8:30 am Collaboration Between Vascular Surgery and Cardiothoracic Surgery (CTS): How They Do It

Dipankar Mukherjee, MD

8:45 am Endovascular Arch Repair: Past, Present and Future

Jean M. Panneton, MD

9:00 am Acute Aortic Syndromes: How I Manage This Emergency

Hosam F. El Sayed, MBBCh, PhD

9:15 am When Is Endovascular Aneurysm Repair (EVAR) A Bad Choice For Abdominal Aortic Aneurysm (AAA) Repair And Why?

Todd W. Gensler, MD

9:30 am QUESTIONS / ANSWERS

9:45 am Break

Session 6 CEREBROVASCULAR / NEW TECH Moderator(s): Rasesh M. Shah, MD and S. Sadie Ahanchi, MD

10:00 am Stroke Interventions: Timing Daniel A. Cohen, MD

10:15 am Bioabsorbable Stents Christine J. Ou, MD

10:30 am Vertebrobasilar Insufficiency Justin Milligan, MD

10:45 am Arm Claudication Gregory C. Schmieder, MD

11:00 am Women and Carotid Disease S. Sadie Ahanchi, MD

11:15 am TransCarotid Artery Revascularization (TCAR)

Rasesh M. Shah, MD

11:30 am Robotic Intervention Ronald S. McKechnie, MD

11:45 am Alternative Endo Approach to Bypass Samuel N. Steerman, MD

12:00 Noon Percut Fistulas Todd W. Gensler, MD

12:15 pm QUESTIONS / ANSWERS and CLOSING REMARKS

12:30 pm ADJOURN

APRIL 4, 2020

Session 4 GREAT DEBATES Moderator(s): Animesh Rathore, MBBS and Todd W. Gensler, MD

4:15 pm Small Abdominal Aortic Aneurysms (4.5 to 5.5 cm) Should Be Left Alone

John Ligush, MD

4:30 pm Small Abdominal Aortic Aneurysms (4.5 to 5.5 cm) Should Be Managed Surgically

Animesh Rathore, MBBS

4:45 pm All Submassive Pulmonary Embolisms Should Be Treated with Medical Therapy Only

Mary Baker, MD

5:00 pm All Submassive Pulmonary Embolisms Should Be Treated with Catheter Directed Therapy

Huiting “Tina” Chen, MD

5:15 pm Asyptomatic Critical Carotid Stenosis Should Be Treated with Medical Therapy Only

David J. Dexter, II, MD

5:30 pm Asymptomatic Critical Carotid Stenosis Should Always Be Treated Surgically

Michael E. Landis, MD

5:45 pm QUESTIONS / ANSWERS

6:00 pm ADJOURN

6:00 pm NETWORKING RECEPTION

7:30 pm FACULTY DINNER

10th ANNUAL CURRENT CONCEPTS IN

VASCULAR THERAPIES

Page 2: 10th ANNUAL CURRENT CONCEPTS IN VASCULAR THERAPIESMary Baker, MD Pulmonary Medicine, Critical Care Medicine Christopher Barreiro, MD Sentara Mid-Atlantic Cardiothoracic Surgeons Brandon

2020 MID-ATLANTIC CONFERENCE

CURRENT CONCEPTS IN VASCULAR THERAPIES

Target Audience

Course DirectorsDavid J. Dexter, II, MD, FACSAssistant Professor of Surgery

Eastern Virginia Medical SchoolSentara Vascular Specialists

Jean M. Panneton, MD, FACSProfessor of Surgery

Eastern Virginia Medical SchoolSentara Vascular Specialists

Animesh Rathore, MBBSAssistant Professor of Surgery

Eastern Virginia Medical SchoolSentara Vascular Specialists

Rasesh M. Shah, MD, FACSAssistant Professor of Surgery

Eastern Virginia Medical SchoolSentara Vascular Specialists

For more detailed information about the conference, go to http://conceptsinvasculartherapies.com

This educational program is designed for Primary Care Physicians as well as Specialty Physicians and Allied Health Professionals from the Mid-Atlantic Region, to include:

• Family Medicine Physicians • Cardiologists • Emergency Room Physicians • General Surgeons • Hospital Based Physicians

• Internal Medicine Physicians • Nurse Practitioners• Nurses• Physician Assistants• Podiatrists

• Vascular Surgeons• Vascular Technologists• Vein Specialists

Guest Faculty

Faculty S. Sadie Ahanchi, MDSentara Vascular Specialists

Jurabek Babadjanov, MDVascular Surgery, Riverside Medical Group

Mary Baker, MDPulmonary Medicine, Critical Care Medicine

Christopher Barreiro, MDSentara Mid-Atlantic Cardiothoracic Surgeons

Brandon Cain, MDVascular Surgery, Greensboro, NC

Huiting “Tina” Chen, MDSentara Vascular Specialists

Daniel A. Cohen, MDSentara Neurology Specialists

David J. Dexter, II, MDSentara Vascular Specialists

Richard J. DeMasi, MDSentara Vascular Specialists

Hosam F. El Sayed, MBBCh, PhDSentara Vascular Specialists

The deadline for making hotel reservations is March 10, 2020 Reservation requests received after the deadline date will be based on availability.

Todd W. Gensler, MDSentara Vascular Specialists

Michael E. Landis, MDSentara Vascular Specialists

Kedar S. Lavingia, MDVascular Surgery, Richmond, VA

John Ligush, MDSentara Martha Jefferson Vascular & Vein Center

C. Scott McEnroe, MDSentara Vascular Specialists

Ronald S. McKechnie, MDSentara Cardiology Specialists

Justin M. Milligan, MDFellow in Vascular Surgery, EVMS

Jason R. Moore, MDSentara Vascular Specialists, Rockingham

Dipankar Mukherjee, MDVascular Surgery, Innova, Fairfax, VA

Christine J. Ou, MDVascular Surgery, Rockingham

Jean M. Panneton, MDSentara Vascular Specialists

Animesh Rathore, MBBSSentara Vascular Specialists

Gregory C. Schmieder, MDNorton Vascular Surgery, Louisville, KY

Rasesh M. Shah, MDSentara Vascular Specialists

Aditya Sharma, MBBSUniversity of Virginia Health System

Richard Sprouse, MDVascular Surgery, Chattanooga, TN

Samuel N. Steerman, MDSentara Vascular Specialists

Christopher Stout, MDVascular Surgery, Springfield, MO

Deepak R. Talreja, MDSentara Cardiology Specialists

Duncan P. Yoder, MDSentara Transplant Specialists

Location and AccommodationsThis conference will take place at:

Hilton Virginia Beach Oceanfront 3001 Atlantic AvenueVirginia Beach, VA 23451(757) 213-3000

A block of rooms has been reserved for a special rate of $149 per night from Thursday, April 2 to Sunday, April 5.

To make reservations, please go online to www.evms.edu/cmeregistration and click on 10th Annual Current Concepts in Vascular Therapies or contact Hilton Central Reservations Line at 1-800-HILTONS directly to make your hotel reservation and indicate you are attending the “VASCULAR & ENDOVASCULAR THERAPIES” conference. This will ensure you will receive the preferred group rate of $149 per room (city view) or $169 per room (ocean view), per night, single or double occupancy. The tax is 14% per room per night, plus a $1.00 per room per night occupancy tax.

For directions and detailed information about the hotel, go to www.virginiabeachoceanfront.hilton.com

Program OverviewWelcome to the 10th annual Current Concepts in Vascular Therapies Mid-Atlantic Conference at the beautiful Virginia Beach oceanfront. The symposium will offer up to 12.25 AMA PRA Category 1 Credits™ as well as maintenance of certification (MOC) credits. The sessions will be led by regional and national experts on a wide spectrum of vascular topics and directed towards healthcare professionals caring for patients with these conditions. A multidisciplinary panel of speakers from vascular surgery, vascular medicine, pulmonary, neurology and cardiology will provide insight into medical management as well as open and endovascular techniques. Topics will include peripheral arterial disease, aortic aneurysms and dissection, novel techniques for complex venous problems, cerebrovascular disease and dialysis access. Question and answer sessions, expert debates and panel discussions will help fulfill our mission of excellent patient care and high level education for healthcare professionals. We hope you are able to join us this spring at the beach.

AccreditationThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Eastern Virginia Medical School and Sentara Vascular Specialists. Eastern Virginia Medical School is accredited by the ACCME to provide continuing medical education for physicians.

Credit DesignationEastern Virginia Medical School designates this live activity for a maximum of 12.25 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Virginia Board of MedicinePhysicians may claim up to (12.25 hours) in Type 1 CME on the Virginia Board of Medicine Continued Competency and Assessment Form required for the renewal of an active medical license.

Sentara Vascular Foundation Fund

Jointly provided by:

Kurt HofelichVice President of Ambulatory Services

Learning ObjectivesUpon completion of this program, participants should be able to:

1. Explain the natural history of varicose veins and treatment options for truncal vein reflux.

2. Describe the crisis of critical limb ischemia and options for treatment.

3. Determine the treatment options for deep venous reflux.

4. Identify treatment options for submassive pulmonary embolism.

5. Describe the diagnosis and treatment for renovascular hypertension.

6. Evaluate medical / endovascular / surgical treatment options for patients with PAD.

7. Explain the controversy surrounding Paclitaxel coated balloons in peripheral angioplasty.

8. Identify appropriate strategies to treat small abdominal aortic aneurysms.

9. Determine the true aortic emergency syndromes and treatment options.

10. Describe the key concepts required for successful aortic arch surgery, both endovascular and open.

11. Analyze the approach to complex central venous occlusions / interventional and reconstructive options.

12. Identify the key principles when treating dyslipidemias in 2020.

13. Describe the timing of carotid intervention after TIA or small stroke, and understand revascularization options available in 2020.

14. Explain the newest treatment options for creation of dialysis access.

15. Analyze the newest treatment options for creation of dialysis access.

Page 3: 10th ANNUAL CURRENT CONCEPTS IN VASCULAR THERAPIESMary Baker, MD Pulmonary Medicine, Critical Care Medicine Christopher Barreiro, MD Sentara Mid-Atlantic Cardiothoracic Surgeons Brandon

Event

REGISTRATION FORMCurrent Concepts in Vascular Therapies 2020 Mid-Atlantic Conference

April 2-4, 2020 Hilton Virginia Beach Oceanfront Virginia Beach, VA

April 2 5:45 p.m. – 7:30 p.m. Welcome Reception April 3 7:55 a.m. – 6:00 p.m. Conference April 3 6:00 p.m. – 7:30 p.m. Networking ReceptionApril 4 7:55 a.m. – 12:30 p.m. Conference Registration DeadlineRegistration will be closed on Wednesday, April 1, 2020. However, onsite registration will be open at 7:00 a.m. Friday and Saturday. For questions, please contact EVMS-CME Office at 757-446-6140 or [email protected].

FeesThe registration fee includes tuition for the entire educational symposium, daily continental breakfast, break refreshments, Thursday evening Welcome Reception, Friday lunch, and the Friday evening Networking Session.

Cancellation PolicyAll cancellations must be made in writing prior to Friday, March 20, 2020 in order to receive a refund. A $50.00 administrative service charge will be assessed on all cancellations. No refunds will be given after this date and for “no shows”.

How To Registern Online (Credit Card Only):

www.evms.edu/cmeregistration

n Mail (Check Only): Enclose check payable to Eastern Virginia Medical School CME and mail to:

EVMS-CME 358 Mowbray Arch, Suite 207 Norfolk, VA 23507

Welcome Reception Conference: Current Concepts in Vascular Therapies Thursday, April 2, 5:45 p.m. – 7:30 p.m. Friday, April 3, 7:55 a.m. – 6:00 p.m. Networking Reception Saturday, April 4, 7:55 a.m. – 12:30 p.m.Friday, April 3, 6:00 p.m. – 7:30 p.m.

£ I plan to attend the Thursday Welcome Reception (# of attendees £ 1 or £ 2) £ I plan to attend the Friday Networking Reception (# of attendees £ 1 or £ 2)

Register online at www.evms.edu/cmeregistration

First Name__________________________ Last Name ___________________________ Credential (MD, DO, RN, etc.)____________

Specialty Institution Affiliation

Address

City, State, Zip

Daytime Phone__________________________ Fax__________________________ eMail _______________________________________

SSN (last four digits only) _________________________________ (required for confirmation)

2020 REGISTRATION FEE Full Conference Friday Only, Day 1 Saturday Only, Day 2

Physicians £ $400 £ $250 £ $150

Other Health Professionals £ $200 £ $150 £ $ 75

Sentara Employees (non-physician) £ $100

Residents, Fellows or Medical Students £ $100