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 2010 Annual Meeting

Indiana University School of Medicine
Michael C. Dalsing, MD

(Point to picture for a History of Indiana University School of Medicine)




1:00 P.M. – 2:45 P.M.           SESSION I

1.  Reanastomosis of Divided Left Renal Vein During Aneurysm Repair is Not Necessary 
Sachinder Hans, MD
        From: Vascular Surgery, St John Macomb, Warren, MI and Vascular Surgery, Henry       
          Ford Macomb Hospital, Clinton Township, MI

2.  Performance (Learning) Curves and Other Observations in a Structured High-Volume 
     Endovascular Simulation Training Program: 18 months and 400 procedures later
         Mark A. Mattos, MD, Yugevnia Rits, MD, Jeffery R. Rubin, MD, Ken Granke, MD and O. W.
         Brown, MD   
Surgery, Vascular Surgery, Wayne State University School of Medicine, Detroit, MI

3.  Racial Disparities in End-of-Limb Care Among Medicare Amputees
Kerianne H. Quanstrum, MD, Peter K. Henke, MD, Justin B. Dimick, MD and John D. Birkmeyer,
        From: University of Michigan, Ann Arbor, MI

4.  The Incidence of Carotid Stent Fractures
Anthony Nigliazzo, MD, Sam Yonan, MD, Edmond Louvar, MD and Robert G. Molnar, MD 
        From: Michigan State University/McLaren Regional Medical Center, Flint, MI and Michigan 
          StateUniversity Department of Surgery, Michigan Vascular Center, Flint, MI

5.  Outcomes of Angioplasty and Stenting of the Supraaortic Trunks
M. A. Mansour, MD, Timothy Liao, MD, Christopher M. Chambers, MD, Jill M. Gorsuch, MD,
         Robert F. Cuff, MD, Robert F. Cali, MD. 
        From: Vascular Surgery, Michigan State University, Grand Rapids, MI

6.  Acute Venous Thrombotic Events After RFA Of The Saphenous Vein
Andres Fajardo, MD, Brian G. Rubin, MD. 
       From: Washington University St. Louis, St. Louis, MO


  Common Femoral Endovenectomy with Iliocaval Endoluminal Recanalization Improves
  Symptoms and Quality of Life in Patients with Postthrombotic Iliofemoral Obstruction
David Vogel, MD, Anthony J. Comerota, MD, Mustafa Al-Jubouri, MD and Zacaria Assi, MD
From: Jobst Vascular Center, The Toledo Hospital, Toledo, OH

3:15 P.M. – 4:45 P.M.              NEW HORIZONS IN VASCULAR SURGERY

3:15 P.M.                   Optimizing Your Vascular Practice: How to Communicate with Referring 
                                  Techniques to Increase Referrals Working with Cardiology and IR
                                   Krishna M. Jain, MD
                                   Kalamazoo, MI

3:35 P.M.                    Endovascular Options for Trauma
                                    Joseph S. Giglia, MD
                                    Cincinnati, OH

3:55 P.M.                    Percutaneous Techniques for Acute Limb Ischemia
                                    Sean P. Lyden, MD
                                    Cleveland, OH

4:15 P.M.                    Managing TEVAR Challenges 
                                    Gustavo S. Oderich, MD
                                    Rochester, MN

4:35 P.M.                    Panel Q & A

5:00 p.m. – 6:30 p.m. POSTER SESSION

P1        Surgical Treatment of Abdominal Aortic Aneurysms in Infants and Young Children
Jonathan L. Eliason, Enrique Criado, MD and James C. Stanley, MD 
           From: Section of Vascular Surgery, University of Michigan, Ann Arbor, MI

P2         Predictors of Outcome Following Major Lower Extremity Amputations Using The 
             Nsqip Data Base
Joseph Karam, Ilan Rubinfeld, MD and Alexander Shepard, MD
             From: General Surgery, Henry Ford Hospital, Detroit, MI

P3         Treatment Outcomes of Concomitant Coronary and Carotid Occlusive Disease
             Michael Sgroi, MD and Robert G. Molnar, MD
             From: Michigan State University, Flint, MI and Michigan State University Department
             of Surgery, 
             Michigan Vascular Center, Flint, MI

P4          Carotid Duplex Evaluation is Warranted At Least Six Month Intervals in Patients
              With Asymptomatic Carotid Stenosis
Ritu Aparajita, MD, Katherine A. Gallagher, MD, Ashley R. Graham and James F. McKinsey
              From: Columbia University Medical Center, New York, NY

 P5         Presentation, Management and Outcome of Femoral Anastomotic     
              Pseudoaneurysms in the Era of Endovascular Interventions
Joseph Karam, MD, Stavros Kakkos, MD, David Skarupa, MD, Timothy Nypaver, MD, Judith
              Lin, MD, Mitchell Weaver, MD, Daniel Reddy, MD, Charles West, MD, Georges Haddad, MD  
              and Alexander Shepard, MD
              From: Surgery, Henry Ford Hospital, Detroit, MI

P6         The Natural History and Treatment of Peripancreatic Aneurysms Associated with 
             Celiac Artery Stenosis
Frank C. Vandy, MD, John E. Rectenwald, MD and James C. Stanley, MD
             From: Section of Vascular Surgery, University of Michigan, Ann Arbor, MI

P7         The Role of the Kiwi Removable Rigid Dressing System after Lower Extremity 
  Yazan Duwayri, MD, Raghuveer Vallabhaneni, MD, Kirk Pils, Amy Schaumburg and John A.    
             Curci, MD
             From: Vascular Surgery, Washington University School of Medicine, St Louis, MO

P8        Predictors of Wound Complications Following Major Amputation for Critical Limb 
Ravishankar Hasanadka, MD, Robert B. McLafferty, MD, Colleen J. Moore, MD, Douglas B.  
            Hood, MD, Donald E. Ramsey, MD and Kim J. Hodgson, MD
            From: Division of Vascular Surgery, Southern Illinois University, Springfield, IL

P9        Improving The Care For Ruptured Aortic Aneurysms- Does Having A Protocol 
            Translate To Improved Performance? : Post Implementation Analysis Results Of A 
Raghunandan L. Motaganahalli, Gary W. Lemmon, MD, Alan Sawchuck, MD, Micheal Murphy,
            MD, Cynthia Richardson, RN, George Akingba, MD, Robert McCready, MD, Dolores Cikrit,  
            MD and Micheal C. Dalsing, MD
            From: Vascular surgery, Indiana University School of Medicine, Indianapolis, IN

P10      The Use of Distal Arterial Access for Difficult Femoropopliteal Subintimal   
George H. Meier, MD, Paul B. Jones, MD and Joseph S. Giglia, MD
             From: University of Cincinnati, Cincinnati, OH

P11       Novel Treatment to Maintain Pelvic Perfusion during Endovascular Aortoiliac 
             Aneurysm Repair
Raghuveer Vallabhaneni, Kathleen G. Raman, MD, Yazan Duwayri, MD, Brian G. Rubin, MD,
             Patrick J. Geraghty, MD, Eric T. Choi, MD, Gregorio A. Sicard, MD and Luis A. Sanchez, MD
             From: Division of Vascular Surgery, Washington University School of Medicine, St. Louis,

P12       Hybrid Procedures In The Management Of Adult Thoracic Coarctation And Its
Michele Piazza, MD, Audra A. Duncan, MD, Gustavo S. Oderich, MD, Manju Kalra, MD,  
             Thomas C. Bower, MD, Joseph J. Ricotta, MD and Peter Gloviczki, MD
             From: Vascular and Endovascular Surgery, Mayo Clinic, Rochester, MN

P13      Outback® Re-entry Catheter; Enables The Safe Endovascular Management Of 
            Complex Chronic Total Occlusions
   Sikandar Z. Khan, MD, Muhammad A. Khan, MD, Peter Connelly, MD, Rajeev Dayal, MD, 
            Nicholas Morrissey, MD and James F. McKinsey
            From: Division of Vascular Surgery, New York Presbyterian Hospital, New York, NY

P14      Late Gastrointestinal Complication of Inferior Vena Cava Filter Placement
Frank C. Vandy, MD, John E. Rectenwald, MD, Enrique Criado, MD.
            From:  Section of Vascular Surgery, University of Michigan, Ann Arbor, MI

P15      Results of Carotid to Subclavian Artery Bypass Performed in Conjunction with    
            Endograft Repair of the Thoracic Aorta
Ali Shahriari, MD, Alan Sawchuk, MD and John W. Brown, MD
            From: Cardiovascular Surgery, Indiana University School of Medicine, Indianapolis, IN

P16       Wound Infection after Lower Extremity Bypass: a Vexing Problem
             Amanda McClure, MD, M. A. Mansour, MD, Jill M. Gorsuch, MD, Robert F. Cuff, MD,    
             Christopher M. Chambers, MD and Robert F. Cali, MD
             From: Spectrum Health, Vascular Surgery, Grand Rapids, MI

P17       Carotid Stenting and Endarterectomy: Cost Analysis
             M. A. Mansour, MD, Brian J. Wheatley, MD, Robert F. Cuff, MD, Jill M. Gorsuch, MD and
             Christopher M. Chambers, MD
             From: Spectrum Health, Vascular Surgery, Grand Rapids, MI



8:00 A.M. – 9:45 A.M.            SESSION II
8.     Perigraft Seroma After Open Abdominal Aortic Aneurysm Repair: Frequency, Risk 
        Factors and  Management 

             Ajith K. Kadakol, MD, Joseph L. Karam, MD, Judith C. Lin, MD, Timothy J. Nypaver, MD,
              Mitchell R. Weaver, MD, Daniel J. Reddy, MD, Georges K. Haddad, MD, Charles A. West, MD
              and Alexander D. Shepard, MD
           From: Vascular Surgery, Henry Ford Hospital, Detroit, MI

9.     Postoperative Fluid Collection After Visceral Debranching Prior To Endografting:
         A Cause For Concern

Justin Hurie, MD, Himanshu J. Patel, MD, Enrique Criado, MD, Jonathan L. Eliason, MD,
              John  E. Rectenwald, MD, Loay Kabani, MD, Michael Deeb, MD and Gilbert R. Upchurch, MD
              From: Section of Vascular Surgery, University of Michigan, Ann Arbor, MI

10.    Repairing Immediate Proximal Endoleaks Following Aneurysm Repair: Covered or  
          Uncovered Stents?
  Ravi R. Rajani, MD, Zachary M. Arthurs, MD, Sunita D. Srivastava, MD, Sean P. Lyden, MD,
             Daniel G. Clair, MD and Matthew J. Eagleton, MD
             From: Vascular Surgery, Cleveland Clinic, Cleveland, OH

11.   Superior Outcomes for Rural Patients After Abdominal Aortic Aneurysm (AAA) Repair: 
         Support for a Systematic Regional Approach to AAA Care
Matthew W. Mell, MD, Christie Bartels, MD, Amy Kind, MD, Glen Leverson, PhD and Maureen
           A. Smith, MD
          From: Surgery, Stanford University, Stanford, CA and Madison, WI


       Lower Extremity Microembolism in Open vs. Endovascular Abdominal Aortic Aneurysm
           Shahab Toursavadkohi, MD, Ilan Rubinfeld, MD and Alexander Shepard, MD
           From: Surgery, Henry Ford Hospital, Detroit, MI

13.   Population-based Utilization And Outcome Of Endovascular And Open Thoracic 
        Aneurysm Repair

 Jeffrey Jim, MD, Pamela L. Owens, PhD, Luis A. Sanchez, MD and Brian G. Rubin, MD
            From: Section of Vascular Surgery, Washington University School of Medicine, St. Louis, MO

          Increased JNK in Males compared with Females in a Rodent Model of Abdominal 
         Aortic Aneurysm
Paul D. DiMusto, MD, Guanyi Lu, MD, Abhijit Ghosh, PhD, Karen Roelofs, DVM, Omar Sadiq, 
             Brendan McEvoy, Adriana Laser, MD, Peter K. Henke, MD, Jonathan L. Eliason, MD and
             Gilbert R. Upchurch, Jr., MD
             From: Vascular Surgery, University of Michigan, Ann Arbor, MI

10:15 A.M. – 11:00 AM               SESSION III

15.    CTA Quantitative Analysis of Carotid Bifurcation Plaque Burden and Calcification in
          Relation to Symptomatic Outcome

Timothy Wu, MD, Dipankar Biswas, Susan McCormick, PhD, Francis Loth, PhD and 
             Hisham Bassiouny, MD
             From: The University of Pittsburgh School of Medicine, Pittsburgh, PA The University of
             Chicago, Chicago, IL and The University of Akron, Akron, OH

16.    Morphometric Analysis Of Calf Muscle Biopsies From Patients With Peripheral Arterial 
          Disease Provides Objective Criteria For Disease Diagnosis And Progression

Dimitrios Miserlis, MD, Iraklis I. Pipinos, Govindarajan Konda Naganathan, PhD, Kim Cluff,
             PhD, Jeyamkondan Subbiah, PhD, Dustin J. Weiss, MD, Stanley A. Swanson, MD, Zhen Zhu,
             MD, Ashok Shamal, PhD and George P. Casale, PhD
             From: Surgery, University of Nebraska Medical Center, Omaha, NE and Lincoln, NE

17.    Autologous Bone Marrow Cell Therapy Promotes Long Term Limb Salvage in Patients 
         with Critical Limb Ischemia

Michael P. Murphy, MD, Michael C. Dalsing, MD, Jeffrey H. Lawson, MD, Shoiab S. Shafique,
             MD, Gary W. Lemmon, MD, Alan P. Sawchuk, MD, Brian M. Rapp, MD, M. Reza Saadatzadeh
             Reza Saadatzadeh, PhD, Janet Klein, RN and Jim McKale
             From: Division of Vascular Surgery, IU School of Medicine, Indianapolis, IN and Durham, NC

11:00 A.M. - NOON                    PRESIDENTIAL ADDRESS
                                                     Jon S. Matsumura, MD
                                                     Introduced by:  Daniel J. Reddy, MD

1:30 P.M. – 2:00 P.M.                 RAPID FIRE SESSION I
RF1    A Ten Year Performance Assessment of an Academic Heart and Vascular Service Line 

William D. Turnipseed, MD
              From: Vascular Surgery, UW Medical School, Madison, WI

RF2    Biaxial Mechanical Properties Of The Human Carotid Artery And Materials Used For 
          Patch Angioplasty
Alexey V. Kamenskiy, PhD, Yuris A. Dzenis, PhD, Jason MacTaggart, MD, Jason Johanning,  
              MD, Matthew G. Longo, MD, Thomas G. Lynch, MD and Iraklis I. Pipinos, MD
              From: Engineering Mechanics, University of Nebraska-Lincoln, Lincoln, NE and Omaha, NE

RF3    AV Loop Grafts for Free Tissue Transfer
Benjamin B. Lind, MD and Chad Jacobs, MD
               From: Cardiovascular and Thoracic Surgery, Rush University Medical Center, Chicago, IL

RF4    Factors Influencing the Incidence of Symptomatic Peripherally Inserted Central 
          Catheter Related Thrombosis

Robert Guttormson, MD, Susan Bays, MD, John Clements, Lisa McElroy and Ronald Bays, 
              From: Surgery, Synergy Medical Education Alliance, Saginaw, MI

RF5    Tongue Necrosis as an Unusual Presentation of Carotid Occlusive Disease
Paul M. Bjordahl, MD and Alex D. Ammar, MD
              From: Surgery, The University of Kansas School of Medicine - Wichita, Wichita, KS

RF6    Tumescent Anesthesia Reduces Pain Associated With Angioplasty Of Hemodialysis 
John Matsuura, MD, Anson Yeager, MD and Wen-yu Haines, MD
             From: The Iowa Clinic, West Des Moines, IA and Des Moines, IA

2:00 P.M. – 3:30 P.M.                NEW HORIZONS IN VASCULAR SURGERY
                                                 “MEET THE EXPERTS”

2:00 P.M.                                  Extending EVAR with Fenestrated Endografts
                                                  Tara M. Mastracci, MD
                                                  Cleveland, OH

2:20 P.M.                                  Mesenteric Interventions
                                                  Timur P. Sarac, MD
                                                  Cleveland, OH

2:40 P.M.                                  Carotid Stenting and Flow Reversal
                                                  Mark K. Eskandari, MD
                                                  Chicago, IL

3:00 P.M.                                  Deep Venous Interventions
                                                  Gretchen Schwarze, MD
                                                  Madison, WI

3:20 P.M.                                  Panel Q & A

3:30 P.M.                                  Adjourn


4:00 P.M. – 5:00 P.M.               “Cases I Wish I Had Never Started”- Past Presidents
                                                   Gary R. Seabrook, MD
                                                   Milwaukee, WI

                                                   Brian G. Rubin, MD
                                                   St. Louis, MO

                                                   Walter J. McCarthy, MD
                                                   Chicago, IL

                                                   Michael C. Dalsing, MD
                                                   Indianapolis, IN

                                                 “The Singing Hoosiers”


8:00 A.M. - 9:00 A.M.                  NEW HORIZONS IN VASCULAR SURGERY

8:00 A.M.                                 NSQIP/Outcomes 
                                                  Gregorio A. Sicard, MD
                                                  St. Louis, MO

8:30 A.M.                                 Northern New England Vascular Registry
                                                  Jack L. Cronenwett, MD
                                                  Lebanon, NH

9:00 A.M. – 10:00 A.M.               SESSION IV

18.    Time of Year Does Not Influence Mortality in Vascular Operations at Academic Centers
 Damien J. LaPar, MD, Castigliano M. Bhamidipati, MD, John A. Kern, MD, Gilbert R. 
             Upchurch, MD, Irving L. Kron, MD, Kenneth J. Cherry, MD and Gorav Ailawadi, MD
             From: University of Virginia, Charlottesville, VA and Ann Arbor, MI

19.    Comparative Effectiveness Of The Treatments For Thoracic Aortic Transection: A
           Systematic Review And Meta-analysis

  Adnan Z. Rizvi, MD, Mohammad H. Murad, MD, Rafael Malgor, MD, Jantey Carey, MD, Aziz 
               A. Alkatib, MD, Patricia J. Erwin, W. Anthony Lee, MD and Ronald M. Fairman, MD
               From: Vascular and Endovascular Surgery, Minneapolis Heart Institute Foundation at 
               Abbott Northwestern Hospital, Vascular and Endovascular Surgery, Minneapolis, MN,
               Knowledge an Encounter Research Unit, Mayo Clinic, Rochester, MN, Mayo Clinic,
               Rochester, MN, Division of Vascular Surgery, Stony Brook, NY, Division of Vascular Surgery,
               Gainesville, FL and Division of Vascular Surgery, Philadelphia, PA

20.    Angiographic Intervention for Type II Endoleak with Sac Expansion: Primary Failure, 
         Secondary Benefit
Abdulhameed Aziz, MD, Luis A. Sanchez, MD, Daniel Picus, MD, Christine O. Menias, MD,
              Nael Saad, MD and Patrick J. Geraghty, MD
              From: Surgery, Washington University in St. Louis, St. Louis, MO

10:00 A.M. – 10:45 A.M.                 HONORED GUEST LECTURE
                                                           Rocio Moran, MD
                                                           TOPIC:  Aneurysms and Genetic Conditions that Might 
                                                           Lead To ED, Marfans and Loez Dietz
                                                           Center for Personalized Genetic Healthcare
                                                           Genomic Medicine Institute/NE50
                                                           Cleveland Clinic Foundation
                                                           Cleveland, OH


11:00 A.M. – 12:00 P.M.                      SESSION V

21.   Racial Differences And Impact Of Ethnicity On Outcomes Of Endovascular 
        Interventions Performed On Patients Presenting With Peripheral Arterial Disease
Hafiz G. Hussain, MD, Ashley R. Graham, Sikandar Z. Khan, MD, Katherine Gallagher, MD,  
              Combiz Rezayat, MD and James F. McKinsey, MD
              From: New York Presbyterian Hospital, New York City, NY

22.    Spatial and Temporal Gait Parameters are not Improved After Revascularization in 
         Symptomatic Peripheral Arterial Disease Patients

Neil B. Huben, Jennifer M. Yentes, Sara A. Myers, Iraklis I. Pipinos, MD, Nicholas Stergiou,
              PhD and Jason M. Johanning, MD
              From: Nebraska Biomechanics Core Facility, University of Nebraska at Omaha,
              Omaha, NE, Department of Surgery, University of Nebraska Medical Center, Omaha, NE,
              Department of Surgery, Veterans Affairs Medical Center, Omaha, NE and College of Public
              Health, University of Nebraska Medical Center, Omaha, NE

23.    Angioplasty of TASC D Lesions of Infrapopliteal Arteries Reduces Amputation in High-
          Risk Surgical Patients

Faisal Aziz, MD, Mustafa Al-Jubouri, MD, John P. Pigott, MD and Anthony J. Comerota, MD
              From: Jobst Vascular Center, The Toledo Hospital, Toledo, OH

24.     Intimal Hyperplasia at the Proximal Anastomosis of End-to-End Vein Interposition 

Philip B. Dobrin, MD, Robert Mrkvicka, Thomas H. Schwarcz, MD, Norbert Baumgartner, MD
              and Raul Mirande, MD
              From:  Vascular Surgery, Loyola University Medical Center and Hines VA Hospital,
              Maywood, IL

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

RF7     Endovascular Repair of Aortoiliac Aneurysms Using Snorkel Techniques For 
           Preservation of Pelvic Flow - Results Of A Collective Review
Raghunandan L. Motaganahalli, MD, Donald Patterson, MD, Michael Buckmaster, MD,
                Alan Sawchuck, MD, Jenny Cho, MD, Gary Lemmon, MD and Micheal Dalsing, MD
                From: Vascular Surgery, Indiana University School of Medicine, Indianapolis, IN and
                Richmond, IN

RF8      Use of the Brazilian Snorkel Technique to Preserve Hypogastric Perfusion in 
            Challenging Aneurysms

  Zachary C. Schmittling, MD, Robert W. Vorhies, MD and J. Randy Mullins, MD
                From: Division of Vascular Surgery, Ferrell Duncan Clinic Cox Health, Springfield, MO

RF9     Torque Analysis and Bending Deformation of Aortic Endografts: Relationship to Long-
           term Positional Stability

Carlos A. Figueroa, PhD, Victoria Yeh and Christopher K. Zarins, MD
                From: Bioengineering, Stanford University, Stanford, CA

RF10   Open Repair of Refractory Type II Endoleaks
William McMillan, MD and Christopher Leville 
                From: Minneapolis Vascular Physicians, Plymouth, MN

RF11    Stepwise Age-Related Outcomes of Elective EVAR: 10-Year Institutional Review
Mila JU, MD, Mark L. Keldahl, MD, William H. Pearce, MD, Mark D. Morasch, MD, Heron E.
                Rodriguez, MD, Melina R. Kibbe, MD and Mark K. Eskandari, MD
                From: Division of Vascular Surgery, Northwestern University, Chicago, IL

RF12    Graft Infection following Endovascular Abdominal Aortic Aneurysm Repair
Adriana Laser, MD, Nichole Baker, John Rectenwald, MD, Jon L. Eliason, MD, Enrique  
                Criado-Pallares, MD and Gilbert R. Upchurch, Jr., MD
                From: Vascular Surgery, University of Michigan, Ann Arbor, MI

 12:30 P.M.    ADJOURN