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 2011 Annual Meeting

26th Annual Meeting
September 17-20, 2011
Grand Hyatt Kauai
Kauai, HI


Presiding: Ronald L. Dalman, MD
8:00 a.m. 1.
Gender-based Differences in the Inflammatory Profile of Peripheral Arterial Disease and their Association with Outcomes of Lower Extremity Vein Bypass
Jade S. Hiramoto, MD, Christopher D. Owens, MD, Ji Min Kim, Michael Belkin, MD, Mark A. Creager, MD, Michael S. Conte, MD
Division of Vascular Surgery, UCSF, San Francisco, CA, San Francisco,
CA, Boston, MA
Discussant: Michelle Mueller, MD, Salt Lake City, UT
8:20 a.m. 2.
Viabahn Treatment for Femoropopliteal Occlusive Disease (FPOD): Relationship between Implant Length and Clinical Outcomes
Paul C. Johnston, MD, Sara J. Runge, MD, Linda M. Reilly, MD, Jade S. Hiramoto, MD, Charles M. Eichler, MD, Christopher M. Owens, MD, Darren B. Schneider, MD, Michael S. Conte, MD
Vascular Surgery, University of California San Francisco, San Francisco,
CA, Vascular Surgery, Kaiser Permanente Medical Group, Denver, CO,
San Francisco, CA, New York, NY
Discussant: Gregory L. Moneta, MD, Portland, OR
8:40 a.m. 3. Comparing Patency and Salvage Rates Between Multiple Ipsilateral Iliac Artery Stents and Isolated Iliac Artery Stents: Beyond TASC II
Rachel C. Danczyk, MD, Erica L. Mitchell, MD, Sharon G. Kryger, Chad Burk, Sarguni Singh, Timothy K. Liem, MD, Gregory J. Landry, MD, James M. Edwards, MD, Bryan D. Petersen, MD, Gregory L. Moneta, MD
Division of Vascular Surgery, Oregon Health and Science University, Portland, OR
Discussant: Mark R. Nehler, MD, Aurora, CO
9:00 a.m. 4. The Number of Patent Tibial Vessels Does Not Influence Primary Patency
Following Nitinol Stenting of the Femoral and Popliteal Arteries
Jenny Lee, MD, Steven G. Katz, MD
Vascular Surgery, USC Surgeons, Pasadena, CA, Medical Education, Huntington Hospital, Pasadena, CA, Surgery, Huntington Hospital, Pasadena, CA
Discussant: Ahmed M. Abou-Zamzam, Loma Linda, CA
9:20 a.m. – 9:50 a.m.
9:50 a.m. – 10:50 a.m.
Germano Melissano, MD
Thoracic and Thoraco-abdominal Aortic Disease
10:50 a.m. 5. Validation of Simulation as a Tool for Assessing Endovascular Procedural Competency
David L. Dawson, MD, Erica L. Mitchell, MD, Jason T. Lee, MD, Joseph L. Mills, Sr., MD, John R. Laird, Jr., MD, Nasim Hedayati, MD, Eugene S. Lee, MD, William C. Pevec, MD
Department of Surgery, University of California, Davis, Sacramento, CA, Portland, OR, Stanford, CA, Tucson, AZ, Sacramento, CA
Discussant: Peter F. Lawrence, MD, Los Angeles, CA
11:10 a.m. 6. Who is Applying to Vascular Surgery? A Comparison of Demographics of 0+5 Versus 5+2 Applicants
Mohamed A. Zayed, MD, Ronald L. Dalman, MD, Jason T. Lee, MD
Surgery, Stanford University Medical Center, Stanford, CA, Stanford, CA
Discussant: Fred A. Weaver, MD, Los Angeles, CA
11:30 a.m. 7. The Next Generation of Academic Vascular Surgeons: Factors Influencing Career Choice
Rachel C. Danczyk, Nick Sevdalis, Gregory J. Landry, Timothy K.
Liem, Gregory L. Moneta, Erica L. Mitchell3
Division of Vascular Surgery, Oregon Health and Science University, Portland, OR, London, United Kingdom, Portland, OR
Discussant: Niten Singh, MD, Tacoma, WA
12:30 p.m. – 2:00 p.m.

12:30 p.m. Introduction and Welcome
David L. Dawson, MD
12:35 p.m. RF1 Important Predictors of DWI Lesions and Neurological Sequelae Following Carotid Intervention
Mohamed A. Zayed, MD, Jeffrey Stephens, Simin Gholibeikian, MD, Shahrzad Ossareh, MD, Allyson Rosen, PhD, Barton Lane, MD and Wei Zhou, MD
Surgery, Veterans Affairs Hospital Palo Alto, Palo Alto, CA
12:43 p.m. RF2 Upregulation of Mitochondrial Chaperone Proteins in Vein Grafts: A Potential Mechanism of Apoptosis-Resistance in the Arterialized Vein
Khanh P. Nguyen, Christopher Owens, MD, Peng Yu, MD, Sara J. Runge, MD and Michael S. Conte, MD
Surgery, UCSF, San Francisco, CA and Boston, MA
12:51 p.m. RF3 Increased Transfusion of Autologous Blood but not Plasma is Associated with Improved Survival in Ruptured Abdominal Aortic Aneurysm
David S. Kauvar, MD, Mark R. Sarfati, MD and Larry W. Kraiss, MD
Vascular Surgery, University of Utah, Salt Lake City, UT and Uniformed
Services University of the Health Sciences, Bethesda, MD
1:00 p.m. RF4 The Impact and Outcomes of Establishing an Integrated Interdisciplinary Team To Care for Patients with Diabetic Foot Ulcers
Matthew L. White, MD, David G. Armstrong, DPM, , Manish Bharara, PhD, Brian Lepow, DPM, Kaoru R. Goshima, MD, Daniel M. Ihnat, MD, John D. Hughes, MD, Sugam Bhatnagar, MBBS, Timothy Fisher, DPM and Joseph L. Mills, Sr., MD
Vascular and Endovascular Surgery, University of Arizona, Tucson, AZ and Salt Lake City, UT
1:08 p.m. RF5 Operative Management of Neurogenic Thoracic Outlet Syndrome in the Adolescent
Wesley K. Lew, MD, Jessica O'Connell, MD and Hugh Gelabert
Vascular Surgery, UCLA, Los Angeles, CA
1:16 p.m. RF6 Hospital Volume of Thoracoabdominal Aneurysm Repair Does Not Affect Mortality in California
Anna C. Weiss, MD, Amanda Green, Katherine E. Brown, MD, David Chang, PhD and Nikhil Kansal, MD
General Surgery, UCSD, San Diego, CA
1:24 p.m. RF7
Aortic Measurements in Endovascular Aneurysm Repair
Marlin Causey and Niten Singh, MD
Surgery Residency, Madigan Army Medical Center, Ft. Lewis, WA
1:32 p.m. RF8 Significant Clinical Predictors of Post-Operative Mortality Following Endovascular Abdominal Aortic Aneurysm Repair
Nhan-Vu Nguyen, MD, Linda Chun, MD, Jateen Prema, MD, Clarence W. Cole, MD and Kevin Patel, MD
Kaiser Permanente-LAMC, Los Angeles, CA
1:40 p.m. RF9 Screening Carotid Artery Duplex in Patients Undergoing Cardiac Surgery
Linda J. Chun, MD, Michael Tam, MD, Jerry Tsai, MD, Clarence W. Cole, MD, Kevin Patel, MD
Vascular Surgery, Kaiser Permanente, Los Angeles, CA
1:48 p.m. RF10 Vasospasm As A Novel Mechanism To Explain Claudication In Female Athletes With External Iliac Arterial Endofibrosis
Sherene Shalhub, MD, R. Eugene Zierler, Watson Smith, Kari Olmsted and Alexander W. Clowes, MD
Surgery and Vascular Surgery, University of Washington, Seattle, WA
2:00 p.m. – 3:30 p.m.
Ronald L. Dalman, MD
Pathways for Vascular Surgery Training
R. Eugene Zierler, MD
Certification and Testing (VSITE, RPVI, VSB -ABS)
David L. Dawson, MD
Educational Resources and Training Opportunities
Misty Humphries, MD
Applying and Interviewing
Panel Discussion
Practice Options

Larry W. Kraiss, MD
Research & Academic Practice
Spencer Galt, MD
Private Practice
Robert J. Hye, MD
Large Multi-Specialty Group Practice
Theodore H. Teruya, MD
Federal service (VA, military, PHS)
Panel Discussion
6:30 p.m. – 11:00 p.m.  WVS LUAU
Presiding: William Quinones-Baldrich, MD
8:00 a.m. 8. Long-term Results after Accessory Renal Artery Coverage During Endovascular Aortic Aneurysm Repair
Joshua I. Greenberg, MD, Chelsea Dorsey, MD, Ronald L. Dalman, MD, Jason T. Lee, MD, Mathew W. Mell, MD
Surgery, Stanford University Medical Center, Stanford, CA Stanford, CA
Discussant: Jeffrey L. Ballard, MD, Orange, CA
8:20 a.m. 9. Branched Thoracoabdominal Aortic Aneurysm Repair: Efficacy and Durability of the Caudally-Directed Cuff Technique
Linda M. Reilly, MD, Joseph H. Rapp, MD, Marlene Grenon, MD, Jade S. Hiramoto, MD, Timothy A. M. Chuter, MD
Vascular Surgery, University of California, San Francisco, San Francisco, CA, San Francisco, CA
Discussant: William J. Quinones-Baldrich, MD, Los Angeles, CA
8:40 a.m. 10. Results of a Double-Barrel Technique with Commercially Available Devices for Hypogastric Preservation during Aortoilac EVAR
Brian G. DeRubertis, William J. Quinones-Baldrich, MD, Josh Greenberg, MD, Juan Carlos Jimenez, MD, Jason T. Lee, MD
Division of Vascular Surgery, UCLA School of Medicine, Los Angeles, CA, Los Angeles, CA, Palo Alto, CA

Discussant: Nikhil Kansal, MD, San Diego, CA
9:00 a.m. 11. Early Experience with the Snorkel Technique for Juxtarenal Aneurysms: The Preferred Off-the-Shelf Solution for Challenging EVAR Anatomy?
Jason T. Lee, MD, Joshua I. Greenberg, MD, Ronald L. Dalman, MD
Division of Vascular Surgery, Stanford University Medical Center, Stanford, CA, Stanford, CA

Discussant: Linda M. Reilly, MD, San Francisco, CA
9:20 a.m. 12. Patient Outcomes and Thoracic Aortic Volume and Morphologic Changes
following TEVAR in Patients with Complicated Type B Aortic Dissection
Iden D. Andacheh, Carlos Donayre, MD, Karen Kim, MD, George Kopchok, Irwin Walot, MD, Rod White, MD
Surgery, Harbor UCLA Medical Center, Los Angeles, CA, Los Angeles, CA

Discussant: Benjamin W. Starnes, MD, Seattle, WA
9:40 a.m.-10:10 a.m.
10:10 a.m. 13. A Morphologic Study of Chronic Type B Aortic Dissections and Aneurysms After Thoracic Endovascular Stent Grafting
David KX Qing, MD, Stephen Cheng, MD, Wai-ki Yiu, MD
Surgery, The University of Hong Kong, Hong Kong, Hong Kong
Discussant: Vincent L. Rowe, MD, Los Angeles, CA
10:30 a.m. 14. Readmissions After AAA Repair: Differences Between Open Repair and EVAR
Kevin M. Casey, MD, Tina Hernandez-Boussard, Weesam K. Al-Khatib,M2, Matthew W. Mell, MD, Jason T. Lee, MD
Naval Medical Center, San Diego, CA, Stanford University Hospital, Stanford, CA
Discussant: Michael T. Caps, MD, Honolulu, HI
10:50 a.m. 15. Characterization of Thoracic Aortic Arch Anatomy in the Asian Elderly Population
Jackie P. Ho, MD, Peixuan Chiu, Heow Pueh Lee, PhD, Sudhakar K. Venkatesh, MD
Surgery, National University of Singapore, Singapore
Discussant: Edmond J. Raker, MD, Seattle, WA
12:00 Noon BOX LUNCH
12:00 Noon – 2:00 p.m.
12:00 Noon Report from the Thoracic Aortic Course from the Midwestern
Vascular Surgery Society
Jon S. Matsumura, MD. Madison, WI
12:10 p.m. Combined Endovascular and Surgical Approach (CESA) for
Aortic Arch Pathology (Hybrid Repair)
William J. Quinones-Baldrich, MD, Los Angeles, CA
12:20 p.m. Update on Outcomes of TEVAR for Aortic Trauma
Jason T. Lee, MD, Stanford, CA
12:30 p.m. Top Technical Tips for Managing Difficult Cases
Germano Melissano, MD, Milano, Italy
12:40 p.m. Off Label Uses and Surgeon-Modified Devices
Benjamin W. Starnes, MD, Seattle, WA
12:50 p.m. Endovascular Management of Aortic Dissection
Rodney A. White, MD, Torrance, CA
1:00 p.m. Avoiding Spinal Cord Ischemia in Managing Thoracic Pathology
Carlos E. Donayre, MD, Rancho Palos Verdes, CA
1:10 p.m. Training: How to Safely Transition Technology to Practice
Timothy A.M. Chuter, MD, San Francisco, CA
1:30 p.m. Program adjourns

Presiding: William Quinones-Baldrich, MD
7:30 a.m. 16. Inferior Vena Cava Resection and Reconstruction for Retroperitoneal Tumor Excision
William Quinones-Baldrich, MD, Ali Alktaifi MD, Fritz Eilber, MD, Frederick Eilber, MD
UCLA Division of Vascular Surgery, Los Angeles, CA UCLA Division of Vascular Surgery, Los Angeles, CA, UCLA Division of Oncology, Los Angeles, CA
Discussant: Gregory J. Landry, MD, Portland, OR
7:50 a.m. 17. Under-utilization Of Transfer For Ruptured Abdominal Aortic Aneurysm (rAAA) In The Western United States
Matthew W. Mell, MD, Rachael A. Callcut, MD, Fritz Bech, MD, Kit Delgado, MD, Kristan Staudenmayer, MD, David A. Spain, MD, Tina Hernandez-Boussard, PhD
Stanford University, Stanford, CA, Stanford, CA
Discussant: John S. Lane, III, MD, Orange, CA
8:10 a.m. 18. The Use of SartoriusWVS-26hAbstracts-18.pdf Muscle Rotational Flaps for Groin Complications After Vascular Reconstruction
Christian Ochoa, MD, Vahagn Nikolian Nikolian, Sarah Wartman, MD, William Lee, MD, Fred A. Weaver, MD, Vincent Rowe, MD
Vascular Surgery, University of Southern California, Los Angeles, CA
Discussant: Joseph L. Mills, Jr., MD, Tucson, AZ
8:30 a.m. 19. No Increased Mortality With Early Aortic Aneurysm Disease
Matthew Mell, MD, Julie J. White, BS, Bradley B. Hill, MD, Ronald L. Dalman, MD
Surgery, Stanford University, Stanford, CA, Stanford, CA
Discussant: Christian deVirgilio, MD
8:50 a.m. 20. Correlation of CEAP Clinical Class, Venous Clinical Severity Scores (VCSS),
Vein Diameter, and Reflux Time in the Great Saphenous Vein (GSV) in Patients with
Superficial Venous Insufficiency
Matthew M. Wise, BS, RVT, Kathleen D. Gibson, MD
 Lake Washington Vascular Surgeons and Vascular Laboratories,Bellevue, WA
Discussant: Juan Carlos Jimenez, MD, Orange, CA
9:10 a.m. 21. Black Patients are Less Likely to Receive First Time Arteriovenous
Fistulas: A Question of Smaller Vein Diameters
Brandon Ishaque, Mohamed A. Zayed, MD, PhD, Jessica Miller, Amy H. Kaji, MD, PhD, Jason T. Lee, MD, Jessica O'Connell, MD, Christian de Virgilio, MD
Department of Surgery, UCLA, Los Angeles, CA, Stanford, CA, USA, Los Angeles, CA
Discussant: Roy M. Fujitani, MD, Orange, CA
9:30 a.m. – 10:00 a.m.
10:00 a.m. 22. Duplex Ultrasound Criteria for Re-intervention after Mesenteric Artery Revascularization
Aaron C. Baker, Victoria Chew, Chin-Shang Li, PhD, Tzu-Chun Lin, David L. Dawson, MD, William C. Pevec, MD, Nasim Hedayati, MD
Department of Surgery, University of California Davis Health System, Sacramento, CA
Discussant: R. Eugene Zierler, MD, Seattle, WA
10:20 a.m. 23. Durability and Stroke Free Survival After Carotid Stenting: Long-term Follow-Up in a Community Setting
Peter A. Schneider, MD, Michael Peterson, MD, Michael T. Caps, MD, Nicolas Nelken, MD
Vascular Therapy, Hawaii Permanente Medical Group, Honolulu, HI, Honolulu, HI
Discussant: Robert J. Hye, MD, San Diego, CA
10:40 a.m. 24. Perioperative Complications Associated with Femoral Vein Harvest
Ravi V. Dhanisetty, Timothy K. Liem, MD, Gregory L. Landry, MD, Erica L. Mitchell, MD, Gregory L. Moneta, MD
Department of Surgery, Oregon Health & Science University, Portland, OR
Discussant: E. John Harris, Jr., MD, Stanford, CA
11:10 a.m. 25. Development of a Rapid, High Resolution Magnetic Resonance Imaging Protocol for the Assessment of Arteriovenous Fistula Remodeling
Warren J. Gasper, MD, Monica Sigovan, Vitalliy Rayz, Joseph Rapp, David Saloner, Christopher D. Owens
Vascular Surgery, UCSF, San Francisco, CA
Discussant: Elna Masuda, MD
11:30 a.m. ADJOURN