London Cardiovascular Symposium 2014

Thursday 9 - Friday 10 October 2014

Aortic disease, diabetic foot, peri-operative care, post-thrombotic syndrome and vascular malformations

The London Cardiovascular Symposium is the annual flagship specialty event of The Royal Society of Medicine

Venue: The Royal Society of Medicine, London, UK

CPD: 5 credits each day (applied for)
www.rsm.ac.uk/lcvs2014

The Royal Society of Medicine is situated at 1 Wimpole Street, to the west of Cavendish Square.

Nearest underground stations are Bond Street (Central and Jubilee Lines) and Oxford Circus (Bakerloo, Central and Victoria Lines).

Three car parks are situated close by in Cavendish Square, Chandos Street and Welbeck Street.

Meeting Organisers

• Mr Syed Waquar Yusuf
• Mr George Geroulakos (President, Vascular Medicine Section, RSM)

Event Management

• Beilul Kahsai
  Vascular Medicine Section
  The Royal Society of Medicine,
  1 Wimpole Street, London W1G 0AE, UK
  Direct line: +44 (0)20 7290 3859
  Email: vascular@rsm.ac.uk

Meeting Profile

The sixth London Cardiovascular Symposium will again focus on important issues faced by busy vascular clinicians in their day-to-day working lives. The informal, interactive style of this meeting is designed to promote the sharing of knowledge and experience with opportunity for all attendees to participate. Liberal inclusion of case reports throughout the programme will exemplify the clinical context of some key discussion points, stimulate debate and be especially instructive for trainees, students, vascular nurses, radiographers and others who care for patients with circulatory diseases. Topics this year will include the management of aortic pathologies, perioperative care, diabetic foot disease, challenges and controversies in post thrombotic syndrome and innovations in the management of iliac vein occlusions. A very special feature of this year’s programme will be a session on challenges in the management of vascular malformations organised with the collaboration of Wayne F Yakes, Past President, International Society for the Study of Vascular Anomalies (ISSVA).

Following the success of last year, a prize session will be organised in association with the European Vascular Surgeons in Training.

The Symposium will conclude with keynote talks by national and international experts.

Objectives

To critically examine current vascular practice and to assess the value of new and evolving therapeutic options in a way that will inform and educate established practitioners, trainees and others involved in the care of patients with vascular diseases.

Who should attend?

This is a multidisciplinary symposium with relevance to everyone who is engaged in, or is keen to acquire knowledge of vascular diseases and their management including:

• Cardiothoracic Surgery, Cardiology, Diabetes
• Trainees in all of these specialties
• Specialist vascular nurses
• Radiographers
• Other professionals allied to medicine
• Interventional radiology
• vascular anaesthesia

Mr George Geroulakos (President, Vascular Medicine Section, RSM)

is a Consultant Vascular Surgeon at North West London Hospitals Trust; Reader in Vascular Surgery at Imperial College London and President of the Vascular Medicine Section of the Royal Society of Medicine. He trained in vascular surgery at St Bartholomew’s Hospital, London and completed a clinical vascular fellowship at the Ohio State University in Columbus, USA. Over the years, he has organised numerous national and international meetings at the RSM. He is the principal editor of 3 international books in vascular surgery and has written more than 150 papers on the diseases of the arteries, veins and lymphatics. He is the associate editor of the journal International Angiology and Vice President of the International Society for Vascular Surgery.

Mr Syed Waquar Yusuf

Mr Syed Waquar Yusuf MB BS, DM, FRCS is a Consultant Vascular Surgeon at the Brighton and Sussex University Hospitals and Module Lead for Surgery Brighton & Sussex Medical School. He played a pioneering role in the development of endovascular aortic aneurysm repair. He has edited books and published numerous original papers on Vascular and Endovascular surgery. He was the Tutor in Vascular Surgery at the Ravens Department of Education, Royal College of Surgeons of England and served on the Training and Education Committee and the Council of the Vascular Society of Great Britain and Ireland (2006 – 2009). He is the Director of Vascular & Endovascular Courses, Member Court of Examiners and Professional Affairs Board (South East) at the Royal College of Surgeons of England. He is a Past chairman of the British Medical Association Brighton division. He was the Vascular Advisor, South East Thames 2010 – 2011 and currently serves as a member of the regional Surgical Training Committee and the SAC in Vascular Surgery.

Programme

THURSDAY 9 OCTOBER 2014

• 8.30 am Registration, tea and coffee For those attending the workshop session only
• 9.00 am Treatment of acute and chronic thoracic dissections Workshop sponsored by Gore. Further information on the workshop to follow. To register for the workshop session, please email vascular@rsm.ac.uk
• 1.00 pm Registration tea and coffee
• 1.20 pm Welcome and introduction George Geroulakos, London, UK

Session 1 - Aortic root arch and thoracic aorta

Chairs:

• Hazim Safi, Houston, Texas
• Richard Gibbs, London, UK

• 1.25 pm TAVI – are there any durability concerns and have the indications expanded? David Hildick-Smith, Brighton, UK
• 1.40 pm Will total endovascular solution replace hybrid approach to arch aneurysms in high risk patients? Krassi Ivancev, London, UK
• 1.50 pm Open surgery remains the preferred option for arch aneurysms in low risk patients Mohamed Amrani, London, UK
• 2.00 pm The place of open surgery of thoracoabdominal aneurysms in the era of endovascular repair Michael Jacobs, Maastricht, The Netherlands
• 2.10 pm Debate: Chronic type B dissection with false lumen aneurysm:
  Open repair still stands the test of time Hasim Safi, Houston, USA
  Endovascular repair is the way forward Stephan Haulon, Lille, France
• 2.26 pm Inflamatory response and altered haemodynamics following TEVAR Christos Liapis, President, International Society for Vascular Surgery, Athens, Greece

Session 2 - Diabetic foot

Chairs:

• Toby Richards, London, UK
• Hisham Rashid, London, UK

• 2.45 pm A new classification of the diabetic foot and clinical implications Michael Edmonds, London, UK
• 2.55 pm Is the angiosome important in selecting bypass target artery in critical ischaemia? Bauer Sumpio, New Haven, USA
• 3.05 pm The management of Charcot mid-foot deformities in diabetic patients A Robinson, Cambridge, UK
• 3.15 pm The concept of foot attack centre. Does it work? Stella Vig, London, UK
• 3.25 pm Drug-eluting balloon below the knee angioplasty for diabetic patients with critical limb ischaemia Dr Vivek Goel, Newport, South Wales
• 3.35 pm Panel and audience discussion
• 3.45 pm Tea and coffee break

Session 3 - Abdominal aorta

Chairs:

• Bauer Sumpio, New Haven, USA
• Syed Waquar Yusuf, Birmingham, UK

• 4.15 pm Endovascular aneurysm sealing – Is the concept ready for widespread use? Paul Hayes, Cambridge, UK
• 4.25 pm Device specific outcome for fenestrated EVAR:
  Anaconda device Richard Williams, Newcastle, UK
  Zenith device John Brennan, Liverpool, UK
• 4.41 pm Pythagoras trial - treatment of challenging anatomy with Aorfix and it will be given Dr Richard O’Neil, Nottingham, UK (Supported by Lombard Medical Technologies PLC)
• 4.51 pm What is the most effective strategy for post EVAR surveillance? Rao Vallabhaneni, Liverpool UK
• 5.01 pm Intestinal ischaemia post-aortic surgery. Has the risk been underestimated? Rachel Bell, London, UK
• 5.11 pm Role of EVAR for ruptured aneurysms in the light of IMPROVE trial
  For the motion: Martin Malina, Malmö, Sweden
  Against the motion: Bauer Sumpio, New Haven, USA
• 5.25 pm Audience discussion

Session 4 - Peri-operative cares

• 5.40 pm Are all b blockers harmful for patients undergoing major vascular surgery Speaker to be confirmed
• 5.48 pm Peri-operative cardiac events following endovascular aortic procedures Mike Wyatt, Newcastle, UK
• 5.55 pm Should the pre-operative cardiac risk assessment be same for open and endovascular aortic interventions? Simon Howell, Leeds, UK
• 6.05 pm Management of peri-operative cardiac events following aortic surgery Nick Curzen, Southampton UK
• 6.15 pm Discussion
• 6.30 pm Close of meeting followed by wine reception
• 7.30 pm Faculty dinner – for invited guests only

FRIDAY 10 OCTOBER

• 8.30 am Registration, tea and coffee
• 8.55 am Welcome and introduction Syed Waquar Yusef, Birmingham, UK

Session 5 - Challenges and controversies in post thrombotic syndrome (PTS) – Organised with the European Venous Forum

Session 6 - Challenges in the management of vascular malformations

Chairs:

• Krassi Ivancev, London, USA
• Wayne F Yakes, Denver, USA

• 11.20 am Operative management of AVM’s: Pitfalls and triumphs Christopher Morin, Denver, USA
• 11.30 am Diagnosis and treatment of low-flow venous and lymphatic vascular malformations: An endovascular perspective Wayne F Yakes, Denver, USA
• 11.40 am The retrograde venous approach: Curative treatment of challenging high-flow AVMs Krassi Ivancev, London, USA
• 11.50 am Diagnosis and treatment of complex high-flow AVMs: Multi-modal curative endovascular management strategies Wayne F Yakes, Denver, USA
• 12.00 pm Endovascular salvage procedures for difficult and problematic high-flow vascular malformations with prior interventions Krassi Ivancev, London, USA
• 12.10 pm Diagnosis and treatment of complex and multiple intraosseous AVMs: endovascular curative management strategies Wayne F Yakes, Denver, USA
• 12.20 pm Discussion Mini symposium on innovations in the management of iliac vein occlusions
• 12.35 pm Single session pharmacomechanical venous thrombolysis Gerry O’Sullivan, Ireland
• 12.45 pm Does intravascular ultrasound provide added value in the investigation of iliac vein occlusions? Speaker to be confirmed
• 12.55 pm Are all venous stents the same? Speaker to be confirmed
• 1.05 pm Lunch break

Session 7 - Case presentation competition organised by the European Vascular Surgeons in training

Chair:

• Saroj Das, London, UK

• 2.05 pm Case presentations

Session 8 - Key note presentations

• 6.00 pm Completion of evaluation form
• 6.00 pm Close of meeting