innovations and praCtiCal appliCations in vasCular surgeryspeCial sessions: management of non-healing wounds

may 13–14, 2010 sheraton new yorK hotel & towers new yorK City

program direCtors: raJeev dayal, md miChael silane, md

a Cme aCCredited Course

Columbia University College of Physicians and Surgeons and the Joan and Sanford I. Weill Cornell Medical College, in conjunction with NewYork-Presbyterian the University Hospital of Columbia and Cornell present

IFC

Overall GOals This symposium is a two day educational event that focuses on the most up-to-date techniques for the treatment of peripheral vascular disease and includes brief “technique and results” sessions on evolving endovascular therapies. Our nationally recognized faculty will address issues in current clinical practice, complications and pitfalls of newer technologies, and discuss the evolution of the field. Using a systems-based approach, the format will cover all major areas of vascular disease. Attendee participation and interaction will be emphasized and facilitated through debates, Q & A sessions and interactive case presentations.

learninG Object ives• Understand the most current surgical and endovascular treatment

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

• Understand the decision-making process in choosing between different endovascular methods for the management of chronic lower extremity ischemia

• Review the techniques and results of surgical and endovascular options for lower extremity revascularization and limb salvage

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

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

• Understand the evaluation and decision making process in treating PAD with either open or minimally invasive surgical techniques

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

• 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, hyper-baric oxygen, and skin substitute products

• Review the medical and surgical decision making principles in the management of the neuropathic foot including bracing, reconstruction, and medication selection

tarGet audienceVascular Surgeons, Cardiothoracic Surgeons, General Surgeons, Interventional Cardiologists, Vascular Interventional Radiologists, Podiatrists, Wound Care Specialists, Fellows-in-Training, and Vascular Laboratory Technicians

accreditat iOn/ des iGnat iOn 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 educational activity for a maximum of 12.0 AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

The American College of Nurse Practitioners (ACNP) and The American Academy of Physician Assistants (AAPA) accept AMA/PRA category 1 credit from organizations accredited by the ACCME.

The American Nurses Credentialing Center (ANCC) accepts AMA/PRA category 1 credit toward recertification requirements.

The New York College of Podiatric Medicine is approved by the Council on Podiatric Medical Education as a sponsor of continuing education in podiatric medicine. This program has been awarded 8.5 credit hours in accordance with CPME guidelines.

We expect support for this program through grants from pharma-ceutical 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.

PrOGram aGenda

Day 1–Thursday May 13, 2010 General Session New York Ballroom West

11:30 am Registration

12:30 Pm Welcome and Introduction – Rajeev Dayal, MD & Michael Silane, MD

Session 1: Lower Extremity Vascular Disease for all Specialists – Moderators: Rajeev Dayal, MD & Michael Silane, MD

12:35 Pm RiskStratificationandMedicalManagementofPatientswithPeripheralVascularDisease – Maya Salameh, MD

12:50 Pm MedicalManagementofDiabetesinthePre-andPost-operativePeriods– Matthew Freeby, MD

1:05 Pm 3-PartViewofTreatingCriticalLimbIschemiaPatients

•TheRoleofBypassintheTreatmentofCLI:First-lineorlastresort – Kenneth Ouriel, MD

•EndovascularTreatmentofCLI – James F. McKinsey, MD

•EndovascularSalvageAfterFailedBypass– Rajeev Dayal, MD

1:50 Pm FutureDirectionofLowerExtremityInterventionwithAboveandBelow Knee Data of Drug Eluting Stents – Nicholas J. Morrissey, MD

2:05 Pm PanelDiscussion–Q&A

2:25 Pm Break&VendorExhibits

2:45 Pm BreakoutSessionforWoundCareandPodiatrySpecialistsRiversideBallroom

Session2: LowerExtremityArterialDisease– Moderators: James F. McKinsey, MD & Nicholas J. Morrissey, MD

2:45 Pm Lower Extremity: Technique and Results

IsAFBObsolete?Endovasculartreatmentofaortoiliacocclusivedisease– Gautam V. Shrikhande, MD

NewTechnologiestoManageComplexCTO’s – John Paul Runyon, MD

TechnicalTipsforCrossingLongTibialOcclusions – Daniel G. Clair, MD

Bailout Techniques: What you need in the angio suite – Rajeev Dayal, MD

Atherectomy:ComparisonofCSI,Pathwayandev3 – James F. McKinsey, MD

3:35 Pm OptimalAntiplateletandAnticoagulantTherapyforLEBypass:Latest best treatment based on good data – Roman Nowygrod, MD

3:50 Pm Which Technique and When: What does the data show? Literature compilation studies – Gregg S. Landis, MD

4:10 Pm BypassGraftSalvageintheComplexWound– John Karwowski, MD

4:20 Pm PanelDiscussion–Q&A

4:40 Pm Break&VendorExhibits

Session3: HemodialysisAccessandVenousDisorders – Moderators: Rajeev Dayal, MD and Shubha Varma, MD

5:00 Pm DVT Update: Treatment and prophylaxis – Nicholas J. Morrissey, MD

5:15 Pm ManagementoftheImmatureFistula– Jason G. Funderburk, MD

5:30 Pm Varicose Veins: Radiofrequency, laser, sclerotherapy and stripping: What does the data show? – Ross T. Lyon, MD

5:45 Pm PanelDiscussion–Q&A

6:00 Pm DayOneAdjourns

BreakoutSessionforWoundCareandPodiatrySpecialists RiversideBallroom– Moderators: F. Raymond Ortega, MD and Tzvi Bar-David, DPM

2:45 Pm Welcome and Introduction– F. Raymond Ortega, MD and Tzvi Bar-David, DPM

2:50 Pm Who is at Risk for Limb Loss? Vascular predictors for wound healing – Michael Silane, MD

3:05 Pm VascularLabEvaluation:Venousandarterialtesting– Harry L. Bush, Jr., MD

3:20 Pm Revascularization:Openvs.endovascular– TBA

3:35 Pm AcuteFootInfections:FromtheERtotheOR– Robert Fridman, DPM

3:55 Pm Break&VendorExhibits

4:15 Pm MedicalManagementofOsteomyelitis – Stuart R. Framm, MD

4:30 Pm ResectionandComplexReconstructionforOsteomyelitis– Alan R. Catanzariti, DPM

4:50 Pm ApplyingEvidence-BasedDataonWoundHealingforDifficulttoHealChronicWounds – Terry Treadwell, MD

5:10 Pm PanelDiscussion–Q&A

5:30 Pm DayOneAdjourns

Day2–FridayMay14,2010 General Session New York Ballroom West

7:00 am Registration and Breakfast

8:00 am BreakoutSessionforWoundCareandPodiatrySpecialists RiversideBallroom

7:45 am Welcome and Introduction – Rajeev Dayal, MD & Michael Silane, MD

Session1: CarotidDisease– Moderators: John Karwowski, MD & Roman Nowygrod, MD

8:00 am CognitiveChangesafterCEAvs.CASforCarotidArteryStenosis– Eric J. Heyer, MD, PhD

8:15 am WhichAsymptomaticPatientsareatHighRiskforStroke– Thomas S. Riles, MD

8:30 am ResultsofCRESTTrial– James F. McKinsey, MD

8:45 am StrategiestoImproveResultsofCAS:Patientselection,medicalmanagement,anatomicsituationstoavoid,andtechniques– Rajeev Dayal, MD

9:00 am StrategiestoImproveResultsofCEA:Patientselection,medicalmanagement,anatomicsituationstoavoid,andtechniques – Thomas S. Riles, MD

9:15 am PanelDiscussion–Q&A

Session2: AorticDissection– Moderators: Harry L. Bush, Jr., MD & Nicholas J. Morrissey, MD

9:30 am PathophysiologyandMedicalManagementofTypeBAorticDissection– Philip S. Barie, MD

9:45 am ComplicatedAcuteTypeBAorticDissection

•RoleofEndovascularRepair– Daniel G. Clair, MD

•RoleofOpenRepair– Allan S. Stewart, MD

10:15 am PanelDiscussion–Q&A

10:30 am Break&VendorExhibits

Session3: AorticAneurysms – Moderators: Harry L. Bush, Jr., MD & Thomas S. Riles, MD

10:50 am DoestheSafetyProfileofEVARJustifyFixingSmallAAA?

•Pro– Nicholas J. Morrissey, MD

•Con– K. Craig Kent, MD

11:15 am EndovascularTreatmentofAorticAneurysms:Technique and results

TechniquesforDealingwithComplexNecks – Harry L. Bush, Jr., MD

TreatmentofIliacAneurysms– John Karwowski, MD

HybridTreatmentofComplexThoracicandAorticAneurysms – James F. McKinsey, MD

ManagementofSmallIliacAccessDuringEVARandTEVAR – Rajeev Dayal, MD

11:55 am PanelDiscussion–Q&A

12:15 Pm Lunch&VendorExhibits

Session4: ThoracicandAbdominalAorticAneurysms – Moderators: Roman Nowygrod, MD & Frank J. Veith, MD

1:15 Pm OptimalTreatmentofHighRiskPatientswithAAA– K. Craig Kent, MD

1:30 Pm FenestratedandBranchedGraftsUpdate– James F. McKinsey, MD

1:45 Pm OfftheShelfDeviceforJuxtarenalAAA– Daniel G. Clair, MD

2:00 Pm HistoryandUpdateontheEndovascularManagementofRupturedAAA– Frank J. Veith, MD

2:15 Pm SurveillanceAfterEVAR:CT,duplex,sensor– Harry L. Bush, Jr., MD

2:30 Pm Treatment of Type II Endoleaks: Techniques and results– Peter Schlossberg, MD

2:45 Pm TEVARforThoracicAorticAneurysms– Daniel G. Clair, MD

3:00 Pm PanelDiscussion–Q&A

3:15 Pm Break&VendorExhibits

Session5: TreatmentofRenalandMesentericArteryDisease– Moderators: Alexander Gart, MD & James F. McKinsey, MD

3:35 Pm TreatmentofRenalandMesentericArteryOcclusiveDisease:Arethedaysofopensurgeryover? – John Paul Runyon, MD

3:50 Pm TreatmentofRenalandMesentericAneurysms – Nicholas J. Morrissey, MD

4:05 Pm PanelDiscussion–Q&A

Session6: PracticeDevelopment – Moderators: Rajeev Dayal, MD & Michael Silane, MD

4:20 Pm AnteriorExposureoftheSpine – John Karwowski, MD

4:30 Pm Office-BasedAngioSuite:Equipmentandrules– Shubha Varma, MD

4:40 Pm TheFutureofVascularSurgery:Howtoremaindominantina complex world – James F. McKinsey, MD

4:50 Pm PanelDiscussion–Q&A

5:00 Pm DayTwoAdjourns

BreakoutSessionforWoundCareandPodiatrySpecialists RiversideBallroom

8:00 am Welcome and Introduction – F. Raymond Ortega, MD and Tzvi Bar-David, DPM

Session1: WoundCareinthe21stCentury– Moderators: F. Raymond Ortega, MD and Tzvi Bar-David, DPM

8:05 am DressingProductUpdate:Criteriaforproductselectionand change – Terry Treadwell, MD

8:25 am HBOforFootUlcers:Whendoesithelpandwhenis it reimbursed? – F. Raymond Ortega, MD

8:45 am NegativePressureWoundTherapyUpdate – Peter A. Blume, DPM

9:05 am Skin Grafting/Skin Substitutes – F. Raymond Ortega, MD

9:25 am TissueTransfer/LocalFlapsforManagementofLowerExtremityUlcers – Peter A. Blume, DPM

9:45 am ManagementofCLI:Endovascularinterventioncase– James F. McKinsey, MD

10:05 am DiabeticFoot:Casepresentation

10:25 am Break&VendorExhibits

Session2: ComplexReconstructionoftheDiabeticFoot

10:45 am Update on Diagnosis and Treatment of Diabetic Neuropathy– Bridget T. Carey, MD

11:00 am UpdateonOffloadingandOrthoticsfortheDiabeticFoot– Marshall Katz, BSRPh, CO(ABC)

11:10 am TreatmentofForefootandMidfootDeformities:Osteotomyvs.resection – Alan R. Catanzariti, DPM

11:30 am StabilizationoftheNeuropathicFoot:Externalandinternalfixation– Justin Greisberg, MD

11:50 am NeuropathicFoot:Casepresentation

Session3: PracticeDevelopment

12:10 Pm ASuccessfulWoundCenterandTheFutureofWoundCare – Terry Treadwell, MD

12:30 Pm PanelDiscussion–Q&A

12:45 Pm Lunch&DayTwoAdjourns

ProgramDirectors

RajeevDayal,MDAssistant Professor of Clinical SurgeryColumbia University College of Physicians and SurgeonsDirector of Carotid StentingDivision of Vascular SurgeryNewYork-Presbyterian Hospital/ Columbia University Medical Center

Michael Silane, MDClinical Associate Professor of SurgeryWeill Cornell Medical CollegeDirector of Vascular Surgery EducationDivision of Vascular SurgeryNewYork-Presbyterian Hospital/ Weill Cornell Medical Center

facult y

GuestFaculty

PhilipS.Barie,MDProfessor of Surgery and Public HealthWeill Cornell Medical CollegeNewYork-Presbyterian Hospital/ Weill Cornell Medical Center

PeterA.Blume,DPMAssistant Clinical Professor of SurgeryAnesthesia and Orthopaedics and RehabilitationYale School of Medicine

BridgetT.Carey,MDAssistant Professor of Neurology and NeuroscienceWeill Cornell Medical CollegeNewYork-Presbyterian Hospital/ Weill Cornell Medical Center

AlanR.Catanzariti,DPMDirector of Residency TrainingDepartment of Foot and Ankle SurgeryChairman, Institutional Review BoardThe Western Pennsylvania Hospital

DanielG.Clair,MDProfessor of SurgeryCleveland Clinic Lerner College of Medicine at Case Western UniversityChairman, Department of Vascular SurgeryCleveland Clinic

StuartR.Framm,MDAssistant Clinical Professor of MedicineColumbia University College of Physicians and SurgeonsNewYork-Presbyterian Hospital/ Columbia University Medical Center

MatthewFreeby,MDInstructor in Clinical MedicineColumbia University College of Physicians and SurgeonsNewYork-Presbyterian Hospital/ Columbia University Medical Center

JasonG.Funderburk,MDAssistant Professor of RadiologyWeill Cornell Medical CollegeInterim Chief, Vascular and Interventional Radiology NewYork-Presbyterian Hospital/ Weill Cornell Medical Center

EricJ.Heyer,MD,PhDProfessor of Clinical Anesthesiology and Clinical Neurology Columbia University College of Physicians and Surgeons Director, Division of Neuroanesthesia NewYork-Presbyterian Hospital/ Columbia University Medical Center

MarshallKatz,BSRPh,CO(ABC)Consulting Clinical Orthotist North Shore LIJ Medical Center Consultant Orthotist Nassau University Medical Center Burn and Wound Clinics

K.CraigKent,MDChairman, Department of Surgery A.R. Curreri Professor of Surgery University of Wisconsin - School of Medicine and Public Health

ThomasS.Riles,MDThe Frank C. Spencer Professor Associate Dean of Medical Education and Technology New York University Langone Medical Center

JohnPaulRunyon,MDDirector, The Vascular Center The Christ Hospital

Maya Salameh, MDAssistant Professor of Clinical Medicine Columbia University College of Physicians and Surgeons NewYork-Presbyterian Hospital/ Columbia University Medical Center

PeterSchlossberg,MDAssistant Clinical Professor of Radiology Columbia University College of Physicians and Surgeons NewYork-Presbyterian Hospital/ Columbia University Medical Center

AllanS.Stewart,MDAssistant Professor of Surgery Columbia University College of Physicians and Surgeons Director, Aortic Surgery Program NewYork-Presbyterian Hospital/ Columbia University Medical Center

Terry Treadwell, MD Medical Director Institute for Advanced Wound Care Baptist Medical Center South

FrankJ.Veith,MDProfessor of SurgeryThe Cleveland Clinic and New York University The William J. von Liebig Chair in Vascular Surgery The Cleveland Clinic

TzviBar-David,DPMDirector, Division of Podiatric SurgeryDepartment of Orthopaedic SurgeryNewYork-Presbyterian Hospital/Columbia University Medical CenterDepartment of SurgeryNewYork-Presbyterian Hospital/ Weill Cornell Medical Center

HarryL.Bush,Jr.,MDAssociate Professor of Surgery Weill Cornell Medical College NewYork-Presbyterian Hospital/ Weill Cornell Medical Center

RobertFridman,DPMLecturer, Department of Orthopaedic SurgeryNewYork-Presbyterian Hospital/ Columbia University Medical Center

AlexanderGart,MDAssistant Professor of Surgery Columbia University College of Physicians and Surgeons NewYork-Presbyterian Hospital/ Columbia University Medical Center

JustinGreisberg,MDAssociate Professor of Orthopaedic Surgery Columbia University College of Physicians and Surgeons NewYork-Presbyterian Hospital/ Columbia University Medical Center

JohnKarwowski,MDInterim Site Chief, Division of Vascular Surgery Weill Cornell NewYork-Presbyterian Assistant Professor of Surgery Weill Cornell Medical College Adjunct Assistant Professor of Surgery Columbia University College of Physicians and Surgeons

NewYork-PresbyterianHospitalColumbiaUniversityCollegeofPhysiciansandSurgeons WeillCornellMedicalCollege

meet inG lOc at iOnSheraton New York Hotel & Towers 811 7th Avenue at 53rd Street, New York, NY 10019 Telephone: 212-581-1000

Parking Garages (parking not included in the registration fee)

Central Parking Systems 810 7th Avenue (between 52nd & 53rd St.) New York, NY 10019 Telephone: 212-581-5215

Champion Parking 53 LLC159 West 53rd Street (between 6th & 7th Ave.) New York, NY 10019 Telephone: 212-245-1299

Icon Parking Systems140-166 West 53rd Street (between 6th & 7th Ave.) New York, NY 10019 Telephone: 212-397-9028

GreggS.Landis,MDAssistant Professor of Clinical SurgeryWeill Cornell Medical College NewYork-Presbyterian Hospital/ Weill Cornell Medical Center Director of Vascular and Endovascular Surgery Associate Chairman, Department of Surgery New York Hospital Queens

RossT.Lyon,MDAssociate Professor of Surgery Weill Cornell Medical College NewYork-Presbyterian Hospital/ Weill Cornell Medical Center

JamesF.McKinsey,MDChief of Vascular Surgery Columbia University Interim Chief, Division of Vascular Surgery of Columbia University and Weill Cornell Medical School Columbia University College of Physicians and Surgeons Adjunct Associate Professor Weill Cornell Medical College

NicholasJ.Morrissey,MD Assistant Professor of Surgery Columbia University College of Physicians and Surgeons Adjunct Assistant Professor of Surgery Weill Cornell Medical College Director of Clinical Trials Division of Vascular Surgery NewYork-Presbyterian Hospital

Roman Nowygrod, MD Professor of SurgeryColumbia University College of Physicians and Surgeons Director, Vein Disorder Center Department of Surgery Director, Surgery Preceptorship NewYork-Presbyterian Hospital/ Columbia University Medical Center

F.RaymondOrtega,MDAssistant Professor of Clinical Surgery Columbia University College of Physicians and Surgeons Division of Plastic Surgery Director, Columbia Wound Healing Program NewYork-Presbyterian Hospital/ Columbia University Medical Center

KennethOuriel,MDSenior Vice President and Chief of International Operations NewYork-Presbyterian Hospital

GautamV.Shrikhande,MD Vascular Surgery Fellow NewYork-Presbyterian Hospital

Shubha Varma, MDAssistant Professor of Surgery Columbia University College of Physicians and Surgeons NewYork-Presbyterian Hospital/ Columbia University Medical Center Director, Vascular Surgery Palisades Medical Center

HOtel infOrmat iOnWe have secured a block of rooms for our attendees at the Sheraton New York Hotel & Towers. Please make your reservations directly with the Sheraton New York Hotel & Towers. In order to take advantage of the negotiated group rate of $199/night plus tax, please make your reservation by May 1, 2010. You must reference NewYork- Presbyterian Hospital to receive the negotiated group rate. The room block will be based on a first-come, first-served basis.

Sheraton New York Hotel & Towers811 7th Avenue at 53rd Street New York, NY 10019 www.sheratonnewyork.com

tuit iOn feesUntil May 1st $175/day Until May 1st $250/2 days

After May 1st $250/day After May 1st $300/2 days

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.

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

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

Program Coordinators Jessica Scully Senior Events Coordinator Department of Surgery, External Affairs Columbia University Medical Center Telephone: 201-346-7007 Fax: 201-346-7011 E-mail: jas2134@columbia.edu

To make a reservation please call: 1-888-627-7067 Reference NewYork-Presbyterian Hospital

Nurses and Physician Assistants $75/day – $125/2 days Free to Columbia and Weill Cornell trainees (w/photo ID)Free to Fellows/Residents (w/photo ID)$25 discount for NYPH staff (w/photo ID)

Eileen Kieran Vascular Service Line Physician Liaison/Outreach Coordinator NewYork-Presbyterian Hospital Telephone: 212-304-5704 Fax: 212-342-5273 E-mail: eik9007@nyp.org

Nurses and Physician Assistants $75/day – $125/2 days Free to Columbia and Weill Cornell trainees (w/photo ID)Free to Fellows/Residents (w/photo ID)$25 discount for NYPH staff (w/photo ID)

reGis trat iOn Please register me for the continuing education program titled: Innovations and Practical Applications in Vascular Surgery m Thursday May 13th m Friday May 14th Please check day(s) of attendancePlease print or type

First Name M.I. Last Name Degree(s)

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Payment MethodONLINE: To make Credit Card Payment please register online at www.nypvascularcare.org. For security purposes, credit card payments cannot be accepted in the mail or by phone.

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.