Program

TIME PRESENTATION FACULTY

SUNDAY, MARCH 20, 2022

1:00 PM Registration and Check-in
2:30 – 5:30 PM Vascular Forum Presentations Faculty Review Board: Drs. Bohannon, Carson, Logan, Rasmussen and Singh
6:00 PM Welcome Reception for all Symposium Participants
TIME PRESENTATION FACULTY

MONDAY, MARCH 21, 2022

7:00 AM – 5:00 PM Registration and Check-in
7:00 AM Continental Breakfast and Visit Exhibits
7:45 AM Welcome, Introduction and Announcements David L. Dawson, MD, RVT, RPVI and R. Eugene Zierler, MD, RPVI

Session 1: Cerebrovascular Disease

Moderator: R. Eugene Zierler, MD, RPVI
8:00 AM From the DES Archives: The First Duplex Scanner R. Eugene Zierler, MD, RPVI
8:12 AM The 2021 IAC Carotid Criteria Report: Should We Standardize? R. Eugene Zierler, MD, RPVI
8:24 AM The Role of Vascular Testing Before and After TCAR Sara Skjonsberg, RVT, RPhS
8:36 AM Screening for Arteritis: A Sonographer’s Perspective Watson B. Smith, RVT
8:48 AM Difficult and Uncommon Carotid Cases John Pellerito, MD
9:00 AM Update on Clinical Trials in Carotid Disease Gregory L. Moneta, MD
Point-Counterpoint: Management of Asymptomatic Carotid Stenosis
9:12 AM Part 1: The Case for Medical Therapy Esther S. H. Kim, MD, MPH
9:22 AM Part 2: The Case for Intervention Michael Caps, MD, MPH
9:32 AM Q&A Panel and Discussion
9:45 AM Refreshment Break and Visit Exhibits

Session 2: Vascular Laboratory Practice Management

Moderator: Molly Zaccardi, RVT
10:15 AM Recruiting, Training and Retaining Vascular Sonographers George Berdejo, RVT
10:26 AM Social Media in Vascular Surgery and the Vascular Laboratory Meryl Logan, MD
10:39 AM 2022 Update on Reimbursement and Other Issues in Vascular Ultrasound George Berdejo, RVT
10:51 AM Optimizing Vascular Laboratory Workflow: Space, Staff and Stuff Edward L. Ronningen, RVT
11:03 AM Making Quality Improvement Relevant Molly Zaccardi, RVT
11:15 AM Reducing Work-related Musculoskeletal Disorders John G. Carson, MD, RPVI
Point-Counterpoint: How Should We Accredit Vascular Laboratories?
11:27 AM Part 1: Only Indications and Outcomes Matter Thom W. Rooke, MD
11:37 AM Part 2: Good Processes Make Good Vascular Labs R. Eugene Zierler, MD, RPVI
11:47 AM Q&A Panel and Discussion
12:15 PM Adjourn
MONDAY AFTERNOON WORKSHOP AND SMALL GROUP SESSIONS (pre-registration required; up to 25 participants per workshop per time slot)
1:45 – 2:45 pm; 2:50 – 3:50 pm
Note: Each of the three afternoon sessions on Monday will last approximately 60 minutes and will be offered twice to give participants an opportunity to attend up to two sessions.
Workshop A Scan Lab: Carotid Duplex and Giant Cell Arteritis Screening

  • Review basic and advanced techniques of carotid duplex scanning through demonstrations by technologist faculty and opportunities for hands-on practice
  • Discuss carotid duplex interpretation points with physician faculty
  • Describe the protocol and criteria for giant cell arteritis screening, including both the cranial (temporal) arteries and large (subclavian, axillary) arteries
Gregory L. Moneta, MD, Watson B. Smith, RVT and Kourtney Spencer, RVT
Workshop B Key Concepts in Statistics for Vascular Providers

  • Review the types of study designs used to evaluate diagnostic tests
  • Understand the role of likelihood ratios
  • Discuss sensitivity vs. specificity and ROC analysis
Michael Caps, MD, MPH
Workshop C Quality Improvement: Putting Your Program Together

  • Review the latest QA requirements in the IAC Vascular Testing Standards and Guidelines
  • List the components of a successful vascular lab QA program
  • Define the roles of sonographers and physicians in QA
David L. Dawson, MD, RVT, RPVI and Edward L. Ronningen, RVT
4:30 – 6:00 PM Vascular Forum and General Poster Presentations
Monday Evening Vascular Forum Program (ticket purchase required)
6:00 – 9:00 PM Presentation of Awards for the Vascular Forum Papers Session and Vascular Jeopardy Competition
TIME PRESENTATION FACULTY

TUESDAY, MARCH 22, 2022

7:00 AM – 5:00 PM Registration and Check-in
7:00 AM Continental Breakfast and Visit Exhibits

Session 3: Aorta and Visceral Vascular I

Moderator: David L. Dawson, MD, RVT, RPVI
7:45 AM From the DES Archives: Is Renal Duplex Scanning Possible? David L. Dawson, MD, RVT, RPVI
7:57 AM Practical Considerations for Renal Artery Duplex Scanning Kourtney Spencer, RVT
8:09 AM Abdominal Aortic Aneurysm Screening and Surveillance Meryl Logan, MD
8:21 AM Complex Aortic Aneurysm Repairs Benjamin W. Starnes, MD
8:33 AM Open Surgical Management for Complex Abdominal Aortic Problems Todd E. Rasmussen, MD
8:45 AM Risk Assessment for Patients With Aortic Disease Matthew Mell, MD
8:56 AM Better Results Managing Ruptured Abdominal Aortic Aneurysms Benjamin W. Starnes, MD
9:09 AM Lessons From the Vascular Quality Initiative Matthew Mell, MD
9:21 AM Q&A Panel and Discussion
9:45 AM Refreshment Break and Visit Exhibits

Session 4: Aorta and Visceral Vascular II

Moderator: Michael Caps, MD, MPH
10:15 AM Overcoming Abdominal Ultrasound Imaging Challenges Edward L. Ronningen, RVT
Point-Counterpoint: Aortic Aneurysm Clinical Decision-Making
10:26 AM Part 1: Deaths From Aortic Aneurysm Are Too Common – We Need To Do More! Benjamin W. Starnes, MD
10:37 AM Part 2: Too Many Patients Are Being Treated Without Benefit Michael Caps, MD, MPH
10:47 AM Development and Current Role for REBOA Todd E. Rasmussen, MD
10:59 AM Guidelines for Management of Visceral Artery Aneurysms William Bohannon, MD
11:11 AM Imaging for Chronic Mesenteric Ischemia John G. Carson, MD, RPVI
11:23 AM Surgical and Interventional Therapy for Visceral Artery Problems David L. Dawson, MD, RVT, RPVI
11:35 AM Optimal Imaging for Endoleaks After EVAR John Pellerito, MD
11:47 AM Multi-disciplinary Care of Patients With Aortic Disease Matthew Mell, MD
11:58 AM Q&A Panel and Discussion
12:15 PM Adjourn
TUESDAY AFTERNOON WORKSHOP AND SMALL GROUP SESSIONS (pre-registration required; up to 25 participants per workshop per time slot)
1:45 – 2:45 pm; 2:50 – 3:50 pm; 3:55 – 4:55 pm
NOTE: Each of the three afternoon sessions on Tuesday will last approximately 60 minutes and will be offered three times to give participants an opportunity to attend up to three sessions.
Workshop D Scan Lab: Renal, Mesenteric and EVAR Follow-up

  • Review basic and advanced techniques of abdominal vascular scanning through demonstrations by technologist faculty and opportunities for hands-on practice
  • Discuss interpretation points with physician faculty, including stented vs. native renal and mesenteric arteries
  • Describe the typical ultrasound features of endoleaks following EVAR
Mariah Elliot, RVT, RPhs and R. Eugene Zierler, MD, RPVI
Workshop E “Knobology” for Physicians

  • Understand user accessible controls that “optimize ultrasound images
  • Review the designs and use of modern duplex ultrasound probes
  • Recognize technical errors or omissions that could lead to misinterpretation
Meryl Logan, MD and Molly Zaccardi, RVT
Workshop F Pedal Acceleration Time Tutorial

  • Review the arterial anatomy of the lower leg and foot and related duplex scanning technique
  • Classify pedal artery flow waveforms based on acceleration time
  • Understand the applications for plantar acceleration times in clinical practice
William Bohannon, MD and Jill Sommerset, RVT
TIME PRESENTATION FACULTY

WEDNESDAY, MARCH 23, 2022

7:00 AM – 5:00 PM Registration and Check-in
7:00 AM Continental Breakfast and Visit Exhibits

Session 5: Venous Disease I

Moderator: Kathleen D. Gibson, MD
7:45 AM From the DES Archives: The Natural History of DVT Mark H. Meissner, MD
7:57 AM Pearls and Pitfalls in the Evaluation of Venous Disease John Pellerito, MD
8:09 AM This is Not a DVT – Other Findings on Ultrasound George Berdejo, RVT
8:21 AM Current Guidelines for the Management of DVT Michael Caps, MD, MPH
8:33 AM Reflux Testing: Why it Must Be Done in the Upright Position Sara Skjonsberg, RVT, RPhS
8:45 AM Varicose Veins – Clinical and Ultrasound Patterns of Recurrence Dennis Bandyk, MD
8:56 AM Thermal vs. Non-Thermal Ablation: Picking the Best Option for the Patient Kathleen D. Gibson, MD
9:09 AM Venous Disease Mimics Thom W. Rooke, MD
9:21 AM Q&A Panel and Discussion
9:45 AM Refreshment Break and Visit Exhibits

Session 6: Venous Disease II

Moderator: Mark H. Meissner, MD
10:15 AM Ultrasound Evaluation of Pelvic Venous Disorders Sara Skjonsberg, RVT, RPhS
10:26 AM Pelvic Venous Disease – Is Ultrasound the Final Answer? Mark H. Meissner, MD
10:39 AM Pelvic Origin Extra-Pelvic Varices – Evaluating the Pelvic Escape Points Mariah Elliot, RVT, RPhS
10:51 AM The SVP Classification for Pelvic Venous Disorders – Why You Should Know and Understand It Mark H. Meissner, MD
11:03 AM Non-Thrombotic Iliac Vein Obstruction – Picking the Right Patient for Intervention Kathleen D. Gibson, MD
11:15 AM Venous Outflow Obstruction – Can It be Quantified? Thom W. Rooke, MD
Point-Counterpoint: Non-Thrombotic Iliac Venous Obstruction (“May-Thurner Syndrome”)
11:27 AM Part 1: May-Thurner is Under-Diagnosed and Under-Treated Kathleen D. Gibson, MD
11:37 AM Part 2: Nonsense, Stenting for May-Thurner is Overutilized Gregory L. Moneta, MD
11:47 AM Q&A Panel and Discussion
12:15 PM Adjourn
WEDNESDAY AFTERNOON WORKSHOP AND SMALL GROUP SESSIONS (pre-registration required; up to 25 participants per workshop per time slot)
1:45 – 2:45 pm; 2:50 – 3:50 pm; 3:55 – 4:55 pm
NOTE: Each of the three afternoon sessions on Wednesday will last approximately 60 minutes and will be offered three times to give participants an opportunity to attend up to three sessions.
Workshop G Scan Lab: Advanced Venous Duplex

  • Review basic and advanced techniques of venous scanning through demonstrations by technologist faculty and opportunities for hands-on practice
  • Discuss interpretation points with physician faculty, including abdominal venous compression syndromes and follow-up of venous stents
  • Observe the duplex evaluation of varicose veins and perforator veins
Mariah Elliot, RVT, RPhs and Mark H. Meissner, MD
Workshop H Proper Testing for Venous Reflux

  • Review the protocol, technique, and equipment for the standing reflux evaluation with distal cuff deflation
  • Describe the duplex criteria for determination of significant reflux in various venous segments
  • Discuss the applications of reflux testing in planning venous interventions
Kathleen D. Gibson, MD and Sara Skjonsberg, RVT, RPhS
Workshop I Dialysis Access Duplex: Maturation and Volume Flow

  • Discuss the duplex protocol for assessing a dialysis access site
  • Review the duplex technique for measuring volume flow and avoiding the common sources of error
  • Describe the duplex ultrasound features of a well-functioning dialysis access site
Dennis Bandyk, MD and Kourtney Spencer, RVT
TIME PRESENTATION FACULTY

THURSDAY, MARCH 24, 2022

7:00 AM – 4:30 PM Registration and Check-in
7:00 AM Continental Breakfast and Visit Exhibits

Session 7: Peripheral Artery Disease and Hemodialysis Access

Moderator: Dennis Bandyk, MD
7:45 AM From the DES Archives: Arterial Testing Before Duplex Dennis Bandyk, MD
7:57 AM Percutaneous AV Fistula: Implications for the Vascular Lab Sara Skjonsberg, RVT, RPhS
8:09 AM Duplex Assessment for Dialysis Access Maturation Dennis Bandyk, MD
8:21 AM Technique and Applications for Plantar Acceleration Time (PAT) Jill Sommerset, RVT
8:33 AM When Should We Treat Restenosis After Peripheral Artery Interventions? Niten Singh, MD
8:45 AM Advanced Applications of Arterial Duplex for Critical Limb Ischemia Jill Sommerset, RVT
Point-Counterpoint: Physiologic Testing vs. Duplex Imaging for Peripheral Arterial Disease
8:56 AM Part 1: Duplex Imaging is All I Really Need David L. Dawson, MD, RVT, RPVI
9:07 AM Part 2: Physiologic Testing Completes the Picture John G. Carson, MD, RPVI
9:17 AM Q&A Panel and Discussion
9:45 AM Refreshment Break and Visit Exhibits

Session 8: Challenges, Controversies and a Look Ahead

Moderator: David L. Dawson, MD, RVT, RPVI
10:15 AM What is “Optimal Medical Management” of PAD in 2022? Esther S. H. Kim, MD, MPH
10:35 AM Arterial Evaluation of the Patient With a Cardiac Assist Device Watson B. Smith, RVT
10:47 AM Radial Artery Access and the Vascular Laboratory Meryl Logan, MD
10:59 AM The Role of Vascular Testing in a Trauma Center Niten Singh, MD
11:11 AM Vascular Manifestations of COVID-19 Infection John Pellerito, MD
11:23 AM What is on the Horizon for Peripheral Arterial Interventions? Niten Singh, MD
11:35 AM Arterial Dysfunction in PAD and New Approaches to Therapy William Bohannon, MD
11:47 AM Diversity, Equity and Inclusion in the Vascular Laboratory George Berdejo, RVT
11:59 AM Q&A Panel and Discussion
12:15 PM Adjourn
THURSDAY AFTERNOON (ticket purchase required)

Session 9: Interpretation and Reporting in the Vascular Laboratory

Moderator: Gregory L. Moneta, MD
This session will have an interactive, problem-based format, starting with interpretation of Doppler waveforms and covering the major testing areas of cerebrovascular, peripheral venous, peripheral arterial and visceral vascular. Case challenges will be presented and attendees will participate in selecting interpretation options. Faculty will provide analysis and discussion, focusing on current standards for interpretation and reporting in accredited laboratories. Separate registration is required for this session and a box lunch will be provided.
12:30 PM Doppler Waveform “Bootcamp” Esther S. H. Kim, MD, MPH
1:00 PM Cerebrovascular Gregory L. Moneta, MD and Sara Skjonsberg, RVT, RPhS
1:45 PM Peripheral Venous Mariah Elliot, RVT, RPhS and Mark H. Meissner, MD
2:30 PM Break
2:45 PM Peripheral Arterial David L. Dawson, MD, RVT, RVPI and Kourtney Spencer, RVT
3:30 PM Visceral Vascular Watson B. Smith, RVT and R. Eugene Zierler, MD, RPVI
4:15 PM Q&A and Discussion
4:30 PM Adjourn