THURSDAY - SATURDAY

April 30 - May 2, 2020

Presented by the Department of Surgery Division of Vascular and Endovascular Surgery University of California, San Francisco School of Medicine

UCSF Vascular Symposium 2020

COURSE CHAIR Michael S. Conte, MD Professor of Surgery Chief, Division of Vascular and Endovascular Surgery University of California, San Francisco COURSE CO-CHAIRS Charles Eichler, MD Clinical Professor of Surgery Division of Vascular and Endovascular Surgery University of California, San Francisco Alexander Reyzelman, DPM Senior Physician Diplomate Division of Vascular and Endovascular Surgery University of California, San Francisco Peter Schneider, MD Professor of Surgery Division of Vascular and Endovascular Surgery

PARK CENTRAL San Francisco SAN FRANCISCO, CA

Evolving technologies, intertwined with new data from registries and trials, continue to change the practice of vascular surgery and vascular medicine. Innovations in medical therapies, treatment of complex aortic disease, carotid and peripheral artery disease merge with growing questions about durability and late events. Recent practice guidelines in aortic disease and chronic limb threatening ischemia reflect these ongoing tensions. Our 2020 symposium will bring many of the key issues to light in a fast-paced 2.5 day program including debates, interactive case discussions, and expert panels with an outstanding faculty. As before, we will have a focused mini-symposium on advanced limb preservation on Saturday, bringing together multi-disciplinary expertise to address the full spectrum of care for the threatened limb. This year we will highlight a focused session on distal bypass surgery, in recognition of the ongoing importance to maintain the quality of surgical revascularization in CLTI alongside endovascular interventions. Please join us for an exciting educational and networking event in beautiful downtown San Francisco.

GREENER MEETING We're saving paper! The syllabus will be transmitted electronically one week prior to the course. OBJECTIVES Upon completion of this activity an attendee will be able to: • Address the factors and techniques which will reduce

failure rates of peripheral vascular interventions; • Diagnose and treat thoracic and abdominal aortic

aneurysms by both open and endovascular techniques; • Provide the optimal conditions for the healing of diabetic

foot ulcers.

Park Central San Francisco San Francisco, CA

ACCREDITATION The University of California, San Francisco School of Medicine (UCSF) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. UCSF designates this live activity for a maximum of 20.75 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. This CME activity meets the requirements under California Assembly Bill 1195, continuing education and cultural and linguistic competency. Nurses For the purpose of recertification, the American Nurses Credentialing Center accepts AMA PRA Category 1 CreditTM issued by organizations accredited by the ACCME. Physician Assistants AAPA accepts category 1 credit from AOACCME, Prescribed credit from AAFP, and AMA PRA Category 1 CreditTM from organizations accredited by the ACCME. Pharmacists The California Board of Pharmacy accepts as continuing professional education those courses that meet the standard of relevance to pharmacy practice and have been approved for AMA PRA Category 1 CreditTM.

UCSF Vascular Symposium 2020

2020

COURSE CHAIR Michael S. Conte, MD Professor of Surgery Chief, Division of Vascular and Endovascular Surgery COURSE CO-CHAIRS Charles Eichler, MD Professor of Surgery Division of Vascular and Endovascular Surgery Alexander Reyzelman, DPM Senior Physician Diplomate Division of Vascular and Endovascular Surgery Peter Schneider, MD Professor of Surgery Division of Vascular and Endovascular Surgery UCSF COURSE FACULTY (University of California, San Francisco unless indicated) Timothy Chuter, MD Professor Emeritus of Surgery Division of Vascular and Endovascular Surgery Monara Dini, MD Assistant Professor of Orthopaedics Zuckerberg San Francisco General/ UCSF Orthopaedic Trauma Institute Warren Gasper, MD Assistant Professor of Surgery Division of Vascular and Endovascular Surgery Scott Hansen, MD Assistant Professor of Surgery, Division of Vascular and Endovascular Surgery Jade S. Hiramoto, MD Professor of Surgery Division of Vascular and Endovascular Surgery James C. Iannuzzi, MD, MPH Assistant Professor of Surgery Division of Vascular and Endovascular Surgery Maureen Kohi, MD Associate Professor of Radiology Teng C. Lee, MD, FACS Associate Professor of Surgery Division of Adult Cardiothoracic Surgery Vaikom Mahadevan, MD Professor of Medicine Director, Structural and Adult Congenital Cardiac Interventions William M. Parmley Endowed Chair in Cardiology Adam Oskowitz, MD, PhD Assistant Professor of Surgery Division of Vascular and Endovascular Surgery

UCSF COURSE FACULTY (CONT’D) Joseph Rapp, MD Professor Emeritus of Surgery Division of Vascular and Endovascular Surgery

Linda M. Reilly, MD Professor of Surgery, Division of Vascular and Endovascular Surgery

Shant Vartanian, MD Associate Professor of Surgery Division of Vascular and Endovascular Surgery

VISITING FACULTY Cameron M. Akbari, MD, MBA Vascular Surgeon, MedStar Heart & Vascular lnstitute Washington, DC Michael Belkin, MD Chief, Division of Vascular and Endovascular Surgery Professor of Surgery, Harvard Medical School Boston, MA Marc Bonaca, MD, MPH Cardiologist UC Heart and Vascular Center Aurora, CO Robert Chang, MD Vascular Surgeon Department of Vascular Surgery Kaiser San Francisco San Francisco, CA Leonardo C. Clavijo, MD Assistant Professor of Clinical Medicine Director of Vascular Medicine & Peripheral Interventions Keck Hospital of USC Los Angeles, CA Brian G. DeRubertis, MD Vascular Surgeon Department of Vascular Surgery University of California Los Angeles Los Angeles, CA Bart Dolmatch, MD Interventional Radiologist El Camino Health MountainView, CA Vickie R. Driver, DPM, MS Professor of Surgery Department of Orthopedics Brown University Director, Translational Medicine Wound Healing Novartis Institute for BioMedical Research Boston, MA Bruce Gray, DO Vascular Surgeon Mary Black Health System- Spartanburg Greenville, SC

VISITING FACULTY (CONT’D) Sukgu M. Han, MD Assistant Professor of Surgery Division of Vascular Surgery and Endovascular Therapy Keck School of Medicine University of Southern California Los Angeles, CA Polyxene Kokinos, MD Vascular Surgeon South Bay Vascular Center and Vein institute Good Samaritan Hospital San Jose, CA Gregory J. Landry, MD, FACS Chief, Division of Vascular Surgery Professor of Surgery Oregon Health & Science University Portland, OR Mahmoud B. Malas, MD, MHS Vascular Surgeon Chief, Vascular and Endovascular Surgery UC San Diego Health San Diego, CA Gustavo S. Oderich, MD Chair, Division of Vascular and Endovascular Surgery Department of Surgery Mayo Clinic College of Medicine Rochester, MN Jean M. Panneton, MD Vascular Surgeon Sentara Vascular Specialists Norfolk, VA David A. Rigberg, MD Vascular Surgeon Department of Vascular Surgery Ronald Reagan UCLA Medical Center University of California Los Angeles Los Angeles, CA Omaida C. Velazquez, MD Chair, DeWitt Daughtry Family Department of Surgery Professor of Surgery, Radiology, and Biochemistry and Molecular Biology David Kimmelman Endowed Chair in Vascular and Endovascular Surgery University of Miami Miller School of Medicine Coral Gables, FL Robert S. Willoughby, JD Partner Hassard, Bonnington, LLP Devin Zarkowsky, MD Assistant Professor Vascular Surgery University of Colorado Health Vascular Surgery Aurora, CO

THURSDAY, APRIL 30, 2020 7:00 am Registration and Continental Breakfast 8:00 Welcome Michael S. Conte, MD SESSION I—Abdominal Aortic Aneurysm MODERATORS: Drs. Linda M. Reilly & Sukgu Han 8:10 Debate – The Current ESVS Guideline: Michael S. Conte, MD

Patients with Long Life Expectancy Should Robert Chang, MD Preferentially Get Open AAA Repair

8:30 Common Iliac Aneurysm: Rx Algorithm Sukgu M. Han, MD 8:45 Late Type I A & B Endoleaks Post‐EVAR: Jean M. Panneton, MD

How I Treat These 9:00 Sac Enlargement After EVAR: What Does this Imply Jade S. Hiramoto, MD

for the Patient? When to Treat and How to Do It 9:15 Juxta‐Renal/Para‐Renal AAA Review of Contemporary Devin Zarkowsky, MD

Data on Open and Endovascular Repair 9:30 Q&A 9:45 Break/Visit Exhibitors SESSION II—Thoracic Aorta MODERATORS: Drs. Jade S. Hiramoto & Jean M. Panneton 10:15 Thoracic Aortic Trauma: Defining Who to Treat and Shant Vartanian, MD

How to Do It 10:30 Acute TBAD: Evolution of High‐Risk Criteria Peter Schneider, MD 10:45 Thoracic Aortic Infections: My Approach Gustavo S. Oderich, MD

Linda M. Reilly, MD 11:10 Expert Panel Discussion- Treatment Options for Chronic

TBAD – Open, Endo, Hybrid – What Makes the Most Sense in Which Patients? MODERATOR: Dr. Michael S. Conte PANEL: Drs. Oderich, Hiramoto, Han, and Panneton

11:30 TBAD‐s/p TEVAR: Retrograde False Lumen Perfusion Jean M. Panneton, MD with Aortic Enlargement – Now What?

11:45 Cardiopulmonary Bypass Techniques in Open TAAA Teng C. Lee, MD, FACS Repair: What Approaches Work Best in Which Settings?

12:00 pm AORTIC KEYNOTE ADDRESS Contemporary Approach to Complex Aortic Disease: The Mayo Experience KEYNOTE SPEAKER: Gustavo S. Oderich, MD

12:30 – Working Lunch (Lunch Provided): Challenging Aortic Cases 1:30 MODERATORS: Drs. Eichler & Schneider

PANEL: Drs. Panneton, Han, Belkin, and Hiramoto 1:30 Break/Visit Exhibitors SESSION III— Carotid, Access, And Miscellaneous Topics MODERATORS: Drs. Joseph Rapp & Mahmoud B. Malas 2:00 Where Does TCAR Fit in the Treatment of Carotid Mahmoud B. Malas, MD, MHS

Disease in 2020? 2:20 Optimal Timing of Carotid Revascularization Post‐Stroke Warren Gasper, MD 2:35 Percutaneous AV Fistula: Where Does it Fit in Shant Vartanian, MD

Today’s Practice? 2:50 DCB for AV Access Maureen Kohi, MD 3:05 Challenging Access Cases Bart Dolmatch, MD 3:20 What’s New in Medical Rx for PAD, and Which Drugs Marc Bonaca, MD, MPH

Reduce Limb Events 3:35 Q&A 3:45 Break/Visit Exhibitors SESSION IV—Learn From The Experts: How I Do It? MODERATOR: Dr. Charles Eichler 4:00 EVAR with Iliac Branch Device Adam Oskowitz, MD, PhD 4:10 Open Reconstruction for Aorto‐Iliac/Femoral Disease Michael Belkin, MD 4:20 Spine Exposure Charles Eichler, MD 4:30 TCAR Mahmoud B. Malas, MD, MHS 4:40 Carotid‐Carotid and Carotid‐Subclavian Bypass Jade S. Hiramoto, MD 4:50 EVAR for Ruptured AAA Sukgu M. Han, MD 5:00 Radial Artery Access Vaikom Mahadevan, MD 5:10 Iliac Vein Recanalization and Stenting David A. Rigberg, MD 5:20 Q&A 5:30 pm Adjourn

U C S F V A S C U L A R S Y P O S I U M 2 0 2 0

FRIDAY, MAY 1, 2020 PAD & Claudication 7:00 am Registration and Continental Breakfast SESSION V—Claudication MODERATORS: Drs. Shant Vartanian & Bruce Gray 8:00 Medical Therapies and Exercise for Claudication: Marc Bonaca, MD, MPH

The Latest Evidence in Claudicants

8:20 My Rx Algorithm for Femoral Popliteal Disease Bruce Gray, DO in Claudicants

8:40 Aortoiliac Occlusion Endovascular vs. Open Rx Peter Schneider, MD 9:00 Is There a Role for Endo Techniques in the Rx of Brian G. DeRubertis, MD

the Common Femoral Artery? 9:10 Iatrogenic Femoral Artery Trauma in the Era of Charles Eichler, MD

Mechanical Circulatory Support: A New Epidemic in Tertiary/Quaternary Centers

9:20 Q&A 9:30 Break/Visit Exhibitors SESSION VI—PAD/Claudication II MODERATORS: Drs. Adam Oskowitz & Michael Belkin 10:00 New Technology for Challenging Lesions in PAD: Peter Schneider, MD

What Works and What Will Stick? 10:20 My Approach to BTK Disease: Is POBA Still the Brian G. DeRubertis, MD

Endovascular Standard of Care? 10:40 Tricks for Crossing BTK CTOs Bruce Gray, DO 10:55 What to Do When There is No Identifiable Leonardo C. Clavijo, MD

Inframalleolar Vessels 11:10 Panel Discussion – Paclitaxel: What do We Know and

What is the Future of Drug Elution in PAD? MODERATOR: Dr. Michael S. Conte PANEL: Drs. Schneider, DeRubertis, Gray, and Clavijo

11:40 BINKLEY LECTURE: Current State and Future Promise Omaida C. Velazquez, MD of Regenerative Medicine in Peripheral Arterial Disease

12:15 pm Working Lunch – (Lunch Provided): PAD/CLI cases MODERATOR: Dr. Peter Schneider PANEL: Drs. DeRubertis, Velazquez, Belkin, Clavijo

1:30 Break/Visit Exhibitors SESSION VII — Contemporary Vascular Practice MODERATORS: Dr. Warren Gasper 2:00 The Vascular Lab is an Essential Component of a Gregory J. Landry, MD, FACS

Thriving Practice 2:20 The State of Vascular Education/Training: What Does Michael Belkin, MD

Current Data on Open Aortic Surgery Tell Us About Competency

2:40 Malpractice: How Can You Stay Out of Trouble and Robert S. Willoughby, JD What Are Unique Problems for Vascular Surgeons?

3:10 Q&A 3:20 Break/Visit Exhibitors SESSION VIII — Distal Bypass Workshop MODERATORS: Drs. Michael Conte & Peter Schneider 3:45 How to Improve Results in Diabetic Patients Cameron M. Akbari, MD, MBA 4:00 Selecting Targets and Handling Conduits Michael S. Conte, MD 4:15 Avoiding Wound Complications and Endoscopic Gregory J. Landry, MD, FACS

Vein Harvest 4:30 Exposure and Tunneling Techniques James C. Iannuzzi, MD, MPH 4:45 Strategies for Reoperative Distal Bypass Michael Belkin, MD 5:00 Hybrid Approaches Using Endo and Open Techniques Peter Schneider, MD 5:15 Q&A 5:30 pm Adjourn 5:30 – Reception (Light Refreshments Provided) 6:30 pm

P a r k C e n t r a l S a n F r a n c i s c o • A p r i l 3 0 - M a y 2 , 2 0 2 0

program

GENERAL INFORMATION Advance registration closes at one (1) day prior to the course start date. HOW TO ENROLL Tuition*: $650 Practicing Physicians $425 CPMA/NCVS Members/Advanced

Health Professionals/Nurses/PAs $1000 Industry Saturday, May 2nd, 2020 Only $175 Physicians $100 CPMA/NCVS/Advanced Health

Professionals/Nurses/PAs Payment may be made by Visa, MasterCard, AmEx or check. REGISTER VIA: Online: cme.ucsf.edu Mail: Complete course registration form

and send with payment to: UCSF Office of CME

3333 California Street, Suite 450 San Francisco, CA 94118

Fax: Fax completed registration form to: (415) 502-1795 (be sure to include your credit card number)

Phone: To register by phone or to inquire about registration status, please call UCSF’s CME Registration Office at (415) 476-5808.

Please check our website for up-to-date information on the course: cme.ucsf.edu

On-Site Registration: Generally we are able to accommodate on-site registration at our courses, however pre-registration is preferred to ensure that we are prepared for your attendance. REFUND POLICY Cancellations received in writing before the first day of the course (April 29, 2020) will be refunded, less a $75 administrative fee. No refunds will be made on cancellations received after that date. CONFERENCE LOCATION Enjoy San Francisco’s renowned attractions such as the historic cable cars, shopping in Union Square, or visit San Francisco’s culinary hub at the Ferry Building. Park Central San Francisco is just steps from Union Square and the Theatre District. A block of guestrooms has been reserved at the special UCSF conference rate of $289/night. You are urged to make your reservations early. The cut-off date is March 31, 2020, or until the group room block is filled. After this date, rooms will be provided on a space-available basis only. To make hotel reservations go to cme.ucsf.edu and click on the hotel link in the Travel & Lodging section of the course webpage. By staying at the host hotel, you help UCSF meet its contractual obligations and keep registration fees reasonable. AIR TRANSPORTATION AND RENTAL CAR UCSF has negotiated special fares with airlines and car rental agencies. Please visit the TRAVEL AND LODGING section on the course webpage at cme.ucsf.edu for more information and discount codes.

SATURDAY, MAY 2, 2020 Multidisciplinary Limb Preservation Mini‐Symposium 7:00 am Continental Breakfast SESSION IX – LIMB SALVAGE 101: EVALUATION AND OUTPATIENT MANAGEMENT MODERATORS: Drs. Alexander Reyzelman & Omaida Velazquez 8:00 Venous Leg Ulcers: What is the Appropriate Work‐up Polyxene Kokinos, MD

and Evidence‐based Treatment? 8:15 Management of the Intermediate‐risk DFU: Surgical Monara Dini, MD

Approaches and Offloading 8:30 Vascular Assessment and Staging of Limb Threat in Cameron M. Akbari, MD, MBA

DFU: Time is Tissue 8:45 Early Identification of DFU: Sensor Technology is Monara Dini, MD

Here to Stay 9:00 Practical ABX Guidelines for the Treatment of the TBD

Diabetic Foot Infections 9:10 Common Mistakes Made in the Treatment of DFUs: Alexander Reyzelman, DPM

Staying Out of Trouble 9:25 Limb Salvage Case Presentations 9:45 Q&A 10:00 Break/Visit Exhibitors 10:30 KEYNOTE LIMB PRESENTATION LECTURE

Toe and Flow: What’s the Future for Improving Quality Vicki R. Driver, DPM, MS and Access in Limb Preservation?

SESSION X – ADVANCED LIMB SALVAGE MODERATORS: Drs. Monara Dini & Gregory Landry 11:00 TMA: What Are the Factors Determining Success and Warren Gasper, MD

Function? 11:15 Panel Discussion – Distal Tibial and Pedal Disease:

What Really Works? PANELISTS: Drs. Akbari, Belkin, and Clavijo

11:35 Deep Space Infection and Necrosis: When and How Alexander Reyzelman, DPM can the Foot Be Salvaged?

11:50 Vascular Recurrence: How to Monitor, When and Michael S. Conte, MD How to Re‐intervene

12:05 pm Case‐Based Discussion Options for Tissue‐coverage and Complex Wound Scott Hansen, MD Management in the Acute Inpatient Setting Alexander Reyzelman, DPM

12:25 Shared Decision Making: When is Primary Amputation Gregory J. Landry, MD, FACS a Suitable Answer?

12:40 Q&A/Closing Statements 1:00 pm Adjourn

GREENER MEETING (optional) We're saving paper! The syllabus will be available electronically one week prior to the course.

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æ Dr. æ Ms. æ Mr. æ Mrs. ________________________________________________________________________ LAST NAME FIRST M.I. ________________________________________________________________________ DEGREE SPECIALTY ________________________________________________________________________ ADDRESS ________________________________________________________________________ CITY STATE ZIP ________________________________________________________________________ DAYTIME PHONE FAX ________________________________________________________________________ EMAIL Address Label Code Letter (see address label: example, A, B, C, D, etc.) _________________ Would you like to be on our priority email list? £ Yes £ No

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Refund Policy: Cancellations received in writing before April 30, 2020 will be refunded, less a $75 administrative fee. No refunds will be made on cancellations received after that date. Please check our website for up-to-date information on the course: cme.ucsf.edu

COURSE REGISTRATION • MSU20003 UCSF Vascular Symposium 2020 April 30 - May 2, 2020 • Park Central San Francisco San Francisco, CA

Cable Car Line

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Park Central San Francisco 50 3rd St San Francisco, CA 94103 (415) 974-6400 https://www.parkcentralsf.com

Mail to : UCSF Office of CME 3333 California Street, Suite 450 San Francisco, CA 94118 Fax: (415) 502-1795

Online registration: cme.ucsf.edu Registration Information: (415) 476-5808 Course Information: (415) 476-4251