INSTITUCIONAL SUPPORT: Clínica Universitária de Cirurgia Vascular COMITEES........................................................................................................................................1 - 2 11 DECEMBER Sessão Conjunta...............................................................................................................................3 Opening Session.............................................................................................................................. 4 Session 1.................................................................................................................................... 4 - 5 Session 2.................................................................................................................................... 5 - 6 Session 3.................................................................................................................................... 6 - 7 12 DECEMBER Session 4.................................................................................................................................... 7 - 8 Session 5.................................................................................................................................... 8 - 9 Session 6......................................................................................................................................... 9 Session 7....................................................................................................................................... 10 Session 8................................................................................................................................ 10 - 11 Session 9................................................................................................................................ 11 - 12 Session 10.............................................................................................................................. 12 - 13 Notes.......................................................................................................................................14 - 15 ORGANIZING COMMITTEE J. Fernandes e Fernandes Luis Mendes Pedro Ângelo Nobre Paulo Sousa Ruy Fernandes e Fernandes Luis Silvestre SCIENTIFIC COMMITTEE 1 J. Fernandes e Fernandes José Crespo de Almeida Fausto Pinto José Ferro Luís Mendes Pedro Ângelo Nobre FACULTY: National Faculty: Albuquerque de Matos Clara Pais José Tiago Luís Mendes Pedro Alexandra Canedo Daniel Brandão Joana Ferreira Luís Silvestre Amílcar Mesquita Diogo Cunha e Sá João Albuquerque e Castro Maria José Ferreira Ana Evangelista Duarte Medeiros João Almeida Pinto Mário Macedo Angélica Damião Elsa Teixeira João Raposo Miguel Maia Ângelo Nobre Emília Ferreira João Ribeiro Nuno Meireles António Assunção Frederico Bastos Gonçalves João Silva e Castro Óscar Gonçalves António Simões Gil Marques José Daniel Menezes Paulo Sousa Arlindo Matos Gonçalo Sobrinho José Ferro Pedro Amorim Armando Mansilha Hugo Rodrigues José França Pedro Brandão Augusto Ministro Hugo Valentim José Teixeira Pereira Albino Carla Joana Rodrigues Isabel Cássio José Vidoedo R. Roncon de Albuquerque Carlos França Ivone Silva L. Mota Capitão Rui Almeida Carolina Vaz J. C. Mendes de Almeida Leonor Vasconcelos Rui Machado Catarina Santos J. Fernandes e Fernandes Luís Antunes Ruy Fernandes e Fernandes International Faculty: Arno von Ristow (Rio de Janeiro - Brazil) Jan Brunkwal (Cologne - Germany) Athanasios Giannoukas (Larissa - Greece) Laura Capoccia (Rome - Italy) Bruno Gossetti (Rome - Italy) Lazar Davidovic (Belgrade - Serbia) Chris Liapis (Athens - Greece) Martin Björck (Uppsala - Sweeden) Domenico Palombo (Genoa - Italy) Michael Jacobs (Maastricht - Netherlands) Eric Verhoeven (Nuremberg - Germany) Nilo Mosquera (Ourense - Spain) Fabien Koskas (Paris - France) Nuno Dias (Malmö - Sweeden) Francesco Spinelli (Rome - Italy) Ramesh Tripathi (Abu Dhabi - United Arab Emirates) Franco Grego (Padua - Italy) Richard Bulbulia (Oxford - United Kingdom) Germano Melissano (Milan - Italy) Vicente Riambau (Barcelona - Spain) 2 11th DECEMBER 11:00h - 13:00h Sessão conjunta ACES / Serviço de cirurgia vascular HSM-CHLN Moderators: Clara Pais and J. Fernandes e Fernandes Apresentação e Discussão de Casos Clínicos exemplificativos: - Pé diabético e Isquémia Crítica Augusto Ministro - Rotura de AAA - Diagnóstico; Tratamento e Prevenção Luís Silvestre - Trombose Venosa - Orientação Terapêutica Actual José Tiago - Doença Venosa Crónica: a comunicação médico-doente e o papel da MGF - Terapêutica compressiva e os fármacos venoactivos: critérios de escolha e de utilização J. Fernandes e Fernandes - Úlcera venosa vs arterial: diagnóstico diferencial, o que fazer e o que não fazer? Ana Evangelista e Elsa Teixeira Participantes: Especialistas do Serviço e Médicos de MGF 3 14:20h Welcome to the 6th Lisbon Vascular Forum/XIX International Meeting J. Fernandes e Fernandes 14:30h - 16:00h SESSION 1 Critical Limb Ischemia – New perspectives and consensus for clinical practice Chairpersons: L. Mota Capitão and R. Roncon de Albuquerque Moderators: Gonçalo Sobrinho and Emília Ferreira 14:30h The challenge of diabetes – how can we improve outcomes in diabetics with CLI? João Raposo 14:40h Management of CLI – our Experience Diogo Cunha e Sá 14:50h Outcomes from a patient-tailored approach in CLI Augusto Ministro 15:00h Hybrid procedures for the lower limb chronic ischemia – what determines outcome? Athanasios Giannoukas 15:10h How to optimize revascularization for CLI patients: Endovascular vs Open Repair Francesco Spinelli 15:20h Ambulatory care in CLI patients: The dedicated nursing care and its impact Elsa Teixeira 15:30h Invited commentary by Angélica Damião and Rui Machado 4 15:35h Debate – Management of popliteal aneurysms – Open or Endovascular repair? Open - Martin Björck Endovascular - Franco Grego 15:50h Discussion 16:00h Coffee break 16:25h - 18:00h SESSION 2 Challenges in aortic surgery: Abdominal compartment syndrome (ACS) and infection Chairpersons: Albuquerque de Matos and Carlos França Moderators: Rui Machado, Miguel Maia and Angélica Damião 16:25h ACS in aortic surgery - new developments Martin Björck 16:35h Is it possible to identify which patients will develop ACS? Ruy Fernandes e Fernandes 16:45h Medical management of ACS – experience from our ITU João Ribeiro 16:55h Invited commentary by J.C. Mendes de Almeida and Chris Liapis 17:00h Infection after aortic surgery - treatment and prevention Chris Liapis 17:10h Surgical management infected abdominal aortic grafts and aorto-enteric fistula Fabien Koskas 5 17:20h Bowel reconstruction in aorto-enteric fistula - a meta-analysis review Catarina Santos 17:30h Management of infected aortic grafts – new evidence Martin Björck 17:40h Causes of aortic graft limb occlusion - treatment and prevention Chris Liapis 17:50h Management of para-anastomotic aortic aneurysms Arno von Ristow 18:00h Discussion 18:10h - 20:30h SESSION 3 Vascular organization – present challenges and the future Chairpersons: José Daniel Menezes and J. Fernandes e Fernandes Moderators: Óscar Gonçalves and Daniel Brandão 18:10h Vascular care in Portugal 2015 Paulo Sousa 18:20h Vascular training: present reality in Europe Armando Mansilha 18:30h General review of the status of the Specialty in Europe and USA Chris Liapis 18:45h Invited commentary by Martin Björck and Chris Liapis 6 18:50h Perspective from a young vascular surgeon in Portugal Pedro Amorim 19:00h Discussion 20:30h Transfers for dinner at Casa Museu Medeiros e Almeida 12th DECEMBER 09:00h - 10:10h SESSION 4 Cerebrovascular disease – what is new? Chairpersons: José Ferro and José França Moderators: José Vidoedo and Nuno Meireles 09:00h New perspectives in the management of cerebrovascular disease – the neurologist perspective José Ferro 09:10h Expanding the evidence base for carotid interventions – an overview of ACST-2, Crest-2 and ECST-2 Richard Bulbulia 09:20h CEA in 48h for symptomatic patients – impact on practice and clinical outcomes Laura Capoccia 09:30h Economical evaluation of EVAR and OR treatment in patients with juxtarenal aneurysms Domenico Palombo 7 09:40h Retinal embolization in CEA and CAS – does it happen and what are the implications? Athanasios Giannoukas 09:50h Invited commentary by Chris Liapis and J. Fernandes e Fernandes Discussion 10:10h Coffee break 10:35h - 11:25h SESSION 5 Venous disease – new challenges Chairpersons: Alexandra Canedo and Amílcar Mesquita Moderators: Leonor Vasconcelos, Pedro Brandão and Hugo Valentim 10:35h New challenges in the management of chronic venous disease Armando Mansilha 10:45h Is there enough evidence to replace Superficial flush Ligation at sites of incompetence plus stripping for treatment of Varicose Veins? Pereira Albino 10:55h Recurrent venous thromboembolism – Do NOACS provide efficient protection? Athanasios Giannoukas 11:05h Management of May-Turner syndrome – our experience Arno von Ristow 11:15h Deep venous valvular reconstruction: indications and techniques Ramesh Tripathi 8 11:25h Invited commentary by José Teixeira and Maria José Ferreira Discussion 11:45h - 12:45h SESSION 6 Uncommon vascular disorders Chairpersons: Ivone Silva Moderators: Ana Evangelista and Carolina Vaz 11:45h Management of aortic arch aneurysms – our strategy Franco Grego 11:55h Management of visceral artery aneurysms – our experience Arno von Ristow 12:05h Acute on chronic mesenteric ischemia – a challenging problem Augusto Ministro 12:15h Modern management of Takayasu’s disease Ramesh Tripathi 12:25h Modern management of chemodectomas Bruno Gossetti 12:35h Balance between Open and Endovascular techniques in acute vascular trauma Lazar Davidovic 12:45h Invited commentary by Rui Almeida and Nuno Dias Discussion 9 13:00h - 14:00h SESSION 7 Working Lunch : challenging clinical cases Chairmen: António Assunção and João Almeida Pinto Moderators: Luís Antunes, Carla Joana Rodrigues and Arlindo Matos 3’ Presentations + 2’ Discussion for each case 14:05h - 16:20h SESSION 8 Challenges in aortic surgery: aneurysms and dissection Chairmen: Duarte Medeiros and José Teixeira Moderators: João Silva e Castro and Gil Marques 14:05h CT imaging of aortic dissection: impact on decision making Germano Melissano 14:15h When to intervene for acute type B aortic dissection - new evidence for Endovascular repair - Jan Brunkwal Open repair - Germano Melissano 15:00h Type A dissection - alternative solutions for open repair. when to use it? Ângelo Nobre 15:10h Infected thoracic aortic grafts – management and outcomes Germano Melissano 15:20h Mycotic aneurysms – should open repair be always indicated? Fabien Koskas 10 15:30h Invited commentary by João Albuquerque e Castro e Arno von Ristow Discussion 15:40h Management of TAAA in Serbia Lazar Davidovic 15:50h Outcomes on repair of Juxta/Para/Supra renal AAA Eric Verhoeven 16:00h Spinal cord ischemia - the achiles heel of endovascular TAAA repair Nuno Dias 16:10h Invited commentary by Domenico Palombo Discussion 16:20h Coffee break 16:50h - 18:00h SESSION 9 Lisbon Aortic Centre – department of heart and vessels Chairpersons: Rui Almeida and Isabel Cássio Moderators: Hugo Rodrigues and Mário Macedo 16:50h Introduction and Rationale for the Lisbon Aortic Centre J. Fernandes e Fernandes 17:00h Ascending and aortic arch aneurysms Open repair - Ângelo Nobre Hybrid repair - Luis Mendes Pedro 11 17:15h Will total endovascular repair for ascending and arch aneurysms be an alternative to open surgery? new developments Eric Verhoeven 17:25h Approach to redo complex cases – arch and TAAA Michael Jacobs 17:35h Management of suprarenal and TAAA – a patient - tailored approach Luís Mendes Pedro Ruy Fernandes e Fernandes 17:50h Discussion 18:00h Concluding remarks Michael Jacobs 18:10h - 19:50h SESSION 10 More on aortic aneurysmal disease Chairpersons: Maria José Ferreira and António Simões Moderators: Joana Ferreira and Luís Silvestre 18:10h Improving outcomes in open repair for TAAA Michael Jacobs 18:20h Can EVAR outcomes be improved? Frederico Bastos Gonçalves 18:30h Is contrast enhanced ultrasound a suitable alternative for EVAR follow-up? Bruno Gossetti 12 18:40h Outcomes from EVAS – what is the evidence? Will it have impact on the endovascular management for AAA? Nilo Mosquera 18:50h Maintenance of patency of the hypogastric artery – an issue for endovascular management of aortic disease Ruy Fernandes e Fernandes 19:00h New devices for challenging aortic endovascular repair Vicente Riambau 19:10h DEBATE Management of TAAA – modern strategy in 2015 Endovascular repair - Eric Verhoeven Open repair - Germano Melissano 19:25h Discussion and concluding remarks 19:40h Farewell drinks 13 14 15 PLATINIUM SUPPORT: MEDICAL GOLD SUPPORT: SILVER SUPPORT: OTHERS: