March 3 - 7, 2019
Grand Wailea Maui, Hawaii




Program Agenda
















1:00 PM
 2:30 PM  6:00 PM   Vascular Forum for Students, Residents and Fellows  
          Moderators: Niten Singh, MD, Meryl Simon, MD and J. Devin B. Watson, MD
2:30 PM 2:38 PM   Symptomatic Carotid Lesions Should be Operated on 4-7 Days Following Neurologic Event   Alaska Pendleton
2:40 PM 2:48 PM   Surgical Trainee Autonomy During Arteriovenous Fistula Creation: Is There A Cost?   Janell Holloway
2:50 PM 2:58 PM   Renal Denervation for Resistant Hypertension in the Contemporary Era: A Systematic Review and Meta-analysis   Pradyumna Agasthi
3:00 PM 3:08 PM   Hemodialysis Access for Patients with a History of IV Drug Use: A Case Series and Literature Review   Anna Ohlsson
3:10 PM 3:18 PM   The Impact of Great Saphenous Vein Size on Gender, Clinical Severity and Outcome of Patients Undergoing Vein Ablation for Varicose Veins   Scott Bendix
3:20 PM 3:28 PM   Device Migration Following Endovascular Abdominal Aortic Aneurysm Repair (EVAR) With an Infra-renal Device: Single-centre Experience of 186 Cases with a Minimum of 2 Years Follow-up and a Review of the Literature   Sam Walker
3:30 PM 3:38 PM   Infra-inguinal Bypass Tunneling Technique 1 on Patency and Amputation-free Survival in Critical Limb Threatening Ischemia   Nallely Saldana-Ruiz
3:40 PM 3:48 PM   EVAC Improves Cardiac Performance When Compared to REBOA in a Swine Model of Hemorrhagic Schock   Emily Tibbits
3:50 PM 3:58 PM   Can Arteriovenous Fistula Maturation/Failure be Predicted by Intraoperative Duplex Ultrasound?   Louis Zhang
4:00 PM 4:08 PM   Prophylactic Subclavian Artery Revascularization is Protective Against Lower Extremity Neurologic Deficits With TEVAR   Hunter Ray
4:10 PM 4:20 PM   Refreshment Break    
4:20 PM 4:28 PM   Predictors of Aneurysm Sac Shrinkage Utilizing a Global Registry   Mina Boutrous
4:30 PM 4:38 PM   Renal Stent Complications Following Standard Fenestrated Endovascular Aneurysm Repair   Celine Deslarzes-Dubuis
4:40 PM 4:48 PM   Incidence and Risk Factors for Deep Vein Thrombosis after Radiofrequency and Laser Ablation of the Lower Extremity Veins   Nathan Itoga
4:50 PM 4:58 PM   Use of Intraoperative Flow Volume Assessment During Dialysis Access Banding is a Viable Approach for Access Causing High Output Heart Failure – A Case Report   Adil Khan
5:00 PM 5:08 PM   Unnecessary AAA Screening Ultrasounds in Patients with Prior Imaging   Vivek Patel
5:10 PM 5:18 PM   Hybrid Repair of an Aneurysmal Kommerell Diverticulum Associated With a Type 2 Right-Sided Aortic Arch   Mimmie Kwong
5:20 PM 5:28 PM   Safety and Efficacy of Translumbar Embolisation for Type II Endoleaks: 12 Years of Experience at a Tertiary Vascular Center   William Rhodri Thomas
5:30 PM 5:38 PM   Single Versus Multiple-Stage Catheter-Directed Thrombolysis Does Not Impact Iliac Vein Stent Length or Patency   Catherine Go
5:40 PM 5:48 PM   Development of Duplex Ultrasound Criteria for External Carotid Artery Stenosis: Importance of Assessing Both Peak Systolic Velocity and Presence of Color Aliasing   Matthew Kronick
5:50 PM 5:58 PM   Renal Artery Coverage During EVAR for Ruptured AAA   Adam Tanious
6:00 PM 7:30 PM   Welcome Reception    



6:15 AM   Breakfast Seminar - Non-CME event  
7:00 AM   Registration / Breakfast  
7:40 AM   Welcome, Introduction, and Announcements

R. Eugene Zierler, MD, RPVI
David L. Dawson, MD, RVT, RPVI

    Session 1: Cerebrovascular Disease Moderator: R. Eugene Zierler, MD
7:55 AM   Carotid Duplex Criteria: What Have We Learned in 40 Years? R. Eugene Zierler, MD, RPVI
8:05 AM   Pitfalls in Carotid Duplex Scanning and What the Physician Should Know Mariah Elliot, RVT, RPhS
8:15 AM   Follow-up After Carotid Endarterectomy and Stenting: What to Look For and Why Dennis Bandyk, MD
8:25 AM   Is Endarterectomy or Stenting Ever Indicated for Asymptomatic Carotid Stenosis

Michael Caps MD, MPH

8:35 AM   Cerebrovascular Venous Disease: Is It Still Relevant? Thom W. Rooke, MD
8:45 AM   Duplex vs. CT vs. Catheter Arteriography for Carotid Imaging: How Do They Compare? John Pellerito, MD
8:55 AM   Tips and Tricks for Transcranial Doppler Imaging Stephanie Wilson, RVT 
9:05 AM   The Final Word on the IAC Vascular Testing Carotid Criteria Project Heather Gornik, MD
9:15 AM   Q&A Panel and Discussion  
9:45 AM   Break-Visit Exhibits  
    Session 2: Laboratory Organization, Management, and Training Moderator: Molly Zaccardi, RVT
10:15 AM   Quality Assurance in the Vascular Lab: The New IAC Paradigm David L. Dawson, MD, RVT, RPVI
10:25 AM   Administrative Challenges: Staffing, Scheduling, and Maximizing Efficiency Molly Zaccardi, RVT 
10:35 AM   Teaching Hands-on Scanning Skills to Residents and Fellows Dennis Bandyk, MD
10:45 AM   Use of Algorithms to Improve Vascular Lab Utilization Edward L. Ronningen, RVT
10:55 AM   The Essential Components of a Vascular Laboratory Report  Gregory L. Moneta, MD
11:05 AM   The Role of Multi-Credentialing and Advanced Practice Stephanie Wilson, RVT 
11:15 AM   Vascular Lab Reimbursement Update for 2019 Robert Zwolak, MD 
11:25 AM   The Pros and Cons of Structured Reporting Edward L. Ronningen, RVT 
11:35 AM   SVS-SVU Vascular Ultrasound Registry Project David L. Dawson, MD, RVT, RPVI
11:45 AM  

Q&A Panel and Discussion

12:15 PM   Adjourn  
12:30 PM   Luncheon Seminar- Non-CME event  


Note: Each of the four workshop sessions will last approximately 60 minutes and will be presented three times to give participants an opportunity to attend up to three of the sessions per day.

    Monday Afternoon Workshop And Small Group Sessions

1:45 – 2:45 pm; 2:50 – 3:50 pm; 3:55 – 4:55 pm

 Workshop A   Scan Lab: Basic and Advanced Carotid Duplex

Gregory L. Moneta, MD and Kourtney Spencer, RVT

    This Scan Lab will focus on approaches for optimizing the carotid duplex examination through appropriate use of instrumentation settings and scanning technique  
 Workshop B   Statistics 101: Validation of Diagnostic Tests 

Michael Caps MD, MPH

    This session will discuss the role of simple statistical tests (such as sensitivity and specificity) in determining the value of vascular laboratory tests.  
 Workshop C   Advanced QA: Putting a Program Together

David L. Dawson, MD, RVT, RPVI and Edward L. Ronningen, RVT

    This session will describe the components of a vascular laboratory Quality Assurance program designed to insure high quality testing and satisfy IAC Vascular Testing accreditation requirements.  
     Evening Vascular Forum Dinner and Program  
6:00-9:00 PM   Dinner  
    Presentation: “Professional Development in the Vascular Laboratory” David L. Dawson, MD, RVT, RPVI and R. Eugene Zierler, MD, RPVI
    Presentation of Awards for the Vascular Forum Papers Session and Vascular Jeopardy Competition Niten Singh, MD, Meryl Simon, MD and J. Devin Watson, MD
TUESDAY, MARCH 5, 2019    
6:15 AM   Breakfast Seminar - Non-CME event  
7:00 AM   Registration / Breakfast  
    Session 3: Aorta and Visceral Vascular  Moderator: David L. Dawson, MD, RVT, RPVI
7:45 AM   Screening for AAA: Choosing Wisely J. Devin Watson, MD
7:55 AM   The Evolving Role of Duplex for Follow-up of Standard EVAR
David L. Dawson, MD, RVT, RPVI
8:05 AM   Technical "Pearls" for Duplex Scanning after EVAR

Sara M. Skjonsberg, RVT, RPhS 

8:15 AM   Does Ultrasound Contrast Improve Duplex Surveillance After EVAR? John Pellerito, MD 
8:25 AM   Late Complications After “Uncomplicated” EVAR  Sukgu Han, MD 
8:40 AM   Current Management of Aortic Trauma Niten Singh, MD
8:50 AM   Duplex Follow-up After FEVAR and BEVAR R. Eugene Zierler, MD, RPVI
9:00 AM   Advances in Management of Aortic Dissection   Sukgu Han, MD 
9:15 AM   Q&A Panel and Discussion  
9:45 AM   Refreshment Break and Visit Exhibits  
    Session 4: Aorta and Visceral Vascular
Moderators: Michael Caps MD, MPH


10:15 AM   Imaging Tricks for Renal and Mesenteric Scanning Stephanie Wilson, RVT 
10:25 AM   Is Stenting for Atherosclerotic Renal Artery Stenosis Ever Indicated?

R. Eugene Zierler, MD, RPVI

10:35 AM   Importance of Incidental Findings on Renal and Mesenteric Duplex Scanning John Pellerito, MD 
10:45 AM   Technical Tips for Hepatoportal Duplex Scanning Watson B. Smith, RVT 
10:55 AM   Duplex Evaluation for Celiac Artery Stenosis or Comression Edward L. Ronningen, RVT
11:05 AM   Are There Duplex Criteria for Restenosis After Renal and Mesenteric Artery Stenting?  Robert Zwolak, MD
11:15 AM   Diagnosis of Renal Fibromuscular Dysplasia: How Much Imaging is Enough? Heather Gornik, MD
11:25 AM   Current Role of Surgical Revascularization for Mesenteric Ischemia W. Todd Bohannon, MD
11:35 AM   Treatment of Recurrent Mesenteric Artery Occlusive Disease David L. Dawson, MD, RVT, RPVI
11:45 AM   Q&A Panel and Discussion  
12:15 PM   Adjourn  
12:30-1:30 PM   Luncheon Seminar- Non-CME event  
    Tuesday Afternoon Workshop And Small Group Sessions

1:45 – 2:45 pm; 2:50 – 3:50 pm; 3:55 – 4:55 pm

Workshop D   Scan Lab: Renal, Mesenteric and EVAR Follow-up Mariah Elliot, RVT, RPhS and R. Eugene Zierler, MD, RPVI
    This Scan Lab will review techniques for visceral vascular testing with emphasis on the renal and mesenteric arteries and follow-up of aortic endografts.  
Workshop E   “Knobology” and Advanced Instrumentation for Physicians Meryl Simon, MD and Molly Zaccardi, RVT
    This session is for physicians who want to know more about ultrasound instrumentation and the importance of user-adjustable parameters in obtaining optimal images and waveforms (sonographers are also welcome to attend).  
Workshop F   Vascular Applications in Point-of-Care Ultrasound 

Dennis Bandyk, MD and Watson B. Smith, RVT

    This session will illustrate simple ultrasound tests that healthcare providers can perform themselves as an “extension” of their physical examination for screening or diagnosis of vascular problems.


Wednesday, March 6, 2019

6:15 AM   Breakfast Seminar - Non-CME event  
7:00 AM   Registration / Breakfast   
    Session 5: Venous Disease Moderators: Mark H. Meissner, MD 
7:45 AM   Current Guidelines for the Management of Acute VTE Michael Caps, MD, MPH
7:55 AM   What Everyone Should Know About the DOACS Heather Gornik, MD
8:05 AM   Tibial Veins: Why Are They Important? Thom W. Rooke, MD
8:15 AM   Is There Still a Role for Venous Thrombolysis After ATTRACT/CAVENT? Kathleen D. Gibson, MD 
8:25 AM   Diagnosis & Management of Upper Extremity DVT Michael Caps, MD, MPH
8:35 AM   Alternative Vein Imaging: Is There a Role for CT and MR? John Pellerito, MD
8:45 AM   Standardization of Venous Testing and Vein Center Accreditation Thom W. Rooke, MD
8:55 AM    Point-Counterpoint, Part 1: Testing for Venous Reflux Should Be Done in the Standing Position Mark H. Meissner, MD
9:05 AM   Point-Counterpoint, Part 2: Nonsense – Reflux Testing in the Semi-recumbent Position is Accurate John Pellerito, MD
9:15 AM   Q&A Panel and Discussion  
9:45 AM   Refreshment Break and Visit Exhibits  
    Session 6: Venous Disease Moderators: Kathleen D. Gibson, MD 
10:15 AM   Durability of Endovenous Thermal Ablation
W. Todd Bohannon, MD
10:25 AM   Non-Thermal Options for Saphenous Ablation: When To Consider Them and Why Kathleen D. Gibson, MD
10:35 AM   Ultrasound Evaluation of Typical and Atypical Patterns of Reflux and Obstruction in Lower Extremity Venous Disease Sara M. Skjonsberg, RVT, RPhS
10:45 AM   Abdominal and Pelvic Venous Disorders: A New Paradigm Mark H. Meissner, MD
10:55 AM   Ultrasound Evaluation of Abdominal and Pelvic Venous Disorders: A Technologist’s Perspective Sara M. Skjonsberg, RVT, RPhS
11:05 AM   Diagnostic Approach to Abdominal and Pelvic Venous Disorders Mark H. Meissner, MD
11:15 AM   Pelvic Varices: Treatment of Chronic Pelvic Pain and Atypical Lower Extremity Varices Kathleen D. Gibson, MD
11:25 AM   Advanced Techniques for Treating Ilio-caval Venous Occlusions Mark H. Meissner, MD
11:35 AM   Veins and the Athlete Thom W. Rooke, MD
11:45 AM   Q&A Panel and Discussion
12:15 PM   Adjourn  
12:30 PM   Luncheon Seminar - Non-CME event  
    Wednesday Afternoon Workshop And Small Group Sessions
    1:45 – 2:45 pm; 2:50 – 3:50 pm; 3:55 – 4:55 pm  
Workshop G   Scan Lab: Advanced Venous Duplex Mark H. Meissner, MD and Sara M. Skjonsberg, RVT, RPhS
    This Scan Lab will review the use of duplex scanning for the diagnosis and follow-up of complex venous disorders such as pelvic congestion, including May-Thurner and Nutcracker syndromes.  
Workshop H   Dialysis Access Duplex: Maturation and Volume Flow Dennis Bandyk, MD and Kourtney Spencer, RVT
    This session will present an approach to the duplex evaluation of dialysis access sites, including identification of flow-limiting stenotic lesions and measurement of volume flow.  
Workshop I  

Optimal Testing for Venous Reflux

Mariah Elliott, RVT, RPhS and Kathleen D. Gibson, MD
    This session will demonstrate and discuss the optimal approach for reflux testing in the management of lower extremity chronic venous insufficiency.  
THURSDAY, MARCH 7, 2019    
7:00 AM   Registration / Breakfast  
    Session 7: Hemodialysis Access and Peripheral Artery Disease Moderators: Dennis Bandyk, MD
7:45 AM   Technical Tips for the Pre-Dialysis Access Mapping Examination Kourtney Spencer, RVT
7:55 AM   Duplex Assessment for Dialysis Access Maturation R. Eugene Zierler, MD, RPVI
8:05 AM   Options for Managing the Non-Maturing Fistula J. Devin Watson, MD
8:15 AM   Ultrasound Evaluation of Dialysis Access Steal Syndromes Watson Smith, RVT
8:25 AM   Interventions for Dialysis Access Steal Syndromes W. Todd Bohannon, MD
8:35 AM   Update on Clinical Trials for Critical Limb Ischemia Niten Singh, MD 
8:45 AM   Follow-up After Peripheral Artery Angioplasty and Stenting R. Eugene Zierler, MD, RPVI
8:55 AM   Current Status of Duplex Vein Graft Surveillance Dennis Bandyk, MD
9:05 AM   Device Innovations for Treatment of Critical Limb Ischemia Niten Singh, MD
9:15 AM   Q&A Panel and Discussion  
9:45 AM   Refreshment Break and Visit Exhibits
    Session 8: Peripheral Artery Disease Moderators: David L. Dawson, MD, RVT, RPVI
10:15 AM   Arterial Duplex Scanning: Pearls and Pitfalls for the Technologist Stephanie Wilson, RVT
10:25 AM   How I Use Physiologic Testing for Peripheral Artery Disease Thom W. Rooke, MD
10:35 AM   Assessment of Cold Sensitivity and Vasculitis Heather Gornik, MD
10:45 AM   Arterial Testing in Babies and Children Robert Zwolak, MD
10:55 AM   Screening for Grant Cell Arteritis in the Vascular Laboratory Molly Zaccardi, RVT
11:05 AM   The Acute “Cold Leg” Evaluation: A Technologist’s Perspective Watson Smith, RVT
11:15 AM   Tibial Artery Velocities in Diagnosis and Follow-up of Peripheral Artery Disease Gregory L. Moneta, MD
11:25 AM   "Best" Medical Management of PAD Heather Gornik, MD
11:45 AM   Q&A Panel and Discussion
12:15 PM   Adjourn
    Session 9: Interpretation and Reporting of Vascular Laboratory Studies

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 subscription is required for this session and a box lunch will be provided.

12:30 PM   Doppler Waveform “Bootcamp” Heather Gornik, MD
1:00 PM   Cerebrovascular Mariah Elliott, RVT, RPhS and Gregory L. Moneta, MD
1:45 PM   Peripheral Venous Mark H. Meissner, MD and Sara M. Skjonsberg, RVT, RPhS
2:30 PM   Break
2:45 PM   Peripheral Arterial David L. Dawson, MD, RVT, RPVI and Kourtney Spencer, RVT
3:30 PM   Visceral Vascular Watson Smith, RVT and R. Eugene Zierler, MD, RPVI
4:15 PM   Q&A and Discussion
4:30 PM   Adjourn