2nd Biennial
FORUM on INTERVENTIONAL
RADIOLOGY in VASCULAR ANOMALIES
The Rosewood Hotel Georgia, Vancouver, BC
SEPTEMBER 28-30, 2017
FIRVA 2017
Vancouver September 28th to 30th, 2017 was the opportunity to participate in a state-of-the art forum devoted exclusively to addressing the practical needs of the interventional radiologist in the diagnosis and percutaneous management of vascular malformations/anomalies led by some of the field’s leading experts.
Our comprehensive and interactive program included:
- An introductory primer on the ISSVA classification of vascular anomalies, imaging diagnosis, and the role of the interventional radiologist in multidisciplinary management
- Case-based “How I Do It” sessions on percutaneous management of all the most common vascular anomalies
- Debate/consensus-building sessions between faculty on controversial or cutting-edge topics in many areas of vascular anomaly therapy
- Case-based tutorials and complication rounds, with case-materials supplied not only from our faculty, but submitted from our attendees as well!
Whether you’re a seasoned vascular anomaly interventionalist looking to learn and share the latest tips or tricks among colleagues, or you’re an interventional radiologist (or nurse or technologist) considering starting a vascular malformation service and want a better understanding of basic principles and interventional radiologic techniques, this forum is for you.
Along with my co-chair Dr. Richard Owen, we hope to see you in Vancouver!
Sincerely,
Gerald M Legiehn, MD, FRCPC
Accreditation:
FIRVA 2017 was an Accredited Group Learning Activity (Section 1) as defined by the Maintenance of Certification Program of the Royal College of Physicians and Surgeons of Canada, and approved by the University of Calgary Office of Continuing Medical Education and Professional Development. Participants could claim a maximum of 18.75 hours (credits were automatically calculated).
2017 agenda
On-line presentation viewing access
(all material is copyright protected, do not copy or re-distribute without expressed consent of the presenters or HayMatick Inc.)
Thursday September 28th
| 6:45 AM | Registration – Spanish Ballroom Foyer | |
| 7:00 AM | Continental Breakfast – Spanish Ballroom Foyer | |
| 7:45 AM | Welcome and Introductory Remarks – Drs. Owen and Legiehn – Spanish Ballroom |
8:00 AM – 9:30 AM – COURSE I: VASCULAR ANOMALY PRIMER
8:00 AM |
SESSION 1: A Tour Through the Current ISSVA Classification of Vascular Anomalies |
Moderator: Dr. Burrows |
| 8:00 AM | An Overview of the The 2014 “Melbourne” ISSVA Classification | Dr. Burrows |
| 8:30 AM | Basic Lesion Morphology and Imaging Algorithm in “Simple” and Common Vascular Malformations | Dr. Legiehn |
| 8:45 AM | Overview of Other Lymphatic Malformations / Primary Lymphedema | Dr. Alomari |
| 9:00 AM | Overview of Vascular Tumors | Dr. Heran |
9:15 AM |
SESSION 2: Basic Clinical Issues in Vascular Anomalies |
Moderator: Dr. Dubois |
| 9:15 AM | Overview of Hematologic, Analgesic and Anesthetic Considerations in Vascular Anomaly Management | Dr. Dubois |
| 9:30 AM | The Importance of the Multi-Disciplinary Vascular Anomaly Team | Dr. Burrows |
9:45 AM |
Refreshment Break – Spanish Ballroom Foyer |
10:00 AM – 12:00 PM – COURSE II: VENOUS MALFORMATION THERAPY
10:00 AM |
SESSION 1: “How I Do It” |
Moderator: Dr. Legiehn |
| 10:00 AM | Basic Sclerotherapy Technique in Venous Malformations | Dr. Legiehn |
| 10:15 AM | Sclerotherapeutic Techniques in Matrix/Stromal-Rich Venous Malformations | Dr. Jones |
| 10:30 AM | Treatment of Commonly Mismanaged Diffuse and Synovial Venous Malformations | Dr. Alomari |
| 10:45 AM | The Use of Glue in Venous Malformations | Dr. Burrows |
| 11:00 AM | Advanced Percutaneous and Adjunctive Surgical Techniques in Head and Neck Venous Malformations | Dr. Heran |
| 11:15 AM | Big Veins I: Unique Technical Challenges of Venous Closure in Klippel-Trenaunay Syndrome/Large Venous Outflow | Dr. Alomari |
| 11:30 AM | Big veins II: Endovenous Laser Ablation for Large Vein Outflow in Venous Malformations & Marginal Veins in Klippel Trenaunay Syndrome | Dr. Stuart |
| 11:45 AM | Cryotherapy/Thermal Ablation for Venous Malformations | Dr. Stuart |
| 12:00 PM |
Lunch – Spanish Ballroom Foyer |
1:00 PM |
SESSION 2: Debate or Consensus? |
Moderator: Dr. Alomari |
| 1:00 PM | Does Polypharmacy in Venous Malformations Sclerotherapy Improve Efficacy? | Dr. Alomari, Dr. Soulez |
| 1:20 PM | Imaging as a Predictor of Volume: Are We Undertreating? Should We Be More Aggressive? | Dr. McCafferty |
| 1:40 PM | Is There a Role for Polidocanol in Venous Malformation Sclerotherapy? | Dr. Wright, Dr. Legiehn |
| 2:00 PM | When Do You Biopsy a Lesion? | Dr. Jones, Dr. Legiehn |
| 2:20 PM | Three-way: Part I: Should Failed Sclerotherapy Lesions Go Onto Cryotherapy Before Surgery? | Dr. Clarkson, Dr. Stuart, Dr. Courtemanche |
| 2:40 PM | Three-way: Part II: Which Malformations Should Go Straight to the OR? On What Anatomic Basis? What about Intra/Juxta Articular Lesions? | Dr. Courtemanche, Dr. Clarkson, Dr. Stuart |
| 3:00 PM |
Refreshment Break – Spanish Ballroom Foyer |
3:15 PM |
SESSION 3: Interesting Venous Malformation Cases |
Moderator: Dr. Burrows |
| 3:15 PM | Venous Channel Anomalies in Capillary Malformations with Overgrowth/Other Overgrowth Syndromes | Dr. Burrows |
| 3:30 PM | A Case of Servelle-Martorell Syndrom (Angio-Osteohypotrophic Syndrome) | Dr. Bendel |
| 3:45 PM | Mesenteric and Portal Venous Malformation | Dr. Owen |
| 4:00 PM | WTFirva VM: A Diagnostic Challenge | Dr. Moriarty |
| 4:15 PM | Massive Venous Malformation of Chest Wall-Axilla-Upper Extremity: Discussion of Management Options | Dr. Heran |
| 4:30 PM | Interesting VM Cases | Presenter TBA |
| 4:45 PM | Interesting VM Cases | Presenter TBA |
| 5:00 PM | Welcome Reception – Spanish Ballroom Foyer |
Friday September 29th
| 6:45 AM | Registration – Spanish Ballroom Foyer | |
| 7:00 AM | Continental Breakfast – Spanish Ballroom Foyer | |
| 7:45 AM | Welcome and Introductory Remarks – Drs. Owen and Legiehn – Spanish Ballroom |
8:00 AM – 12:00 PM – COURSE III: ARTERIOVENOUS MALFORMATION THERAPY
8:00 AM |
SESSION 1: How I Do It |
Moderator: Dr. Heran |
| 8:00 AM | Advanced MRA Techniques in Vascular Malformations | Dr. Chung |
| 8:15 AM | The Evolution of AVM Anatomic Classification Systems: Is this Progress? | Dr. Legiehn |
| 8:30 AM | Anatomic Approach to AVM Therapy with Case Examples | Dr. Soulez |
| 8:45 AM | AVMs Involving the Deep Veins of the Calf | Dr. Burrows |
| 9:00 AM | Advanced Off-Label, Off-the-Hook, and Off-the Wall AVM Interventional Techniques | Dr. Heran |
9:15 AM |
SESSION 2: Debate or Consensus? |
Moderator: Dr. Owen |
| 9:15 AM | The Indication for Treating an AVM is the Presence of a Treatable AVM | Dr. Alomari, Dr. Dubois |
| 9:30 AM | Does Successful Treatment of an AVM Require Ethanol in Most Cases? | Dr. Soulez, Dr. McCafferty |
| 9:45 AM | Does Successful Treatment of an AVM Require Some Transarterial Embolization in Most Cases? | Dr. Almori |
| 10:00 AM | What Can We Believe are the Actual Long Term Outcomes After Percutaneous Intervention in AVMs? | Dr. Burrows, Dr. Legiehn |
| 10:15 AM |
Refreshment Break – Spanish Ballroom Foyer |
10:30 AM |
Session 3: Interesting AVM Cases |
Moderator: Dr. Soulez |
| 10:30 AM | Pelvic AVM Causing RLQ Pain in 60-year-old Female | Dr. Scorza |
| 10:45 AM | A Different Approach to an Intrahepatic Portosystemic Shunt | Dr. Hirji |
| 11:00 AM | Large AVM of the Mandible and Face | Dr. Gemmete |
| 11:15 AM | 1. Bleeding Pinna AVM After ECA Ligation 2. Bleeding Mandibular AVM: A Novel Adjunctive Technique to Trans Arterial Embolization |
Dr. Goyal |
| 11:30 AM | Assymptomatic RASA /Stage 2 AVM of the Cheek in a Newborn. When to Start Therapy? | Dr. Lord |
| 11:45 AM | Acquired AVM of the Left Thigh | Dr. Hovsepian |
| 12:00 PM |
Lunch- On Your Own |
1:00 PM – 1:30 PM – KEYNOTE ADDRESS – Vascular Anomalies: The Impact of Molecular Science on Clinical Practice- Dr. Burrows
1:30 PM – 5:00 PM – COURSE IV: LYMPHATIC MALFORMATION THERAPY
1:30 PM |
SESSION 1: How I Do It |
Moderatior: Dr. Dubois |
| 1:30 PM | Sclerotherapy of Lymphatic Malformations | Dr. Dubois |
| 1:45 PM | Differentiating and Treating the Confusing Types of Central Conducting Lymphatic Disorders | Dr. Alomari |
| 2:00 PM | Intra-nodal lymphoscintigraphy and Management of Disorders of Chylous Circulation | Dr. Alomari |
| 2:15 PM |
Refreshment Break – Spanish Ballroom Foyer |
2:30 PM |
SESSION 2: Debate or Consensus? |
Moderator: Dr. Dubois |
| 2:30 PM | 3-Way: What’s the Best in Class for Macrocytic Lesions?: Bleomycin, Doxycycline, or OK-432 | Dr. Dubois, Dr. Burrows, Dr. McCafferty |
| 2:50 PM | Is Bleomycin Our Only Non-operative Option for Microcystic Lesions? Cryotherapy or Other? | Dr. Jones, Dr. Stuart |
| 3:10 PM | Does Experience/Literature Support Our Concerns of Bleomycin Pulmonary/Systemic Toxicity? | Dr. Dubois |
3:30 PM |
SESSION 3: Interesting Lymphatic Malformation Cases |
Moderator: Dr. Stuart |
| 4:00 PM | Spontaneous Hemorrhage in Lymphatic Malformation After Sclerotherapy | Dr. Kim |
| 4:15 PM | 1. Extensive Cervical Lymphatic Malformation in Newborn 2. Mixed Lymphatic Malformation of Tongue: Management Option Discussions |
Dr. Luke |
| 4:30 PM | Cryotherapy for FAVA – First Experiences | Dr. Amendy |
| 4:45 PM | Interesting LM Cases | Presenter TBA |
Saturday September 30th
| 6:45 AM | Registration – Spanish Ballroom Foyer | |
| 7:00 AM | Continental Breakfast – Spanish Ballroom Foyer | |
| 7:45 AM | Welcome and Introductory Remarks – Drs. Owen and Legiehn – Spanish Ballroom |
8:00 AM – 12:00 PM – COURSE V: POTPOURRI
8:00 AM |
SESSION 1: No Fixed Address Lesions |
Moderator: Dr. Jones |
| 8:00 AM | Fibro-Adipose Vascular Anoamly (FAVA): Diagnosis and Therapy | Dr. Alomari |
| 8:15 AM | Lesions that Masquerade as Vascular Malformations | Dr. Jones |
| 8:30 AM | Kaposiform Hemangioendothelioma Management | Dr. McCafferty |
| 8:45 AM | Pulmonary AVM’s: State of the Art | Dr. Owen |
9:00 AM |
SESSION 2: Outcomes and Hopes for the Future |
Moderator: Dr. McCafferty |
| 9:00 AM | How I Started a Formative Interventional Vascular Malformation Service from Scratch in a Smaller Center | Dr. De Korompay |
| 9:15 AM | New Generation of Embolization and Sclerosing Agents | Dr. Soulez |
| 9:30 AM | Report on the Development of a Core Outcome Set for Vascular Malformations (the OVAMA project) | Dr. McCafferty |
| 9:45 AM | Image Guided Surgery: The Vast Horizon | Dr. Alomari |
10:00 AM |
Refreshment Break – Spanish Ballroom Foyer |
10:15 AM |
SESSION 3: How Did I Get Here?: COMPLICATION ROUNDS |
Moderator: Dr. Owen |
| 10:15 AM | Acute Allergic Interstitial Nephritis Following the Use of Sodium Tetradecyl Sulfate | Dr. Park |
| 10:30 AM | Post Sclerotherapy Skin Discoloration in Venous and Lymphatic Malformations | Dr. Lightfoot
Dr. Heran |
| 10:45 AM | 1. DIC After AVM Embolization 2. Ischemic Complications Post Forearm Venous Malformation Sclerotherapy |
Dr. Gemmete |
11:00 AM |
SESSION 4: Dazed and Confused: I Don’t Know How to Fix This! ROUNDS |
Moderator: Dr. Burrows |
| 11:00 AM | 1. Mediastinal Extension of Chest Wall Lymphatic Malformation 2. Iliac Bone Low-Flow Malformation/Intraosseous Hemangioma with Persistent Pain |
Dr. Tomihama |
| 11:15 AM | Large High Flow AVM of Left Shoulder | Dr. Wall |
| 11:45 AM | Coronary/Bronchial to Pulmonary AVM | Dr. Legiehn |
| 12:00 PM | Closing Remarks – Dr. Legiehn |
2017 faculty
FIRVA Co-Chair
Dr. Gerald Legiehn, MD, FRCPC
Clinical Associate Professor
Interventional Radiology
Vancouver General Hospital
University of British Columbia
Vancouver, BC
FIRVA Co-Chair
Richard Owen, MD FRCR MRCP LMCC
Associate Professor
University of Alberta
Hospital and Stollery Children’s Hospital
Edmonton, AB
Keynote Speaker
Dr. Pat Burrows, MD
Pediatric Imaging Radiologist
Children’s Hospital of Wisconsin
Medical College of Wisconsin
Milwaukee,WI
Ahmad I. Alomari, MD, MSc, FSIR
Division of Vascular and Interventional Radiology
Department of Radiology
Boston Children’s Hospital
Boston, MA
Josée Dubois, MD FRCPC MSc
Professor, Clinical Radiology
Dept. of Radiology, Radio-oncology and Nuclear Medicine
University of Montreal
Montreal, QC
Manraj (Raju) Kanwal Singh Heran, MD, FRCPC
Associate Professor
Diagnostic & Therapeutic Neuroradiology
Vancouver General Hospital
Pediatric Interventional Radiology
Department of Radiology
BC Children’s Hospital
Vancouver, BC
Dr. Robert Jones, Consultant
Interventional Radiologist.
CSL for Radiology.
University Hospitals Birmingham
Birmingham, UK
John Chung, MD FRCPC
Clinical Instructor, University of British Columbia
Interventional Radiologist, VGH & UBCH
Vancouver, BC
Nevin de Korompay, MD
Interventional Radiologist
Kelowna General Hospital
Kelowna, BC
Dr Ian McCafferty
Consultant Diagnostic and Interventional Radiologist
Queen Elizabeth Hospital Birmingham & Birmingham Children’s Hospital
Birmingham Children’s Hospital (moved this to lower line)
Birmingham, UK
Gilles Soulez, MD, MSc, FRCPC
Vascular and Interventional Radiologist
Professor of Radiology and Chair of the Department of Radiology, Radio-oncology and Nuclear Medicine
University of Montreal
Montreal, QC
Sam Stuart, BSc MBBS FRCR
Interventional Radiologist
Great Ormond Street Hospital
London, England
Paul Clarkson, MD, MBChB, FRACS
Orthopaedic Oncology Surgeon,
BC Cancer Agency and BC Children’s Hospital
Chair, Undergraduate Education, Dept of Orthopaedics,
University of British Columbia
Clinical Associate Professor, Dept of Orthopaedics,
University of British Columbia
Vancouver, BC
Douglas J Courtemanche, MD, MS, FRCSC
Clinical Professor of Surgery, UBC
Division of Plastic Surgery
Director, Vascular Anomalies Clinic
BC Children’s Hospital
Vancouver, BC
David Wright, MB BSc FRCS
Retired
London, UK
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