3rd Biennial

FORUM on INTERVENTIONAL
RADIOLOGY in VASCULAR ANOMALIES

Morris J Wosk Centre for Dialogue, Vancouver, BC
Delta Hotels by Marriott Vancouver Downtown Suite

OCTOBER 17-19, 2019

agenda

Five minutes of discussion is included in each 12-15 minute presentation, Interesting Case and M&M case presentation.  “Debate or Consensus” sessions of 20 minutes or more include 7 to 8 minutes of interactive discussion following each presentation.

Thursday, October 17th

7:00 AM Continental breakfast
7:45 AM Welcome and Introductory Remarks – Drs. Legiehn and Owen
8:00 AM – 10:15 AM – COURSE I: VASCULAR ANOMALY MEDICAL PRIMER
8:00 AM SESSION 1: Quick Tour Through the Latest ISSVA Classification – Moderator: Monroe
8:00 AM Global Overview of the 2018 “Amsterdam” ISSVA Classification Monroe
8:12 AM Basic Vascular Malformations I: Venous and Arteriovenous Malformations Legiehn
8:24 AM Basic Vascular Malformations II: Lymphatic Malformations and Lymphatic Anomalies Dubois
8:36 AM Vascular Malformations Associated with Other Anomalies (Combined Anomalies) Chaudry
8:48 AM Overview of Vascular Tumors Heran
9:00 AM
INTERACTIVE/NETWORKING BREAK
9:15 AM SESSION 2: Multi-disciplinary Matters – Moderator: Dubois
9:15 AM The Current Knowledge of Genetics and Molecular Biology in Vascular Anomalies That the Interventional Radiologist Really Should Know Josephs
9:30 AM Genetic and Molecular Biologic Therapy in Vascular Anomalies Richter
9:45 AM Hematologic Considerations in Vascular Anomalies Dubois
10:00 AM What the Surgeon Knows, and What the Surgeon Wants the Interventional Radiologist to Know! Richter
10:15 AM
BREAK FOR REFRESHMENTS
10:30 AM – 12:00 PM – COURSE II: VASCULAR TUMOR THERAPY
10:30 AM SESSION 1: “How I Do It” – Moderators: Wohlgemuth, Heran
10:30 AM Interventional Radiologic Management of Vascular Tumors I Heran
10:45 AM Interventional Radiologic Management of Vascular Tumors II Wohlgemuth
11:00 AM SESSION 2: Interesting “Vascular Tumor” Cases – Moderators: Chaudry, Wohlgemuth
11:00 AM Rare Angiokeratoma Circumscriptum Naevifrome of Upper Extremity/Chest: Review & Discussion of Management Gogna
11:12 AM Combined Embolization & Cryoablation of an Unusual Intramuscular Congenital Haemangioma Patel
11:24 AM Two Kaposiform Hemangioendothelioma (KHE) Embolizations Josephs
11:36 AM What is it and what should I do? Wohlgemuth
11:48 AM KMP? Easy, it’s a KHE Wohlgemuth
12:00 PM
LUNCH IN CONCOURSE
1:00 PM – 6:00 PM – COURSE III: VENOUS MALFORMATION THERAPY
1:00 PM SESSION 1: “How I Do It” – Moderator: Legiehn
1:00 PM Basic Sclerotherapy in Venous Malformations Thakor
1:15 PM ScleroTherapy with Adjunctive Stasis of Efflux (STASE) in Venous Malformations: Technique and Strategies Legiehn
1:30 PM Combined Glue and Surgical Techniques Monroe
1:42 PM Large Vein Closure I: Laser John
1:54 PM Large Vein Closure II: Radiofrequency Wohlgemuth
2:06 PM Experience with HIFU in Venous Malformations Thakor
2:18 PM Are you Gellin’?: Experience Using Gelled Alcohol (SclerogelTM) in Venous Malformations Wohlgemuth
2:30 PM
BREAK FOR REFRESHMENTS
2:45 PM SESSION 2: Debate or Consensus? – Moderators: Vogelzang, Stuart
2:45 PM Should we be more afraid of bleomycin toxicity in venous malformations? Dubois,
Heran
3:05 PM HIFU and cryotherapy: Will they ever be ready for prime time in venous malformations? Thakor,
Stuart
3:30 PM Is there any role for ethanol in venous malformations at all? Vogelzang,
Chaudry
3:45 PM Does bleomycin work better intraluminally or interstitially? Does it matter? Richter,
Open Mic
4:00 PM
INTERACTIVE/NETWORKING BREAK
4:12 PM SESSION 3: Interesting Cases – Moderators: Josephs, Soulez
4:12 PM Football-sized Venous Malformation of the Leg Vogelzang
4:24 PM Gastric Stay Suture-aided Embolization of Wide-Necked Thoracic Vein Varix/Outflow of a Venous Malformation Heran
4:36 PM Pre-operative Glue Embolization of Articular VM Using Coned-beam CT Associated with LIC Progressing to DIC Josephs
4:48 PM KTS with Incompetent Saphenous/Marginal  Veins Treated with VenasealTM  and STS Soulez
5:00 PM SESSION 4: M&M Rounds: Venous Malformations – Moderators: Owen, Legiehn
5:00 PM Skin Necrosis After Sodium Tetradecyl Sulfate: A Case Series Legiehn
5:12 PM Exuberant Post-procedure Swelling, Compartment Syndrome / Nerve Palsy in a Forearm Venous Malformation Vogelzang
5:24 PM Skin Necrosis post Sclerotherapy for Combined Capillary Venous Malformation Stuart
5:36 PM Pulmonary Toxicity  After Intralesional  Bleomycin for Venous Malformation Tomihama
5:48 PM Post Venous Malformation Embolosclerotherapy Stroke Secondary to PFO Vogelzang
6:00 PM WELCOME RECEPTION

Friday, October 18th

7:00 AM Continental breakfast
7:45 AM Housekeeping Announcements- Drs. Legiehn and Owen
8:00 AM – 12:30 PM – COURSE IV: ARTERIOVENOUS MALFORMATION THERAPY
8:00 AM SESSION 1: Arteriovenous Malformations 101 – Moderator: Legiehn
8:00 AM The Taxonomy of AVMs Legiehn
8:12 AM The Current Status of Medical Therapy in Arteriovenous Malformations Josephs
8:24 AM SESSION 2: “How I Do It” – Moderator: Soulez
8:24 AM AVM Embolization I Soulez
8:36 AM AVM Embolization II Vogelzang
8:48 AM AVM Embolization III Wohlgemuth
9:00 AM
INTERACTIVE BREAK
9:10 AM SESSION 3: Debate or Consensus? – Moderators: Wohlgemuth, Vogelzang
9:10 AM EGO (ethanol, glue, and Onyx) and AVMs: Which is best? In which lesions? Under what circumstances? Soulez,
Vogelzang,
Wohlgemuth
9:30 AM Sirolimus or other medical therapy in AVMs: First line or second line therapy? Wohlgemuth,
Josephs,
Stuart
9:50 AM When is the right time to intervene in an AVM? Does the Schobinger Classification even matter? Richter,
Chaudry,
Heran
10:05 AM Are we really “curing” AVMs percutaneously or just kicking the can down the road? Do outcome reporting standards fit the disease process? Soulez,
Legiehn,
Wohlgemuth
10:20 AM
BREAK FOR REFRESHMENTS
10:36 AM Session 4: Interesting AVM Cases – Moderators: Soulez, Legiehn
10:36 AM Multimodality Treatment of Ear AVM and AV Fistula Braswell
10:48 AM Pediatric Partially Treated Facial AVM with Persistent Massively Dilated Venous Outflow Abboud
11:00 AM Dorsal Forefoot AVM vs Hemangioma Tomihama
11:12 AM Maxillo-Facial AVM: Path Forward After Multi-Modality and Multi-Agent Therapy Alvarez
11:24 AM High Flow Pelvic AVM Presenting with Hematuria Samji
11:36 AM Parkes-Weber Syndrome Upper Extremity AVM with High Output Cardiac Failure Simons
11:48 AM Session 5: M&M Rounds: AVMs: Moderators: Heran, Wohlgemuth
11:48 AM PAVM Embolization with Neurologic Event Owen
12:00 PM Facial AVM with Tissue Loss Vogelzang
12:12 PM Stroke Post PAVM Embolization Vogelzang
12:30 PM
LUNCH IN CONCOURSE
1:30 PM – 6:00 PM – COURSE V: LYMPHATIC MALFORMATION THERAPY
1:30 PM SESSION 1: Lymphatic Disorders 101 – Moderator: Dubois, Josephs
1:30 PM The Biology/Genetics of Simple Lymphatic Malformations Dubois
1:40 PM Making Sense of the “Other” ISSVA Lymphatic Anomalies: GLA, KLA, GSD, CCLA (Channel-type LM), Aquired LA, Primary Lymphedema Chaudry
1:55 PM Status of Medical Therapy in Lymphatic Anomalies Josephs
2:05 PM SESSION 2: “How I Do It” – Moderators: Itkin, Chaudry
2:05 PM Imaging Techniques and Findings in Lymphatic Disease Itkin
2:35 PM Sclerotherapy of Lymphatic Malformations Dubois
2:50 PM Percutaneous Treatment of the “Other” Complex Lymphatic Anomalies Chaudry
3:05 PM The Surgeons Role in Treating Lymphatic Anomalies Richter
3:20 PM
BREAK FOR REFRESHMENTS
3:35 PM SESSION 3: Debate or Consensus? – Moderators: Josephs, Monroe
3:35 PM Macrocytic Showdown: Bleomycin, Doxycycline, or OK-432? Dubois,
John,
Josephs
3:55 PM What is the dividing line between Macro and Micro, and what is the best technique to treat microcystic lesions Monroe,
Heran,
Chaudry
4:15 PM Bleomycin: When, Where, and How Much? Dubois,
Richter,
Chaudry
4:35 PM
INTERACTIVE/NETWORKING BREAK
4:50 PM SESSION 4: Interesting Lymphatic Malformation Cases – Moderators: John, Chaudry
4:50 PM Recurrent, Recurrent, Recurrent Cervical Lymphatic Malformations Giroux
5:02 PM TBA TBA
5:14 PM Inguinal Lymphatic Malformation Banker
5:26 PM The Dissolving Left Hemi-pelvis: Management Challenges in a Case of Gorham’s Disease Heran
5:38 PM SESSION 5: M&M Rounds: Lymphatic Malformations – Moderators: Dubois, Thakor
5:38 PM Treatment of Extensive Lymphatic Malformation of the Knee Complicated by Ulceration Owen
5:49 PM Management Challenges in Treating Pulmonary Lymphangiectasia in a Patient with Noonan’s Syndrome Heran

Saturday, October 19th

7:00 AM Continental breakfast
7:45 AM Housekeeping Announcements – Drs. Legiehn and Owen
8:00 AM – 12:30 PM – COURSE VI: POTPOURRI
8:00 AM SESSION 1: “How I Do It” – Moderator: Owen
8:00 AM HHT and Pulmonary AVMs: Patient Management Issues Inside And Outside the Angio-Suite Owen
8:15 AM FAVA Stuart
8:30 AM Klippel Trenaunay and Parkes Weber Management John
8:45 AM Porto-Mesenteric Vascular Anomalies Monroe
9:00 AM SESSION 2: Debate or Consensus – Moderators: Vogelzang, Monroe
9:00 AM Pulmonary AVM Embolization: How Distal is Enough? Vogelzang, Owen, Heran
9:20 AM How do you know it’s even a FAVA? What is the FAVA treatment of choice? Chaudry,
Stuart,
Richter
9:40 AM How well is Interventional Radiology Using or Measuring Outcomes/Quality of Life After Intervention Dubois, Wohlgemuth, Vogelzang
10:00 AM
BREAK FOR REFRESHMENTS
10:15 AM SESSION 3: The Bigger Picture in the World of Vacular Anomlies – Moderators: de Korompay, Chaudry
10:15 AM Social Media, Patient Advocacy, and Outreach in Vascular Anomalies de Korompay
10:35 AM The State of Databases and Registries: The European Union Stuart
10:40 AM The State of Databases and Registries: The United States Chaudry
10:45 AM The State of Databases and Registries: Canada de Korompay
10:50 AM Roundtable Discussion: Vascular Anomaly Registries –  What can we do better? How do we participate? Audience &  Faculty  Discussion
11:05 AM Roundtable Discussion: “Can we talk?”-  The Relationship Between IR – ISSVA – SPIR – FIRVA – Other Organizations Audience  & Faculty  Discussion
11:20 AM
INTERACTIVE/NETWORKING BREAK
11:30 AM SESSION 4: Crazy Case Rounds – Moderators: Soulez, Legiehn
11:30 AM Persistent Post-poly-procedure Gluteal AVM: Where’s the Nidus? Vogelzang
11:42 AM Current Progress in Therapy for Large High-Flow Intramuscular Hemangioma of the Leg Post EtOH and Cryotherapy Josephs
11:54 AM Combined Arterial and Venous Approach for Treatment of Complex PTEN-AVM Hovsepian
12:06 PM Combined Ethanol-Gelfoam Emboliztion in Two Head and Neck High-Flow Vascular Malformations Heran
12:18 PM Gastro-pancreatic AVM with Portal-pulmonary Venous Anastomosis (PPVA) to Left Atrium: Work in Progress Chan/Legiehn
12:30 PM Closing Remarks – Legiehn – Meeting Adjourn

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