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2nd Biennial


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!


Gerald M Legiehn, MD, FRCPC

image description

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
SESSION 1: A Tour Through the Current ISSVA Classification of Vascular Anomalies
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
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
SESSION 1: “How I Do It”
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
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
SESSION 1: How I Do It
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?
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
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
SESSION 1: How I Do It
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?
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
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
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
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

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

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
London, UK

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