Controversies and updates in vascular surgery 2011

The current edition of the CACVS book collects the articles related to the presentations made during the 2011 Paris meeting “Controversies and Updates in Vascular Surgery”. CACVS remains, after 19 years, one of the leading European congresses dedicated to vascular and endovascular surgery. Although very specialized, vascular surgery covers a broad field of diseases and practices. It includes the usual arterial pathology such as aneurysms, peripheral occlusive diseases, and carotid but also pathologies which are at the confluent of various specialties such as cardiac surgery for the aortic dissection and arch pathologies, internal medicine and angiology for the venous diseases and medical therapy, nephrology for vascular accesses and of course vascular radiology and cardiology. We feel that sharing the experience of all these specialists can shed appropriate light on the ways we explore and treat our patients.
Indice
PUSHING THE LIMITS ON AORTIC REPAIR
Technical aspects of fenestrated endografts for juxtarenal aortic aneurysms
Off-the-shelf stent grafts for multi-branched endovascular repair of aneurysms of the thoracoabdominal aorta and aortic arch
Is robotic technology useful for fenestrated stent grafting?
How to custom a fenestrated graft off the shelf
Reducing the risk of spinal cord ischaemia following endovascular repair of thoracoabdominal aneurysms - The “sac perfusion branch”
Complete renovisceral debranching and EVAR for thoracoabdominal aneurysm
Fenestrated endograft repair for juxtarenal abdominal aortic aneurysms: the American Trials
Branched stentgrafts for TAAA: one year follow up
Are devices for complete thoracoabdominbal repair stable with time?
Para-renal aneurysm repair: when can we use a standard stent-graft and is it effective
Aortic stent graft and aorto-bronchial fistula
LAPAROSCOPIC SURGERY
Controversy: treatment of severe TASC C and D occlusive aorto-iliac occlusive disease
Endovascular techniques can treat everything
Laparoscopic treatment is the best
Treating the median arcuate ligament syndrome with laparoscopic surgery
Other indications of laparoscopic techniques: splenic artery aneurysms
Laparoscopic treatment of the Nutcracker syndrome
Evaluation of visceral ischemia in aortic dissection: role of laparoscopy
VASCULAR ACCESS
Prevention: the “Buttonhole” technique
Declotting aneurismal fistulas
Surgery of angioaccess venous aneurysms and pseudoaneurisms
Aneurysmal degeneration after vascular access: surgery of arterial aneurysms
Puncture site skin necrosis
Honorary lecture
Fistula first & fistula immaturity: the good, the bad, & the ugly
Controversy: should we save private PTFE?
Should we save private PTFE? Yes
No we shouldn’t
Brachial vein transposition arteriovenous fistula: is it an acceptable option for chronic dialysis vascular access?
Forearm basilica vein
Controversy: transluminal options to treat venous stenoses
Balloon dilatation
Ideal option to treat venous stenosis: Stent? Stent-graft?
Cutting balloon
Honorary lecture
The history of the DRIL procedure
ABDOMINAL AORTIC ANEURYSM
Is it worthwhile to screen the population for vascular disease?
How can the long-term outcome for patients after endovascular aortic repair be improved? The utility of Vascular Centers
Ten years after the EVAR I trial: what have the patients been through?
Is PET-scan useful to predict AAA rupture?
Relationship between atmospheric pressure and abdominal aortic aneurysm reputures
EVAR for ruptured AAA: results in real life
Can we reduce the rate and severity of colonic ischemia following AAA-repair?
EVAR
Tips for managing bad iliac arteries during EVAR
Angulated neck: should we keep the old Palmaz stent ready for use?
How to choose the introduction side of stent-graft?
Controversy: hypogastric arteries
They can be covered or occluded safely - even bilaterally
They must be preserved
Branched grafts for the hypogastric artery: when is it feasible and is it durable?
Controversy: EVAR - What is the best surveillance modality?
CT scan is still mandatory
Duplex scan is sufficient
CAROTID
Does a high risk patient for carotid endarterectomy (CEA) exist?
How to avoid restenosis after carotid surgery
Technical tips: bifurcation advancement for arteriotomy closure following carotid endarterectomy
Coronary and carotid stenosis: is a combined operation justified?
Carotid stenting combined with open cardiac surgery: how to do it, is it safe?
International Carotid Stentig sv Surgery Study (ICSS): the latest blow to CAS?
Update on CAS versus CEA: where are we?
TECHNICAL ISSUES AND QUESTIONS FOR DIFFICULT CASES
Devices and techniques to cross total iliac occlusion
Access for below the knee intervention: when to up and when antegrade?
How many VR simulation improve your training programme?
Is EVAR justified for small aneurysms?
Can we safely cover polar renal arteries during EVAR?
Controversy: hospital’s ranking
Are League Tables of hospitals and clinics for the general public justified?
Hospital ranking in newsmagazines: selling information and selling copies?
Honorary lecture
Médecins Sans Frontières. Surgical challenges in recent disasters
TYPE A AORTIC DISSECTION
The fate of the distal non-repaired aorta
What cannulation site should be used in Type A dissection: ascending aorta?
Proximal repair: valve resuspension, remodeling or reimplantation?
What are the indications for a frozen elephant trunk technique in Type A aortic dissection?
How to stent a Type A aortic dissection
Endovascular repair of acute aortic Type A dussectuibs: what percentage of patients could be concerned?
TYPE B AORTIC DISSECTION
Natural history: which patients should be treated and how?
Aortic dissection: better imaging gives better results
Overview of current thoracic stent grafts
Complicated Type B dissections are beat treated endovascularly
When and how to treat chronic Type B dissection
Branched stent grafts for the arch: can they be used for dissection?
Multilayer flow modulator for the treatment of TAAAs
Paraplegia and stroke during TEVAR: how to prevent and how to treat them?
Endovascular fenestration: why, when and how to do it?
LOWER LIMB ISCHEMIA
Limb salvage for patients with extensive tissue loss: combined distal bypass and free flap
Are allografts and effective alternative?
Do we need a compliant graft in the leg?
Endovascular reconstruction of the aortic bifurcation: a new technique
Can vein arterialization save a leg?
Outpatient endovascular surgery: is it feasible?
Controversy: critical limb ischaemia
I prefer to reopen the lumen
I prefer to bypass
Silverhawk for common femoral lesions
Ultrasound enhanced thrombolysis for peripheral occlusions: does it work?
Can peripheral stent become infected & how to deal with?
Studies about quality of life after infrageniculate bypass and minor amputation
VENOUS ULCER IN POST THROMBOTIC SYNDROME
Epidemiology
Etiology and pathophysiology of post thrombotic venous ulcers
Venous outflow obstruction or infrainguinal reflux: which one is more important, what are the diagnostic techniques and how do we grade severity?
Collateral pathways in obstructive venous syndrome (vicariousness). Pathophysiology and ultrasound investigation
How to predict evolution to postthrombotic syndrome
How to assess the chronic venous disease impact?
PERFORATOR VEINS: WHY AND HOW TO TREAT THEM
Anatomical study improves knowledge on perforator pattern complexity
Perforating veins: why and how to treat them using SEPS
Perforating veins: why and how to treat them with foam-sclerotherapy
Thermal ablation
CURRENT TREATMENT OF ACUTE DEEP VEIN THROMBOSIS. IS EFFICIENCY TRADED FOR SAFETY? PTS: CONSERVATIVE OR OPERATING TREATMENT?
Why fibrinolysis is the best option?
Treatment of ilio-femoral deep venous thrombosis: conventional treatment is better
New anticoagulants are available: will they change our practice in the treatment of acute vein thrombosis?
Ballooning and stenting alone to treat deep venous obstruction
Ballooning and stenting alone is not enough: what should be done?
Management of deep venous reflux without obstruction
LATEST NEWS ON SCLEROTHERAPY AND COMPRESSION
Foam should be prepared with air
Foam sclerotherapy with other gases
Sclerotherapy with or without compression. Randomised studies
Compression vs. no compression after endovenous ablation of the great saphenous vein
Value of postoperative compression after surgical treatment of varicose veins
THERMAL ABLATION: FEASIBLE BUT DURABLE?
Is radiofrequency a lasting procedure?
What is best, endovascular treatments or surgery?
Is bare-tip fiber out-dated?
Vein thrombosis induced by laser or radiofrequency: the winner is…
Can severely dilated veins be treated effectively by endovenous laser ablation?
TEST YOUR KNOWLEDGE WITH MULTIPLE CHOICE QUESTIONS