ESVS Annual Meeting: Academy Programme
Pathway Lead:
Assistant Professor Igor Koncar
Assistant Professor Igor Koncar
Serbian Clinical Centre and Belgrade Medical School
Shadow Pathway Lead:
(to take position post-Annual Meeting 2022)
Dr. Kak Khee Yeung
VU University Medical Centre, Amsterdam.
Shadow Pathway Lead:
(to take position post-Annual Meeting 2022)
Dr. Kak Khee Yeung
VU University Medical Centre, Amsterdam.
Pathway: PAD
What can you expect?
The peripheral artery disease (PAD) pathway includes seven workshops that guide you through indications, materials, techniques and bailout options in procedures, while treating one of the most complex groups of patients in vascular surgery. Workshops are run by the team of leading experts in this field consisting of a lead convenor and three or four co-convenors. Indications are discussed in case-based presentations while knowledge about materials and techniques is provided on simulators and models, with practical demonstrations of techniques performed by attendees.
Day One
The workshop schedule is kicked off by “Safe navigation in the arterial tree” (on 21st of September from 08.00-10.00) where procedural steps for safely cannulating and navigating in the vessels of the arterial tree (iliac, SFA, renal, visceral, carotid) can be learned on high-fidelity simulators. From 10.30-12.30 the workshop “Endovascular Toolkit (Advanced)” introduces candidates to the wide range of endovascular tools (including wires, balloons, stents, supportive catheters, re-entry systems etc.) required for complex peripheral interventions in a friendly, hands-on environment. Access options (antegrade, up and over, tibial), guidewires, balloons, support catheters as well as the use of bail out strategies (re-entry) and catheters will be discussed.
The focus of the workshop “Endovascular treatment of complex calcified/CTO lesions in fem-pop artery,” scheduled from 14.00-16.00 the same day, is on how to treat a lesion that has been crossed and/or prepped, including the need for permanent scaffolds as well as the outcomes of the various treatment strategies after crossing. Finally, on Wednesday from 16.30-18.30, the workshop “Endovascular treatment NON-COMPLEX lesions in fem-pop artery” combines case examples and provides a broad overview of how to manage non-complex femoropopliteal atheroscerlotic lesions in a stepwise, structured approach and based on current clinical evidence (access, lesion crossing, preparation and treatment).
Day Two
The next day, Thursday 22nd of September from 08.00-10.00, those interested in “Endovascular treatment of acute limb ischemia” will have the opportunity to improve their knowledge on or learn about how to select and use dedicated devices based on preoperative diagnostic tools (endovascular aspiration and mechanical thrombectomy, filter devices) and when to refer the case for open approach and bypass surgery. From 10.30-12.30 the “CERAB (Covered Reconstruction of Aortic Bifurcation)” workshop takes place. Using a flow model, we will discuss how to deal with challenging aorto-iliac atherosclerotic disease in terms of wire selection, lesion crossing and stent placement in the aorta and iliac arteries when performing a CERAB procedure. From 14.00-16.00 the workshop “Vessel preparation to optimise the outcomes in fem-pop lesions” will focus on learning to interpret preoperative imaging in complex fempopliteal lesions as well as developing a treatment algorithm, in order to optimise outcomes by the vessel preparation, of complex lesions of the femoropopliteal vessels – all through interactive discussion and with hands-on opportunities.
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