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CONTROVERSES ET ACTUALITÉS EN CHIRURGIE VASCULAIRE CONTROVERSIES & UPDATES Chairman IN VASCULAR SURGERY Jean-Pierre Becquemin Co-chairman Venous Session JANUARY 19-21 2017 Jean-Luc Gérard MARRIOTT RIVE GAUCHE & CONFERENCE CENTER Co-chairman Hemodialysis angioaccesses Session PARIS, FRANCE www.cacvs.org Eric Chemla Scientific Committee Eric Allaire Jean-Marc Alsac Michel Bartoli Pierre Bourquelot Ludovic Canaud Xavier Chaufour Nick Cheshire Frédéric Cochennec Eric Ducasse Hans-Henning Eckstein Michel Ferdani Jean-François Garbé ABSTRACT Yann Gouëffic Christos Liapis Ian Loftus Martin Malina Armando Mansilha BOOK Maxime Sibé Hence Verhagen Frank Vermassen Fabio Verzini Venous Scientific Committee Claudine Hamel-Desnos Lowell Kabnick Michel Perrin Thomas Proebstle Chairman Pr Jean-Pierre BECQUEMIN MD, Professor of Vascular Surgery, IVPE, Champigny, France Table of contents Faculty authors Co-chairman Venous Session CONTROVERSIES & UPDATES IN VASCULAR SURGERY VASCULAR PROGRAM VENOUS PROGRAM Dr Jean-Luc GÉRARD AMIN Ali ...................................... 52 AMIN Ali ...................................... 70 MD, Paris, France BICKNELL Colin .................................. 6 BONE Carlos.................................... 74 BULBULIA Richard ............................... 22 DROC Ionel .................................... 84 Co-chairman Hemodialysis THURSDAY JANUARY 19 DONAS KOSTANTINOS ........................... 20 EKLÖF Bo ................................... 68, 77 angioaccesses Session FANNELI Fabrizio................................. 9 FRANCESCHI Claude ............................. 71 Dr Eric CHEMLA DISEASES OF THE THORACIC AORTA ...................................... 6 MD, Vascular Surgeon, FERRER Ciro ..................................... 7 GÉRARD Jean-Luc ............................... 73 DESCENDING AORTA ................................................... 8 London, United Kingdom GEROULAKOS George............................ 31 GREINER Milka.................................. 72 HÖLZENBEIN Thomas ............................ 62 KABNICK Lowell ................................ 82 Scientific Committee KAKKOS Stravos ................................ 23 ONIDA Sarah ................................... 79 Pr Eric ALLAIRE FRIDAY JANUARY 21 KEIRSE Koen ................................... 60 PAVEI Patrizia .................................. 81 MD, PhD, Professor of Vascular Surgery, LAROCHE Jean-Pierre ............................ 13 PERRIN Michel .................................. 76 Créteil, France MAIN SESSION LEDERLE Frank.................................. 12 RAMELET Albert-Adrien .......................... 75 Dr Jean-Marc ALSAC LIAPIS Christos .................................. 24 SHALHOUB Joseph .............................. 78 MD, PhD, HEGP, Vascular Surgery LOFTUS Ian................................... 21,27 THOUVENY Francine............................. 69 Paris, France ANEURYSMS OF THE ABDOMINAL AORTA . 12 MALIKOV Serge................................. 56 VANHANDENHOVE Inga.......................... 83 Pr Michel BARTOLI EVAR NEWS .......................................................... 18 MILNER Ross ................................... 18 WHITELEY Mark ................................ 80 MD, PhD, Vascular Surgery, ANEURYSMS OF THE ABDOMINAL AORTA (continued) ....................... 19 PRATESI Carlo .................................. 64 CHU La Timone, Marseille, France CAROTID ............................................................ 22 PROCZKA Robert................................ 30 Dr Pierre BOURQUELOT SPECIAL ISSUES: VASCULAR SURGEONS AT WAR ............................ 32 REIJNEN Michel ................................. 55 MD, Paris, France ROUSSEAU Hervé ................................ 8 Pr Ludovic CANAUD SCHNEIDER Peter................................ 59 MD, PhD, Vascular Surgery, HEMODIALYSIS ANGIOACCESSES SESSION SIBÉ Maxime ................................... 58 CHU, Montpellier, France SILLESEN Henrik................................. 26 Pr Xavier CHAUFOUR AVF CREATION - NATURAL HISTORY ...................................... 36 SULTAN Sherif .................................. 32 MD, PhD, Vascular Surgery, CHU Rangueil,Toulouse, France PTA ................................................................. 41 SUNDERDIEK Ulrich.............................. 61 Pr Nicholas CHESHIRE SURVEILLANCE - ENDOVASCULAR CREATION ............................... 43 TAZI MEZALEK Zoubida .......................... 57 Professor of Vascular Surgery, COMPLICATIONS - GUIDELINES .......................................... 44 VAN SAMBEEK Mark............................. 14 London, United Kingdom VEITH Frank .................................... 15 Pr Frédéric COCHENNEC VERHOEVEN Eric ................................ 19 MD, PhD, Professor of Vascular Surgery, Créteil, France SATURDAY JANUARY 22 Pr Eric DUCASSE MD, PhD, Professor of Vascular Surgery, MAIN SESSION HEMODIALYSIS ANGIOACCESSES PROGRAM Bordeaux, France AL SHAKARCHI Julien ............................ 36 Pr Hans-Henning ECKSTEIN OCCLUSIVE DISEASES OF THE LIMB ....................................... 52 BOURQUELOT Pierre............................. 47 MD, PhD, Vascular Surgeon, CALDER Francis ................................. 40 INFRA INGUINAL, SFA ENDO REPAIR ...................................... 58 Munich, Germany FRANCO Gilbert................................. 45 Dr Michel FERDANI DE NOVO SFA LESIONS: MATERIAL, RESULTS, UNCERTAINTIES (CONT)........... 59 GARCIA-MEDINA Jose............................ 41 MD, Vascular Surgeon IBEAS Jose ..................................... 43 Marseille, France VENOUS SESSION RAWA Marek................................... 37 Dr Jean-François GARBÉ SCHER Larry .................................... 44 Vascular surgeon, SHEMESH David................................. 42 Agen, France DEEP VEIN ........................................................... 68 TORDOIR Jan ................................... 46 Pr Yann GOUËFFIC VULVAR VARICOSE VEINS and MISCELLANEOUS............................. 71 WILMINK Teun.................................. 38 MD, PhD, Professor of Vascular Surgery, VEIN and THROMBOSIS................................................. 76 CHU Nantes, France THERMAL or GLUE TECHNIQUES ......................................... 80 Pr Christos D. LIAPIS Professor of Vascular Surgery, Chaidari, Greece Pr Ian LOFTUS EPOSTERS Professor of Vascular Surgery, London, United Kingdom ANEURYSM .......................................................... 88 Dr Martin MALINA ANEURYSM THORACIC ................................................ 104 MD, PhD, Vascular surgeon, Malmö, Sweden CAROTID ........................................................... 114 Pr Armando MANSILHA DISSECTION AND OTHER PATHOLOGY ................................... 120 Professor of Vascular Surgery, MISCELLANEOUS ..................................................... 122 Porto, Portugal PERIPHERAL ......................................................... 132 Dr Maxime SIBÉ VEIN ............................................................... 148 Vascular surgeon, Clinique Tivoli, Bordeaux, France Dr Hence VERHAGEN Vascular surgeon, Rotterdam, The Netherlands Dr Frank VERMASSEN Vascular surgeon, Gent, Belgium Pr Fabio VERZINI MD, PhD, Professor of Vascular Surgery, Perugia, Italy 2 3 Thursday January 19 - Main program - Controversies & Updates in Vascular surgery in Vascular & Updates Controversies 4 5 DISEASES OF THE THORACIC AORTA DISEASES OF THE THORACIC AORTA Aortic arch. Arch hybrid procedures: are they effective and durable? Aortic arch. Total endovascular arch repear: what we learned so far? Colin Bicknell, Guy Martin Ciro Ferrer Imperial College London, London, United Kingdom Vascular Surgery Unit, University La Sapienza, Rome, Italy Aneurysms of thoracic aorta and aortic arch that require proximal stent fixation and sealing at the level of Any treatment of aortic arch disease is demanding and technically challenging. Open repair is the gold standard the aortic arch are a challenge to treat with open surgical techniques, especially as many of these elderly in the treatment of aortic arch pathology, having benefited in recent years from the technological improvements patients have significant co-morbidity. Arch hybrid techniques have been developed to extend the proximal that have brought the achievement of safer outcomes and reduced mortality.1, 2 However, death and stroke rates sealing zone of thoracic stent grafts to avoid sternotomy/thoracotomy and cardiac bypass. Carotid-subcla- after open arch repair are still high.3, 4 Hybrid or total thoracic endovascular repair (TEVAR) have been increas- vian, carotid-carotid and ascending-carotid bypasses can be used to create a stable and effective landing ingly used as an alternative in patients who were previously denied open surgery because of relevant comorbidi- zone for stent graft placement. ties.5, 6 Hybrid repair consists of a supra-aortic debranching procedure to secure a proximal landing zone required for stent-graft placement.7 A variety of debranching procedures can be used in patients with arch diseases with These techniques are now being challenged by further advances in stent graft design. Fenestrated and results at least comparable with those of open surgery at selected centers.8 Continued development and evolu- branched systems for the aortic arch are emerging with encouraging short-term results. Understanding tion of thoracic endografts has allowed the application of total endovascular repair