Post by DrSnyder » Sun Jul 17, 2011 10:52 am

Ok - actually two of the lectures happened before the break.



Dr. Ponec showed some Intersting cases on venous stenosis and the use of stenting. Jumping ahead it seems like stenting is only done in less than 5 % of patients which is about what Dr. Petrov is finding as well. Dr. Simka's group has been more prone to stenting with around 44% stenting.



Dr. Siskin spoke on defining and treating upper jugular lesions using the standard cervical zone anatomy. He had some very interesting cases and results. There was some discussion about intrinsic and extrinsic lesions and the role of stenting.



Dr. Sullivan presented a talk on the management of immature venous fistulas for dialysis work. He demonstrated how they were treated at his clinic to promote maturity, but ultimately concluded that the differences between arterialized flow in a vein and regular venous flow may make it difficult to extrapolate techniques from this model into CCSVI treatments.



Question and answer session with the panel.

Discussion of difficult hypothetical cases.

Discussion of anticoagulation strategy. In summary, all would anticoagulate longer and do more follow up if a stent is involved. There appeared to be a consensus that anticoagulation was moving towards dabigatran.



A second presentation from Dr. Sclafani about the use of IVUS and cross sectional anatomy and how he uses IVUS to make real time treatment decisions.



Dr. Petrov discussed the data from their large population of patients. If I understood another publication is forthcoming. Agreement was that at worse the procedure is safe with very limited major complication outcomes.



A second presentation from Dr. Siskin about what he has learned, some interesting cases and a discussion about addressing restenosis.



Chavdar Botev presented some very interesting data about combining autologous bone marrow transplant with the liberation procedure. A I understood it, the stem cells are injected arterially immediately after the venous side is treated. Some preliminary data showed some promise.



Lunch $19 hamburger (sore feet from a lot of walking last night kept me in the hotel).

Gregory B. Snyder, MD DABR Vascular and Interventional Radiology University of Minnesota Hospital & Clinics Mayo B-228C Mayo Memorial Building 420 Delaware Street SE Minneapolis, MN 55455 <br /><br />