Vascular and Endovascular Opportunities

The Wind of Change in Vascular Management 1. Open Surgery has not had its day 2. Endovascular first please! 3. Medical management is the aim 4. Prevention of vascular disease is the endpoint 5. Where does this leave the trainee? * The future vascular surgeon * The future vascular radiologist 6. Levels of evidence: Vascular Cochrane review Carotid Opportunities 7. The unstable carotid plaque: * lipid lowering * platelet inhibitory therapy 8. Carotid plaque types by ultrasound 9. New cerebral protection techniques for carotid angioplasty 10. The EUROCAST registry of carotid stenting 11. Endarterectomy versus angioplasty: The EVA trial 12. Management of carotid restenosis 13. Management of the great vessels * endovascular * surgical Aortic Aneurysm Opportunities 14. Control of matrix metalloproteinases 15. The effect of nonsteroidal anti inflammatory drugs 16. The potential benefit of lung and renal functional improvement before aortic procedures 17. The EVAR 'traker' trails 18. The Dutch DREAM trial 19. The French trial 20. EUROSTAR: The need to audit new generations of devices separately 21. A reference registry for EVAR devices 22. Why do we need EVAR at all? 23. EVAR should be the aim for every case 24. The invention of the modular bifurcation system 25. Zenith system with live demonstration 26. Results of FDA: Ancure clinical trial 27. Aneurex outcomes 2000 28. The customisation of the 'TALENT' system for large neck and thoracic aortic aneurysms 29. Vanguard recent experience and the introduction of Vanguard 3 30. The Baxter system 31. The team approach to EVAR complications Peripheral Arterial Opportunities Intermittent claudication issues 32. Exercise programs 33. The need for patient specific HRQL measure 34. The medical management of intermittent claudication 35. The secondary use of antiplatelet or oral anticoagulants Newer Techniques 36. Combined use of a new Stresster Device and Duplex sonography for diagnosis of iliac occlusive disease before and after vascular reconstruction 37. Is run off PTA worthwile? 38. Pseudoaneurysm correction by the endovascular method 39. Endoluminal treatment of peripheral aneurysm 40. Infrainguinal technical improvements? * subintimal PTA * luminal PTA * remote endarterectomy * endoluminal grafting Procedure choice 41. Angioplasty first fo rintermittent claudication? 42. Bypass or angioplasty for severe ischaemia of the leg: The BASIL trial 43. Are infrainguinal angioplasty and surgery comparable? Thrombolytic Opportunities 44. Venous thrombolysis lessons 45. Complications of thrombolytic therapy and its avoidance 46. Upper limb venous thrombolysis: The Paget Schrotter syndrome 47. First rib excision 48. Ileofemoral venous thrombolysis and stenting 49. Arteriovenous fistula: * radiological correction * surgical correction Renal Artery Stenosis Opportunities 50. Magnetic resonance imaging of renal artery stenosis 51. Renal artery angioplasty in the high risk patient 52. Renal artery revascularisation 53. Renal function improvement from renal artery angioplasty 54. Protected renal PTA and stent