Stanford/UCSF Vascular Symposium 2004



Course Number:



Thursday, April 22, 2004


Saturday, April 24, 2004


Westin St. Francis
San Francisco, California


$595: Physicians
$450: Northern California Vascular Society
$400: Allied Health Professionals

UCSF Association of Clinical Faculty Vouchers are accepted for this course. For more information please call the Office of Continuing Education at 415-476-4251.

Credit Hours:


Presented by the University of California, San Francisco and Stanford University, the symposium examines the new technologies that are being introduced into the vascular armamentarium and the mechanisms by which these technologies may be introduced into an existing practice. We will review and evaluate the latest advances and their application throughout the vascular tree. In addition, the most current devices and techniques for the endovascular treatment of aortic aneurysms and carotid stenosis will be presented and reviewed by expert practitioners of the art. Two additional areas to be included this year are sessions on optimizing vascular practice management and on advances in the treatment of the vascular trauma patient. Finally, developments in the treatment of acute and chronic venous thrombosis and their sequella will be reviewed and evaluated. The symposium features interactive expert/audience discussions and case presentation sessions that will demonstrate the pros and cons of the various options to treat specific problems.


  • Discuss current treatment alternatives, surgical and endovascular, for patients with vascular diseases involving the carotid, aorta, and infrainguinal arteries
  • Delineate the pros and cons of endovascular aneurysm repair of both abdominal and thoracic aneurysms and the most current advances, devices and techniques in this rapidly evolving field
  • Create a plan to optimize the financial success of their practice in this era of continuing reductions in reimbursement
  • Develop a therapeutic plan for Vascular Trauma patients that will include the appropriate use of observation and open and endovascular interventions
  • Review the techniques and results of surgical and endovascular options for lower extremity revascularizations and limb salvage
  • Plan the optimum strategy for treating acute and chronic venous thrombosis, and the late sequella of venous disease

Course Outline

Thursday, April 22, 2004

7:00 am Registration and Continental Breakfast
8:00 Welcome and Introduction - Louis M. Messina/Christopher K. Zarins

Carotid Revascularization Today
Moderators: Louis M. Messina, Christopher K. Zarins

8:10 Remaining Competitive: Training for Catheter-based Carotid Interventions - Peter A. Schneider
8:25 The Current Devices / Platforms for Carotid Interventions: Distal Protection Devices and Drug Eluting Stents - Michael B. Silva, Jr
8:40 Neuro-Rescue Procedures: Techniques for Bail Out - Randall T. Higashida
8:55 Improving Outcomes - The CARESS and DICE Trials: Adjunctive Peri-operative Management - Joseph H. Rapp
9:10 Transcervical Approach to Carotid Angioplasty: A Better Intervention - David Chang
9:25 Panel
9:55 Break

Advances in Therapy for Acute Venous Thrombosis
Moderators: E. John Harris, Jr, Rajabrata Sarkar

10:30 The Algorithm for Acute DVT in 2004: When is Thrombolysis Indicated? -Darren B. Schneider
10:45 New Thrombolytic Options for Thrombolysis and Thrombectomy?
Thrombectomy Device Options - Frank R. Arko, III
Thrombolytic Agent Options - George H. Meier
11:15 Evolving Indications and New Alternatives for IVC Filter Placement - Michael B. Silva, Jr
11:30 Panel
12:00 pm Lunch in Exhibit Area

Advances in Therapy for Chronic Venous Disease
Moderators: Sheila M. Coogan, Darren B. Schneider

1:00 Aggressive Management of Chronic Central Vein Thrombosis: Recanalization and Stenting - Michael D. Dake
1:15 Laser or Injection for Spider Veins: Review of Methods, - Rajabrata Sarkar
1:45 Catheter-based Ablation for Superficial Venous Insufficiency Using Intraoperative Image Guidance - Sheila M. Coogan
2:00 Panel
2:30 Break

Practice Management 2004: The Devil's in the Details...
Moderators: Charles M. Eichler, Ronald L. Dalman

3:00 Practice Goals in Vascular Surgery - Frank Opelka
Coding, Billing, Collecting for Office & OR: How to Successfully Manage your Contracts
Optimizing Time and Efficiency in Academic and Community Practice:Your RVU's and How They Compare
3:30 Optimizing Value From the Vascular Laboratory: How to Leverage Your Assets - George H. Meier
3:45 The Endo Advantage: Coding and Billing Strategies for Endovascular Procedures - Michael B. Silva, Jr
4:00 Panel
4:30 Adjourn

Friday, April 23, 2004

7:00 am Continental Breakfast

Aortic Interventions 2004: Endo / Open and Everything In Between
Moderators: Frank R. Arko, III, Timothy A.M. Chuter

8:00 Current and Future AAA Devices: Matching Devices to Patients - Takao Ohki
8:15 Stent Graft Failures: Detection and Management - Takao Ohki
8:30 Small AAA: Rationale for a Prospective Trial of Endovascular Rx vs. Observation - Kenneth Ouriel
8:45 Open Surgery and Techniques for Para-renal AAA - Louis M. Messina
9:00 Panel
9:30 Break

Advances in Complex Aortic Interventions
Moderators: Takao Ohki, Kenneth Ouriel

10:00 Aortic Dissections: Current Status of Endovascular Management - Michael D. Dake
10:15 Endovascular Treatment of Thoracic Aneurysms - Christopher K. Zarins
10:30 Current Status of Branched and Fenestrated Grafts - Timothy A.M. Chuter
10:45 The Challenge: Creating Durable Endografts for the Arch and Thoracic Aorta - David A. Saloner
11:00 Panel

20th Annual Edwin J. Wylie Memorial Lecture

11:30 Reorganization of Vascular Surgery for the Future - Jack L. Cronenwett
12:00 pm Lunch in Exhibit Area

Management of Vascular Trauma -Old Problems, New Opportunities
Moderators: Bradley Hill, John S. Lane

1:00 Crisis in the ER I: Endovascular Management of Major Vascular Trauma (arch, great vessel, peripheral vessel injuries) - John S. Lane
1:15 Crisis in the ER II: Endovascular Diagnosis and Management of Solid Organ Vascular Injury - Shelley R. Marder
1:30 Crisis in the OR: Shunts, Stents and Occluders Techniques for Managing Iatrogenic Vascular Trauma - Darren B. Schneider
1:45 Crisis in the Cath Lab: Current Management of Femoral/Iliac Artery Access Complications -Bradley Hill
2:00 Panel
2:30 Break

Current Management of Infrainguinal Arterial Disease I
Moderators: Cornelius Olcott, IV, Linda M. Reilly

3:00 Debate: Catheter-based SFA/Popliteal Therapy Today
First-line Therapy in Appropriate Patients Peter A. Schneider
Rarely Appropriate E. John Harris, Jr
3:30 Redo Lower Limb Revascularizations: Do Results Justify an Aggressive Approach - Linda M. Reilly
3:45 Treating the Whole Patient: Current Best Practices in Risk Factor Management - John P. Cooke
4:00 Panel
4:30 Adjourn

Saturday, April 24, 2004

7:30 am Continental Breakfast

Current Management of Infrainguinal Arterial Disease II
Moderators: Lamont Paxton, Ronald Webb

8:30 Current Techniques and Outcomes for Tibial Angioplasty - Michael B. Silva, Jr
8:45 Innovative Options for Catheter-based Infrainguinal Interventions - Bradley Hill
9:00 There is No Vein! When to Use Prosthetic Grafts vs. Angioplasty vs. Cryo-vein - Charles Eichler
9:15 Update on Anti-proliferative Strategies for Vein Grafting and Stenting - Michael J. Mann
9:30 Panel
10:00 Break

Innovations in Hemodialysis Access
Moderators: Christopher Ceraldi, Stephen Etheredge

10:30 Current Devices and Techniques for Placing Semi-permanent Access - Rishad M. Faruqi
10:45 Achieving All-autogenous access: Advanced Vein Evaluation and Mapping for Access Surgery - Ronald L. Dalman
11:00 Evaluation and Management of Arterial / Venous Complications - Cornelius Olcott, IV
11:15 Panel Discussion:
How I Handled My Toughest Patient / Procedure for Hemodialysis Access
12:00 pm Adjourn


Louis M. Messina, MD
E.J.Wylie Chair in Surgery
Chief, Division of Vascular Surgery
Vice-Chair, Department of Surgery
University of California, San Francisco

Christopher K. Zarins, MD
Chidester Professor of Surgery
Chief, Division of Vascular Surgery
Department of Surgery
Stanford University

Program Committee

Ronald L. Dalman, MD
Associate Professor of Surgery
Stanford University
Chief, Vascular Service
Palo Alto VA Hospital

Joseph H. Rapp, MD
Professor of Surgery
University of California, San Francisco
Chief, Vascular Surgery Service
San Francisco VA Medical Center


Jack L. Cronenwett, MD
Professor of Surgery
Chief, Section of Vascular Surgery
Medical Center
Lebanon, NH

Stephen Etheredge, MD
Private Practice
Walnut Creek, CA

George H. Meier, MD, FACS, RVT
Chief and Program Director,
Vascular Surgery
Eastern Virginia Medical School
Vascular and Transplant Specialists
Norfolk, VA

Takao Ohki, MD
Chief, Division of Vascular and Endovascular Surgery
Montefiore Medical Center
Associate Professor of Surgery
Albert Einstein College of Medicine
New York, NY

Frank Opelka, MD, FACS
Vice Chief of Surgery, Finance
Associate Professor of Surgery
Harvard Medical School
Chief, Division of Colorectal Surgery
Beth Israel Deaconess
Medical Center
Boston, MA

Kenneth Ouriel, MD
Professor of Surgery
Cleveland Clinic Lerner College
of Medicine at CWRU
Chairman, Division of Surgery
Cleveland Clinic Foundation
Cleveland, OH

Lamont D. Paxton, MD, FACS
Private Practice
Oakland, CA

Peter A. Schneider, MD
Vascular and Endovascular
Hawaii Permanente Medical Group
Honolulu, HI

Michael B. Silva, Jr, MD
Department of Surgery
Professor and Chief
Vascular Surgery and Vascular
Interventional Radiology
Texas Tech University Health
Sciences Center
Lubbock, TX

Ronald Webb, MD
Private Practice
Walnut Creek, CA

UCSF Faculty

Christopher M. Ceraldi, MD
Assistant Clinical Professor of Surgery
East Bay Surgical Program

Timothy A.M. Chuter, MD
Associate Professor of Surgery

Charles M. Eichler, MD
Associate Clinical Professor of Surgery

Rishad M. Faruqi, MD, FRCS (Eng), FRCS (Ed)
Assistant Clinical Professor of Surgery
Division of Vascular Surgery

Randall T. Higashida, MD
Clinical Professor of Radiology,
Neurosurgery, Neurology, and Anesthesiology
Chief, Division of Interventional
Neurovascular Radiology

John S. Lane, MD
Assistant Professor of Surgery
University of California, San Francisco
Chief, Vascular Surgery
San Francisco General Hospital

Michael J. Mann, MD
Assistant Professor of Surgery
Division of Cardiothoracic Surgery
Associate Investigator,
Cardiovascular Research Institute

Shelley R. Marder, MD
Associate Clinical Professor
of Radiology

Linda M. Reilly, MD
Professor of Surgery

David A. Saloner, PhD
Professor of Radiology
University of California, San Francisco
Director, Vascular Imaging Research Center
San Francisco VA Medical Center

Rajabrata Sarkar, MD, PhD
Assistant Professor of Surgery
Division of Vascular Surgery

Darren B. Schneider, MD
Assistant Professor of Surgery and Radiology
Division of Vascular Surgery

Whitney D. Tope, MPhil, MD
UCSF Vein Care Program
UCSF Dermatologic Surgery and Laser Center
Associate Clinical Professor of Dermatology

Travel & Lodging

Westin St. Francis
335 Powell Street
San Francisco, CA 94102
Fax: (415) 774-0124
Registration Information: (415) 397-7000

Accommodation Rates: $199 Single/Double

** Reservations must be cancelled at least 24 hours in advance or a one-night's stay (and applicable taxes) will be charged. A credit card number is required to confirm your reservation. Check-in is 3:00 p.m.; check-out is 12:00 noon. Reservation requests made after April 1, 2004 will be honored at the conference room-rates on a space-available basis. Room rates are subject to all state and local taxes (currently 14%, subject to change without notice).

Course Refund Policy: Refunds received in writing on or before April 22, 2004 will be refunded less a $75 administrative fee. There will be no refunds on requests received after the date.