PALP 2019

Program for Advanced Limb Preservation
The Anti-Amputation Meeting
 

May 17 – 18, 2019 | The Sheraton New York |
New York, NY

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HELPING TO SAVE LIVES AND LIMBS

Program Agenda

  FRIDAY, MAY 17, 2019 SATURDAY, MAY 18, 2019

 

Friday, May 17, 2019

7:00 A.M. Registration and Continental Breakfast  
8:00 A.M. Welcome Remarks Peter Connolly, MD, John Doolan, DPM, Deena Horn, DPM and Darren Schneider, MD
     
PLENARY SESSION I CLTI AND DFU: A GLOBAL EPIDEMIC Moderators: Peter Connolly, MD and John Doolan, DPM
    Presenters
8:10 A.M. DFU and CLTI - An Overview of Who, What, Why and Where Richard Neville, MD
8:20 A.M. Why Limb Preservation Matters: The Cost of Amputation Niten Singh, MD
8:30 A.M. Disparities: Populations at Risk for DFU and CLTI and Early Identification of at Risk Patients Venita Chandra, MD
8:40 A.M. Who's Who: The Basics of a Multidisciplinary Approach to Limb Preservation David Armstrong, DPM
9:00 A.M. Mechanical Assessment: Podiatric Evaluation of the Diabetic and Ischemic Foot Wound Paul Kim, D.P.M.
9:10 A.M. Perfusion Assessment: Vascular Evaluation in the DFU and CLTI Patient Joseph Lombardi, MD
9:20 A.M. WiFi - What is it and Why Does it Matter? Joseph Mills, MD
9:30 A.M. Antiplatelet Agents and NOACs: Does the COMPASS Point to a Role in CLTI? Arthur Lee, MD
9:40 A.M. Use of Statins and PSCK9 Inhibitors to Prevent Amputations in CLTI Leonardo Clavijo, MD
9:50 A.M. Panel and Audience Interactive Discussion Panel: Drs. Armstrong, Chandra, Clavijo, Kim, Lee, Lombardi, Mills, Neville and Singh
     
10:00 A.M. Refreshment Break and Visit Exhibits  
PLENARY SESSION II

PLENARY SESSION II

REVASCULARIZATION FOR LIMB PRESERVATION Moderator: Joseph Mills, MD and Mahmood Razavi, MD
    Presenters
10:30 A.M. - 10:50 A.M. Debate 1: An "Endo First" for All is the Best Approach in 2019!  
10:30 A.M. Pro: "Endo 1st" is Best and Doesn't Burn Bridges! Christopher Metzger, MD
10:40 A.M. Con: "Patient 1st" is Better - Bridges Can be Burnt and Endo Doesn't Work for All Philip Goodney, MD
10:50 A.M. Is There a Role for Pre-emptive Revascularization in the Pre-CLTI (At-Risk) Patient? Peter Schneider, MD
11:00 A.M. Real Problem or Fake News: Does Paclitaxel Affect Survival?  Marc Bonaca, D.P.M.
11:10 A.M. The Global Vascular Guidelines: Taking TASC to Task Leila Mureebe, MD
11:20 A.M. - 11:40 A.M. Debate 2: BEST CLI Will Tell Us the Best Approach to CLTI  
11:20 A.M. Pro: BEST CLI Will Provide Clinically Important Guidelines for the Optimal Treatment of CLTI Matthew Menard, MD
11:30 A.M. Con: BEST CLI is a Nice RCT, but it Doesn't Reflect Real-world Practice George Adams, MD
11:40 A.M. Panel and Audience Interactive Discussion Panel: Drs. Adams, Goodney, Kim, Menard, Metzger, Mureebe, and P. Schneider
     
  Overlapping Lunch Symposia (Non-CME/CPME)  
12:00 P.M. - 1:20 P.M. Symposium on Vascular Topic  
  Symposium on Podiatry/Wound Care  
     
PLENARY SESSION III
PLENARY SESSION III General Issues in the Management of DFU and Vascular Foot Wound Moderators: Paul Kim, MD and David Armstrong, DPM
    Presenters:
1:20 P.M. Sharp Debridement and Basic Wound Care Pearls Paul Kim, DPM
1:30 P.M. Cultured Tissue Products: So Many Options and When Should We Use Them? TBD
1:40 P.M. Impact of Renal Failure on Healing DFUs  
1:50 P.M. - 2:10 P.M. Debate 3: Antibiotics Are the Key to Cure Most Chronic DFU  
1:50 P.M. Pro: Primarily Medical Therapy is the Best Strategy for Chronic DFU Warren Joseph, MD
2:00 P.M. Con: Primarily Surgical Therapy is the Best Strategy for Chronic DFU Deena Horn, D.P.M.
2:10 P.M. Offloading 101 - TCC and Other Devices Robert Fridman, DPM
2:20 P.M. The Role of The Plastic Surgeon: Grafts and Flaps For the Complex Foot Wound Jason Spector, MD
2:30 P.M. Constructing a Wound Care Center - Does it Make Sense for You? Venita Chandra, MD
2:40 P.M. Panel and Audience Interactive Discussion Panel: Drs. Chandra, Fridman, Horn, Joseph, and Spector
3:00 P.M. Refreshment Break and Visit Exhibits  
PLENARY SESSION IV
PLENARY SESSION IV How I Do It - Rapid Fire Video Case and Technique Presentations Moderators: Sharif Ellozy and Deena Horn, DPM
    Presenters:
3:30 P.M. Retrograde Pedal and Tibial Access Techniques Miguel Montero-Baker, MD
3:38 P.M. Partial Calcanectomy Deena Horn, DPM
3:46 P.M. Pave and Crack for Technique for the Heavily Calcified SFA Darren Schneider, MD
3:54 P.M. Percutaneous Approaches to Tendon Rebalancing Paul Kim, DPM
4:02 P.M. Distal Bypass Patch and AVF Techniques Richard Neville, MD
4:10 P.M. Midfoot Beaming of the Charcot Foot Austin Fragomen, MD
4:18 P.M. Femoral Endarterectomy and Hybrid Revascularization Approaches Philip Goodney, MD
4:26 P.M. Wire Selection for BTK Interventions George Adams, MD
4:34 P.M. My Worst Endo Case - I Wish We Had Done a Bypass Instead Arthur Lee, MD
3:42 P.M. My Worst Bypass Case - I Wish We Had Done Endo Instead Joseph Lombardi, MD
5:10 P.M. Panel and Audience Interactive Discussion Panel: Drs. Adams, Fragomen, Goodney, Kim, Lee, Lombardi, Montero-Baker, Neville, and D. Schneider
     
5:20 P.M. Refreshment Break and Visit Exhibits  
     
5:30 - 7:00 P.M. Moderated Poster Session and Reception (non-CME/CPME)  
     

 

Saturday, May 18, 2019

     
7:30 A.M. Registration and Continental Breakfast  
     
DEEP DIVE PARALLEL SESSIONS I
VASCULAR DEEP DIVE SESSION I Moderators: Drs. Arthur Lee and Peter Schneider
    Presenters:
8:00 A.M. Appropriate Application Of Pedal and Tibial Access Techniques Venita Chandra, MD
8:10 A.M. Tricks and Tools To Crossing Calcified Lesions Christopher Metzger, MD
8:20 A.M. The Barren Foot: Is Venous Arterialization A Reasonable Strategy? Miguel Montero-Baker, DPM
8:30 A.M. DCB vs DES For The SFA and Popliteal Artery William Gray, MD
8:40 A.M. DCB vs DES BTK: What Do We Know? Mark Mewissen, MD
8:50 A.M. Calcium Management: Lithoplasty and Other Approaches James McKinsey, MD
9:00 A.M. The Optimal Approach to Vessel Preparation Leonardo Clavijo, MD
9:10 A.M. In-stent Restenosis: The Bane of My Existence and What to Do About It Mahmood Razavi, MD
9:20 A.M. - 9:40 A.M. Debate 4: Does Multivessel Endovascular Revascularization Beats Single Vessel Bypass  
9:20 A.M. Pro: More Is More! - Multivessel Endovascular Revascularization Is Superior to Bypass John Rundback, MD
9:30 A.M. Con: Nothing Beats A Good Bypass, Not Even Multi-Vessel Endo! Richard Neville, MD
9:40 A.M. Panel and Audience Interactive Discussion Panel: Drs. Chandra, Clavijo, Gray, McKinsey, Metzger, Mewissen, Montero-Baker, Neville, Razavi and Rundback
WOUND CARE AND PODIATRY DEEP DIVE SESSION I Moderator: David Armstrong, DPM and John Doolan, DPM
    Presenters:
8:00 A.M. BioFilm…What Is It? Why Should I Care? Warren Joseph, DPM
8:10 A.M. Surgical Offloading of the Diabetic Foot Nicholas Bevilacqua, DPM
8:20 A.M. Charcot of the Midfoot: Evolution and Methods of Correction Peter Blume, DPM
8:30 A.M. Bone Resections vs. Amputations in the Forefoot  
8:40 A.M. Role of Platelet Rich Gel and Other Growth Factors For Healing DFU Adam Landsman, DPM
8:50 A.M. Charcot of the Hindfoot: What Role Does Bone Infection Play in the Plan? Peter Blume, DPM
9:00 A.M. Is There a Role For Pre-Emptive Surgical Offloading In The At-Risk Diabetic Patient? Lee Rogers, DPM
9:10 A.M. External Fixation For The Charcot Foot: Guidelines and Indications Richard Derner, DPM
9:20 AM - 9:40 AM Debate 5: Amputation...How Far Is Too Far?  
9:20 A.M. Pro: Chopart and Syme Amputations Work Well Save As Much Function As Possible  
9:30 A.M. Con: No, TMA Is The End Of The Road Before BKA TBD
9:40 A.M. Panel and Audience Interactive Discussion Panel: Drs. Bevilaqua, Blume, Derner, Joseph, and Rogers 
10:00 A.M. Refreshment Break and Visit Exhibits  
HANDS-ON WORKSHOPS (NON-CME/CPME)
SESSION I    
10:30 AM Workshop 1 -TBD  
  Workshop 2 -TBD  
  Workshop 3 - TBD  
  Workshop 4 - TBD  
  Workshop 5 - TBD  
SESSION II    
11:40 AM Workshop 1 -TBD  
  Workshop 2 -TBD  
  Workshop 3 - TBD  
  Workshop 4 - TBD  
  Workshop 5 - TBD  
     
OVERLAPPING LUNCH SYMPOSIA (NON-CME/CPME)
  Symposium on Vascular Topic  
  Symposium on Podiatry/Wound Care  
DEEP DIVE PARALLEL SESSIONS II
     
VASCULAR DEEP DIVE SESSION II Moderators: Christopher Argusa, MD and Mark Mewissen, MD
    Presenters:
1:30 P.M. Which Patients Are Really Too "High Risk" for Bypass Andrew Meltzer, MD
1:40 P.M. Disadvantaged Conduit: When Are Spliced and Arms Veins Bypass Better Than Prosthetic? Jeffrey Siracuse, MD
1:50 P.M. Treating the Common Femoral Artery: Does Surgery Still Rule or Is There a Role for Endo? Prakash Krishnan, MD
2:00 P.M. Percutaneous (PQ) Bypass - Gimmick or For Real? Peter Schneider, MD
2:10 P.M. Surgical Approach to Salvage After Endovascular Failure Matthew Menard, MD
2:20 P.M. - 2:40 P.M. Debate 6: Outcomes in Revascularization for CLTI - Wound Healing is All That Matters!  
2:20 P.M. Pro: Yes, It's All About Healing the Wound Mahmood Razavi, MD
2:30 P.M. Con: No Patency is Just as Important as Wound Healing In CLTI Leila Mureebe, MD
2:40 P.M. Panel and Audience Interactive Discussion Panel: Drs. Krishnan, Meltzer, Menard, Mureebe, Razavi, P. Schneider and Siracuse
WOUND CARE AND PODIATRY DEEP DIVE SESSION II Moderators: Richard Derner, DPM and Deena Horn, DPM
    Presenters:
1:30 P.M. Negative Pressure Therapy for DFU's Larry Lavery, MD
1:40 P.M. What to Do with the Patient with Combined Venous and Arterial Wounds Niten Singh, MD
1:50 P.M. Foot Trauma in the Diabetic Patient Keith Cook, DPM
2:00 P.M. Refractory Wounds: Way Out of the Box Adjunctive Therapies Lee Rogers, DPM
2:10 P.M. Below Knee Amputations As a Viable Alternative to Limb Salvage Christopher Attinger, MD
2:20 P.M. - 2:40 P.M. Debate 7: 5. HBO….. Is It Just a Cable Channel or Are We Missing Something Here?  
2:20 P.M. Pro: HBO Should Be Used More Often for Treatment of DFU Michael Dellacorte, DPM
2:30 P.M. Con: HBO Should Be Used Less Often for Treatment of DFU John Doolan, DPM
2:40 P.M. Panel and Audience Interactive Discussion Panel: Drs. Attinger, Cook, Dellacorte, Doolan, Lavery, Rogers and Singh
3:00 P.M. Refreshment Break and Visit Exhibits  
PLENARY SESSION V
PLENARY SESSION V: Future Directions in DFU and CLTI Management Moderators: Matthew Menard, MD and Leonardo Clavijo, MD
    Presenters:
3:30 P.M. Future Tech – Wearables, Injectables, Smart Dressings and Other Treatments on the Horizon David Armstrong, DPM
3:40 P.M. Telemedicine and Remote Patient and Wound Care Tracking Richard Neville, MD
3:50 P.M. Altering the Pathway to Amputation: "Change Direction or You May End Up Where You are Heading" Joseph Mills, MD
4:00 P.M. Will Medical Therapy for PAD and CLTI Change the Way We Intervene in the Future? Marc Bonaca, MD
4:10 P.M. What Is the Role of Primary Surgical Revascularization in 2019 and Beyond? Peter Schneider, MD
4:20 P.M. How Can We Do Better? Regional, National, Global Registries for CLTI Philip Goodney, MD
4:30 P.M. Transcending Tradition and Embracing New Approaches to Treating CLTI:   “Don't Keep Doing Just What You Did or You Will Keep Getting What You Got” William Gray, MD
4:40 P.M. Panel and Audience Interactive Discussion Panel: Drs. Armstrong, Bonaca, Goodney, Gray, Mills, Neville and P. Schneider
5:00 P.M. Closing and Presentation of Awards to Abstract Competition Winners