PALP 2019

Program for Advanced Limb Preservation
The Anti-Amputation Meeting
 

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

STAY INFORMED

           

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
  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
  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
     
 12:15 P.M. Concurrent  Industry Sponsored Lunch Symposia (Non-CME)  
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? Robert Fridman, DPM
1:40 P.M. Impact of Renal Failure on Healing DFUs Frank Liu, MD
1:50 P.M. Current Concepts and Controversies in Management of Osteomyelitis Warren Joseph, MD

 

2:00 P.M. Offloading 101 - TCC and Other Devices (permission to post presentation not granted) Robert Fridman, DPM
2:10 P.M. The Role of The Plastic Surgeon: Grafts and Flaps For the Complex Foot Wound Jason Spector, MD
2:20 P.M. Constructing a Wound Care Center - Does it Make Sense for You? Venita Chandra, MD
2:30 P.M. Panel and Audience Interactive Discussion Panel: Drs. Chandra, Fridman, Horn, Joseph, Liu 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, MD 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
4:42 P.M. My Worst Bypass Case - I Wish We Had Done Endo Instead Joseph Lombardi, MD
4:50 P.M. Panel and Audience Interactive Discussion Panel: Drs. Adams, Fragomen, Goodney, Kim, Lee, Lombardi, Mills, Neville, and D. Schneider
5:10 P.M.  Adjourn Plenary Session   
5:30 - 7:00 P.M. Moderated Poster Session and Reception (Non-CME) New York West Ballroom and Riverside Ballroom

 

     

 

Saturday, May 18, 2019

     
7:30 A.M. Registration and Continental Breakfast  
     
DEEP DIVE PARALLEL SESSIONS I
VASCULAR DEEP DIVE SESSION I - New York West Ballroom  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? Joseph Mills, MD
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
  Debate 3: 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, Mills, Neville, Razavi and Rundback
WOUND CARE AND PODIATRY DEEP DIVE SESSION I - Riverside Suite  Moderator: David Armstrong, DPM and John Doolan, DPM
    Presenters:
8:00 A.M. BioFilm…What Is It? Why Should I Care? John Doolan, 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 Brian Schmidt, DPM
8:40 A.M.

Negative Pressure Therapy for DFU’s 

Joseph Larsen, 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. External Fixation For The Charcot Foot: Guidelines and Indications Richard Derner, DPM
9:10 A.M.

What to Do with the Patient with Combined Venous and Arterial Wounds

Niten Singh, MD

9:20 A.M. Panel and Audience Interactive Discussion Panel: Drs. Bevilaqua, Blume, Derner, Doolan,  and Singh
10:00 A.M. Refreshment Break and Visit Exhibits  
HANDS-ON WORKSHOPS (NON-CME)
SESSION I    
10:30 A.M.  Workshop 1 - Portfolio Perspective - An Opportunity for a hands-on introduction to the expanded Organogenesis portfolio, including leading advanced technologies.

Presented by: Organogenesis

 Liberty 1 
10:30 A.M. Workshop 2 -  Charcot Foot Beaming

Presented by: Paragon 28  

 Liberty 4
SESSION II    
11:40 A.M. Workshop 1 - (REPEATED) Portfolio Perspective - An Opportunity for a hands-on introduction to the expanded Organogenesis portfolio, including leading advanced technologies.

Presented by: Organogenesis

 Liberty 1
 11:40 A.M. - 12:30 P.M. Workshop 2 - (REPEATED) Charcot Foot Beaming

Presented by: Paragon 28  

 Liberty 4 
THE PACLITAXEL DEBATE - NON-CME SESSION - New York West Ballroom 
Moderators: Mahmood Razavi, MD and Darren Schneider, MD 
10:30 A.M. Paclitaxel and PAD - The Meta-Analysis and The Mortality Issue William Gray, MD
10:40 A.M. Patient-Level Data From the IN.PACT Studies: Is Paclitaxel Safe for the Treatment of PAD?  Peter Schneider, MD
10:50 A.M. Dosing and Downstream Effects - Is DES Safer Than DCB? Jeffrey Siracuse, MD
  Debate 4: Should Paclitaxel Still Have a Role in the Treatment of Claudication?  
11:00 A.M.  Pro: For Many Claudicants the Benefits Outweigh the Risks! Prakash Krishnan MD
11:10 A.M. Con: Any Mortality Risk Is Unacceptable When Treating Claudication! Joseph Mills, MD
  Debate 5: Save a Limb, Save a Life? Is Paclitaxel OK for CLTI Patients?  
11:20 A.M. Pro: The Data Isn't Relevant to CLTI and Paclitaxel Could Improve Limb Preservation Outcomes Sahil Parikh, MD
11:30 A.M. Con: Mortality Is Already a Big Issue In CLTI and Paclitaxel Could Make It Worse Andrew Meltzer, MD
11:40 A.M.  Can We Learn Any Lessons From Paclitaxel in the Coronaries? Leonardo Clavijo, MD
11:50 A.M.  Where Do We Go From Here? Future Paclitaxel Clinical Trials and Alternative Drugs. Leila Mureebe, MD
12:00 P.M. Panel and Audience Interactive Discussion Panel: Drs. Gray, Krishnan, Meltzer, Mills, Mureebe, P. Schneider, and Siracuse
 12:15 P.M.   Adjourn   
CONCURRENT INDUSTRY LUNCH SYMPOSIA (NON-CME)
 12:30 P.M.

Concurrent Industry Lunch Symposia (Non-CME)

 
DEEP DIVE PARALLEL SESSIONS II
     
VASCULAR DEEP DIVE SESSION II - New York  West Ballroom 

 

Moderators: Peter Connolly, 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
  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 - Riverside Suite  Moderators: Richard Derner, DPM and Deena Horn, DPM
    Presenters:
1:30 P.M. Organized Limb Salvage Programs Improve Outcomes  Lee Rogers, DPM
1:40 P.M. Foot Trauma in the Diabetic Patient  Keith Cook, MD
1:50 P.M. Below Knee Amputations as Viable Alternative to Limb Salvage

Christopher Attinger, MD

(presented by Peter Connolly, MD)

2:10 P.M. How to Establish Excellence in Limb Salvage Lee Rogers, DPM
 

Debate 7: Amputation...How Far is Too Far?

 
2:20 P.M. Pro: Chopart and Syme Amputations Work Well Save As Much Function as Possible 

Christopher Attinger, MD

(presented by Deena Horn, DPM)

2:30 P.M. Con: No, TMA Is The End of The Road Before BKA  Brian Schmidt, DPM
2:30 P.M. Panel and Audience Interactive Discussion Panel: Drs. Attinger, Cook, Doolan, Larsen, 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  

 

GENERAL ISSUES IN THE MANAGEMENT OF DFU AND VASCULAR FOOT WOUND