PALP 2020

Program for Advanced Limb Preservation
The Anti-Amputation Meeting
 

May 29-30, 2020 | New York Marriott Downtown|
New York, NY

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HELPING TO SAVE LIVES AND LIMBS

2020 Program Agenda

  FRIDAY, MAY 29, 2020 SATURDAY, MAY 30, 2020

 

 

Friday, May 29, 2020

7:00 AM Registration and Continental Breakfast  
     
8:00 am Welcome Remarks Peter Connolly, MD, John Doolan, DPM, Deena Horn, DPM and Darren Schneider, MD
   

PLENARY SESSION I

Breaking It Down: The Global Vascular Guidelines on the Management of Chronic Limb-Threatening Ischemia

Moderators: Peter Connolly, MD and John Doolan, DPM
    Presenters
8:10 A.M. DFU and CLTI: Defining the Problem and the Unmet Needs Richard Neville, MD
8:20 A.M. Disparities and Regionalization Variation in CLTI Treatment and Amputation Leila Murebe, MD
8:30 A.M. Mortality in CLTI and DFU: How Can We Do Better? Arthur Lee, MD
8:40 A.M. Who and How Should We Screen for PAD? Niten Singh, MD
8:50 A.M. Is CLTI Being Underdiagnosed and Undertreated? Christopher Metzger, MD
9:00 A.M. The Value of a Limb Preservation Team: From a Vascular Surgery Perspective Joseph Mills, MD
9:10 A.M. The Value of a Limb Preservation Team: From a Non-Surgeon's Perspective Mahmood Razavi, MD
9:20 A.M. Playing Well With Others: Starting a Limb Preservation Team David Armstrong, DPM
9:30 A.M. A Historical Perspective on the Treatment of CLI (Now CLTI) Frank Veith, MD
9:40 A.M. Panel and Audience Interactive Discussion Panel: Drs. Armstrong, Lee, Metzger, Mills, Murebe, Neville, Razavi, Singh and Veith
     
10:00 A.M. Refreshment Break and Visit With the Exhibitors  
   

PLENARY SESSION II

Revascularization For Limb Preservation

Moderator: Joseph Mills, MD and Mahmood Razavi, MD
    Presenters
10:30 A.M. "Optimal Medical Management" of PAD and CLTI Patients in 2020 Marc Bonaca, MD
10:40 A.M. BEST-CLI and Why We Need More RCTs for CLTI Treatment Matthew Menard, MD
10:50 A.M. Global Guidelines: How Should We PLAN in Everyday Practice? Alik Farber, MD
11:00 A.M. Classification Wounds and Ischemia in CLTI Studies: Is Rutherford Still Relevant? Joseph Mills, MD
11:10 A.M. How Do We Know If It's Enough? Perfusion Assesssment of Tibial and Pedal Interventions Niten Singh, MD
  Debate: When is Surgical Bypass The Best Option?  
11:20 A.M. Pro: Endovascular Failure Has a Cost and We Should be Doing More Primary Bypasses Douglas Jones, MD
11:30 A.M. Con: Endovascular Treatment has Evolved and Bypass Should be Reserved for Endo Failures George Adams, MD
11:40 A.M. Panel and Audience Interactive Discussion Panel: Drs. Adams, Bonaca, Farber, Jones, Menard and Singh
   
 

Concurrent Lunch Symposia (Non-CME)

 
12:15 P.M. - 1:00 P.M. Symposium on Vascular Surgery  
12:15 P.M. - 1:00 P.M. Symposium on Podiatry/Wound Care  
   

PLENARY SESSION III

General Issues in the Management of DFU and Vascular Foot Wound

Moderators: David Armstrong, DPM and Paul Kim, MD
    Presenters:
1:10 P.M. MidFoot Beaming of the Charcot Foot Peter Blume, DPM
1:20 P.M. Diagnosing Osteomyelitis: MRI, Pet Scan, WBC labeled Andrew Meyr, DPM
1:30 P.M. Current Concepts and Controversies in Management of Osteomyelitis Ole Vielemeyer, MD
1:40 P.M. Vacuum-assisted Closure: Should We Still be Using Wound VACs? Joseph Larsen, DPM
1:50 P.M. Impact of Renal Failure in CLTI Frank Liu, MD
2:00 P.M. Atypical Wounds: Rheumatologic Wounds, Pyoderma, and Mixed Arterial Venous Laura Shin, DPM
2:10 P.M. You Thought This Couldn't be Saved: Grafts and Flaps for Complex Foot Wounds Vineet Mehan, MD
  Debate: Timing of Minor Amputation After Revascularization  
2:20 P.M. What Are We Waiting For? Early Amputation After Revascularization Is the Way to Go Daniele Bajakian, MD
2:30 P.M. What's the Rush? Let it Declare Itself First Richard Neville, MD
2:40 P.M. Panel and Audience Interactive Discussion Panel: Drs. Bajakian, Blume, Larsen, Liu, Mehan, Meyr, Neville, Shin and Vielemeyer
3:00 P.M. Refreshment Break and Visit With the Exhibitors  
     
   

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. Creative Arterial Access: Thinking Outside the Box Christoper Metzger, MD
3:38 P.M. Partial Calcanectomy Caitlin Zarick, DPM
3:46 P.M. Tips and Tricks Using Woven Stents for Heavily Calcified Lesions Brian DeRubertis, MD
3:54 P.M. Flexor Tenotomy, Split Tibialis Anterior and TAL Paul Kim, DPM
4:02 P.M. Percutaneous Venous Arterialization Technique Miguel Montero-Baker, MD
4:10 P.M. Tissue Products: So Many Options and When Should We Use Them? Robert Fridman, DPM
4:18 P.M. The Optimal Tibial or Pedal Bypass Distal Anastomosis Alik Farber, MD
4:26 P.M. Charcot My Worst Case: Why Do I Do This? Austin Fragomen, MD
4:34 P.M. Pedal Loop and Inframalleolar Intervention Techniques John Rundback, MD
4:42 P.M. The Art of Femoral Endarterectomy Joseph Lombardi, MD
4:50 P.M. Panel and Audience Interactive Discussion Panel: Drs. DeRubertis, Farber, Fragomen, Fridman, Kim, Lombardi, Metzger, Montero-Baker, Rundback and Zarick
     
5:10 P.M. Break  
     
5:30 - 7:00 P.M. Moderated Poster Session and Networking Reception With the Exhibitors (Non-CME)  

 

 

 

Saturday, May 30, 2020

     
7:30 A.M. Registration and Continental Breakfast  
     
DEEP DIVE PARALLEL SESSIONS I  

VASCULAR DEEP DIVE SESSION I

Moderators: Christopher Metzger, MD and Darren Schneider, MD
    Presenters:
8:00 A.M. Is POBA Still the Gold Standard for Tibial Interventions? Patrick Geraghty, MD
8:10 A.M. Cutting, Scoring, and Focal Force Balloons: What Does the Data Say? Peter Schneider, MD
8:20 A.M. Do All Dissections Matter and How Should We Manage Them? George Adams, MD
8:30 A.M. Managing BTK Calcium With Intravascular Lithoplasty (IVL) Bret Wiechmann, MD
8:40 A.M. Atherectomy Updates: Data Supporting a Leave Nothing Behind Approach James McKinsey, MD
8:50 A.M. Durability and Outcomes of Inframalleolar Interventions: Is There Any Data? Arthur Lee, MD
9:00 A.M. Is Multivessel Tibial Intervention Really Better Than Single Vessel? Venita Chandra, MD
9:10 A.M. The Evidence for Venous Arterialization and Patient Selection Miguel Montero-Baker, MD
  Debate: Early Intervention for PAD  
9:20 A.M. Pro: Early Intervention Before Symptoms Develop Could Save Limbs Prakash Krishnan, MD
9:30 A.M. Con: No Way - Intervention is Never Indicated in the Absence of Symptoms  
9:40 A.M. Panel and Audience Interactive Discussion Panel: Drs. Adams, Chandra, Geraghty, Krishnan, Lee, McKinsey, Montero-Baker, P. Schneider and Wiechmann

WOUND CARE AND PODIATRY DEEP DIVE SESSION I

Moderators: David Armstrong, DPM and John Doolan, DPM
    Presenters:
8:00 A.M. The Trojan Horse: Achilles Length in Post Amputation Equinus. Is It Necessary? Jeffrey Ross, DPM
8:10 A.M. Surgical Offloading of the Diabetic Foot Paul Kim, DPM
8:20 A.M. Bone Resections vs. Amputations in the Forefoot Laura Shin, DPM
8:30 A.M. Charcot Reconstruction: Is it Worth the Effort? Jake Wynes, DPM
8:40 A.M. Infection and Charcot Deformity: To Stage or Not Stage Katherine Raspovic, DPM
8:50 A.M. Charcot of the Midfoot: Evolution and Methods of Correction Jake Wynes, DPM
9:00 A.M. Charcot of the Hindfoot: What Role Does Bone Infection Play in the Plan? Peter Blume, DPM
9:10 A.M. Charcot External Fixator: Indications and Deformity Correction David Gitlin, DPM
9:20 A.M. Charcot Internal Fixation: Indications and Deformity Correction David Gitlin, DPM
9:30 A.M. Charcot Reconstruction: Panel Discussion- What Would I Do? Deena Horn, DPM
9:45 A.M. Panel and Audience Interactive Discussion Panel: Drs. Blume, Gitlin, Horn, Kim, Raspovic, Ross, Shin and Wynes
10:00 A.M. Refreshment Break and Visit With the Exhibitors  
   

HANDS-ON WORSHOPS (Non-CME)

 
   
WOKSHOP SESSION I    
10:30 A.M. - 11:20 A.M. Podiatry Workshop 1  
10:30 A.M. - 11:20 A.M. Podiatry Workshop 2  
10:30 A.M. - 11:20 A.M. Vascular Workshop 1  
10:30 A.M. - 11:20 A.M. Vascular Workshop 2  
WORKSHOP SESSION II    
11:40 A.M. - 12:30 P.M. Podiatry Workshop 1 (REPEAT)  
11:40 A.M. - 12:30 P.M. Podiatry Workshop 2 (REPEAT)  
11:40 A.M. - 12:30 P.M. Vascular Workshop 1 (REPEAT)  
11:40 A.M. - 12:30 P.M. Vascular Workshop 2 (REPEAT)  
     
CONCURRENT LUNCH SYMPOSIA (NON-CME)  
12:30 P.M. - 1:15 P.M. Symposium on Vascular Surgery  
12:30 P.M. - 1:15 P.M. Symposium on Podiatry/Wound Care  
     
DEEP DIVE PARALLEL SESSIONS II  
     

VASCULAR DEEP DIVE SESSION II

Moderators: Christopher Agrusa, MD and Brett Wiechmann, MD
    Presenters:
1:30 P.M. Which Patients Are Really Too "High Risk" for Bypass?  
1:40 P.M. Indications and Results of Hybrid Procedures for CLTI Jeffrey Siracuse, MD
1:50 P.M. SFA and Popliteal Interventions in CLTI Patients Brian DeRubertis, MD
2:00 P.M. Paclitaxel is Still OK for "High Risk" Patients - But Who is "High Risk" for Restenosis? Patrick Geraghty, MD
2:10 P.M. Beyond Paclitaxel: What's Next for BTK Drug Delivery? Sahil Parikh, MD
  Debate: Paclitaxel and Mortality  
2:20 P.M. Pro: DCB is No Longer an Appropriate First-line Therapy for LE Revascularization Joseph Mills, MD
2:30 P.M. Con: DCB is Safe and is Still the Best LE Intervention for Most Patients William Gray, MD
2:40 P.M. Panel and Audience Interactive Discussion Panel: Drs. DeRubertis, Geraghty, Gray, Mills, Parikh and Siracuse
     

WOUND CARE AND PODIATRY DEEP DIVE SESSION II

Moderators: Deena Horn, DPM and John Doolan, DPM
    Presenters:
1:30 P.M. Monday Morning Quarterback: Necrotizing Infections - What I Know Now? Caitilin Zarick, DPM
1:40 P.M. Infection and the Host: Should Every Patient be Treated the Same? Paul Kim, DPM
1:50 P.M. Energy Expenditure in the Pedal and Lower Extremity Amputation Jeffrey Ross, DPM
  Debate: Hindfoot Amputations - Are They Even Worth It?  
2:00 P.M. Pro: Lisfranc, Chopart and Syme's Amputations Work Well. Save as Much as Possible Nicholas Bevilacqua, DPM
2:10 P.M. Con: No, TMA is the End of the Road Before BKA Katherine Raspovic, DPM
  Debate: Is There Still a Place for Hyperbaric Oxygen? Is There Something to Continuous Oxygen? Is There Already Enough Oxygen in the Air?  
2:20 P.M. HBO: Topical and Full Body Philip Chang, MD
2:30 P.M. Continuous Oxygen E02 Anthony Iorio, DPM
2:40 P.M. NY Finest: Plain Air is Fine Andrew Meyr, DPM
2:50 P.M. Panel and Audience Interactive Discussion Panel: Drs. Bevilacqua, Chang, Iorio, Kim, Meyr, Raspovic, Ross and Zarick
3:00 P.M. Refreshment Break and Visit With the Exhibitors  
   

PLENARY SESSION V:

Future Directions in DFU and CLTI Management

Moderators: Peter Connolly, MD and Joseph Mills, MD
    Presenters:
3:30 P.M. The Future Is Here: New Technologies That Could Change the Way We Treat DFU and CLTI David Armstrong, DPM
3:40 P.M. Telemedicine and Remote Patient Care Now and In the Future Richard Neville, MD
3:50 P.M. What Will LE Revascularization Look Like in 2025 and Beyond? Peter Schneider, MD
4:00 P.M. Why and How We Should Track Our Outcomes in CLTI Douglas Jones, MD
4:10 P.M. Medical Treatments That May Revolutionize Care for CTLI and Diabetic Patients Marc Bonaca, MD
4:20 P.M. Transcending Turf Battles: Putting the Patient First Matthew Menard, MD
4:30 P.M. Multidisciplinary Care for Limb Preservation Is Great, But This Is How We Can Make It Better William Gray, MD
4:40 P.M. Panel and Audience Interactive Discussion Panel: Drs. Armstrong, Bonaca, Gray, Jones, Menard, Neville and P. Schneider
5:00 P.M. Closing and Presentation of Awards to Abstract Competition Winners Peter Connolly, MD, John Doolan, DPM, Deena Horn, DPM, and Darren Schneider, MD