The PALP team has been closely monitoring the COVID-19 developments. Given the unknown circumstances and to ensure the health and safety of our attendees, we have decided to postpone PALP until Spring of 2021.

PALP

Program for Advanced Limb Preservation
The Anti-Amputation Meeting
 

Spring 2021 
 

STAY INFORMED 

           

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? TBD
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, 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 Jordan Stern, MD 
9:40 A.M. Panel and Audience Interactive Discussion Panel: Drs. Adams, Chandra, Geraghty, Krishnan, Lee, McKinsey, Montero-Baker, P. Schneider, Stern 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: When, How and Why to Biopsy Wounds Bryan Markinson, 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. Gitlin, Horn, Kim, Markinson, 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? Jordan Stern, MD
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, Siracuse and Stern 
     

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