SESSION 27: PROGRESS IN EXOTIC AND EXTREME NEW TREATMENTS FOR VERY DISTAL LOWER EXTREMITY DISEASE CAUSING ADVANCED CLTI: OPTIONS TO SAVE THE “NO OPTION FOR TREATMENT” LIMB AND THE “DESERT FOOT”
Location: Grand Ballroom East, 3rd Floor
Moderators: Patrick J. Geraghty, MD / Marco G. Manzi, MD / Hasan H. Dosluoglu, MD
Moderators: Patrick J. Geraghty, MD / Marco G. Manzi, MD / Hasan H. Dosluoglu, MD
1:00 PM - 1:05 PM
What Presently Defines A No Option Or Desert Foot Before Or After Failed Endo Or Open Treatments: Can Better Arterial Imaging Help And How To Do It
Presenter(s): Peter A. Schneider, MD Location: Grand Ballroom East, 3rd Floor
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1:06 PM - 1:11 PM
Progress In The Treatment Of Supposed "No Option" CLTI Patients: With Better Arterial Imaging, Inframalleolar PTA Or Bypass Or Deep Vein Arterialization (DVA) May Be The Best Treatment: How To Do This Better Imaging With Direct Arterial Injection, DSA, CTA And MRA And What They Can Show
Presenter(s): Sherif A.H. Sultan, MD, FRCS, EBQS-VASC, PhD, FACS Location: Grand Ballroom East, 3rd Floor
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1:12 PM - 1:17 PM
More Distal Angioplasty Can Salvage Some "No Option" Limbs: Below-The-Ankle Endo Interventions In 2025: Techniques, Devices And Should Balloons Be Drug Coated Or Not
Presenter(s): Marianne Brodmann, MD Location: Grand Ballroom East, 3rd Floor
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1:18 PM - 1:23 PM
Extreme New Endovascular Treatments For Otherwise Untreatable "No Option" CLTI: Plantar Loop And Other Techniques: How To Do Them, Specialized Equipment And Results
Presenter(s): Marco G. Manzi, MD Location: Grand Ballroom East, 3rd Floor
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1:24 PM - 1:29 PM
Long-Term Multicenter Outcomes Show That Prosthetic (PTFE) Bypasses To Tibial And Peroneal Arteries Are Worthwhile
Presenter(s): Hasan H. Dosluoglu, MD / Heepeel Chang, MD / Richard F. Neville, MD / Frank J. Veith, MD Location: Grand Ballroom East, 3rd Floor
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1:30 PM - 1:35 PM
Panel Discussion
Location: Grand Ballroom East, 3rd Floor 1:36 PM - 1:41 PM
Long-Term Outcomes Of Transcatheter Arterialization Of The Deep Veins (DVA) Using The LimFlow System (Inari-Stryker): From A Multicenter UK Study: Indications, Advantages And Limitations
Presenter(s): Hany M. Zayed, MD Location: Grand Ballroom East, 3rd Floor
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1:42 PM - 1:47 PM
Intraoperative Optimization Of DVA (LimFlow) For No Option CLTI: Flow Volume In The Lateral Plantar Vein Is A Crucial Parameter To Measure And Modulate For DVA Success: How To Do It And How To Use It
Presenter(s): Miguel F. Montero-Baker, MD Location: Grand Ballroom East, 3rd Floor
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1:48 PM - 1:53 PM
Long-Term 5-Year Experience With LimFlow DVA For CLTI: Optimal Case Selection, Technical And Post Procedure Pearls To Improve Results: Role And Methods Of Vein Embolization
Presenter(s): Steven Kum, MD Location: Grand Ballroom East, 3rd Floor
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1:54 PM - 1:59 PM
Results With LimFlow Deep Vein Arterialization (DVA) Are So Good That There Are Few CLTI Patients That Are Truly "No Option" For Invasive Treatment: What Are The Adjuncts To The Procedure That Contribute To Its Success – Anticoagulation, Etc.
Presenter(s): Anahita Dua, MD, MS, MBA Location: Grand Ballroom East, 3rd Floor
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2:00 PM - 2:05 PM
Not So Fast: Results With DVA May Not Be As Good Universally As Reported In The PROMISE And Other Trials: DVA May Have Some Downsides Leaving Room For Other Treatments Of
Presenter(s): Lars Stangenberg, MD, PhD / Marc L. Schermerhorn, MD Location: Grand Ballroom East, 3rd Floor
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2:06 PM - 2:11 PM
Alternate Catheter-Based System For DVA: The Boomerang Device And Trial (Cardiva Medical) Creates An Endovascular A-V Fistula Without The Need For A Stent-Graft: How Does It Work: Advantages And Results
Presenter(s): Brian G. DeRubertis, MD Location: Grand Ballroom East, 3rd Floor
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2:12 PM - 2:17 PM
Open Surgical Vein Arterialization: Indications, Technical Tips, Long-Term Results And Advantages Of Open vs. Endo
Presenter(s): Pramook Mutirangura, FRCS (Edinburgh) Location: Grand Ballroom East, 3rd Floor
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2:18 PM - 2:24 PM
Panel Discussion
Location: Grand Ballroom East, 3rd Floor