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The endovascular treatment of critical limb ischemia (CLI) and diabetic foot has become an important and promising approach for revascularization of femoral, tibial and foot arteries, improving clinical outcomes and supporting limb salvage. The endovascular therapy for CLI is growing and evolving in terms of therapeutic indications, allowing us to improve our clinical daily practice in diabetic foot treatment and limb salvage. This therapy is in continuing evolution, and directly related to new technical strategies and devices development. Learning and reviewing the basis, tips & tricks and mastering the techniques and therapeutic indications are essential to manage complex cases of diabetic CLI patients. Actually, most of endovascular specialists are interested in learning and treating this complex condition. For this reason we conceived this event, to support all this initiatives. Our main objective in developing this conference is to gather experts from all around the world and our audience, to interact and share together, in a very friendly atmosphere. Based on a live-cases model, this event will focus on a step-by-step approach for each live procedure, supported by didactic discussions about decision making, technical strategies and therapies. The entire endovascular community dedicated to CLI will find in this conference the opportunity to fill the current gaps in the treatment of patients with Critical Limb Ischemia. |
Program |
March 23 - Morning |
08.45 – 10.00 Live Case 1 (unconditioned sponsorship: Philips Volcano) |
| Operator: L.M. Palena - Chair: M. Manzi |
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Panel: R. Ferraresi, R. Gandini, M. Gargiulo, A. Schmidt |
| Flash Technical Presentations (5 min) |
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Antegrade Approach: 4F vs 6F US guided, R. Ferraresi Intraluminal Progression First: Wires, Why and When, A. Schmidt Subintimal Approach First: Wires, Why and When, R. Gandini SFA Re-enter: Tips and Tricks, A. Schmidt SFA Endovascular First: Why and When, M. Gargiulo |
10.30 – 12.00 Live Case 2 (unconditioned sponsorship: Bard) |
| Operator: L.M. Palena - Chair: M. Manzi |
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Panel: L. Diaz, R. Gandini, A. Schmidt, S. Thomas |
| Flash Technical presentations (5 min) |
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Re-Enter in Pop Area: Collaterals and Tibials High Origin, L. Diaz Popliteal and Trifurcation CTO: How to manage, A. Schmidt Retrograde Popliteal Approach vs Retrograde AT, M. Manzi Endo vs Open for a Modern Vascular Surgeon, S. Thomas Aggressivity and Complications Management, R. Gandini |
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Parallel Session: 12.00 – 13.00 New technologies session 12.00 – 13.00 Wound Care and Foot Surgery: Foot Team Chairman: E. Brocco, MD Diabetic foot syndrome: epidemiological and clinical aspects, E. Brocco Diabetic foot syndrome: surgical treatments, C. Whisstock Diabetic foot syndrome: medical and orthotic treatments, R. Da Ros |
March 23 - Afternoon |
14.00 - 15.30 Live Case 3 (unconditioned sponsorship: Abbott Vascular) |
| Operator: M. Manzi - Chair: L.M. Palena |
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Panel: L. Diaz, R. Ferraresi, R. Gandini, A. Schmidt |
| Flash Technical Presentations (5 min) |
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BTK CTOs: Intraluminal vs Subintimal: Italian Way, R. Gandini Re-enter in the Ca++: German Techniques and Tricks, A. Schmidt DM, ESRD, Arthritis: Tips and Tricks against Calcium, R. Ferraresi Last Resort a er Failures: DAVF, L. Diaz CLI and CIN: CO2 Angio & PTA: could be the right strategy? L.M. Palena |
16.00 – 17.30 Live Case 4 (unconditioned sponsorship: Asahi Intecc, Kardia) |
| Operator: M. Manzi - Chair: L.M. Palena |
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Panel: L. Diaz, M. Gargiulo, A. Schmidt, S. Thomas |
| Flash Technical presentations (5 min) |
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Outfow in the foot: how important is the target, M. Gargiulo Re-enter in the foot: German Techniques, A. Schmidt Cardiological Tools, Tricks for navigation and CTOs, L. Diaz Foot Recanalization: Could I think to Hybrid? S. Thomas Extreme Retrograde Punctures: Tips and Tricks, L.M. Palena |
| 11.15 - There is no U-turn for the endovascular treatments, F. Pecoraro |
March 24 - Morning |
08.30 – 10.00 Live Case 5 (unconditioned sponsorship: Abbott Vascular) |
| Operator: M. Manzi - Chair: L.M. Palena |
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Panel: F. Fanelli, M. Gargiulo, A. Micari, A. Schmidt, S. Thomas |
| Flash Therapeutical /Treatment Option Presentations (5 min) |
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SFA, No metal behind concept: POBA and DEBs, A. Micari SFA, No metal behind concept: Debulking + DEBs, F. Fanelli SFA Stenting: Bailout, BMS Nitinol or DES? Why and When, S. Thomas SFA Stenting: Calcium, Recoiling and Mimetic Stents, A. Schmidt SFA percutaneous by-pass: PQ-By-Pass experience, M. Gargiulo |
10.30 - 12.00 Live Case 6 (unconditioned sponsorship: Medtronic) |
| Operator: M. Manzi - Chair: L.M. Palena |
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Panel: L. Diaz, R. Ferraresi, M. Gargiulo, A. Micari |
| Flash Terapeutical/Treatment Option Presentations (5 min) |
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Popliteal Artery: A Di cult Area, R. Ferraresi Which is the DEBs Role? A. Micari Is Atherectomy an e ective Treatment? L. Diaz Do I have always to avoid stenting? L.M. Palena I thought it was a CTO: Pop Aneurism/Acute Thrombosis Treatment, M. Gargiulo |
12.00 – 13.00 Lunch Symposium (click here to see video) |
March 24 - Afternoon |
13.00 - 14.30 Live Case 7 (unconditioned sponsorship: Bard) |
| Operator: L.M. Palena - Chair: M. Manzi |
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Panel: Y. Bausback, F. Fanelli, R. Ferraresi, S. Kum |
| Flash Terapeutical/Treatment Option Presentations (5 min) |
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BTK: Is it always a No-Stenting Zone? R. Ferraresi BTK: Role of Atherectomy, F. Fanelli BTK: Role of US Paclitaxel, Y. Bausback BTK: BVS, Bullfrog as adjuncts in BTK lesions - Utility and Evidence, S. Kum |
15.00 - 16.30 Live Case 8 (unconditioned sponsorship: Boston Scientic) |
| Operator: L.M. Palena - Chair: M. Manzi |
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Panel: Y. Bausback, L. Diaz, R. Ferraresi, R. Gandini, S. Kum |
| Flash Terapeutical/Treatment Option Presentations (5 min) |
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BTA: Indications for DCB in foot arteries, Y. Bausback BTA: Indications for Atherectomy in foot arteries, L. Diaz BTA: Indications for stent use in foot arteries, M. Manzi BTA: Deep Venous Arteriolisation - Endo and Open options and Clinical Results, S. Kum |
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CLIC 2017 - Critical Ischemia Limb Course - D
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Contributors
• Yvonne Bausback, Leipzig, Germany
• Larry Diaz-Sandoval, Wyoming, United States
• Fabrizio Fanelli, Rome, Italy
• Roberto Ferraresi, Bergamo, Italy
• Roberto Gandini, Sallanches, Italy
• Mauro Gargiulo, Igea Marina Bellaria, Rim, Italy
• Steven Kum, Singapour, Italy
• Marco Manzi, Abano Terme, Italy
• Antonio Micari, Messina, Italy
• Luis Mariano Palena, Abano Terme, Italy
• Andrej Schmidt, Leipzig, Germany
• Shannon D. Thomas, Randwick, Australia
