General Session

Session 5: Atherectomy: Controversial or Essential for CLI?

Thursday, August 17, 2023

8:30 AM – 10:20 AM CT

Location:Chicago Ballroom

Discussant(s)

Mohammad (Mac) Ansari, MD

Vice Chair (Clinical Research) / Cath Lab Director
Texas Tech University Health Sciences Center
Texas Tech University Health Sciences Center
Lubbock, Texas
James Antezana, MD

CEO/ Chief Endovascular Surgeon
South Charlotte General & Vascular Surgery
University of Missouri Hospitals and Clinics
Charlotte, North Carolina
Thomas Davis, MD

MD
St. John Hospital and Medical Center
St. Clair Shores, Michigan
Christopher LeSar, MD

Medical Director
Vascular Institute of Chattanooga
Hixson, Tennessee
Michael Lichtenberg

Director
Vascular Center Arnsberg, Germany
Klinikum Hochsauerland
Arnsberg, Nordrhein-Westfalen, Germany
RN

Richard Neville, MD

Chairman, Department of Surgery, Associate Director, INOVA Heart and Vascular Institute
INOVA Health system
University of Virginia, George Washington University
Falls Church, Virginia
George Pliagas, MD, FACS, FRCSC

Vascular /Endovascular Surgery
ACV Centers
Advanced Cardiac and Vascular Centers Las Vegas
Las Vegas, NV
R. Kevin Rogers, MD MSc RPVI

Associate Professor, Program Director - Vascular Medicine and Intervention
University of Colorado
University of Colorado
Denver, Colorado
Eric Secemsky, MD, MSc, RPVI, FACC, FAHA, FSCAI, FSVM

Director of Vascular Interventon
Beth Israel Deaconess Medical Center, Harvard Medical School
Harvard Medical School
Boston, Massachusetts
Bret Wiechmann, MD, FSIR, FAHA, FSVM

Medical Director
Interventional Radiology
Vascular & Interventional Physicians
University of Florida
Gainesville, Florida
John Winscott, MD

Professor of Medicine and Surgery
The University of Mississippi Medical Center
The University of Mississippi Medical Center
Jackson, Mississippi

Moderator(s)

Craig Walker, MD

Founder/President/Medical Director
Cardiovascular Institute of the South
Tulane Medical School / LSU School Medicine
Houma, Louisiana

Speaker(s)

Mohammad (Mac) Ansari, MD

Vice Chair (Clinical Research) / Cath Lab Director
Texas Tech University Health Sciences Center
Texas Tech University Health Sciences Center
Lubbock, Texas

PDF Slides
James Antezana, MD

CEO/ Chief Endovascular Surgeon
South Charlotte General & Vascular Surgery
University of Missouri Hospitals and Clinics
Charlotte, North Carolina

PDF Slides
Thomas Davis, MD

MD
St. John Hospital and Medical Center
St. Clair Shores, Michigan
Christopher LeSar, MD

Medical Director
Vascular Institute of Chattanooga
Hixson, Tennessee

PDF Slides
Michael Lichtenberg

Director
Vascular Center Arnsberg, Germany
Klinikum Hochsauerland
Arnsberg, Nordrhein-Westfalen, Germany

PDF Slides
RN

Richard Neville, MD

Chairman, Department of Surgery, Associate Director, INOVA Heart and Vascular Institute
INOVA Health system
University of Virginia, George Washington University
Falls Church, Virginia

PDF Slides
George Pliagas, MD, FACS, FRCSC

Vascular /Endovascular Surgery
ACV Centers
Advanced Cardiac and Vascular Centers Las Vegas
Las Vegas, NV

PDF Slides
R. Kevin Rogers, MD MSc RPVI

Associate Professor, Program Director - Vascular Medicine and Intervention
University of Colorado
University of Colorado
Denver, Colorado

PDF Slides
Eric Secemsky, MD, MSc, RPVI, FACC, FAHA, FSCAI, FSVM

Director of Vascular Interventon
Beth Israel Deaconess Medical Center, Harvard Medical School
Harvard Medical School
Boston, Massachusetts

PDF Slides
Bret Wiechmann, MD, FSIR, FAHA, FSVM

Medical Director
Interventional Radiology
Vascular & Interventional Physicians
University of Florida
Gainesville, Florida

PDF Slides
John Winscott, MD

Professor of Medicine and Surgery
The University of Mississippi Medical Center
The University of Mississippi Medical Center
Jackson, Mississippi

PDF Slides

Presentations:

8:30 AM – 8:38 AM CT

Medical Therapy in CLI Patients Vs. Medical Therapy in Claudicants: Same Treatment, Different Objectives?
Speaker: R. Kevin Rogers, MD MSc RPVI – University of Colorado
8:38 AM – 8:46 AM CT

What is the Evidence? Usage and Outcomes of Atherectomy for Complex Femoropopliteal Endovascular Interventions
Speaker: Eric A. Secemsky, MD, MSc, RPVI, FACC, FAHA, FSCAI, FSVM – Beth Israel Deaconess Medical Center, Harvard Medical School
8:46 AM – 8:54 AM CT

Which Atherectomy Device When?
Speaker: Thomas Davis, MD – St. John Hospital and Medical Center
8:54 AM – 9:02 AM CT

Is Atherectomy Over-Utilized and Used for Financial Gain?
Speaker: Christopher LeSar, MD – Vascular Institute of Chattanooga
9:02 AM – 9:10 AM CT

How Do You Treat CLI When the Patient Does Not Have a Target for Bypass?
Speaker: Bret N. Wiechmann, MD, FSIR, FAHA, FSVM – Vascular & Interventional Physicians
9:10 AM – 9:18 AM CT

When to Consider Alternatives to Atherectomy?
Speaker: Richard F. Neville, MD – INOVA Health system
9:18 AM – 9:25 AM CT

Orbital Atherectomy for Infrainguinal Disease
Speaker: James N. Antezana, MD – South Charlotte General & Vascular Surgery
9:25 AM – 9:32 AM CT

How I Use Directional Atherectomy: Tips for Successful Vessel Preparation in Complex PAD
Speaker: John Winscott, MD – The University of Mississippi Medical Center
9:32 AM – 9:39 AM CT

The Current Role of Laser Atherectomy in Lower Extremity Interventions
Speaker: George A. Pliagas, MD, FACS, FRCSC – ACV Centers
9:39 AM – 9:46 AM CT

Late Breaking: OCT-Guided Atherectomy of Lesions BTK: Real-Time imaging That Provides Real-World Data
Speaker: Thomas Davis, MD – St. John Hospital and Medical Center
9:46 AM – 9:53 AM CT

Late Breaking: Clinical Safety and Efficacy on Rotational Atherectomy: Real World Data on Jetstream
Speaker: Mohammad (Mac) Ansari, MD – Texas Tech University Health Sciences Center
9:53 AM – 10:00 AM CT

24-Month Results from the Prospective Multicenter Study of the Rotarex Atherectomy and Thrombectomy Catheter System
Speaker: Michael K.W Lichtenberg – Vascular Center Arnsberg, Germany
10:00 AM – 10:20 AM CT

Panel Discussion
Discussant: James N. Antezana, MD – South Charlotte General & Vascular Surgery
Discussant: George A. Pliagas, MD, FACS, FRCSC – ACV Centers
Discussant: Thomas Davis, MD – St. John Hospital and Medical Center
Discussant: Eric A. Secemsky, MD, MSc, RPVI, FACC, FAHA, FSCAI, FSVM – Beth Israel Deaconess Medical Center, Harvard Medical School
Moderator: Craig M. Walker, MD – Cardiovascular Institute of the South
Discussant: John Winscott, MD – The University of Mississippi Medical Center
Discussant: Christopher LeSar, MD – Vascular Institute of Chattanooga
Discussant: Bret N. Wiechmann, MD, FSIR, FAHA, FSVM – Vascular & Interventional Physicians
Discussant: Mohammad (Mac) Ansari, MD – Texas Tech University Health Sciences Center
Discussant: Michael K.W Lichtenberg – Vascular Center Arnsberg, Germany
Discussant: R. Kevin Rogers, MD MSc RPVI – University of Colorado
Discussant: Richard F. Neville, MD – INOVA Health system