Program and Abstracts
For
The 7th International Symposium on Vascular Surgery Update
in Conjunction with
The 2nd Scientific Meeting of the Saudi Society for Vascular Surgery
Date:
Sunday and Monday, January 20-21, 2008 (Muharram 11-12, 1429)
Venue:
College of Medicine, King Saud University
Riyadh- Saudi Arabia
Fee:
Free for members
300SR for non-members
Speakers:
National and International Speakers
CME Credit:
12 CME hours from the Saudi Council for Health Specialties
ORGANIZING COMMITTEE:
Chair:
Dr. Mussaad M Al-Salman
Professor of Surgery and Consultant Vascular Surgeon
Dean, College of Medicine
King Saud University
Riyadh, Saudi Arabia
Vice President of the Saudi Society for Vascular Surgery
Co-Chair:
Dr. Mohammed Al-Omran
Assistant Professor of Surgery and Consultant Vascular Surgeon
Division of Vascular Surgery
College of Medicine & King Khalid University Hospital
King Saud University
Riyadh, Saudi Arabia
Treasurer and Research Committee Chair
The Saudi Society for Vascular Surgery
Dr. Badr Aljabri
Assistant Professor of Surgery and Consultant Vascular Surgeon
Head, Division of Vascular Surgery
College of Medicine & King Khalid University Hospital
King Saud University
Riyadh, Saudi Arabia
Members:
Dr. Hassan Al-Zahrani
Professor of Surgery and Consultant Vascular Surgeon
Chairman, Department of Surgery
College of Medicine
King Abdulaziz University
Jeddah, Saudi Arabia
President of the Saudi Society for Vascular Surgery
Dr. Abdullah Alwahbi
Assistant Professor of Surgery and Consultant Vascular Surgeon
Head, Division of Vascular Surgery
King Abdulaziz Medical City
Riyadh, Saudi Arabia
Secretary General of the Saudi Society for Vascular Surgery
Dr. Kaissor Iqbal
Consultant Vascular Surgeon
Division of Vascular Surgery
College of Medicine & King Khalid University Hospital
King Saud University
Riyadh, Saudi Arabia
INVITED SPEAKER FACULTY:
Dr. Thomas F. Lindsay
Professor of Surgery and Staff Vascular Surgeon
Chairman, Department of Vascular Surgery
University of Toronto
Toronto, Ontario
Canada
Dr. Heitham T. Hassoun
Assistant Professor of Surgery and Staff Vascular Surgeon
Department of Vascular Surgery
Johns Hopkins University
Baltimore, MD
USA
Director of Vascular Interventional Therapy
Tawam Hospital-Johns Hopkins International
Al Ain, Abu Dhabi
UAE
Dr. Mohammed S. Sobeh
Consultant General, Vascular and Transplant Surgeon
Department of Vascular Surgery
Barts and The London NHS Trust
London, United Kingdom
Dr. Mohammed I. Al-Majed
Assistant Professor of Anasthesia and Staff Anasthesiologist
Departement of Anasthesia
College of Medicine & King Khalid University Hospital
King Saud University
Riyadh, Saudi Arabia
Outlines for the Scientific Program:
- Day 1: Sunday, January 20, 2008 (Muharram 11, 1429)
|
|
Activity |
Speaker |
|
7:30-8:15 |
Registration |
|
|
8:15-8:30 |
Opening Remarks |
Prof. M Al-Salman |
|
8:30-9:20 |
New Trends in Vascular Surgery |
Prof. TF Lindsay, Canada |
|
9:20-9:45 |
Endovascular Management of Traumatic Thoracic Injury |
Dr. M Sobeh, UK |
|
9:45-10:15 |
Percutanous Abdominal Aortic Aneurysm Repair |
Dr. H Hassoun, USA |
|
10:15-10:45 |
Coffee Break |
|
10:45-11:30 |
Recent Advances on the Perioperative Anesthetic management of the Vascular Patient. |
Dr. M Al-Majed, KSA |
|
11:30-12:00 |
Risk Reduction in Patients with Peripheral Arterial Disease: Where Do We Stand in Saudi Arabia? |
Dr. M Al-Omran, KSA |
|
12:00-13:00 |
Prayer & Lunch Break |
|
13:00-14:00 |
Scientific Papers Session -I : Aortic Interventions |
|
14:00-15:00 |
Scientific Papers Session -II: Hemodialysis Access and Venous Disorders |
|
15:00-15:30 |
Prayer & Coffee Break |
|
15:30-17:00 |
SSVS General Assembly Meeting |
The member of the SSVS |
|
20:00- 22:30 |
SSVS Dinner |
The member of the SSVS |
- Day 2: Monday, January 21, 2008 (Muharram 12, 1429)
|
|
Activity |
Speaker |
|
8:00-8:30 |
Training in Vascular Surgery: The Saudi Experience |
Prof. M Al-Salman, KSA |
|
8:30-9:00 |
Current Standards for Training in Vascular Surgery
|
Prof. TF Lindsay, Canada |
|
9:00-9:30 |
Recent advances in protecting kidneys and gut from ischemia/reperfusion injury post aortic surgery.
|
Dr. H Hassoun, USA |
|
9:30-10:00 |
Coffee Break |
|
10:00-11:30 |
Scientific Papers Session-III: Vascular Trauma |
|
11:30-12:30 |
Prayer & Lunch Break |
|
12:30- 13:50 |
Scientific Papers Session-IV: Peripheral Arterial Disease |
|
13:50-14:10 |
Coffee Break |
|
14:10-15:00 |
Scientific Papers Session-V: Vascular Diagnostic Modalities and Miscellaneous Topics |
|
15:00-15:15 |
Closing Remarks |
Prof. M Al-Salman |
Detailed Scientific Program:
Day 1: Sunday, January 20, 2008 (Muharram 11, 1429)
08:15 Opening Address
Dr. Mussaad Al-Salman
Session 1:
Moderators: Dr. Hassan Al-Zahrani and Dr. Mussaad Al-Salman
08:30 New Trends in Vascular Surgery
Dr. Thomas F Lindsay
University of Toronto, Toronto, Canada
09:20 Endovascular Management of Traumatic Thoracic Injury
Dr. Mohammed Sobeh
Barts and The London NHS Trust, London, United Kingdom
09:45 Percutanous Abdominal Aortic Aneurysm Repair
Dr. Heitham Hassoun
Johns Hopkins University, Baltimore, MD, USA
10:15 Coffee Break
Session 2:
Moderators: Dr. Saad Al-Garni and Dr. Abdullah Alwahbi
10:45 Recent Advances on the Perioperative Anesthetic management of the
Vascular Patient
Dr. Mohammed Al-Majed
King Saud University, Riyadh, Saudi Arabia
11:30 Risk Reduction in Patients with Peripheral Arterial Disease:
Where Do We Stand in Saudi Arabia?
Dr. Dr. Mohamed Al-Omran
King Saud University, Riyadh, Saudi Arabia
12:00 Prayer and Lunch Break
Session 3: Scientific Papers Session-I: Aortic Interventions
Moderators: Dr. Thomas Lindsay and Dr. Mohammed Sobeh
13:00 Endovascular Exclusion of Aneurysms of the Aortic Arch, Thoraco-Abdominal
Aorta and Juxta-Renal Aorta
Mr. Kossa, S. Haulon, A. AlKreedees, R. Azzaoui, T Modine, L Destriux-Gannier,
C Decoene, G Fayad, H. Warembourg
CHRU of Lille, France
13:10 Endovascular Repair of Blunt Traumatic Thoracic Aortic Injuries:
Retrospective Analysis From Two Teaching Centers in Saudi Arabia
Shaltot M, Al Garni S, El kayali A, Al Kohlani H , Al Turki S , Al Moaqel M. Al Wahbi AM.
Riyadh, Saudi Arabia
13:20 Endovascular Treatment of Acute Aortic Emergencies: Early Results
Badr Aljabri, MD; Tawfiq Abu-AlNasr MD; Abdulmajeed Al-Tuwaijri, MD; Musaad
Al-Salman, MD; Mohammed Al-Omran, MD
Riyadh, Saudi Arabia
13:30 Fate of Left Kidney after Left Renal Vein Division during management of Aortic
Occlusive Disease.
Mohamed A Elsharawy*, MS MD FRCS and Khaled M Moghazy **, MS MD
Al-Khober,Saudi Arabia.
13:40 Mycotic Infrarenal Abdominal Aortic Aneurysm: Case Series & review of the
literature
Samer Ali; Mohammed Bafaraj
Makkah, Saudi Arabia
13:50 Unfavourable Aortic Aneurysms Anatomy: Challenging Scenarios for Vascular
Surgeons
Hamid Al-Ghamdi, MBBS; Badr Al-Jabri, MD; Musaad M Al-Salman, MD;
Kaissor Iqbal, MBBS; Mohammed Al-Omran, MD, MSc.
Riyadh, Saudi Arabia.
Session 4: Scientific Papers Session -II: Hemodialysis Access and Venous Disorders
Moderators: Dr. Heitham Hassoun and Dr. Saud Al-Turki
14:00 The effect of venous outflow diameter on the patency rate of arteriovenous fistulae
Alaa Amin, FRCSI, ABS,KSUF
Taif, Saudi Arabia.
14:10 Does regional anesthesia influence early failure of elbow arteriovenous fistulae?
Mohamed A Elsharawy*, MS MD FRCS and Roshdy Elmotwely**.
Al-Khober, Saudi Arabia.
14:20 Managing the life line: The Dialysis Vascular Coordinator, the way to improve
Hemodialysis Access outcomes
Showmer A, Bakarman K, AlKohlani H, Ayad E, Enezy K, Mahmoud I, ELKayali A,
AlTurki S, AlWahbi AM
Riyadh, Saudi Arabia.
14:30 Endovenous Laser Therapy of the Great Saphenous Vein: Early and Intermediate
Results
Riyadh, Saudi Arabia.
14:40 Do Management Strategies Reduce Vascular Access Complications?
M Mazen Hachem, M Bosaeed, M Wakka, A Hamdan
Jeddah, Saudi Arabia
14:50 Pulmonary embolism – Surgical aspects: Review of the Literature
Mohamed M Ramzy, MD, FACS
Qassim, Saudi Arabia.
15:00 Coffee Break
15:30 SSVS General Assembly Meeting
Day 2: Monday, January 21, 2008 (Muharram 12, 1429)
Session 5:
Moderators: Dr. Hassan Al-Zahrani and Dr. Badr Aljabri
08:00 Training in Vascular Surgery: The Saudi Experience
Dr. Mussaad Al-Salman
King Saud University, Riyadh, Saudi Arabia
08:30 Current Standards for Training in Vascular Surgery
Dr. Thomas F Lindsay
University of Toronto, Toronto, Canada
09:00 Recent advances in protecting kidneys and gut from ischemia/reperfusion injury
post aortic surgery
Dr. Heitham Hassoun
Johns Hopkins University, Baltimore, MD, USA
09:30 Coffee Break
Session 6: Scientific Papers Session-III: Vascular Trauma
Moderators: Dr. Hussein Al Kohlani and Dr. Yahiya Ashgan
10:00 THE MANGLED LOWER EXTREMITY: Limb Salvage or Amputation?
Sameh Barayan, MD, FRCSEd, FRCSC, FACS; Ashraf Noureldin, MD
AL KHOBAR , Saudi Arabia
10:10 Management of Mangled Extremity
El Sayed A. El Zayat
Riyadh, Saudi Arabia
10:20 Management Algorithm for Blunt Renal Artery Occlusion in Multiple Trauma
Patients
Ali Jawas, MD, FRCSC; Fikri Abu-Zidan, MD, FRCS, PhD, DipApplStats
Al-Ain, United Arab Emirates
10:30 155 vascular injuries: a retrospective study in Kuwait, 1992-2000
Asfar S, Al-Ali J, Safar H, Al-Bader M, Farid E, Ali A, Kansou J
Kuwait
10:40 Vascular Trauma: A Local Center Experience
Elham Khouja, MD
Maddinah, Saudi Arabia
10:50 Vascular Trauma: A Single Center Experience
Omar Balubaid
Jeddah, Saudi Arabia
11:00 Management of a Large Common Femoral Artery Traumatic Psudoaneurysm in 5-
Months Old Girl: A Case Report
Nabeel Batheeb, MBBS; Badr Al-Jabri, MD; Mohammed Al-Omran, MD, MSc;
Mussaad M Al-Salman, MD.
Riyadh, Saudi Arabia
11:10 Neglected Traumatic Arterio-Venous Fistula
Abdulmoula Tahani
Dammam, Saudi Arabia
11:20 Stent-grafts in the management of hemorrhagic complications related to femoral catheter insertion: report of two cases
Abu-AlNasr T, AlKohlani H, Al Moaqel M, Al Turki S, AlWahbi AM
Riyadh, KSA
11:30 Prayer and Lunch Break
Session 7: Scientific Papers Session-IV: Peripheral Arterial Disease
Moderators: Dr. Gaith Khougair and Dr. Mohammed Al-Omran
12:30 Does Visfatin Correlates with the Severity of Peripheral Arterial Disease in Diabetic
Patients?
Sultan Al-Sheaik, MD; Eman El-Eter, MD, PhD; Talal Al-Tuwaijri, MD; Badr
Al-Jabri, MD; Musaad M Al-Salman, MD; Mohammed Al-Omran, MD, MSc.
Riyadh, Saudi arabia
12:40 Intermediate results of percutanous endovascular therapy and bypass surgery of
femoropopliteal occlusive disease: non-randomized prospective study
A.Marakbi, A. Hassan, and A.Bdwey
Jeddah, Saudi Arabia
12:50 Endovascular Treatment for Acute Limb Ischemia
M Mazen Hachem, MD, FACS., Gh. Atasi, A. Qanawi, M Brembali, M Bosaeed, A.
Al-Hamdan and M Wakka
Jeddah, Saudi Arabia
13:00 Short Segment Distal Leg Bypass: A valuable but often neglected surgical option
Ala' Groof, FRCSC; Haitham Al-Khayat, FRCSC; Adnan Sadeq, FRCSC.
Kuwait City, KUWAIT
13:10 Peripheral Arterial Disease Evaluation in the Saudi Project for Assessment of
Coronary Events Registry reveals a Missed Opportunity in Preventing the adverse
Cardiovascular Outcomes: A Pilot Study (SPACE-PAD-I)
Badr Aljabri, MD; Ayman Al-Saleeh, MD; Sultan Al Sheikh, MD; Talal Al-Tuwaijri, MD;
Khalid Al-Habib, MD; Mohammed Al-Omran, MD, MSc
Riyadh, Saudi Arabia
13:20 Upper Limb Ischemia in a 15 months old girl: A case report
Elham Khouja, MD
Maddinah, Saudi Arabia.
13:30 Carotid-subclavian bypass: an off-pump myocardial revascularization
Case Report & Literature review
Ghatfan SHAABAN, MD
ARAR, Saudi Arabia
13:40 Primary systemic amyloidosis with extensive vascular involvement: Case report
and review of literature
Tahira Aslam, MBBS, FCPS, MRCS and Ahmed Maged Farghaly, MD, MRCS
Riyadh, Saudi Arabia
13:50 Coffee Break
Session 8: Scientific Papers Session-V: Vascular Diagnostic Modalities and Miscellaneous
Topics
Moderators: Dr. Sameh Barayan and Dr. Elham Khouja
14:10 Outcome of Surgical Treatment for Carotid Body Tumors:
King Khalid University Hospital Experience
Tawfiq Abu-AlNasr MD; Musaad Al-Salman, MD; Badr Aljabri, MD; Kaissor Iqbal,
Abdulmajeed Al-Tuwaijri, MD; Mohammed Al-Omran, MD, MSc.
Riyadh, Saudi Arabia.
14:20 Assessment of Peripheral Arterial Occlusive Disease; Comparison of 64 Single
Source Multidetector CT Angiography and Intraarterial Digital Subtraction
Angiography
Bakarman K, Showmer A, AlKohlani H, Al Moaqel M, Ayad E, Enezy K, El Kayali A,
Al-Turki S, Alwahbi A
Riyadh, Saudi Arabia.
14:30 Evolution of Vascular Laboratory: The Saudi Arabian Experience
Kaisor Iqbal, MD; Mohammed Noor, BSc, Linda Al-Wabeel, BSc; Badr Aljabri, MD;
Mohammed Al-Omran, MD, MSc; Mussaad Al-Salman, MD
Riyadh, Saudi Arabia.
14:40 The applicability of Pre Test Probability model for Deep Vein Thrombosis in
combination with D- Dimer testing
Mirza Baig; Khalid Al-Brekeit.
Riyadh, Saudi Arabia.
14:50 Supraclavicular Approach for the Treatment of Arterial Thoracic Outlet Syndrome:
King Khalid University Hospital Experience
Tawfiq Abu-AlNasr MD; Musaad Al-Salman, MD; Badr Aljabri, MD; Kaissor Iqbal,
Abdulmajeed Al-Tuwaijri, MD; Mohammed Al-Omran, MD, MSc.
Riyadh, Saudi Arabia.
15:00 Adjourn
ABSTRACTS
Endovascular Exclusion of Aneurysms of the Aortic Arch, Thoraco-Abdominal Aorta and Juxta-Renal Aorta
Mr. KOUSSA, S. HAULON, A. ALKREEDEES, R. AZZAOUI, T MODINE, L DESTRIEUX-GANNIER, C DECOENE, G FAYAD, H. WAREMBOURG
Department of Cardiovascular Surgery, Cardiologic Hospital, CHRU of Lille, France
Corresponding Author
Dr. Ali Al-Kreedees
Cardiologic Hospital
CHRU of Lille, France
Tel.: 0033 6 33 81 3525
Email: kreedees@yahoo.com
Objectives: Description and evaluation of new endovascular techniques and hybrids for the treatment of the complex aortic lesions.
Methods: Retrospective study among patients contra-indicated for a conventional surgery and presenting with an aneurysm of the aortic arch (group 1), thoraco-abdominal (group 2), or juxta-renal (group 3). The treatment was carried out by transposition of the supra-aortic trunks associated the establishment of covered endoprostheses(s) for the group 1, retrograde mesenteric and renal bridging associated the establishment of covered endoprosthese(s) for the group 2, of endoprotheses fenestrated for the group 3. An evaluation of the patients and an angioscanning of the operated site were programmed 1, 6; 12, and 24 months after the intervention.
Results: From March 2002 to January 2005, 13 patients (average age 71 years) were operated for aneurysm of the arch (n=4), thoraco-abdominal (n=3), and juxta-renal (n=6). A coronary revascularisation without CEC was carried out in a concomitant way among 2 patients of the group 1. Un banding of the aorta was carried out among 2 patients of the group 2. A patient of the group 1 died brutally in the 7th post-operative day. A patient of group 3 presented with an aggravation of his preoperative renal insufficiency. The average follow-up was 9 months. No secondary gesture was carried out. The maximum diameter of the aneurism decreased among 5 patients and remained stable at the 8 others.
Conclusion: The treatment of complex aortic lesions among patients presenting with contra-indications to a conventional surgery can be carried out with the assistance of endovascular techniques. The continuation of the follow-up is necessary before recommending these techniques as the first option.
ENDOVASCULAR REPAIR OF BLUNT TRAUMATIC THORACIC AORTIC INJURIES: RETROSPECTIVE ANALYSIS FROM TWO TEACHING CENTERS IN SAUDI ARABIA
Shaltot M, Al Garni S, El kayali A, Al Kohlani H , Al Turki S , Al Moaqel M. Al Wahbi AM.
Division of Vascular Surgery & Division of Interventional Radiology, KAMC, Riyadh, KSA and Division of Vascular Surgery, KFSH, Riyadh, KSA
Corresponding Author:
Dr. Abdullah Alwahbi
PO BOX: 22490 RIYADH 11426
TEL: +9661-2520088 #14119 #14118 #14137
FAX: + 9661-2520051
Email: alwahbi1@hotmail.com
Background: Endovascular therapy has recently extended to the treatment of blunt traumatic thoracic aorta and has been approved to be safe in emergency. The aim of this study is to evaluate the results of endovascular stent graft placement (from two tertiary care teaching hospitals in Riyadh) for treatment of traumatic thoracic aorta injuries.
Methods and Results: Sixteen consecutive patients out of seventeen (18 to 74 years old male; mean 37 years) underwent stent grafting of the aortic isthmus in aortic traumatic rupture after motor vehicle accident. The implantation procedure was technically successfully in all cases. There was no death, surgical conversion or paraplegia. One patient showed minor degree of endoleak at discharge, resolved spontaneously after one month. Acute lower limb ischemia occurred in one patient secondary to thrombosis at femoral arteriotomy site, treated successfully by patch angioplasty. Two patients who had associated pelvic fractures, developed pulmonary embolism and required IVC filter insertion. Stent graft covered the orifice of left subclavian artery in two patients, which tolerated well without revascularization. Mean follow up was 16 months (Range 3-45 months). Thrombosis of peudoaneurysmal sac was found in all patients.
Conclusion: Although long-term results from our centers are unknown, we conclude that endovascular repair of thoracic aortic injuries after blunt trauma can be performed safely and is the treatment of choice in emergency.
Endovascular Treatment of Acute Aortic Emergencies: Early Results
From the Division of Vascular Surgery, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia.
Fax: +9661 467-9493
Background: Acute aortic diseases are challenging to treat. If not treated, they carry high mortality rate. Endovascular stent grafting has emerged as an option to treat these emergencies with reported significant lower mortality and morbidity. The aim of this study was to evaluate the early results of endovascular stenting in treating a variety of acute aortic emergencies.
Methods: We prospectively collected data from consecutive patients who presented to King Khalid University Hospital with acute aortic diseases between April 1, 2007 and November 30, 2007 and were treated with endovascular stent grafts. Presentations of patients were; blunt traumatic thoracic aorta ruptures (n= 4), ruptured true thoracic aortic aneurysms (n = 4), and ruptured proximal anastomotic aortic psudoaneurysm (n = 1). Diagnosis was confirmed by multi-planer enhanced computed tomography with 2.5 mm cuts for accurate stent grafts sizing. Stent grafts were introduced through a common femoral artery cut down.
Results: A total of 12 stent grafts (Gore Excluder, California USA) implanted in 9 patients (8 males and 1 female) with a mean age of 45 years (16 – 73 years). Technical success rate defined by complete exclusion of the pathology was 100%. 30-days mortality rate was 22%. Both patients who died were from the ruptured true thoracic aortic aneurysm group and no patients died from the traumatic thoracic aorta ruptures. One patient died from acute renal failure that also required an axillary bi-femoral bypass at the original procedure for lower limb revascularization due to distal aortic occlusion and another died from hemoptysis from bronchoscopic confirmed bronchogenic carcinoma. In addition, one patient suffered from myocardial infarction from the ruptured true thoracic aortic aneurysm group treated medically. Non of the patient in the traumatic rupture group suffered from major complications.
Conclusion: Endovascular stent graft is an effective treatment option for an acute aortic emergencies particularly those who present with traumatic ruptures. Long-term follow-up is required to confirm its durability.
Fate of Left Kidney after Left Renal Vein Division during management of Aortic Occlusive Disease
Mohamed A Elsharawy*, MS MD FRCS and Khaled M Moghazy **, MS MD.
Department of Surgery* and Department of Radiology**King Faisel University, Al-Khober, Kingdom of Saudi Arabia.
Corresponding Author
