CONTROVERSIES CHALLENGES CONSENSUS

INNOVATIONEDUCATION EVIDENCE

2 1 – 2 4 A P R I L 2 0 2 0T U E S D AY – F R I D AYOLYMPIA LONDON • UNITED KINGDOM

PeripheralArterial

ConsensusAortic

Consensus

AcuteStroke

Consensus

VascularAccess

Consensus

Venous &LymphaticConsensus

w w w.cxsympos ium.com

1 S T A N N O U N C E M E N T

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Aortic Dittmar Böckler Professor of Vascular Surgery at

University of Heidelberg and Head of Department of Vascular Surgery and Endovascular Surgery at University Hospital Heidelberg, Heidelberg, Germany

Stéphan Haulon Professor of Vascular Surgery,

Université Paris Sud, Hôpital Marie Lannelongue, Le Plessis Robinson, France

Tilo Kölbel Professor of Vascular Surgery,

University of Hamburg, and Vascular Surgeon at the University Heart Center Hamburg, Hamburg, Germany

Peripheral Arterial

Andrew Holden Associate Professor of Radiology

at Auckland University School of Medicine and Director of Interventional Services at Auckland City Hospital, Auckland, New Zealand

Gunnar Tepe Head of Diagnostic and Interventional

Radiology, RoMed Clinic, Rosenheim,

Germany

Thomas Zeller Professor of Angiology at Albert-

Ludwigs University of Freiburg and Head of Department of Angiology at Universitäts – Herzzentrum Freiburg, Bad Krozingen, Germany

Venous & Lymphatic

Stephen Black Consultant Vascular Surgeon at Guy’s

and St Thomas’ Hospital, London, UK and Reader in Venous Surgery at Kings College London

Manj Gohel Consultant Vascular & Endovascular

Surgeon, Addenbrooke’s Hospital, Cambridge, UK, and Honorary Senior Lecturer, Department of Surgery and Cancer, Imperial College London, London, UK

Armando Mansilha Professor of Angiology and Vascular

Surgery, Faculty of Medicine at the University of Porto, Porto, Portugal, and Secretary General, UEMS Section and Board of Vascular Surgery

Acute Stroke

Hugh Markus Professor of Stroke Medicine, Honorary

Consultant Neurologist, University of Cambridge, Cambridge, UK

Barbara Rantner Vascular surgeon, Department of

Vascular and Endovascular Surgery, Ludwig Maximilians University Munich, Munich, Germany

Vascular Access

Nicholas Inston Consultant Surgeon and Clinical Lead

for Renal Surgery and Transplantation at Queen Elizabeth Hospital Birmingham, Birmingham, UK

Domenico Valenti Consultant Vascular Surgeon and

Honorary Senior Lecturer at King’s College London, London, UK

iWounds

Michael Edmonds Professor of Diabetic Foot Medicine

and Consultant Diabetologist at King’s College Hospital, London, UK

Keith Harding Professor of Wound Healing

Research, School of Medicine, Cardiff University, Cardiff, UK

Major Vascular Trauma

Christopher Aylwin Consultant Vascular and Trauma

Surgeon, Imperial College Healthcare NHS Trust, London, UK

Ross Davenport Consultant Trauma and Vascular

Surgeon, Barts Health NHS Trust & Senior Lecturer, Centre for Trauma Sciences, QMUL, London, UK

CX Aortic Workshop Kevin Mani Professor of Vascular Surgery at

Uppsala University and Consultant Vascular Surgeon at Uppsala University Hospital, Uppsala, Sweden

Anna Prent Consultant Vascular Surgeon at Royal

Free London NHS Foundation Trust, London, UK

CX Executive Board CX Advisory Board

Frans Moll (Chairman) Professor of Vascular Surgery at

University Medical Center Utrecht, Utrecht, Netherlands

Peripheral Arterial

Cliff Shearman Emeritus Professor of Vascular

Surgery, University of Southampton and Non-Executive Director, Royal Bournemouth and Christchurch NHS Foundation Trust

Giovanni Torsello Professor, Chief of the Department

of Vascular Surgery at Franziskus Hospital, Münster, Germany

Trevor Cleveland Consultant Vascular Radiologist and

Honorary Senior Lecturer at Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK

Robert Hinchliffe Professor of Vascular Surgery at

University of Bristol and Vascular Surgeon at North Bristol NHS Trust, Bristol, UK

Aortic

Frank Vermassen Professor in Vascular and Thoracic

Surgery Department of Vascular Surgery at Ghent University Hospital, Ghent, Belgium

Janet Powell Professor of Vascular Biology and

Medicine, Imperial College London, London, UK

Eric Verhoeven Chief, University Department of

Vascular and Endovascular Surgery, Paracelsus Medical University, General Hospital Nuremberg, Nuremberg, Germany

Venous & Lymphatic

Alun Davies Professor of Vascular Surgery, Head of

Section of Vascular Surgery, Imperial College London and Consultant Surgeon at Imperial College NHS Trust, Charing Cross Hospital and St Mary’s Hospital, London, UK

Gerard O’Sullivan Consultant Interventional Radiologist,

Galway University Hospitals, Galway, Ireland

Claudine Hamel-Desnos Vascular Physician, Hôpital Privé Saint-

Martin, Caen, France, and President of the French Society of Phlebology

Acute Stroke Ross Naylor Honorary Professor of Vascular

Surgery at University of Leicester and Consultant Vascular Surgeon at Leicester Royal Infirmary, Leicester, UK

Recruitment to Vascular Management Sophie Renton Consultant Vascular Surgeon at

Northwick Park Hospital, Honorary Senior Lecturer for Imperial College London, London, UK, and Honorary Secretary, The Vascular Society for Great Britain and Ireland

Daryll BakerRachel BellColin BicknellMarcus Brooks

CX Abstract BoardMeryl Davis (Chair)

CME feedback

91% of the CME delegates surveyed rated the CX 2019 programme as “excellent” or “good”.

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2% Other clinicians

10% Other cardiovascular specialists

9% Vascular scientists and nurses

10% Interventionalists

69% Vascular & Endovascular surgeons

4% Latin America & Caribbean

6% Eastern Europe

8% Asia

10% North America

68% Western Europe

1% Middle East

2% Africa

1% Poor

8% Fair

91% Excellent or Good

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1% Australasia

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Jordan

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Romania

Thailand

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Hungary

South Africa

Slovenia

Argentina

Canada

Singapore

India

Israel

Finland

Czech Republic

Japan

Denmark

Austria

Saudi Arabia

Russia

Australia

Ireland

Belgium

Sweden

Egypt

Portugal

Greece

Turkey

Spain

Poland

China

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Switzerland

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Netherlands

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CX

2019

Robert HinchliffePaul MoxeyAnna PrentCelia Riga

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21–24 April 2020

Preliminary FacultyCX Faculty will include:

Naseer AhmadBen AlmquistGary AnselEnrico AscherLeanne AtkinsChristopher AylwinDaryll BakerChristian BehrendtRachel BellRuth BensonLuca BertoglioColin BicknellTheodosios BisdasMartin BjörckStephen BlackJan BlankensteijnDittmar BöcklerRoshan BootunMarianne BrodmannMarcus BrooksLudovic CanaudPaul Chadwick Trevor ClevelandRachel Clough Clement Darling IIIRoss DavenportAlun DaviesMeryl DavisGert De BorstBrian DeRubertisBart DoyenHans-Henning EcksteinMichael EdmondsJens Eldrup-JorgensenWilliam EnnisMårten FalkenbergAlik FarberThomas ForbesFrancis GameBalazs GaszSergio GianesiniPaul GibbsJames GilbertManj GohelYann GouëfficRoger GreenhalghStephen Greenhalgh

Franco GregoWei GuoClaudine Hamel-DesnosJennifer HankoKeith Harding Stéphan HaulonPaul HayesAdrien HertaultRob HinchliffeStephen HohmansAndrew HoldenPeter HoltDominic HowardJeffrey HullNicholas InstonHouman JalaieWilliam JeffcoateMichael JenkinsRobert JonesMatthieu JosninLowell KabnickBarry KatzenDavid KingsmorePanagiotis KitrouTilo KölbelRaghu KolluriAli KordzadehDainis KrievinsDrosos KotelisTristan LaneMichael LichtenbergJes LindholtIan LoftusCharmaine LokLindsay MachanMichel MakarounAlexandros MalliosMisti MaloneKevin ManiArmando MansilhaHugh Markus Charles McCollumMatthew MenardBijan ModaraiFrans MollHayley MoorePaul Moxey

Ross NaylorGustavo OderichThomas O’DonnellGerry O’SullivanDaniel PatelEric PedenPaul PittalugaJanet PowellAnna PrentBarbara RantnerSophie RentonVincent RiambauCelia RigaSteven RogersNirvan SadaghianlooPeter SchneiderThomas SerenaRobert ShahverdyanCliff Shearman Mitchell SilverTej SinghKristian SmidfeltKonstantinos SpanosKate SteinerGunnar TepeSarah ThomisIrwin ToonderGiovanni TorselloMatteo TozziSanti TrimarchiNikolaos TsilimparisDomenico ValentiJos Van Den BergJorinde Van der LaanenMaarit VenermoHence VerhagenEric VerhoevenFrank VermassenFabio VerziniAnders WanhainenMonnie WassieJason WilkonsTeun WilminkTherese WykoffThomas Zeller

We are pleased to invite you to join us once again in London, UK, for the Charing Cross International Symposium 2020, the leading vascular symposium where education, innovation and evidence come together.

The CX Symposium continues its three-year cycle of raising vascular and endovascular controversies in order to challenge the available evidence and be able to reach a consensus after discussion with an expert audience.

This year, our world-class faculty focuses on reaching consensus in all aspects of the management of vascular disease. In 2020, we introduce a new session, Major Vascular Trauma, including talks on aortic, pelvis and extremity, and neck trauma.

The programmes for the Aortic, Peripheral Arterial, Venous & Lymphatic, Acute Stroke, Vascular Access and iWounds have been designed in sequence rather than in parallel so that CX attendees can maximise their participation in their favourite educational track.

We look forward to welcoming you to CX 2020!

Roger Greenhalgh, on behalf of the CX Executive Board

CX 2020• Tuesday to Friday programme

• NEW Major Vascular Trauma Session

• Second year of interdisciplinary iWounds programme including hands-on workshop

• Evening reception at Stamford Bridge, home of Chelsea Football Club (Thursday, 23 April 2020)

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Vascular & Endovascular Consensus Update

CX 2020 Preliminary Programme Highlights

• Update on the paclitaxel controversy in the lower limb

• Alternatives to paclitaxel coating to reduce restenosis

• The evidence for vessel preparation in the superficial femoral artery

• An RCT comparing conventional versus ambulatory for endovascular procedures of lower extremity peripheral artery disease

• Debate: The use of drug-eluting stents in ostial SFA disease

• Duplex-guided endovascular repair of popliteal artery aneurysms

Peripheral Arterial Podium 1st trials

• Outcome of revascularisation for chronic limb-threatening limb ischaemia can be predicted

• Perfusion analysis of the foot in patients with critical limb ischaemia before and after revascularisation

• New diagnostic tools for critical limb ischaemia patients

• Definition and management of no-option below-ankle disease

3 Days of Peripheral Arterial Consensus

Live and edited peripheral techniques and technologies to treat peripheral arterial disease from leading vascular centres.

CX Peripheral Workshop with one-to-one hands-on demonstrations

CX Global Stars and Rising Stars

CX Abstracts and E-posters

Peripheral Proximal Arterial Ischaemia Consensus – Tuesday, 21 April 2020 Peripheral Critical Ischaemia Consensus – Thursday, 23 April 2020

CX Peripheral Techniques & Technologies – Wednesday, 22 April 2020 Additional Peripheral Arterial Sessions

• Sac Growth Algorithm Study in the community

• Centralisation of abdominal aortic aneurysm care improves early clinical outcomes

• Routine embolisation of the inferior mesenteric artery with EVAR

• Differences in size of abdominal aortic aneurysm in nine countries and impact on rupture rates

• The ESVS 2019 Abdominal Aortic Aneurysm guidelines

• Debate: Threshold for intervention in iliac artery aneurysms

Aortic Podium 1st trials

3 Days of Aortic Consensus

• Stroke from Thoracic Endovascular Procedures (STEP)

• Debate: Timing of intervention for acute type B dissection

• Single fenestrated endografts for the left subclavian artery vs. carotid-subclavian bypass and stardard TEVAR

• Classification of aortic dissection

• Strategies to prevent spinal cord injury

• Endovascular team radiation safety performance

Live and edited aortic techniques and technologies to treat thoracic and abdominal aortic disease from leading vascular centres.

CX Aortic Workshop with one-to-one hands-on demonstrations

CX Global Stars and Rising Stars

CX Abstracts and E-posters

Abdominal Aortic Consensus – Wednesday, 22 April 2020

Additional Aortic Sessions

CX Aortic Techniques & Technologies – Tuesday, 21 April 2020 Thoracic Aortic Consensus – Thursday, 23 April 2020

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21–24 April 2020

2 Days of Acute Stroke Consensus

• International variation in carotid surgery is huge despite all the randomised trials performed

• Debate: Atrial fibrillation influences whether you should operate in asymptomatic carotid stenosis

• Results of mini-incision carotid endarterectomy

• Complex carotid body tumours and adjunctive endovascular treatment

• Debate: Only extracranial vertebral arteries should be considered for stenting

CX Global Stars and Rising Stars

CX Abstracts and E-postersThursday, 23 April 2020

Acute Stroke Consensus – Friday, 24 April 2020 Additional Acute Stroke Sessions

• The access algorithm: Can we define an algorithmic approach to vascular access preservation and maintenance?

• Pre-operative vein enhancement, assessment and planning

• Fistula formation: Surgical fistula and endoAVF

• Imaging and surveillance in vascular access

• Debate: Paclitaxel vs. plain balloons in vascular access

Vascular Access Podium 1st trials

CX Vascular Access WorkshopThursday, 23 April 2020

CX Abstracts and E-postersTuesday, 21 April 2020

3 Days of Vascular Access ConsensusVascular Access Masterclass – Wednesday, 22 April 2020 Additional Vascular Access Sessions

• Final three-year results of a randomised controlled trial comparing endovenous laser ablation and foam in SSV insufficiency

• Consensus on pelvic vein incompetence

• Management of lipoedema and lymphoedema

• Anatomical classification of chronic venous obstruction and its implications

• Medical therapy after deep venous interventions

Venous Podium 1st trials

CX Venous Techniques & Technologies (edited cases)Wednesday, 22 April 2020 and Thursday, 23 April 2020

CX Venous WorkshopWednesday, 22 April 2020 and Thursday, 23 April 2020

CX Global Stars and Rising Stars

CX Abstracts and E-posters

3 Days of Venous & Lymphatic ConsensusVenous & Lymphatic Consensus – Tuesday, 21 April 2020 Additional Venous Sessions

• The importance of underlying diagnosis in the management of all leg wounds and ulcers

• The value of specialist nursing and care

• Challenges and solutions of providing evidenced based leg ulcer care

• The need for integrated care in the management of diabetic foot ulcers

• Modern wound dressings and techniques

CX iWounds WorkshopWednesday, 22 April 2020 and Thursday, 23 April 2020

CX Abstracts and E-posters

2 Days of iWounds ConsensusiWounds Consensus – Wednesday, 22 April 2020 Additional iWounds Sessions

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Vascular & Endovascular Consensus Update

CX Additional Events

Additional Activities

CX Innovation Showcase

CX Meets Latin America

CEC@CX

European Vascular Surgeons in Training (EVST)

Join us at the home of the most successful English football team of the 21st century – Stamford Bridge, Chelsea FC for an evening of food, drink, networking and entertainment.

EVENING RECEPTION AT CHELSEA FC

SAVE THE

DATE!

Thursday 23 April 2020, 6.30pmPlease visit www.cxsymposium.com/

cx-evening-reception for more information

NEW Major Vascular Trauma

Aortic trauma including blunt injury and REBOA as an adjunct for trauma haemorrhage

Penetrating neck trauma

Pelvis and extremety including shuinting, venous repairs and pelvic embolisation vs. internal iliac artery ligation

21–24 April 2020

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Registration & AccommodationEarly Bird Registration Deadline: 23 February 2020

Register at www.cxsymposium.com/registration

CX 4-DAY RATE

(TUESDAY – FRIDAY, ACCESS ALL AREAS, INCLUDING WORKSHOPS AND ACUTE STROKE CONSENSUS)

CX 1-DAY RATE (ACCESS ALL AREAS FOR TUESDAY, WEDNESDAY OR THURSDAY)

Early bird* Standard rate Late/on-site registration** Early bird* Standard rate Late/on-site

registration**

Full registration £695 £795 £895 £295 £345 £385Junior doctor registration1 £345 £395 £445 £150 £180 £195

Vascular technologist/nurse1

£145 £175 £195 £75 £95 £105

Note: The 4-day rate includes the CX Symposium book Note: The 1-day rate(s) excludes the CX Symposium book

CX ACUTE STROKE CONSENSUS – FRIDAY ONLY

Early bird* Standard rate Late/onsite registration**

£95 £115 £125

Note: Friday only (8:00–13:00). Excludes symposium book.

Book your accommodation close to the venue at special ratesMake sure you take advantage of the preferential rates for CX attendees at various selected hotels near the venue. Please visit www.cxsymposium.com/hotels for more information.

* Early bird rates are valid on applications received before midnight on 23rd February 2020.

** Late/on-site registration applies after Friday 17th April 2020.1 This fee is subject to verification of status in the form of a letter from your head of

department.

What makes CX so special...

CX offers the unique opportunity to combine expert knowledge in every field of vascular surgery and the newest technologies. Accordingly, in 2020 the Acute Stroke sessions

will focus on technical innovation in carotid artery stenting, cerebrovascular disease and concomitant atherosclerotic diseases, carotid artery aneurysms as well as carotid body

tumours. Speakers from all disciplines involved in carotid artery disease will participate and share their expert knowledge. We look forward to welcoming you to London!

Barbara Rantner, CX Acute Stroke Executive Board member

The theme for CX 2020 is consensus and with ongoing debate about the appropriate use of drug-eluting technology for peripheral arterial disease, EVAR, superficial and deep venous

procedures and other interventions, there is no better time to bring specialists together to create

unity. CX 2020 promises to tackle the most difficult topics with a combination of plenary sessions,

cases and hands-on workshops with a high calibre international Faculty demonstrating the latest

technologies. The importance of chronic wounds is given due prominence with an expanded iWounds

programme and workshops. The Symposium promises to be the most multidisciplinary and

comprehensive in the history of CX!

Manj Gohel, CX Venous & Lymphatic Executive Board member

There are two important features of every CX Symposium that I always enjoy – the release and evaluation of new data and the honest and objective assessment of current

controversies in vascular disease. In CX 2020, both features will be particularly prominent with a programme full of important new trial results that will be analysed and discussed. Key opinion leaders will tackle a number of controversies and, as always, the vascular

community in the audience will have the opportunity to participate and contribute to reach a consensus. In the last year, we have seen unrivalled data and controversy and there is no

better place to access the latest updates than CX 2020.

Andrew Holden, CX Peripheral Executive Board member

Vascular & Endovascular Consensus Update

EDUCATION INNOVATION EVIDENCE

Key dates

Early bird registration ends: 23 February 2020CX 2020 dates: 21–24 April 2020

General enquiries Charing Cross Symposium

526 Fulham Road,

London SW6 5NR, United Kingdom

Tel: +44 (0) 20 7736 8788

Email: info@cxsymposium.com

Exhibitor information

Tel: +44 (0) 20 7736 8788

Nathalie Fortinnathalie@bibamedical.com

Laura Jameslaura@bibamedical.com

Shilpa Sutharshilpa@bibamedical.com