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Page 1: Diabetic Foot & Limb Salvage - misr2000online.net Meeting of The Egyptian Academy of Diabetic foot & Limb Salvage ... Mohamed Omar El-Farouk Consultant vascular surgeon ... Tarek Radwan
Page 2: Diabetic Foot & Limb Salvage - misr2000online.net Meeting of The Egyptian Academy of Diabetic foot & Limb Salvage ... Mohamed Omar El-Farouk Consultant vascular surgeon ... Tarek Radwan

Diabetic Foot & Limb SalvageDiabetic Foot & Limb Salvage

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Welcome Message

Dear Friends and Colleagues,

Yours sincerely

Prof. Dr. Ahmed Taha

Ahmed TahaChairman of the Conference

On behalf of the Conference board, it is my great pleasure to welcome you to the 4th Annual Meeting of The Egyptian Academy of Diabetic foot & Limb Salvage ( the EADLS Meeting ).

The Conference has been designed to provide an innovative and comprehensive overview of the latest developments in diabetic foot care and limb salvage. New Trends in Research Diagnosis and Treatment will be highlighted.

Many distinguished professors and scientists have joined the faculty and will take part in this 4th edition of the Conference.

The scientific program is designed to include keynote lectures as well as short presentations. Updates in The International Guidelines of Diabetic foot and Limb salvage will be highlighted and many issues of debate will be thoroughly discussed.

Two Sessions are dedicated for challenging case presentation and Four workshops with superb technical tips and tricks will end this conference.

We hope that you will enjoy the Conference and that your interaction with your colleagues from different specialities and many different countries will stimulate a creative exchange of ideas and will be personally rewarding. We also hope and trust that you will enjoy your visit to Cairo, the Capital of our Beloved Egypt , in December 2016.

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Welcome Message

Dear Friends and Colleagues,

Yours sincerely

Prof. Dr. Rashad Bishara

Rashad BisharaCo-Chairman of the Conference

Diabetic foot patients take an increasingly important role in the practice of the

vascular surgeon, as a result of the continuous increase in the prevalence of

diabetes and its complications. In this conference, we made the effort to cover

all the aspects of diagnosis and management of diabetic foot patients.

In this 4th edition of the conference, the program is enriched by keynote

lectures given by well recognized speakers, multiple debates of controversial

topics, and four workshops. This year we have the pleasure of the participation

of many leaders in the field from neighboring countries.

It is a great pleasure to welcome you to the conference. We sincerely hope the

meeting will add to your knowledge and positively impact your daily practice.

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Name Title Abdel Kader Kotb Professor of Vascular Surgery, Kasr El-AinyAhmed Saad El-Din Professor of Vascular Surgery, Ain Shams UniversityAhmed Taha Professor of Vascular Surgery- Kasr El- Ainy Chairman of Vascular Surgery & Diabetic Foot , The National Institute of Diabetes. Alaa A. Marzouk Professor of Vascular Surgery , Vice President Beni Sweif UniversityAlaa El-Erian Consultant General & Endocrine Surgeon- NIDEAlaa Mubarak Professor of Vascular Surgery, Assuit UniversityAlaa Sharaby Professor of Vascular Surgery, Al-Azhar University Ali Mourad Professor of Vascular Surgery, Military AcademyAli Sabbour Chairman of Vascular Surgery, Ain Shams UniversityAmr A. Gad Professor of Vascular Surgery- Kasr El AinyAmr Abdel-Baky Professor of Vascular Surgery- Kasr El AinyAshraf Hedayet Professor of Vascular Surgery- Kasr El AinyAtef Allam Professor of Vascular Surgery, Al-Azhar UniversityAyman Fakhry Professor of Vascular Surgery, Military AcademyBahgat Thabet Professor of Vascular Surgery, Assuit UniversityEngy Hefnawy Professor of Vascular Surgery, Kasr El-Ainy. Esam El-Kady Professor of Vascular Surgery, Military AcademyHanan Gawish Professor of Internal Medicine and Daibetology , Mansoura UniversityHassan Abdel-Atty Chairman of Vascular Surgery, Tanta UniversityHassan Bakr Professor of Vascular Surgery, Assuit UniversityHassan Soliman Chairman of Vascular Surgery, Kasr El-AinyHisham Bassiouny Consultant of Vascular Surgery,Dar El-Foad HospitalHisham Nabil Professor of Vascular Surgery, Kasr El-AinyHisham Sharaf El-Din Professor of Vascular Surgery, Mansoura UniversityHisham Sharkawy Professor of Vascular Surgery, Kasr El-AinyHosam Tawfik Professor of Vascular Surgery, Zagazig UniversityHussein Kamal El-Din Professor of Vascular Surgery, Kasr El-AinyHussein Khairy Professor of Vascular Surgery, Kasr El-Ainy - President of the Egyptian Medical SyndicateEhab Saad Professor of Vascular Surgery, Mansoura University Khalid Al-Hindawy Professor of Vascular Surgery- Kasr El AinyKhalid El-Kaffas Professor of Radiology , Kasr El-AinyMagdy Haggag Professor of Vascular Surgery, Kasr El-AinyMaged El-Deeb Professor of Vascular Surgery- Ain Shams UniversityMahmoud Sobhy Professor of Vascular Surgery, Ain Shams UniversityMamdouh Kotb Professor of Vascular Surgery, Alexandria UniversityMohamed Abdo Aii El-Din Professor of Vascular Surgery, Kasr El-AinyMohamed El-Batanouny Professor of Vascular Surgery- Kasr El AinyMohamed Hosny Professor of Vascular Surgery- Kasr El Ainy

The Conference Faculty

Chairmen ListAlphabetical Order

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Mohamed El-Maadawy Professor of Vascular Surgery- Kasr El AinyMohamed Omar El-Farouk Consultant vascular surgeon- El Sahel teaching hospital- GOTHI.Mohamed Salem Professor of Vascular Surgery, Alexandria UniversityMohammed Sharkawy Professor of Vascular Surgery, Kasr El-Ainy.Mosaad Soliman Professor of Vascular Surgery, Mansoura University Mostafa Soliman Professor of Vascular Surgery, Ain Shams UniversityMourad El-Kholy Consultant Surgeon, NIDENabil El-Mehairy Professor of Vascular Surgery, Ain Shams UniversityNaser El-Saeed Professor of Vascular Surgery, Military Academy.Omar El-Kashef Professor of Vascular Surgery, Kasr El-Ainy. Raafat Naga Professor of Vascular Surgery, Alexandria UniversityRashad Bishara Chairman of Vascular Surgery, GOTHI Said El-Mallah Professor of Vascular Surgery, Meofya UniversitySameh Wasfy Chairman of Radiology & Cathlab, NIDESherif Balbaa Professor of Vascular Surgery, Kasr El-AinyTarek Radwan Professor military Academy & chairman IMC Walid El-Baz Professor of Vascular Surgery, Beni-Suef University

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Name Title Adel Kamhawy Professor of Vascular Surgery, Tanta UniversityAhmed Al-Taweel Specialist Vascular Surgeon , NIDEAhmed El-Mahrouky Associate Professor of Vascular Surgery, Kasr ElainyAhmed Farghaly Professor of Vascular Surgery - Kasr El AinyAhmed Gamil Sharkawy Professor of Plastic Surgery- kasr El AinyAhmed Gawish Lecturer of Vascular Surgery, Alexandria University.Ahmed Hasan Bakr Assistant professor of Vascular Surgery- Assuot universityAhmed Ismael Lecturer of Vascular Surgery,Tanta UniversityAhmed Sayed Professor of Vascular Surgery, Kasr El-AinyAtef Bassiouny Chairman of Internal Nedicine and Diabatology, NIDEAyman El-Samadouny Professor of Vascular Surgery, Kasr El-Ainy

Name Title

Armin Koller Chief of Division of Technical Orthopaedics, Co-Chief of Interdisciplinary Diabetic Foot Centre @ Mathias-Hospital Rheine, Northrine-Westfalia, Germany

Hany Zayed Consultant Vascular Surgeon, ST Mary Hospital, UK

Hisham Rashid Consultant Vascular Surgeon at King’s College Hospital and an Honorary Senior Lecturer at King’s College London and Lead vascular surgeon at King’s College Hospital

Karim Elsakka Consultant vascular surgeon, Brighton & Sussex University Hospitals

Mahmoud Salah Consultant of Vascular Surgeon , Saudi Germian Hospital , KSA

Mohamad Alshammari Consultant Interventional Radiologist, KSA President of PAIRS

Salma Khuraibet DF & Wound care specialist, DF surgeon, GDFWG - Kuwait MSc. Wound &Skin integrity-UK

TALAL Khader Talal Head of Podiatry Services in Hamad Medical Corporation, Doha Qatar. And Weill Cornell Medical University. Podiatric Surgery Instructor

Walid Masoud MD FRCS, Consultant Vascular and Kidney Transplant Surgeon President of Jordan Vascular Society

International Faculty

National Faculty

Speakers List

Alphabetical Order

Alphabetical Order

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Ayman Salem Chairman of Vascular Surgery, Zagazig University Emad Hussein Professor of Vascular Surgery- Ain Shams University.Foad Saad El-Din Assistant professor of Vascular Surgery- Kasr ElAinyHassan El-Kiki Professor of Radiology- kasr El AinyHisham Moustafa Professor of Vascular Surgery, Kasr El Ainy.Hossam El-Wakeel Professor of Vascular Surgery, Mansoura University Ihab Nabil Consultant Vascular Surgeon, GOTHI Inas Shaltout Professor of Internal Medicine and Daibetology , Kasr El-AinyMohamed Ramadan Specialist Vascular Surgeon , El-Sahel Teaching HospitalMostafa El-Shal Specialist Vascular Surgeon , NIDENader Hamada Professor of Vascular surgery- Ain Shams UniversityNihad Ahmed Foad Specialist Vascular Surgeon , El-Sahel Teaching HospitalSherif Essam Professor of Vascular Surgery- Ain Shams UniversityTarek Abdel-Azim Professor of Vascular Surgery- Ain Shams UniversityUsama Lotfy Professor of Vascular Surgery - Kasr El AinyWael Shaalan Chairman of Vascular Surgery- Alexandria University.Wassila Taha Consultant Angiologist and Vascular Ultrasound, GOTHI

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Registration

Session I

09:00-10:00

10:00-12:00

Thursday

8th

December 2016

Diagnostic Issues

Day 1: Thursday, 8th December 2016

Chairpersons ModeratorHassan Soliman Hussein KhairyNaser El-Saeed Walid El-Baz Sameh Wasfy

Khalid El-Kaffas

Keynote Lecture: Diabetic Foot Imaging; Update Hassan El-Kiki

Avoiding contrast nephropathy during interventions for the Diabetic ischemic footAhmed Gawish

Can Duplex Predict Pedal Arch Integrity. Wassila Taha

Diabetic foot wound Assessment. Salma Khuraibet

Clinical Assessment of Intermittent Claudication& Absent Pedal Pulses;Can they be markers for PVD in Type II Diabetics? Atef Bassiouny

New imaging modalities for diabetic foot; which suits us more? Mohamed Omar El- Farouk

10:00 – 10:15

10:15 – 10:25

10:25 – 10:35

10:35 – 10:45

10:45 – 10:55

10:55 – 11:05

11:05 – 11:20 Discussion

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11:40 – 11:48

11:48 – 11:56

11:20 – 11:28

11:28 – 11:36

Debate :

Debate :

CTA is the imaging modality of choicefor diabetic patients with Critical Limb ischemia;

a. With the motion: Hassan El-Kiki

b. Against the motion: Wassila Taha

MRI is mandatory in the management of diabetic foot?

a. With the motion: Rashad Bishara

b. Againest the motion: Hisham Moustafa

11:36 – 11:40 Voting

11:56 – 12:00 Voting

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Opening Ceremony 12:00- 12:30

Holly Qura’an

National Anthem

History of the Meeting

Chairman Welcome Word

Co-Chairman Welcome Word

Guests of Honor

Thursday

8th

December 2016

Prof. Dr. Hisham El – Hefnawy(General Director of the National Institute of Diabetes)

Prof. Dr. Said El-Mallah(President of Vascular Society of Egypt)

Prof. Dr. Hany Salah Nasr (General Secretary of GOTHI)

Prof. Dr. Hussein Khairy(President of Egyptian Medical Syndicate)

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محاضرة االفتتاحOpening Lecture

تاريخ الطب والجراحة في مصر منذ عهد الحملة الفرنسية حتى العهد الحديث

The History of Medicine & Surgery in Egypt Since Napoleon Time till Now

أ. د أحمد جميل الشرقاوي

Prof. Ahmed Gamil Sharkawy

12:30- 12:50

Coffee Break 12:50-13:30

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Session II 13:30-15:20

Thursday

8th

The Infection Challenges

Chairpersons ModeratorAlaa El-ErianAlaa SharabyAli Mourad Mourad El-KholySherif Balbaa

Tarek Radwan

Keynote Lecture: Operative treatment of infected diabetic foot. Armin Koller

The SVS recommendations for wound management; How they changed my concepts ?Ayman El-Samadouny

IWGDF guidelines for Diabetic Foot management; Challenges in Developing Countries.Foad Saad El-Din

Debridement; Tips and Tricks. Mahmoud Salah

A new anatomical description of the fascial layers at the ankle and distal leg region.Ashraf Hussein

13:30 – 13:45

13:45 – 13:55

13:55 – 14:05

14:05 – 14:15

14:15 – 14:25

December 2016

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Wound Coverage and Minor Foot Amputations; The Way I Do It. Hisham Rashid

NPWT in diabetic foot management, Any added value? Salma Khuraibet

Advanced modalities of wound dressing are useless;

a. With the motion: Hanan Gawish

b. Against the motion:Ihab Nabil

Lunch 15:20-16:30

14:25 – 14:35

14:35– 14:45

15:00 – 15:08

15:08 – 15:16

Debate :

15:16 – 15:20 Voting

14:45 – 15:00 Discussion

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Session III 16:30 -18:00

Thursday

8th

The Non Ischemic Diabetic Foot (The Diabetic Status, Neuropathy, Charcot & Off-loading issues)

Chairpersons ModeratorAhmed Saad El-DinEssam El-KadyHassan Abdel-AttyHosamTawfikMahmoud Sobhy

Karim El-Sakka

Keynote Lecture: Charcot foot reconstruction with external fixation. Armin Koller What the diabetic foot surgeon should know about diabetes control Inas Shaltout

Orthosis and Shoes for the reconstructed Charcot foot. Armin Koller

Footwear; fashion or medicine? Hanan Gawish

Current status of Surgical Off-loading for Diabetic foot ulcer. Tarek Abdel-Azim

The Podiatrist; The Goalkeeper in Diabetic Foot Management. TALAL Khader Talal Confusing Diabetic Foot Lesions. Adel Kamhawy

16:30 – 16:45

16:45 – 16:55

16:55 – 17:05

17:05 – 17:15

17:15 – 17:25

17:25 – 17:35

17:35 – 17:45

December 2016

17:45 – 18:00 Discussion

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Session IV 18:00-19:30

Thursday

8th

December 2016 The Revascularization Challenges (I)

Chairpersons ModeratorAlaa A. MarzoukAlaa MubarakMagdy HaggagOmar El-KashefRaafat Naga

Hisham Bassiouny

Keynote Lecture: Arterial Calcification, Mechanism & Implications on practiceAhmed Taha

When time is tissue? Rashad Bishara

Angiosomal revascularization; why the disagreement still? Hisham Rashid

Hybrid revascularization, indications, options & limitations. Hany Zayed

Intermittent Claudication in Diabetics; Should we have a Paradigm shift in Management.Emad Hussein

What is the treatment of short distance Vascular Claudication?

a. Best medical treatment Wael Shaalan

b. Intervention Ahmed Farghaly

18:00 – 18:15

18:15 – 18:25

18:25 – 18:35

18:35 – 18:45

18:45 – 18:55

19:10 – 19:18

19:18 – 19:26

Debate :

19:26 – 19:30 Voting

18:55 – 19:10 Discussion

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20:25 – 20:40 Discussion

Thursday

8th

December 2016

Session V 19:30-21:00

The Revascularization Challenge (II)

Chairpersons ModeratorAbdel Kader KotbBahgat ThabetHussein Kamal El-DinMamdouh KotbMohamed El-Batanouny

Ali Sabbour

Keynote Lecture: Endovascular Therapy is the first line approach in CLI, Is Surgery Still Needed?Amr A. Gad CO2 Angioplasty; Indications & limitationsHany Zayed

Role of Catheter directed thrombolytic therapy in CLI; Technical tips & tricks. Mohamed Hosny

Thrombolytic therapy for thrombotic arterial occlusions: is there a time window? Ahmed El-Mahrouky

Comparison of Angioplasty and Bypass Surgery for CLI in patients withinfra-popliteal disease using a propensity score analysis.Hany Zayed

Bypass is mandatory to achieve healing of heal ulcer when the ATA is the only supply of the foot.

a. With the motion Hisham Rashid

b. Against the motion Ahmed Taha

19:30 – 19:45

19:45 – 19:55

19:55 – 20:05

20:05 – 20:15

20:15 – 20:25

20:40 – 20:48

20:48 – 20:56

Debate :

20:56 – 21:00 Voting

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Friday

9th

December 2016

Session VI 09:30- 10:40

Challenging Cases (I)

Chairpersons ModeratorIhab SaadMohamed SharkawyMohammad AlshammariMaged El-DeebNabil El-Mehairy

Hisham Rashid

To Achieve limb salvage, Use all your weapons Ayman Salem

Covered stents for thrombotic occlusion of the Aorto-iliac segment; is it Justifiable and worthwhile?Ayman El-Samadouny The impossible native artery; What to do? Sherif Essam

CLI Following an Occluded Femoro-distal bypass; what to do& when to give up? Nader Hamada

Trans-Collateral Approach In Infra-Popliteal Disease; Is It Feasible In Real World Practice? Usama Lotfy

10:20 – 10:40 Discussion

09:30 – 09:40

09:40 – 09:50

09:50 – 10:00

10:00 – 10:10

10:10 – 10:20

Day 2: Friday, 9th December 2016

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Friday

9th

December 2016

Session VII 10:40-11:30

The No-option Ischemic foot

11:20 – 11:30 Discussion

Chairpersons ModeratorAmr Abdel-BakyHisham NabilHisham Sharaf El-DinMohamed SalemMostafa Soliman

Engy Hefnawy

Any Role for Sympathectomy in diabetics?Ahmed Ismael

The Revival of Percutaneous Deep Venous Arterialization limb flow system. Mohamed Omar El-Farouk

Stem cell therapy with adjunctive Platelet Rich Plasma (PRP). Ahmed Ismael When to decide Primary Amputation? Ahmed Al-Taweel

Coffee Break 12:30- 13:00

Friday Prayer 11:30-12:30

10:40 – 10:50

10:50 – 11:00

11:00 – 11:10

11:10 – 11:20

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Friday

9th

December 2016

Session VIII 13:00-14:00

Training & Team building

Chairpersons ModeratorAmr A. GadHassan BakrMohamed Abdo Aii El-DinMosaad SolimanSaid El-Mallah

Khalid El-Hindawy

Towards Amputation Referral Program in our area, Is it worthwhile?Mohammad Al Shammari

Impact of Western Training On Endovascular Skills of Egyptian Trainees.Mohammed Sharkawy Vascular Surgery in Jordan, where do we stand? Walid Masoud How to Build and run a diabetic foot team. Karim El- Sakka

How to create your Endovascular Training program? Ahmed Sayed

13:50 – 14:00 Discussion

13:00 – 13:10

13:10 – 13:20

13:20 – 13:30

13:30 – 13:40

13:40 – 13:50

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Friday

9th

December 2016

Session IX 14:00-15:00

Challenging Cases (II)

Chairpersons ModeratorAshraf HedayetAtef AllamAyman Fakhry Hisham SharkawyMohamed El-Maadawy

Hany Zayed

Fem-fem crossover with adjunctive iliac angioplasty: Case Report. Ahmed Naga

Endovascular Recanalization of Complex Ilio-Femoral Occlusive Disease in CLIAhmed Hassan Bakr Total Calcanectomy for the management of Diabetic Heel Infection. Hossam El-Wakeel

Endovascular Recanalization of Bilateral SFA occlusion via Brachial Approach.Mostafa El-Shal

14:40 – 15:00 Discussion

14:00 – 14:10

14:10 – 14:20

14:20 – 14:30

14:30 – 14:40

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Friday

9th

December 2016Workshops

Offloading Techniques 15:00- 16:00

All Secrets of Tibial Angioplasty in Diabetics 16:00- 17:00

Advanced Wound Care 17:00-17:30

CO2 Angiography Made Easy 17:30-18:00

Cast Moderator: Salma Khuraibet

Walkers Mohamed Ramadan Nihad Ahmed Foad Mohamed Ali Mattar Moderator: Rashad Bishara

Ahmed Taha Rashad Bishara Moderator: Mohamed Omar El-Farouk

Ihab Nabil Amr Abou El-Rous

Ahmed Gawish Mahmoud Hamda

Gala Dinner 20:00 - 23:00

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