5 T H I N T E R N A T I O N A L C O N G R E S S

AORTIC SURGERYAND ANESTHESIA“HOW TO DO IT”

OSPEDALE SAN RAFFAELE

MILANO - ITALY - DECEMBER 13TH - 15TH, 2012

www.aorticsurgery.it

CHAIRMENROBERTO CHIESAALBERTO ZANGRILLOGERMANO MELISSANOOTTAVIO ALFIERIGABRIELE PELISSERO (*)

DEPARTMENT OF CARDIOVASCULAR SURGERY AND ANESTHESIAOSPEDALE SAN RAFFAELE, MILANOUNIVERSITÀ VITA-SALUTE SAN RAFFAELE, MILANO(*) SCIENTIFIC DIRECTOR

GRUPPO OSPEDALIERO SAN DONATO, MILANO

SCIENTIFIC COMMITTEERENATA CASTELLANOEFREM CIVILINIENRICO M. MARONEMATTEO MONTORFANOYAMUME TSHOMBATIZIANA BOVEMARIA GRAZIA CALABRÒGIOVANNI LANDONIFEDERICO PAPPALARDOANNA MARA SCANDROGLIOSTEFANO BENUSSIALESSANDRO CASTIGLIONIMICHELE DE BONISFRANCESCO MAISANOSTEFANO MORIGGIA

DEPARTMENT OF CARDIOVASCULAR SURGERY AND ANESTHESIAOSPEDALE SAN RAFFAELE, MILANO

LOCAL FACULTYEUSTACHIO AGRICOLA DOMENICO BACCELLIERISTEFANO BENUSSILUIGI BERETTALUCA BERTOGLIOMARCO BRAGAPAOLO G. CAMICIMICHELE CARLUCCIALESSANDRO CASTIGLIONIALAIDE CHIEFFOEFREM CIVILINI ANTONIO COLOMBOGIANCARLO COMIGIOVANNI COPPIREMO D. COVELLOMICHELE DE BONISFRANCESCO DE COBELLIALESSANDRO DEL MASCHIOPAOLO DENTIANDREA FALINIANDREA KAHLBERGGIOVANNI LA CANNAGIOVANNI LANDONIFRANCESCO MAISANOALBERTO MARGONATOENRICO M. MARONEPATRIZIO MAZZONEGERMANO MELISSANOGIULIO MELISURGOMATTEO MONTORFANOSTEFANO MORIGGIAGIAMPIERO NEGRIFEDERICO PAPPALARDOMARIA SESSAPIETRO SPAGNOLOCARLO STAUDACHERYAMUME TSHOMBAPIERO ZANNINI

INVITED FACULTYYVES S. ALIMI, Marseille - France

CARLO ANTONA, Milano - Italy

PIERO ANVERSA, Boston - Massachusetts - USA

ELOISA ARBUSTINI, Pavia - Italy

ANGELO ARGENTERI, Lodi - Italy

RICARDO AUN, São Paulo - SP - Brazil

PAOLO A. R. BACCARI, Perugia - Italy

GUIDO BAJARDI, Palermo - Italy

MASSIMO BAROZZI, Roma - Italy

FRANZ W. BARUFFALDI PREIS, Milano - Italy

JEAN-PIERRE BECQUEMIN, Créteil - France

PATRICE BERGERON, Marseille - France

GIOVANNI BERTOLETTI, Latina - Italy

GIUSEPPE BIONDI ZOCCAI, Latina - Italy

JAMES H. BLACK III, Baltimore - Maryland - USA

LEO A. BOCKERIA, Moscow - Russia

DITTMAR BÖCKLER, Heidelberg - Germany

STEFANO BONARDELLI, Brescia - Italy

GIANCARLO BRACALE, Napoli - Italy

JAN S. BRUNKWALL, Köln - Germany

G. LOUISE BUCHANAN, East Yorkshire - UK

JACQUES BUSQUET, Paris-Saint Cloud - France

STEFANO CAMPARINI, Cagliari - Italy

PIERGIORGIO CAO, Roma - Italy

ALESSANDRO CAPPELLI, Siena - Italy

MAURIZIO CARIATI, Milano - Italy

MARIO CARMINATI, San Donato Milanese, MI - Italy

PATRIZIO M. CASTELLI, Varese - Italy

NABIL CHAKFÉ, Strasbourg - France

STEPHEN CHENG, Hong Kong SAR - China

NICHOLAS J. CHESHIRE, London - UK

LUIGI CHIARIELLO, Roma - Italy

LAURENT CHICHE, Paris - France

TIMOTHY A.M. CHUTER, San Francisco - California - USA

ALESSANDRO CIGALOTTO, Roma - Italy

DANIELA CONTI, San Donato Milanese, MI - Italy

GIOACHINO COPPI, Modena - Italy

GIAN PAOLO CORNALBA, Milano - Italy

JOSEPH S. COSELLI, Houston - Texas - USA

FRANK J. CRIADO, Baltimore - Maryland - USA

MARTIN CZERNY, Bern - Switzerland

RONALD L. DALMAN, Stanford - California - USA

LAZAR B. DAVIDOVIC, Belgrade - Serbia

JULIE DE BACKER, Gent - Belgium

GIANMARCO DE DONATO, Siena - Italy

PAOLO DEL SARTO, Massa - Italy

GIOVANNI DERIU, Padova - Italy

ERWIN DHONDT, Bruxelles - Belgium

ROBERTO DI BARTOLOMEO, Bologna - Italy

LUCA DI MARZO, Roma - Italy

TOMMASO DONATI, Milano - Italy

VITTORIO DORRUCCI, Mestre, VE - Italy

NIKOLAY DRANISHNIKOV, Berlin - Germany

IONEL DROC, Bucharest - Romania

HANS-HENNING ECKSTEIN, München - Germany

JOHN A. ELEFTERIADES, New Haven - Connecticut - USA

GIAMPIERO ESPOSITO, Bergamo - Italy

GIANLUCA FAGGIOLI, Bologna - Italy

SIMONE FAJER, Kfar Saba - Israel

MARK A. FARBER, Chapel Hill - North Carolina - USA

MAURO FERRARI, Pisa - Italy

MARCELO FERREIRA, Rio de Janeiro - RJ - Brazil

CARLO FERRO, Genova - Italy

GUSTAV FRAEDRICH, Innsbruck - Austria

ANTONIO FREYRIE, Bologna - Italy

PAOLO FRIGATTI, Udine - Italy

ALESSANDRO FRIGIOLA, San Donato Milanese, MI - Italy

LIVIO GABRIELLI, Milano - Italy

ARNALDO GALLUCCI, Roma - Italy

GIOVANNI GANDINI, Torino - Italy

ROBERTO GANDINI, Roma - Italy

MAURO GARGIULO, Bologna - Italy

MASSIMILIANO GESSAROLI, Rimini - Italy

PIERLUIGI GIORGETTI, Rozzano, MI - Italy

OLIVIER A. GOËAU-BRISSONNIÈRE, Boulogne-Billancourt - France

AMERIGO GORI, Genova - Italy

BRUNO GOSSETTI, Roma - Italy

YANN GOUËFFIC, Saint-Herblain Nantes - France

FRANCO GREGO, Padova - Italy

RANDALL B. GRIEPP, New York City - NY - USA

FABIO GUARRACINO, Pisa - Italy

KATHARINE HARTINGTON, Portsmouth - UK

STÉPHAN HAULON, Lille - France

ROLAND HETZER, Berlin - Germany

TETSUO HONGO, Oita - Japan

LUIGI INGLESE, San Donato Milanese, MI - Italy

ARNALDO IPPOLITI, Roma - Italy

LUIGI IRACE, Roma - Italy

MICHAEL JACOBS, Maastricht - The Netherlands

ANTONIO M. JANNELLO, Negrar, VR - Italy

NORIYUKI KATO, Tsu City, Mie Prefecture - Japan

FRIEDRICH KAUFMANN, Berlin - Germany

K. CRAIG KENT, Madison - Wisconsin - USA

PO-JEN KO, Linkou - Taipei - Taiwan

RALF KOLVENBACH, Düsseldorf - Germany

FABIEN KOSKAS, Paris - France

MARIAN KUKUCKA, Berlin - Germany

MARTÍN LANDALUCE CHAVES, Albacete - Spain

GAETANO LANZA, Castellanza, VA - Italy

MASSIMO LENTI, Perugia - Italy

KARAOGLAN LIBERATO DE MOURA, Salvador - BA - Brazil

MARCELO LIBERATO DE MOURA, Salvador - BA - Brazil

ENZO LIGUORI, Roma - Italy

HUNG-PIN LIU, Linkou - Taipei - Taiwan

BART L. LOEYS, Antwerp - Belgium

ANTONIO LOFORTE, Roma - Italy

JOSEPH V. LOMBARDI, Camden - New Jersey - USA

GIOVANNI LORENZI, Lecco - Italy

MICHEL S. MAKAROUN, Pittsburgh - Pennsylvania - USA

MARTIN MALINA, Malmö - Sweden

NICOLA MANGIALARDI, Roma - Italy

GIANCARLO MANSUETO, Verona - Italy

GIUSTINO MARCUCCI, Civitavecchia, RM - Italy

GABRIELE MARITATI, Roma - Italy

LUIGI MARTINELLI, Milano - Italy

FRANCESCO MASCOLI, Ferrara - Italy

ATTILIO MASERI, Firenze - Italy

MASSIMO MASSETTI, Roma - Italy

TARA M. MASTRACCI, Cleveland - Ohio - USA

DIETER MAYER, Zürich - Switzerland

MAURIZIO MERLO, Torino - Italy

STEFANO MICHELAGNOLI, Firenze - Italy

DOMINIQUE MIDY, Bordeaux - France

ANTOINE MILLON, Lyon - France

ALEXANDER MLADENOW, Berlin - Germany

FRANS L. MOLL, Utrecht - The Netherlands

VINCENZO MONACA, Catania - Italy

PATRICK MOREAU, Béziers - France

MARIO MORINO, Torino - Italy

FRANCESCO MOSCATO, Wien - Austria

BART E. MUHS, New Haven - Connecticut - USA

CLAUDIO MUNERETTO, Brescia - Italy

FRANCESCO MUSUMECI, Roma - Italy

GIOVANNI NANO, San Donato Milanese, MI - Italy

ARMANDO NATALE, Grosseto - Italy

FRANCO NESSI, Torino - Italy

CHRISTOPH A. NIENABER, Rostock - Germany

CLAUDIO NOVALI, Cuneo - Italy

ATTILIO ODERO, Pavia - Italy

JACOPO OLIVOTTO, Firenze - Italy

HIROSHI OTAKE, Kanazawa - Ishikawa - Japan

ROBERTO PACCHIONI, Mantova - Italy

GIANCARLO PALASCIANO, Squinzano, LE - Italy

DOMENICO PALOMBO, Genova - Italy

GIUSEPPE PANUCCIO, Münster - Germany

GIOVANNI PARONI, San Giovanni Rotondo, FG - Italy

NICOLÒ A. PATRONITI, Monza - Italy

FLAVIO PEINETTI, Aosta - Italy

ADAMASTOR H. PEREIRA, Porto Alegre - RS - Brazil

ANTONIO PESENTI, Monza - Italy

GABRIELE PIFFARETTI, Varese - Italy

PHILIPPE PIQUET, Marseille - France

STEFANO PIRRELLI, Pavia - Italy

CARLO PRATESI, Firenze - Italy

GIOVANNI PRATESI, Roma - Italy

PATRIZIA PRESBITERO, Rozzano, MI - Italy

CALÓGERO PRESTI, Vila Mariana - SP - Brazil

RAFFAELE PULLI, Firenze - Italy

MAURIZIO PUTTINI, Milano - Italy

WILLIAM QUINONES-BALDRICH, Los Angeles - California - USA

CLAUDIO RABBIA, Torino - Italy

ANTONIO G. RAMPOLDI, Milano - Italy

VINCENZO RAMPOLDI, San Donato Milanese, MI - Italy

V. MARCO RANIERI, Torino - Italy

MARCO RANUCCI, San Donato Milanese, MI - Italy

GUIDO REGINA, Bari - Italy

TIMOTHY RESCH, Malmö - Sweden

VICENTE RIAMBAU, Barcelona - Spain

JEAN-BAPTISTE RICCO, Poitiers - France

JOSEPH J. RICOTTA II, Rochester - Minnesota - USA

MAURO RINALDI, Torino - Italy

PIETRO RISPOLI, Torino - Italy

STEFANO ROMAGNOLI, Firenze - Italy

SALVATORE RONSIVALLE, Cittadella, PD - Italy

PAOLO RUBINO, Mercogliano, AV - Italy

CARLO RUOTOLO, Napoli - Italy

PIERFRANCO SALCUNI, Parma - Italy

ANTONIO SARCINA, Brescia - Italy

GEERT W. SCHURINK, Maastricht - The Netherlands

CARLO SETACCI, Siena - Italy

FRANCESCO SETACCI, Siena - Italy

PIERGIORGIO G. SETTEMBRINI, Milano - Italy

MARCO SETTI, Bergamo - Italy

CHANG SHU, Changsha - Hunan - China

ROBERTO SILINGARDI, Modena - Italy

GEORGE SILVAY, New York City - NY - USA

GIOVANNI SIMONETTI, Roma - Italy

CESARE R. SIRTORI, Milano - Italy

CARLO SPARTERA, L’Aquila - Italy

FRANCESCO SPEZIALE, Roma - Italy

FRANCESCO SPINELLI, Messina - Italy

RITA SPIRITO, Milano - Italy

ANDREA STELLA, Bologna - Italy

ALEXANDER STEPANENKO, Berlin - Germany

FRANCESCO STILLO, Roma - Italy

FRANCESCO TALARICO, Palermo - Italy

ANDREA TAMBURELLI LANZARA, Roma - Italy

CORRADO TAMBURINO, Catania - Italy

MAURIZIO TAURINO, Roma - Italy

PETER R. TAYLOR, London - UK

DOMENICO TEALDI, San Donato Milanese, MI - Italy

MATT THOMPSON, London - UK

GIOVANNI TORSELLO, Münster - Germany

VLADISLAV TREŠKA, Plzen - Czech Republic

SANTI TRIMARCHI, San Donato Milanese, MI - Italy

RAMESH K. TRIPATHI, Bangalore - India

LUIGI TRITAPEPE, Roma - Italy

ROBERTO TROIANI, Carrara, MS - Italy

MARCO UDINI, Sondalo, SO - Italy

CLAUDE VAISLIC, Le Chesnay - France

ENRICO VECCHIATI, Reggio Emilia - Italy

FRANK J. VEITH, New York City - NY - USA

HENCE J.M. VERHAGEN, Rotterdam - The Netherlands

ERIC VERHOEVEN, Nürnberg - Germany

FRANK VERMASSEN, Gent - Belgium

PIERFRANCESCO VEROUX, Catania - Italy

FABIO VERZINI, Perugia - Italy

ARNO VON RISTOW, Rio de Janeiro - RJ - Brazil

JOHN H.N. WOLFE, London - UK

MARIAN ZEMBALA, Zabrze Silesia - Poland

NOBUYUKI ZEMPO, Hofu - Japan

BURKHART ZIPFEL, Berlin - Germany

HONORARY FACULTYGIORGIO AGRIFOGLIO, Milano - Italy

PAOLO BIGLIOLI, Milano - Italy

ALAIN BRANCHEREAU, Marseille - France

JEAN-MARIE CARDON, Nîmes - France

LUCIEN CASTELLANI, Tours - France

MASSIMO CLEMENTI, Milano - Italy

VALERIO DI CARLO, Milano - Italy

† SERGIO FERRERO, Ceriale, SV - Italy

ROGER M. GREENHALGH, London - UK

ADALBERTO GROSSI, Siena - Italy

EDOUARD KIEFFER, Paris - France

BENEDETTO MARINO, Roma - Italy

DIETER RAITHEL, Nuremberg - Germany

ANTONIO ROBECCHI, Torino - Italy

UGO RUBERTI, Milano - Italy

ORGANISING SECRETARIATSan Raffaele Congress CentreVia Olgettina 58 - 20132 Milano, ItalyPhone +39 02 2643 3700 - 6339Fax +39 02 2643 3754e-mail info@aorticsurgery.it

UNDER THE AUSPICES OFUNIVERSITÀ VITA-SALUTE SAN RAFFAELE

SICVE - Società Italiana di Chirurgia Vascolare ed Endovascolare

SCV - Société de Chirurgie Vasculaire de Langue Française

ESCVS - European Society for Cardiovascular and Endovascular Surgery

SICCH - Società Italiana di Chirurgia Cardiaca

ITACTA - Italian Association of Cardiothoracic Anaesthesiologists

MORNINGFRIDAY, DECEMBER 14TH

AFTERNOONTHURSDAY, DECEMBER 13TH

SESSION 1OCCLUSIVE AORTIC DISEASE15:00 - 16:10

President: Frans L. MollChairmen: Frank J. Criado, Livio Gabrielli, Jean-Baptiste Ricco

Open surgery for Leriche’s syndrome Speaker: Yamume TshombaComment: Vladislav Treška

Endovascular approach for Leriche’s syndrome Speaker: Martin MalinaComment: Tommaso Donati

Laparoscopic sutureless aorto-bifemoral revascularization Speaker: Ralf KolvenbachComment: Michele Carlucci

Open treatment of aortic coarctation, when and how Speaker: Alessandro FrigiolaComment: Matt Thompson

Endovascular treatment of aortic coarctation in adults Speaker: Luigi IngleseComment: Frank J. Criado

Treatment of “coral-reef” aortic occlusive disease Speaker: Gustav FraedrichComment: Alessandro Cappelli

Therapeutic approach to “mid-aortic” syndrome Speaker: Martin CzernyComment: Marco Udini

Current treatment of “mid-aortic” syndrome in IndiaSpeaker: Ramesh K. TripathiComment: Gioachino Coppi

Panel Discussion

16:10 - 16:25KEYNOTE LECTURE I Frank J. Veith Despite the level 1 evidence, EVAR is the best treatment for AAAs in fit and unfit patients with suitable anatomy

SESSION 2ABDOMINAL AORTIC ANEURYSMS (AAA) - PART I 16:30 - 17:30

President: Andrea StellaChairmen: Mario Morino, Carlo Pratesi, John H.N. Wolfe

Current role of extra-peritoneal approach to AAA Speaker: Claudio NovaliComment: Roberto Troiani

Mini-laparotomic approach to AAA open surgery Speaker: Stefano MichelagnoliComment: Maurizio Merlo

Endovascular repair of paranastomotic aneurysms after previous aortic reconstructions Speaker: Frans L. MollComment: Luca Di Marzo

EVAR in challenging anatomy Speaker: Francesco SetacciComment: Jan S. Brunkwall

Minimally invasive EVAR Speaker: Po-Jen KoComment: Claudio Rabbia

Alternative approaches for hypogastric vascularization during EVAR Speaker: Arno von RistowComment: Antonio Freyrie

Hybrid approach for leiomyosarcoma of the abdominal aortaSpeaker: Calógero Presti Comment: Luigi Irace

Panel Discussion

17:30 - 17:45KEYNOTE LECTURE II Ronald L. DalmanCirculating biomarkers of aneurysms

SESSION 3ABDOMINAL AORTIC ANEURYSMS (AAA) - PART II17:50 - 18:50

President: Roger M. GreenhalghChairmen: Carlo Spartera, Matt Thompson, Giovanni Torsello

Preoperative cardiac evaluation and therapy in patients undergoing open AAA repair Speaker: Stefano BonardelliComment: Raffaele Pulli

Endoleak prevention by peri operative sac embolization after EVARSpeaker: Paolo FrigattiComment: Stéphan Haulon

Coiling of type II endoleaks after EVAR Speaker: Michel S. MakarounComment: Jacques Busquet

Long-term results of iliac aneurysm repair with iliac branched endograft: a 5-year experience on 100 consecutive casesSpeaker: Fabio VerziniComment: Po-Jen Ko

Mycotic aneurysms Speaker: Ramesh K. TripathiComment: Simone Fajer

Open AAA surgery in patients with connective tissue disorders Speaker: James H. Black IIIComment: Ionel Droc

Inferior vena cava resection and reconstruction for retroperitoneal tumor excisionSpeaker: William Quinones-BaldrichComment: Enrico M. Marone

Panel Discussion

18:50 - 19:05KEYNOTE LECTURE III Cesare R. SirtoriNew drug/biotech approaches to arterial disease

19:10 - 19:30WELCOME ADDRESSES

SESSION 4ENDOVASCULAR CARDIAC PROCEDURES07:30 - 08:40

President: Attilio MaseriChairmen: Paolo G. Camici, Antonio Colombo, Giovanni La Canna

Overcoming anatomical and technical challenges with the CoreValveSpeaker: Corrado TamburinoComment: Alaide Chieffo

Edwards Sapien transcatheter heart valve: advantages of the new transfemoral systemSpeaker: Patrizia PresbiteroComment: Matteo Montorfano

New devices for transcatheter closure of congenital cardiac defects Speaker: Mario CarminatiComment: Marian Zembala

Results from the Italian Registry of Trans-Apical Aortic Valve ImplantationSpeaker: Paolo Rubino Comment: Paolo Denti

The evolution from surgery to percutaneous mitral valve interventions Speaker: Francesco MaisanoComment: Giovanni La Canna

Percutaneous left atrial appendage closure in atrial fibrillation Speaker: Matteo MontorfanoComment: Alberto Margonato

Advanced imaging for structural cardiac diseaseSpeaker: Pietro SpagnoloComment: Eustachio Agricola

Catheter-based renal denervation reduces resistant hypertensionSpeaker: Carlo SetacciComment: Gustav Fraedrich

Panel Discussion

SESSION 5TYPE A AORTIC DISSECTION (TAD)08:40 - 09:40

President: Claudio MunerettoChairmen: Timothy A.M. Chuter, Francesco Musumeci, Vincenzo Rampoldi

Ongoing need for open repair in TADSpeaker: Luigi Chiariello Comment: Joseph V. Lombardi

Trans-cardiac and other unusual routes to the ascending aorta Speaker: Franco GregoComment: Stefano Benussi

AFTERNOONMORNINGFRIDAY, DECEMBER 14TH

How many TAD patients could undergo endovascular repair?Speaker: Stéphan HaulonComment: Gianluca Faggioli

Cardiac skills and technological edge for endovascular repair in the ascending aorta Speaker: Tara M. MastracciComment: G. Louise Buchanan

Design specific stent-grafts for TADSpeaker: Matt ThompsonComment: Carlo Antona

Clinical experience of TAD endovascular repair Speaker: Nicola MangialardiComment: Mauro Rinaldi

Assessing mortality risk in elective cardiac operations. (Age, creatinine, ejection fraction and the law of parsimony)Speaker: Gabriele PelisseroComment: Ronald L. Dalman

Panel Discussion

09:40 - 09:55KEYNOTE LECTURE IV John A. Elefteriades Genetics and genomics of aortic disease

SESSION 6AORTIC ARCH ANEURYSMS10:20 - 11:40

President: Frank J. VeithChairmen: Mauro Ferrari, K. Craig Kent, William Quinones-Baldrich

Chimney, “In Situ” and “Custom” fenestrations for aortic arch aneurysmsSpeaker: Martin MalinaComment: Giovanni Paroni

Chimney graft technique for TEVAR of aortic arch aneurysm Speaker: Nobuyuki ZempoComment: Peter R. Taylor

Total endovascular arch repair with parallel (ViaBahn) grafts Speaker: Ralf KolvenbachComment: Luca Bertoglio

Hybrid arch repair Speaker: William Quinones-BaldrichComment: Andrea Kahlberg

Surgical options for REDO arch surgery Speaker: Roberto Di BartolomeoComment: Stefano Moriggia

Safety of aortic arch replacement without hypothermia and circulatory arrest Speaker: Patrice BergeronComment: Mark A. Farber

Endo-luminal management of the aortic arch diseases Speaker: Chang ShuComment: Rita Spirito

Branched arch devicesSpeaker: Stéphan HaulonComment: Stefano Camparini

Future of total endovascular arch repair Speaker: Timothy A.M. ChuterComment: Joseph S. Coselli

Panel Discussion

SESSION 7STROKE AFTER THORACIC AORTIC PROCEDURES11:40 - 12:50

President: Carlo SetacciChairmen: Giancarlo Comi, Francesco Speziale, Peter R. Taylor

Predictive factors for stroke after TEVARSpeaker: Patrizio M. CastelliComment: Antonio M. Jannello

Stroke following open ascending aorta and arch repair Speaker: Alessandro CastiglioniComment: Vincenzo Rampoldi

Endovascular repair of ruptured thoracic aortic aneurysms: predictors of procedure-related stroke Speaker: Bart E. MuhsComment: Pierfranco Salcuni

Deep or mild hypothermia for circulatory arrest Speaker: John A. ElefteriadesComment: Giampiero Esposito

Patterns of stroke after TEVAR of the descending thoracic aorta Speaker: Peter R. TaylorComment: Giustino Marcucci

Stroke following hybrid arch repair Speaker: Germano MelissanoComment: Mark A. Farber

Does LSA coverage play a role on stroke?Speaker: Frank J. CriadoComment: Carlo Ruotolo

Hemorrhagic stroke following thoracic aortic procedures: prevention and treatment Speaker: K. Craig KentComment: Lazar B. Davidovic

Cerebral embolization during transcatheter aortic valve implantationSpeaker: Alberto MargonatoDiscussant: Maria Sessa

Panel Discussion

13:00 - 13:15KEYNOTE LECTURE V Joseph S. CoselliHistory of aortic surgery

SESSION 8GENETICS AND GENOMICS OF AORTIC DISEASE14:30 - 15:40

President: Eloisa ArbustiniChairmen: Angelo Argenteri, Bart L. Loeys, Francesco Mascoli

Aortic manifestations in Marfan patientsSpeaker: Eloisa ArbustiniComment: Frank Vermassen

Creation of regional centers for Marfan patients Speaker: Julie De BackerComment: Stefano Pirrelli

The phenotypic spectrum of Marfan Syndrome Speaker: Bart L. LoeysComment: Ronald L. Dalman

Fate of the distal aorta in Marfan patients Speaker: Joseph S. CoselliComment: Julie De Backer

Thoracic endovascular procedures in Marfan patients: absolute or relative contra-indication?Speaker: Frank VermassenComment: Timothy A.M. Chuter

Contemporary appraisal of interventions for Vascular Ehlers Danlos Syndrome Speaker: James H. Black IIIComment: Giovanni Coppi

Pitfalls in anaesthesiological management of patients with collagenopathies Speaker: George SilvayComment: Fabio Guarracino

Panel Discussion

15:40 - 15:55KEYNOTE LECTURE VIBart L. LoeysThe Loeys-Dietz Syndrome

SESSION 9COMBAT TRAUMA 16:00 - 16:50

President: Flavio PeinettiChairmen: Arnaldo Ippoliti, Martín Landaluce Chaves, Enzo Liguori

Combat tactical care courseSpeaker: Andrea Tamburelli Lanzara

Damage control resuscitation Speaker: Alessandro Cigalotto

New haemostatic agents Speaker: Arnaldo Gallucci

Treatment during “Medevac” (MERT Model)Speaker: Katharine Hartington

Simulation training and modelling Speaker: Erwin Dhondt

Trauma in Italian troops from recent missions Speaker: Massimo Barozzi

Damage control in vascular surgery: concept and techniques Speaker: Enzo Liguori

Plastic surgery after combat trauma Speaker: Franz W. Baruffaldi Preis

Panel Discussion

16:50 - 17:05KEYNOTE LECTURE VII Piero AnversaCardiac stem cells and myocardial repair

SESSION 10 INTERESTING MISCELLANEOUS TOPICS17:20 - 18:40

President: Giancarlo BracaleChairmen: Nicholas J. Cheshire, Carlo Staudacher, Piero Zannini, Marian Zembala

Results of the French Trial on the endovascular repair of thoraco-abdominal aneurysm Speaker: Jean-Pierre BecqueminComment: Francesco Stillo

Funnel technique for EVAR “A Way Out” for abdominal aortic aneurysms with ectatic proximal necks Speaker: Salvatore RonsivalleComment: Armando Natale

Laparoscopic treatment of the “Arcuate Ligament Syndrome”Speaker: Paolo A.R. BaccariComment: Yves S. Alimi

Aortic disease in patients with kidney transplantation Speaker: Pierfrancesco VerouxComment: Marian Zembala

Lung issues during thoracic and thoraco-abdominal aortic open procedures Speaker: Giampiero NegriComment: Joseph J. Ricotta II

ERAS in aortic surgery Speaker: Domenico BaccellieriComment: Marco Braga

Pulmonary artery catheter-directed rapid right ventricular pacing to facilitate precise deployment of thoracic endografts Speaker: Joseph J. Ricotta IIComment: Patrizio Mazzone

MORNINGSATURDAY, DECEMBER 15TH

AFTERNOONFRIDAY, DECEMBER 14TH

Technique, outcome, indications and complications associated with the snorkel technique for juxtarenal aneurysmsSpeaker: Ronald L. DalmanComment: Hung-Pin Liu

CHIMPS (chimney, snorkels, sandwich, etc): is there a case to use them as first choice?Speaker: Frank J. CriadoComment: Marcelo Ferreira

Aorto-esophageal fistulae: is there a role for endovascular treatment?Speaker: Andrea KahlbergComment: Tara M. Mastracci

Panel Discussion

SESSION 11MECHANICAL CIRCULATORY SUPPORT AND THE AORTA: FRIEND OR FOE?18:40 - 19:40

President: Leo A. BockeriaChairmen: Luigi Martinelli, Federico Pappalardo, Alexander Stepanenko

Left lateral thoracotomy for LVAD implantation: when? Speaker: Alexander StepanenkoComment: Luigi Martinelli

Jarvik 2000 Speaker: Massimo MassettiComment: Alexander Stepanenko

HeartWare HVAD Speaker: Alexander StepanenkoComment: Michele De Bonis

Pulsatility in patients with LVADs Speaker: Francesco MoscatoComment: Giulio Melisurgo

Retrograde flow and aortic root stasis: tricks and pitfalls of modern LVAD technologies Speaker: Friedrich KaufmannComment: Francesco Moscato

Aortic valve surgery in LVADsSpeaker: Nikolay DranishnikovComment: Antonio Loforte

VADs after type A dissection Speaker: Alexander StepanenkoComment: Alessandro Castiglioni

Panel Discussion

19:40 - 19:55KEYNOTE LECTURE VIII Roland HetzerHistory of artificial heart and cardiac assist devices

SESSION 12NEW TECHNOLOGICAL TOOLS FOR THE AORTA07:30 - 08:40

President: Giovanni SimonettiChairmen: Piergiorgio Cao, Gian Paolo Cornalba, Alessandro Del Maschio

CT protocols with lower radiation and contrast media Speaker: Giovanni GandiniComment: Maurizio Cariati

4D imaging for the thoraco-abdominal aorta Speaker: Carlo FerroComment: Frans L. Moll

Angiographic “tips and tricks” during aortic procedures Speaker: Roberto GandiniComment: Eric Verhoeven

Innovative technologies for patient safety in aortic surgery: surgical robotics and automationSpeaker: Enrico M. MaroneComment: Nicholas J. Cheshire

Transthoracic real-time 3D echocardiography: clinical role, value and limitationsSpeaker: Eustachio AgricolaComment: Tetsuo Hongo

Fusion imaging for “Zero-Contrast” aortic proceduresSpeaker: Tara M. MastracciComment: Francesco De Cobelli

New frontiers in imaging of aortic inflammationSpeaker: Paolo G. CamiciComment: Jacopo Olivotto

Medical digital photography: a precious assetSpeaker: Efrem CiviliniComment: Antonio G. Rampoldi

Panel Discussion

SESSION 13 THORACO-ABDOMINAL AORTIC ANEURYSMS (TAAA)08:40 - 09:40

President: Domenico TealdiChairmen: Joseph S. Coselli, Michael Jacobs, Germano Melissano

Fenestrated stent-grafts for the celiac trunk: when and how Speaker: Marcelo FerreiraComment: Giovanni Coppi

“Off the shelf” branched grafts for TAAA: how many patients can be treated, will it affect the outcome?Speaker: Timothy A.M. ChuterComment: Roberto Pacchioni

Branched grafts for TAAA will it ever become simple and affordable? Speaker: Eric VerhoevenComment: Timothy Resch

Contemporary improvements to TAAA open surgery Speaker: Germano MelissanoComment: Bart E. Muhs

Technical considerations of open TAAA repair in a transition country Speaker: Lazar B. DavidovicComment: Giovanni Pratesi

Surgical management of TAAA in patients with connective tissue disorders Speaker: James H. Black IIIComment: Yamume Tshomba

How to transfer open surgical outcomes to the rest of the world Speaker: Joseph S. CoselliComment: John H.N. Wolfe

Panel Discussion

09:40 - 09:55KEYNOTE LECTURE IXTimothy A.M. ChuterHistory of endovascular aortic procedures

SESSION 14SCV JOINT SESSION: OPEN AND ENDOVASCULAR AORTIC SURGERY10:20 - 11:20

President: Yves S. AlimiChairmen: Roberto Chiesa, Olivier A. Goëau-Brissonière, Francesco Spinelli

Persistent type 2 endoleak one year after EVAR: a negative prognostic factorSpeaker: Antoine MillonComment: Giuseppe Panuccio

Late surgical conversion after EVAR Speaker: Fabien KoskasComment: Gabriele Maritati

Open surgery for infra-renal aortic aneurysm in patients under 80: the reasons of this first-line choiceSpeaker: Patrick MoreauComment: Amerigo Gori

European experience of the fenestrated EVAR Anaconda Speaker: Dominique MidyComment: Gaetano Lanza

Emergent endovascular treatment of thoracic aortic lesion Speaker: Yves S. AlimiComment: Vincenzo Monaca

Long-term complications of endovascular treatment for descending thoracic aorta diseaseSpeaker: Philippe PiquetComment: Francesco Talarico

Technical aspects of aortic arch debranching Speaker: Yann GouëfficComment: Massimo Lenti

Panel Discussion

SESSION 15SPINAL CORD ISCHEMIA (SCI)11:20 - 12:30

President: Attilio OderoChairmen: Stephen Cheng, Franco Grego, Randall B. Griepp

Spinal cord vascular anatomy, what do we know and what we still don’tSpeaker: Germano MelissanoComment: Burkhart Zipfel

Preoperative spinal cord imaging Speaker: Michael JacobsComment: Frank J. Criado

Open surgical strategies for SCI preventionSpeaker: Joseph S. CoselliComment: Pierluigi Giorgetti

Spinal cord ischemia after endovascular repair of thoraco-abdominal aortic aneurysms Speaker: Piergiorgio CaoComment: William Quinones-Baldrich

Spinal cord monitoring during TEVAR Speaker: Nicholas J. CheshireComment: Tetsuo Hongo

Predictors of SCI after TEVARSpeaker: Michel S. Makaroun Comment: Fabio Verzini

Cerebro spinal fluid automated monitoring and drainage Speaker: Vicente RiambauComment: Adamastor H. Pereira

Early imaging of spinal cord ischemic injuries: correlation with clinical outcomes Speaker: Andrea FaliniComment: K. Craig Kent

Panel Discussion

12:30 - 12:45KEYNOTE LECTURE X Randall B. GrieppInsight in spinal cord ischemia

AFTERNOONSATURDAY, DECEMBER 15TH

SESSION 16TYPE B AORTIC DISSECTION (TBD)14:30 - 15:50

President: Giovanni DeriuChairmen: Joseph V. Lombardi, Christoph A. Nienaber, Marco Setti

Do branched and fenestrated devices have a role in chronic TBD?Speaker: Santi TrimarchiComment: Timothy Resch

Endovascular treatment of TBD: lessons learned Speaker: Noriyuki KatoComment: Massimiliano Gessaroli

Importance of refractory pain and hypertension in acute TBD Speaker: Hans-Henning EcksteinComment: Fabien Koskas

Volume changes in aortic true and false lumen after the PETTICOAT procedure for TBD Speaker: Luca BertoglioComment: Christoph A. Nienaber

Endovascular treatment for chronic TBD: relevant data for determining potential outcomesSpeaker: Stephen Cheng Comment: Enrico Vecchiati

Stent-graft in dissected aorta: aspects on seal and risk for rupture of the dissection membrane Speaker: Timothy ReschComment: Laurent Chiche

Results of the STABLE clinical trial Speaker: Joseph V. LombardiComment: Giovanni Torsello

Late results of the INSTEAD trialSpeaker: Christoph A. Nienaber Comment: Hiroshi Otake

Late results of the ADSORB trial Speaker: Jan S. Brunkwall Comment: Laurent Chiche

Panel Discussion

SESSION 17EVAR: WHY DO I USE THIS DEVICE?15:50 - 16:50

President: Michel S. MakarounChairmen: Mark A. Farber, Franco Nessi, Piergiorgio G. Settembrini

Bolton: the Treovance AAA Stent-Graft with Navitel Delivery System Speaker: Gioachino Coppi

Cook: the Zenith AAA Low Profile (LP) Stent-GraftSpeaker: Geert W. Schurink

Cordis: the Incraft AAA Stent-Graft Speaker: Carlo Pratesi

Endologix: the Nellix AAA Sac-anchoring Endoprosthesis Speaker: Roberto Silingardi

Gore: the Excluder AAA Stent-Graft with C3 Delivery SystemSpeaker: Dittmar Böckler

Jotec: the E-vita AAA Stent-Graft SystemSpeaker: Stefano Michelagnoli

Medtronic: the AAA Endurant Stent-GraftSpeaker: Giovanni Torsello

Trivascular: the Ovation AAA Stent-Graft Speaker: Joseph J. Ricotta II

Vascutek: the Anaconda AAA Stent-Graft with BluGlide introducer sheathSpeaker: Andrea Stella

The Aptus HeliFX endostaplesSpeaker: Burkhart Zipfel

Advantages of the Cardiatis multilayer flow modulator for TAAASpeaker: Claude Vaislic

Panel Discussion

SESSION 18HOT TOPICS IN PERI OPERATIVE MEDICINE FOR AORTIC SURGERY17:10 - 18:10

President: Alberto ZangrilloChairmen: Guido Bajardi, Antonio Pesenti, Marco Ranucci

Peri operative antithrombotic management of patients with previous coronary stentsSpeaker: Giuseppe Biondi ZoccaiComment: Marco Ranucci

The TAVI team: new concepts for the anesthesiologist Speaker: Marian Kukucka Comment: Remo D. Covello

Heart rate control: esmolol Speaker: Luigi TritapepeComment: Stefano Romagnoli

New inotropes: Levosimendan Speaker: Fabio Guarracino Comment: Giovanni Landoni

Respiratory complications and their management: an update on respiratory mechanics Speaker: V. Marco Ranieri Comment: Nicolò A. Patroniti

New concepts in peri operative medicine: same day admission for aortic surgery. How to decrease hospital expenses Speaker: George Silvay Comment: Luigi Beretta

Anesthesia for minimally invasive aortic valve surgery Speaker: Paolo Del Sarto Comment: Alexander Mladenow

Panel Discussion

SESSION 19AORTIC EMERGENCIES - PART I18:10 - 19:05

President: Maurizio PuttiniChairmen: Domenico Palombo, Pietro Rispoli, Maurizio Taurino

Multiple periscope and chimney graft to treat ruptured TAAA and pararenal AAA Speaker: Dieter MayerComment: Antonio Sarcina

Treatment of ruptured AAA after endovascular abdominal aortic repairSpeaker: Gioachino CoppiComment: Vittorio Dorrucci

Midterm results of EVAR for ruptured AAA Speaker: Adamastor H. PereiraComment: Eric Verhoeven

Rupture of AAA in the vena cava or left renal vein Speaker: Bruno GossettiComment: Giovanni Bertoletti

Open versus endovascular repair of ruptured thoracic aortic aneurysms Speaker: Hence J.M. VerhagenComment: Giancarlo Palasciano

Thoracic aortic pulsatility decreases during hypovolemic shock: implications for stent-graft sizing Speaker: Bart E. MuhsComment: Giancarlo Mansueto

Panel Discussion

SESSION 20AORTIC EMERGENCIES - PART II19:05 - 20:00

President: Guido ReginaChairmen: Stefano Camparini, Nabil Chakfé, Karaoglan Liberato de Moura

Endovascular repair of ruptured AAA with local anesthesiaSpeaker: Dieter MayerComment: Giovanni Lorenzi

Endovascular repair of ruptured AAA does not confer survival benefits over open repair Speaker: Michel S. Makaroun Comment: Gianmarco de Donato

Blunt abdominal aortic disruption Speaker: Francesco Speziale Comment: Marcelo Liberato de Moura

Blunt thoracic aortic injury: techniques and tips for endovascular repair Speaker: Mark A. Farber Comment: Gabriele Piffaretti

Endovascular and open repair for blunt aortic injury in Brazil Speaker: Ricardo Aun Comment: Giovanni Nano

Endovascular treatment of traumatic aortic lesions Speaker: Mauro Gargiulo Comment: Dittmar Böckler

Panel Discussion

20:00 - 20:15CLOSING REMARKS

A C K N O W L E D G M E N T S

MEDICAL

GIOVANNI CASTELL ANO

O N L U S

Arti Grafiche Colombo