CONTROVERSIES
CHALLENGES
CONSENSUS
21–24 APRIL 2020 T U E S D AY – F R I D AY
OLYMPIA LONDON • UNITED KINGDOM
Aortic Consensus
Peripheral Arterial Consensus
Venous & Lymphatic Consensus
Acute Stroke Consensus
Vascular Access Consensus
1 ST A N N O U N C E M E N T
EDUCATION
INNOVATION
EVIDENCE
w w w. c x s y m p o s i u m . c o m
CX Advisory Board
CX Executive Board Aortic
Acute Stroke Dittmar Böckler rofessor of Vascular Surgery at P University of Heidelberg and Head of Department of Vascular Surgery and Endovascular Surgery at University Hospital Heidelberg, Heidelberg, Germany
Hugh Markus
Barbara Rantner
Stéphan Haulon rofessor of Vascular Surgery, P Université Paris Sud, Hôpital Marie Lannelongue, Le Plessis Robinson, France
Tilo Kölbel rofessor of Vascular Surgery, P University of Hamburg, and Vascular Surgeon at the University Heart Center Hamburg, Hamburg, Germany
Peripheral Arterial
Gunnar Tepe ead of Diagnostic and Interventional H Radiology, RoMed Clinic, Rosenheim, Germany
Thomas Zeller rofessor of Angiology at AlbertP Ludwigs University of Freiburg and Head of Department of Angiology at Universitäts – Herzzentrum Freiburg, Bad Krozingen, Germany
Venous & Lymphatic
2
Domenico Valenti onsultant Vascular Surgeon and C
iWounds
University Medical Center Utrecht, Utrecht, Netherlands
Cliff Shearman meritus Professor of Vascular E 0
Giovanni Torsello rofessor, Chief of the Department P
CX Aortic Workshop
Kevin Mani rofessor of Vascular Surgery at P Uppsala University and Consultant Vascular Surgeon at Uppsala University Hospital, Uppsala, Sweden
Anna Prent onsultant Vascular Surgeon at Royal C Free London NHS Foundation Trust, London, UK
400
600
800
Gerard O’Sullivan onsultant Interventional Radiologist, C 68% Western Europe 10% North America
Claudine Hamel-Desnos 8% Asia Vascular Physician, Hôpital Privé Saint-
6% Eastern Europe Martin, Caen, France, and President of Latin America & Caribbean the French Society of4%Phlebology
Trevor Cleveland onsultant Vascular Radiologist and C
Acute Stroke
Honorary Senior Lecturer at Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK
rofessor of Vascular Surgery at P University of Bristol and Vascular Surgeon at North Bristol NHS Trust, Bristol, UK
Surgeon, Barts Health NHS Trust & Senior Lecturer, Centre for Trauma Sciences, QMUL, London, UK
rofessor of Vascular Surgery, Head of P 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
Galway University Hospitals, Galway, Ireland
Surgery Department of Vascular Surgery at Ghent University Hospital, Ghent, Belgium
Janet Powell Professor of Vascular Biology and Medicine, Imperial College London, London, UK
1% Australasia
Ross Naylor onorary Professor of Vascular H
Recruitment to Vascular Management
Frank Vermassen rofessor in Vascular and Thoracic P
1% Middle East
Surgery at University of Leicester and Consultant Vascular Surgeon at Leicester Royal Infirmary, Leicester, UK
Robert Hinchliffe
Keith Harding rofessor of Wound Healing P
Ross Davenport onsultant Trauma and Vascular C
Alun Davies
2% Africa
Aortic
Surgeon, Imperial College Healthcare NHS Trust, London, UK
of Vascular Surgery at Franziskus Hospital, Münster, Germany
and Consultant Diabetologist at King’s College Hospital, London, UK
Christopher Aylwin onsultant Vascular and Trauma C
200
Surgery, University of Southampton and Non-Executive Director, Royal Bournemouth and Christchurch NHS Foundation Trust
Michael Edmonds rofessor of Diabetic Foot Medicine P
Major Vascular Trauma
Peripheral Arterial
Research, School of Medicine, Cardiff University, Cardiff, 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
Nicholas Inston onsultant Surgeon and Clinical Lead C
Venous & Lymphatic
Frans Moll (Chairman) rofessor of Vascular Surgery at P
Honorary Senior Lecturer at King’s College London, London, UK
Manj Gohel onsultant Vascular & Endovascular C Surgeon, Addenbrooke’s Hospital, Cambridge, UK, and Honorary Senior Lecturer, Department of Surgery and Cancer, Imperial College London, London, UK
ascular surgeon, Department of V Vascular and Endovascular Surgery, Ludwig Maximilians University Munich, Munich, Germany
for Renal Surgery and Transplantation at Queen Elizabeth Hospital Birmingham, Birmingham, UK
Stephen Black onsultant Vascular Surgeon at Guy’s C and St Thomas’ Hospital, London, UK and Reader in Venous Surgery at Kings College London
rofessor of Stroke Medicine, Honorary P Consultant Neurologist, University of Cambridge, Cambridge, UK
Vascular Access
Andrew Holden ssociate Professor of A
Radiology at Auckland University School of Medicine and Director of Interventional Services at Auckland City Hospital, Auckland, New Zealand
Portugal Egypt Sweden Belgium Ireland Australia Russia Saudi Arabia Austria Denmark Japan Czech Republic Finland Israel India Singapore Canada Argentina Slovenia South Africa Hungary Mexico Thailand Romania Serbia South Korea New Zealand Norway Slovakia United Arab Emirates Kuwait Taiwan Bulgaria Croatia Lebanon Sri Lanka Ukraine Costa Rica Iraq Jordan Other
Sophie Renton onsultant Vascular Surgeon at C Northwick Park Hospital, Honorary Senior Lecturer for Imperial College London, London, UK, and Honorary Secretary, The Vascular Society for Great Britain and Ireland
CX Abstract Board Meryl Davis (Chair)
Eric Verhoeven hief, University Department of C Vascular and Endovascular Surgery, Paracelsus Medical University, General Hospital Nuremberg, Nuremberg, Germany
Daryll Baker Rachel Bell Colin Bicknell Marcus Brooks
Robert Hinchliffe Paul Moxey Anna Prent Celia Riga
CME feedback 91% of the CME
delegates surveyed rated the CX 2019 programme as “excellent” or “good”.
91% Excellent or Good 8% Fair 1% Poor
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21–24 April 2020
Preliminary Faculty CX Faculty will include: Naseer Ahmad Ben Almquist Gary Ansel Enrico Ascher Leanne Atkins Christopher Aylwin Daryll Baker Christian Behrendt Rachel Bell Ruth Benson Luca Bertoglio Colin Bicknell Theodosios Bisdas Martin Björck Stephen Black Jan Blankensteijn Dittmar Böckler Roshan Bootun Marianne Brodmann Marcus Brooks Ludovic Canaud Paul Chadwick Trevor Cleveland Rachel Clough Clement Darling III Ross Davenport Alun Davies Meryl Davis Gert De Borst Brian DeRubertis Bart Doyen Hans-Henning Eckstein Michael Edmonds Jens Eldrup-Jorgensen William Ennis Mårten Falkenberg Alik Farber Thomas Forbes Francis Game Balazs Gasz Sergio Gianesini Paul Gibbs James Gilbert Manj Gohel Yann Gouëffic Roger Greenhalgh Stephen Greenhalgh
Franco Grego Wei Guo Claudine Hamel-Desnos Jennifer Hanko Keith Harding Stéphan Haulon Paul Hayes Adrien Hertault Rob Hinchliffe Stephen Hohmans Andrew Holden Peter Holt Dominic Howard Jeffrey Hull Nicholas Inston Houman Jalaie William Jeffcoate Michael Jenkins Robert Jones Matthieu Josnin Lowell Kabnick Barry Katzen David Kingsmore Panagiotis Kitrou Tilo Kölbel Raghu Kolluri Ali Kordzadeh Dainis Krievins Drosos Kotelis Tristan Lane Michael Lichtenberg Jes Lindholt Ian Loftus Charmaine Lok Lindsay Machan Michel Makaroun Alexandros Mallios Misti Malone Kevin Mani Armando Mansilha Hugh Markus Charles McCollum Matthew Menard Bijan Modarai Frans Moll Hayley Moore Paul Moxey
Ross Naylor Gustavo Oderich Thomas O’Donnell Gerry O’Sullivan Daniel Patel Eric Peden Paul Pittaluga Janet Powell Anna Prent Barbara Rantner Sophie Renton Vincent Riambau Celia Riga Steven Rogers Nirvan Sadaghianloo Peter Schneider Thomas Serena Robert Shahverdyan Cliff Shearman Mitchell Silver Tej Singh Kristian Smidfelt Konstantinos Spanos Kate Steiner Gunnar Tepe
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!
Sarah Thomis Irwin Toonder Giovanni Torsello Matteo Tozzi Santi Trimarchi
Roger Greenhalgh, on behalf of the CX Executive Board
Nikolaos Tsilimparis Domenico Valenti Jos Van Den Berg Jorinde Van der Laanen Maarit Venermo Hence Verhagen Eric Verhoeven Frank Vermassen Fabio Verzini Anders Wanhainen Monnie Wassie Jason Wilkons Teun Wilmink Therese Wykoff Thomas Zeller
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
3 Days of Peripheral Arterial Consensus Peripheral Proximal Arterial Ischaemia Consensus – Tuesday, 21 April 2020 • 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
Peripheral Critical Ischaemia Consensus – Thursday, 23 April 2020 • Outcome of revascularisation for chronic limbthreatening 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
• Duplex-guided endovascular repair of popliteal artery aneurysms Peripheral Arterial Podium 1st trials CX Peripheral Techniques & Technologies – Wednesday, 22 April 2020
Live and edited peripheral techniques and technologies to treat peripheral arterial disease from leading vascular centres.
Additional Peripheral Arterial Sessions CX Peripheral Workshop with one-to-one hands-on demonstrations CX Global Stars and Rising Stars CX Abstracts and E-posters
3 Days of Aortic Consensus CX Aortic Techniques & Technologies – Tuesday, 21 April 2020
Live and edited aortic techniques and technologies to treat thoracic and abdominal aortic disease from leading vascular centres.
Thoracic Aortic Consensus – Thursday, 23 April 2020 • 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
Abdominal Aortic Consensus – Wednesday, 22 April 2020
• Endovascular team radiation safety performance
• 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
4
Additional Aortic Sessions
CX Aortic Workshop with one-to-one hands-on demonstrations CX Global Stars and Rising Stars CX Abstracts and E-posters
21–24 April 2020
3 Days of Venous & Lymphatic Consensus Venous & Lymphatic Consensus – Tuesday, 21 April 2020 • Final three-year results of a randomised controlled trial comparing endovenous laser ablation and foam in SSV insufficiency • Consensus on pelvic vein incompetence
Additional Venous Sessions
CX Venous Techniques & Technologies (edited cases) Wednesday, 22 April 2020 and Thursday, 23 April 2020
• Management of lipoedema and lymphoedema
CX Venous Workshop
• Anatomical classification of chronic venous obstruction and its implications
Wednesday, 22 April 2020 and Thursday, 23 April 2020
• Medical therapy after deep venous interventions
CX Global Stars and Rising Stars
Venous Podium 1st trials
CX Abstracts and E-posters
2 Days of Acute Stroke Consensus Acute Stroke Consensus – Friday, 24 April 2020 • 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
Additional Acute Stroke Sessions
CX Global Stars and Rising Stars CX Abstracts and E-posters Thursday, 23 April 2020
• Results of mini-incision carotid endarterectomy • Complex carotid body tumours and adjunctive endovascular treatment • Debate: Only extracranial vertebral arteries should be considered for stenting
3 Days of Vascular Access Consensus Vascular Access Masterclass – Wednesday, 22 April 2020 • The access algorithm: Can we define an algorithmic approach to vascular access preservation and maintenance? • Pre-operative vein enhancement, assessment and planning
Additional Vascular Access Sessions
CX Vascular Access Workshop Thursday, 23 April 2020
• Fistula formation: Surgical fistula and endoAVF
CX Abstracts and E-posters
• Imaging and surveillance in vascular access
Tuesday, 21 April 2020
• Debate: Paclitaxel vs. plain balloons in vascular access Vascular Access Podium 1st trials
2 Days of iWounds Consensus iWounds Consensus – Wednesday, 22 April 2020 • 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
Additional iWounds Sessions
CX iWounds Workshop Wednesday, 22 April 2020 and Thursday, 23 April 2020
CX Abstracts and E-posters
• The need for integrated care in the management of diabetic foot ulcers • Modern wound dressings and techniques
5
Vascular & Endovascular Consensus Update
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
Additional Activities CX Additional Events
CX Innovation Showcase CX Meets Latin America
European Vascular Surgeons in Training (EVST)
CEC@CX
EVENING RECEPTION AT CHELSEA FC 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.
Thursday 23 April 2020, 6.30pm Please visit www.cxsymposium.com/ cx-evening-reception for more information
SAVE THE DATE!
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21–24 April 2020
Registration & Accommodation Early Bird Registration Deadline: 23 February 2020 CX 4-DAY RATE
(TUESDAY – FRIDAY, ACCESS ALL AREAS, INCLUDING WORKSHOPS AND ACUTE STROKE CONSENSUS)
Early bird*
Full registration Junior doctor registration1 Vascular technologist/ nurse1
Standard rate
Late/on-site registration**
CX 1-DAY RATE
(ACCESS ALL AREAS FOR TUESDAY, WEDNESDAY OR THURSDAY)
Early bird*
Standard rate
Late/on-site registration**
£695
£795
£895
£295
£345
£385
£345
£395
£445
£150
£180
£195
£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 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.
Early bird*
Standard rate
£95
Late/onsite registration**
£115
£125
Note: Friday only (8:00–13:00). Excludes symposium book.
Book your accommodation close to the venue at special rates Make 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.
Register at www.cxsymposium.com/registration What makes CX so special... 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 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
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Vascular & Endovascular Consensus Update
Key dates Early bird registration ends: CX 2020 dates:
EDUCATION
23 February 2020 21–24 April 2020
INNOVATION
EVIDENCE
General enquiries
Exhibitor information
Charing Cross Symposium
Tel: +44 (0) 20 7736 8788
526 Fulham Road,
Nathalie Fortin
London SW6 5NR, United Kingdom
nathalie@bibamedical.com
Tel: +44 (0) 20 7736 8788
Laura James
Email: info@cxsymposium.com
laura@bibamedical.com Shilpa Suthar shilpa@bibamedical.com