11th VASA COURSE – TAKE YOUR SKILLS TO THE NEXT LEVEL

Endovascular and open treatment of CLTI

Verona – Italy
ICLO Teaching and Research Center

30-31/01/2023 01/02/2023

Course Chairmen:

Giovanni B. Torsello

Luca Garriboli

 

Today a wide range of strategies, techniques and technologies are available for avoiding limb amputation. This course aims to acquire a deep knowledge of the wide range of available tools and increase skills to treat patients with critical limb-threatening ischemia. For this purpose, traditional educational methods will be combined with hands-on training using human corps. Endo- vascular and surgical instrumentation as well modern facilities for fluoroscopy and ultrasound allow for a perfect simulation of our daily operative environment.

Target audience:
Vascular surgeons, Radiologists, Cardiologists

Learning objectives:
At the end of the course, participants will be able to: • Interpret preoperative imaging of patients with CLTI and choose the best revascularization strategy on the basis of interactive case examples. Develop a treatment algorithm. Evaluate step-by-step revascu- larization and bailout strategies will be discussed
• Select the best vascular access and use the appro- priate sheath, wires to cross the lesion, and the best vessel preparation methods
• Have used various support catheters, balloons, stents, atherectomy and thrombectomy devices inclu- ding their characteristics

COURSE TOPICS ENDOVASCULAR

HOW TO REACH AND PASS THE LESION

Perform an ultrasound guided puncture
Choose the best wire platform for treatment 014, 018 or 035
Use of CTO crossing technology and support catheters
Retrograde and antegrade vascular access
Use of IVUS before, and after recanalization
Use of reentry catheter for targeted reentry during subintimal angioplasty

VESSEL PREPARATION

Choice of PTA balloons
Scoring and high-pressure balloons Intravascular lithotripsy Directional atherectomy

Rotational atherothrombectomy Management of in-stent and bypass occlusion Indigo aspiration in acute limb ischemia Management of dissection

OPEN SURGERY
TRAINING IN OPEN SURGERY TECHNIQUES

Access to the femoral artery Access to the popliteal artery segment I, II, III
Access to the tibial arteries Access to the pedal arteries Access to the axillary artery for extra-anatomic bypass

Access to the aorta and iliac artery
Technique of the endarterectomy of the CFA Bypass anastomosis with the femoral artery Extra-anatomic bypass to the anterior tibial artery Technique of hybrid procedures

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