Thursday 10th September

Bijan Modarai

09:00 to 09:10

Opening remarks and meeting objectives

Bijan Modarai

09:10 to 09:20

The role of the interdisciplinary "Aortic Team" in optimising the emergency transfer of patients and its impact on outcome

 

Marcus Brooks, North Bristol NHS Trust, UK

09:20 to 09:30

Imaging surveillance after Type B dissection: How often, what to look for, and what we may be missing

 

Federica Catapano, Humanitas Research Hospital, Milan, Italy

Kak Khee Yeung

09:30 to 09:40

Contemporary analysis techniques for the multimodal data and how it can inform the management of Type B aortic dissection

 

Kak Khee Yeung, University of Amsterdam, Netherlands

Kak Khee Yeung
Anders Wanhainen

09:40 to 09:50

Guidelines vs reality: Where evidence fails in Type B aortic dissection

 

Anders Wanhainen, University of Uppsala, Sweden

Anders Wanhainen
Tara Mastracci
Martin Hilton

09:50 to 10:05

Perspectives on survivorship and surveillance

 

Martin Hilton, Patient representative, Aortic Dissection Charitable Trust

Tara Mastracci, Barts Health, London, UK

Tara Mastracci , Martin Hilton

10:05 to 10:30

Discussion

Stephan Haulon

10:30 to 10:45

Endovascular reconstruction of the dissected ascending aorta and arch: Defining strategy in the era of fenestrated and branched repair and what comes next

 

Speaker: Stéphan Haulon, Hopital Marie Lannelongue, Paris, France

Introduced by Bijan Modarai

Vote of thanks by Tara Mastracci

Stephan Haulon

Nimesh Desai

11:15 to 11:25

From open to hybrid to total endovascular: Navigating the transition in the treatment of the dissected aortic arch

 

Nimesh Desai, University of Pennsylvania, USA

Nimesh Desai
Gustavo Oderich

11:25 to 11:35

Do we need a more effective solution for chronic false lumen sac management?

 

Gustavo Oderich, Baylor Medicine Centre for Aortic Surgery, USA

Gustavo Oderich
Tim Resch
Stéphan Haulon
Kak Khee Yeung
Eric Roselli
Nimesh Desai
Anders Wanhainen
Tara Mastracci

11:35 to 12:15

Strategy & Future Scoping Roundtable

Lead discussant: Tim Resch, University of Copenhagen, Denmark

Expert panel: Anders Wanhainen, Stéphan Haulon, Nimesh Desai, Eric Roselli, Tara Mastracci, Kak Khee Yeung

  • Remote monitoring in aortic dissection
  • Is remodelling for chronic dissection important and, if so, how can we achieve it?
  • Functional and haemodynamic assessment of the dissected aorta, with potential AI integration
  • Endovascular technologies in connective tissue disease
Tim Resch , Stéphan Haulon , Kak Khee Yeung , Eric Roselli , Nimesh Desai , Anders Wanhainen , Tara Mastracci
Tara Mastracci
Barend Mees
Nimesh Desai
Eric Roselli
Stéphan Haulon
Gustavo Oderich

12:15 to 12:35

Integrated Aortic Team Debate

Convenors: Tara Mastracci & Barend Mees

Panel: Nimesh Desai, Eric Roselli, Stéphan Haulon & Gustavo Oderich

One Aorta.  Four Experts.  One decision?

Each expert present, defends and critiques their preferred open or endovascular strategy for the same complex aortic dissection

Tara Mastracci , Barend Mees , Nimesh Desai , Eric Roselli , Stéphan Haulon , Gustavo Oderich

12:35 to 12:45

Cook Medical Guest Lecture

Tim Resch
Gustavo Oderich

13:35 to 13:50

Off-the-shelf endovascular solutions will replace custom and physician-modified devices in aortic dissection

For: Tim Resch, University of Copenhagen, Denmark

Against: Gustavo Oderich, Baylor Medicine Centre for Aortic Surgery, USA

Tim Resch , Gustavo Oderich
Eric Roselli

13:50 to 14:00

Malperfusion in Type A aortic dissection: When, how and what to fix first

Eric Roselli, Cleveland Clinic, USA

Eric Roselli
Barend Mees

14:00 to 14:10

The hostile access: Navigating true lumen collapse, iliac malperfusion, and the inaccessible branch vessel

Barend Mees, Maastricht Heart+Vascular Center, Maastricht, Netherlands

Barend Mees
Stephen Cheng

14:10 to 14:20

Complications of TEVAR in dissection: Risk factors, prevention, recognition and bailout strategies

Stephen Cheng, University of Hong Kong

Stephen Cheng

14:20 to 14:40

Discussion

Becky Sandford
Jude Partridge
Panos Gkoutzios
Eric Roselli
Colin Bicknell
Stephen Cheng

14:40 to 15:10

Interactive MDT simulation

Cases for discussion: Becky Sandford & Mohamed Abdelhalim

Expert panel: Judith Partridge, Pano Gkoutzios, Eric Roselli, Colin Bicknell, Michael Sabetai, Stephen Cheng

Becky Sandford , Jude Partridge , Panos Gkoutzios , Eric Roselli , Colin Bicknell , Stephen Cheng

15:10 to 15:20

Gore Guest Lecture: Optimising Aortic Arch Treatment: Clinical Experience with the GORE® TAG® Thoracic Branch Endoprosthesis

David Murray, Manchester Vascular Centre, Manchester Royal Infirmary, UK



Kevin Mani
Firas Mussa
Colin Bicknell
Jacob Budtz-Lilly

15:50 to 16:10

Global roundtable on evidence for managing uncomplicated Type B dissection

3 minute update on uncomplicated TBAD trials

Moderator: Kevin Mani

Panel: Firas Mussa, Colin Bicknell, Jacob Budtz-Lilly

Discussion points:

  • Medical optimisation, how is this being achieved in practice in the trials?
  • Does device choice and timing of intervention really change outcomes?
  • What are we learning from the patients not included in the trials? Data from screening
  • How generalisable are these trials - management of dissections and centres of expertise
Kevin Mani , Firas Mussa , Colin Bicknell , Jacob Budtz-Lilly
Firas Mussa
Jacob Budtz-Lilly

16:10 to 16:25

IMH is not a separate disease: It should be treated the same as dissection

 

For: Firas Mussa, UTHealth Houston McGovern Medical School, USA

Against: Jacob-Budtz-Lilly, Aarhus University, Denmark

Firas Mussa , Jacob Budtz-Lilly
Kak Khee Yeung
Anders Wanhainen

16:25 to 16:40

When treatment creates the next problem

  1. Distal stent-induced new entry (dSINE): Kak Khee Yeung, University of Amsterdam, Netherlands
  2. Extensive aortic coverage and altering stiffness: Anders Wanhainen, University of Uppsala, Sweden
Kak Khee Yeung , Anders Wanhainen
Germano Melissano

16:40 to 16:50

The STABILISE registry: What have we learnt?

 

Germano Melissano, "Vita-Salute” San Raffaele, University of Milan, Italy

Germano Melissano
Kevin Mani

16:50 to 17:00

Trends in epidemiology and outcome of aortic dissections - a national population-based study

 

Kevin Mani, Uppsala University, Sweden

Kevin Mani

17:00 to 17:25

Discussion