OVERALL GEST PROGRAM

*The GEST 2019 PAE Symposium Program will be available shortly. Please click here to receive priority notification when this and other information regarding GEST 2019 becomes available.

THURSDAY, MAY 9, 2019

Plenary Session I: Masterclass and Materials: Coils and Plugs

8:00 AM Video: How Coils Are Made
8:10 AM In Defense of Pushable Coils
8:20 AM In Defense of Detachable Coils
8:30 AM Update on Plugs
8:40 AM A Strategy for Coil and Plug Inventory in an Era of Cost Containment
8:50 AM Do We Need Coils With a 3D Configuration?
9:00 AM Do We Need Coils With Fibers?
9:10 AM Tips and Tricks for Using Coils and Plugs
9:20 AM Masterclass: Coils and Plugs
10:00 AM ADJOURN SESSION
10:00 AM Refreshment Break and Visit Exhibits 10:00 AM Refreshment Break and Visit Exhibits

Plenary Session II: GI Bleeding

Parallel Session I: Varicocele and Pelvic Congestion

10:30 AM The Role of CTA in UGI and LGI Hemorrhage 10:30 AM Anatomy and Physiology of Male and Female Varicocele
10:40 AM Cone Beam CT During Embolization for GIB 10:40 AM Scrotal Ultrasound Before and After Intervention
10:50 AM Embolization for UGI Arterial Bleeding: Technical Considerations 10:50 AM Varicoceles – Indications and Options for Treatment
11:00 AM Embolization for Small Bowel Hemorrhage: Diagnosis and Techniques 11:00 AM Varicoceles – Embolization Technique Including Tips and Tricks for Difficult Cases
11:10 AM Embolization for LGI Hemorrhage: An Update 11:10 AM Controversy: Coils and Plugs Are Necessary
11:20 AM Is There a Role for Empiric Embolization for LGI Bleeding? 11:15 AM Controversy: Coils and Plugs – I Don’t Need Them
11:30 AM Embolics, Glue and Beyond 11:20 AM Pelvic Congestion Syndrome – Preprocedure Evaluation and Embolization Techniques Specific to PVC
11:40 AM When Duodenal and Small Bowel Varices Bleed: Etiology and Technical Considerations 11:30 AM Clinical Outcomes After Pelvic Venous Embolization Including Management of Recurrent Symptoms
11:50 AM GIB Embolization: Complications and Management 11:40 AM Nutcracker and May-Thurner Syndrome – How to Diagnose and When to Treat
12:00 PM ADJOURN SESSION 11:50 AM How to Build a Male and FemaleVaricocele Practice
12:00 PM ADJOURN SESSION
12:00 PM Lunch, Industry Sessions and Visit Exhibits 12:00 PM Lunch, Industry Sessions and Visit Exhibits

Plenary Session III: Vanguard in Embolization

1:30 PM Role of Embolization in the Management of Chronic Hemorrhoid Bleeding: Update
1:45 PM Update in MSK Embolization for Pain Management and Sports Related Injuries
2:00 PM Update in Thyroid Embolization
2:15 PM Update in Bariatric Embolization
2:30 PM Honorary Lecture
3:00 PM Controversies: Structured Planners vs. Loose Cannons – How Should IR Introduce New Indications for Embolization?
3:30 PM ADJOURN SESSION
3:30 PM Refreshment Break and Visit Exhibits 3:30 PM Refreshment Break and Visit Exhibits

Plenary Session IV: Vascular and Lymphatic Malformations

Parallel Session II: Tips and Tricks in Imaging

4:00 PM Overview of Sclerosing Agent for Treatment of Vascular Malformation 4:00 PM CBCT: Optimizing Image Acquisition and Basic Post Processing
4:10 PM Foam Sclerosing Agent, Bleomycin and Ethanol for Venous Malformation: How to Choose? 4:10 PM Advanced Imaging Tools (2D and Roadmap, C-Arm Adjustment, CBCT Control Scan and Collimated CBCT)
4:20 PM What is FAVA and How to Treat It? 4:20 PM Tips and Tricks for Optimal Tissular Imaging Using CBCT
4:30 PM Belomycin, Picibanil and Ethanol for Lymphatic Malformation: How to Choose? 4:30 PM Tips and Tricks for Vessel Navigation
4:40 PM How to Manage Complex Low Flow Malformations 4:40 PM Fusion Imaging: Basics of Techniques and Application
4:50 PM Is Onyx or Glue Better for AVMs? 4:50 PM How Can CBCT Help in Assessing End Organ Perfusion (HCC, Liver Mets, Prostate …)
5:00 PM Ethanol is Better for AVMs 5:00 PM Virtual Perfusion Imaging in Intra Arterial Liver Therapies
5:10 PM Intraosseous AVMs: How to Treat It 5:10 PM The Future of Fusion Echo and CBCT
5:20 PM The Role of Systemic Chemotherapy for Vascular Malformations 5:20 PM Navigation Tool for Embolization Beyond CBCT
5:30 PM ADJOURN SESSION 5:30 PM ADJOURN SESSION

Evening Session: Future Meets the Present (…Almost the Past)

5:30 PM Welcome and Opening Remarks
6:00 PM How to Approach Your First Year in Practice
6:10 PM Three Things I Wish I Had Done Differently Early in My Career
6:20 PM How I Developed My Skillset After Formal Training
6:30 PM What Does Work/Life Balance Mean?
6:40 PM Getting Involved in Innovation and Device Development
6:50 PM How to Be an Effective Mentor and Educator
7:00 PM Panel Discussion
7:30 PM ADJOURN SESSION

FRIDAY, MAY 10, 2019

Plenary Session V: Masterclass and Materials: Particles and New Developments in Microcatheters

Parallel Session III: Bone and MSK

8:00 AM Microcatheters – Advances in Technology 8:00 AM Pre-Operative Embolization of Bone Metastases: Technique and Results
8:10 AM Microcatheters – Pitfalls With Different Embolic Agents 8:10 AM Palliation of Painful Bone Metastases: How Do You Choose Between Ablation, Embolization, HIFU or Radiation?
8:20 AM Reflux Reduction, Balloon Microcatheters: The State of the Technology 8:20 AM Approach to Sacral or Pelvic Mass Ablation: Strategies to Avoid Complications?
8:30 AM Particle Composition- Implications for Clinical Practice 8:30 AM Embolization of Aneurysmal Bone Cysts and Giant Cell Tumors: When and How?
8:40 AM Particles for Embolization: Recipe for Sustained Suspension 8:40 AM Percutaneous Skeletal Stabilization Techniques
8:50 AM Radioembolization Particles: Technical Characteristics 8:50 AM Embolization or Ablation for Soft Tissue Tumors: Patient Selection, Technique and Results
9:00 AM Drug Eluting Particles – Technology, Clinical Indications and Advancements 9:00 AM Embolization for Pain Management and Frozen Shoulder: Why Does it Work? Rationale and Pathology
9:10 AM Radio-Opaque Microspheres 9:10 AM Vascular Anatomy of the Joints Relevant to Embolization (Shoulder, Knee and Ankle)
9:20 AM Resorbable Microspheres: Why They Makes Sense? 9:20 AM Technique and Tips (Catheter, Microcatheter, Imaging and Angles, Particles)
9:30 AM Microcatheters: How are They Made (video) 9:30 AM Embolization in Knee: Indications and Results Including Complications
9:40 AM Masterclass: Particles and New Developments in Microcatheters 9:40 AM Frozen Shoulder: Results
10:00 AM ADJOURN SESSION 9:50 AM Future Directions
Masterclass on Microcatheters (flux reduction, Balloon, partciles, Y 90 new boxes) 10:00 AM ADJOURN SESSION
10:00 AM Refreshment Break and Visit Exhibits 10:00 AM Refreshment Break and Visit Exhibits

Plenary Session VI: Women’s Health

Parallel Session IV: Lymphatic Intervention

10:30 AM UFE- Catheters, Wires and Embolics 10:30 AM Lymphatic Anatomy and Physiology
10:40 AM UFE Basic Approach: Access Choices, Catheter Techniques and Embolic Choice 10:40 AM Novel Contrast Enhanced Lymphatic Imaging
10:50 AM UFE Advanced: Difficult Cases, Post-Surgical Occlusion and Technique of Ovarian Embolization 10:50 AM Transpedal MR Lymphangiography
11:00 AM Panel Discussion: Dilemmas in Clinical Practice 11:00 AM Thoracic Lymphatic Interventions
11:10 AM Liver Lymphatic Imaging and Interventions
11:20 AM Interstitial Lymphatic Embolization for Treatment of Chylous Ascites, Lymphocele and Scrotal Edema
11:30 AM Pain Management After UFE: Update 11:30 AM Neonatal Imaging and Interventions
11:40 AM Managing Complications After UFE 11:40 AM Complications During Lymphatic Interventions
11:50 AM Post-Partum Hemorrhage: Managing Acute Hemorrhage 11:50 AM Future of the Lymphatic Imaging and Interventions
12:00 PM ADJOURN SESSION 12:00 PM ADJOURN SESSION
12:00 PM Lunch, Industry Sessions and Visit Exhibits 12:00 PM Lunch, Industry Sessions and Visit Exhibits

Plenary Session VII: HCC 1

PAE SYMPOSIUM I – CLINICAL FORUM

1:30 PM Stratifying Patients With HCC: Are Staging Systems and Prognostic Indicators Helpful? 1:30 PM Symptomatic BPH: Understanding LUTs
1:40 PM Advanced HCC: TKI and IO – How to Decipher All of the New Data 1:40 PM Medical Management of BPH
1:50 PM Exploring the Absopal Effect: Potential Synergy Combining Liver Directed Therapy With Immunotherapeutics 1:50 PM Urodynamic Testing Made Easy
2:00 PM Current Role for SBRT in the Treatment Algorithm for HCC 2:00 PM Surgery for BPH: TURP/OP
2:10 PM Defining Curative Intent in HCC: What Technologies Deliver? 2:10 PM Surgical Options: MIST, ReZum, Urolift
2:20 PM RFA/MWA/IRE/Cryoablation: Which Technology for HCC Ablation? 2:20 PM PAE: Rational and Current Results
2:30 PM Micro/Macro -Vasculature of the Liver: Impact on Embolotherapy 2:30 PM Case Presentation
2:40 PM Angiographic Instruments and Tips to Improve Outcomes 2:40 PM Panel Discussion: BPH Board (3 typical cases)
2:50 PM Ultraselective TACE 2:50 PM
3:00 PM A Practical Guide to Performing Radiation Segmentectomy 3:00 PM ADJOURN SESSION
3:10 PM Drug Eluting TACE: Tips and Outcome
3:20 PM Battle Royale: How do You Really Decide an Embolotherapy for Intermediate-Stage HCC?
3:30 PM ADJOURN SESSION
3:30 PM Refreshment Break and Visit Exhibits 3:30 PM Refreshment Break and Visit Exhibits

Plenary Session VIII: Renal Intervention

PAE SYMPOSIUM II – IMAGING FORUM

4:00 PM Management of cT1 Renal Cell Carcinoma With Percutaneous Ablation: How Do Different Technologies Compare? 4:00 PM How to Deal With High PSA
4:10 PM Advanced Techniques for Complex Renal Tumor Ablation 4:10 PM What to Expect From Post PAE MR
4:20 PM Management of Iatrogenic Hemorrhagic Complications After Ablation and Partial Nephrectomy 4:20 PM Making CTA Work
4:30 PM Best Approach to Palliative Embolization for Renal Cell Carcinoma 4:30 PM Making Cone-Beam Work
4:40 PM Embolization of Renal AMLs: When and How? 4:40 PM Debate: DSA is Enough for PAE
4:50 PM Management of Renal Artery Aneurysms 4:45 PM Debate: Cone Beam is a Must
5:00 PM Classification and Treatment of Renal AVMs 4:50 PM Contrast-Enhanced US as a Surrogate/Predictor of Clinical Success
5:10 PM Renal Embolization for Benign Disease (GN, HTN, etc.) 5:00 PM 10 Tips to Decrease the Radiation to the Patient
5:20 PM Iatrogenic Renal Hemorrhage, Tubes, Knives and Needles 5:10 PM Panel Discussion: PSA, Biopsy, Imaging (3 typical cases)
5:30 PM ADJOURN SESSION 5:20 PM
5:30 PM ADJOURN SESSION

Special Evening Session: Flow Management in Embolization (Think Tank on Flow Dynamics)

5:30 PM
6:20 PM
6:30 PM
6:40 PM
6:50 PM
7:00 PM
7:10 PM
7:20 PM
7:30 PM ADJOURN SESSION

SATURDAY, MAY 11, 2019

Plenary Session IX: Masterclass and Materials: Liquid Embolics

PAE SYMPOSIUM III – TECHNICAL FORUM

8:00 AM Video Session – Glue: Basics 8:00 AM PAE Anatomy Guide: All You Need to Know in 10 Minutes
8:10 AM Glue: Dilution and Injection Technique Strategy 8:10 AM Dual Feeders to the Prostate: Prevalence, Detection and Management
8:20 AM Video Session – EVOH-Based Agents: Basic and Complex 8:20 AM Challenging Anatomy: How to Address Complex Type 1 (PA from the Superior Vesical)
8:30 AM Ethanol: When and How? 8:30 AM Challenging Anatomy: Accessory Pudendal Arteries, No Visible PA, Anastomoses and “2 Sides Through 1”
8:40 AM Sclerosants and Venaseal 8:40 AM Repeat PAE: Findings and How to Manage?
8:50 AM Lipiodol: Mechanism of Action 8:50 AM Radial versus Femoral
9:00 AM Which Clinical Evidence is Needed Before FDA Approval for Liquid Embolics 9:00 AM Managing Anastomosis With Balloon Occlusion, Coils or Plugs
9:10 AM New Liquid Embolics: What is in the Pipeline 9:10 AM Managing Anastomosis With Verapamil
9:20 AM Ideal Liquid Embolic 9:20 AM Particle Type and Size Selection
9:30 AM Masterclass: (liquids, New boxes for Y90, …) 9:30 AM Predictors of Technical Outcome
9:40 AM Panel Discussion: Technique
10:00 AM Refreshment Break and Visit Exhibits 10:00 AM Refreshment Break and Visit Exhibits

Plenary Session X: HCC 2

PAE SYMPOSIUM IV: Clinical Forum

10:30 AM Most Influential Publications on HCC in the Past Year 10:30 AM Post-Procedure Management: What to Expect and How to Manage It
10:40 AM What We Can Learn From Negative Radioembolization Trials for HCC 10:40 AM PAE Complications: Unexpected Adverse Events and How to Manage Them
10:50 AM Current Role of Liver-Directed Therapy in Advanced HCC 10:50 AM Collaboration With Urology: 10 Top Tips
11:00 AM Geographical Differences and Etiologies Impact the Role of IR in Advanced HCC 11:00 AM Status of International Recommendations for PAE
11:05 AM Portal Vein Thrombosis Complicates But Does Not Preclude LDT 11:10 AM What is the Level of Evidence for PAE
11:10 AM Early HCC Debate: Ablation is Gold Standard 11:20 AM Debate: PAE Should Only be Performed Under Clinical Trials – PRO
11:15 AM Early HCC Debate: Y90 Expands Curative Intent 11:25 AM Debate: PAE Should Only be Performed Under Clinical Trials – CON
11:20 AM Early HCC Debate: TACE Can Be Curative Too 11:30 AM Predictive Factors for Clinical Success
11:25 AM Early HCC Debate: TACE + Ablation Beats All 11:40 AM Panel Discussion
11:30 AM Early HCC: How to Choose the Right Option? 12:00 PM Adjourn Session
11:40 AM TACE Technical Debate: Free Flow is a Must
11:45 AM TACE Technical Debate: Pressure-Driven Embolization is Superior
11:50 AM Technical Advancements for Better TACE: Very rapid resorbable, slow resorbable, Permanent particles: Does that matter?
11:55 AM Technical Advancements for Better TACE: Does Lipiodol/Alcohol TACE Need to Be Validated?
12:00 PM ADJOURN SESSION
12:00 PM Lunch, Industry Sessions and Visit Exhibits 12:00 PM Lunch, Industry Sessions and Visit Exhibits

Plenary Session XI: Liver Metastases

PORTAL INTERVENTION SYMPOSIUM I : TIPS (SAMs)

1:30 PM Rectum vs. Colon, Right vs. Left, Mutant vs. Wild: Do Any of These Matter for Liver Directed Therapy? 1:30 PM How to Pick a Winner – The Current Indications for TIPS
1:40 PM Ablation or Resection: When and Why? 1:40 PM Tips for TIPS: How I Learned Not to Dread This Procedure
1:50 PM Radioembolization for mCRC: Where are We Post SIRFLOX, FOXFIRE, FOXFIRE Global? 1:55 PM What Procedural Endpoint for Which Patient and Why?
2:00 PM Drug-Eluting Embolics for mCRC: Current and Future Perspectives 2:05 PM Outcomes of TIPS for Variceal Bleeding
2:10 PM What is Driving the Return of Hepatic Artery Infusion Pumps? 2:15 PM TIPS for Ascites: What I Tell the Patient and Referring Doctors
2:20 PM Portal Vein Embolization and Venous Deprivation: How to Decide How to Do It? 2:25 PM Panel Discussion
2:30 PM Tips for Optimizing Radiation Lobectomy for Contralateral Lobe Hypertrophy in mCRC 2:40 PM TIPS in Pediatric Patients
2:40 PM ALLPS vs. PVE vs. Y90-Lobectomy: How Do They Compare? 2:50 PM HCC and Portal Hypertension – Treat What First and When and How?
2:50 PM Liver Directed Therapy for NET Liver Metastases: How Do You Choose? 3:00 PM Splenic Embolization for Reduction of Portal Pressure
3:00 PM PRRT for Metastatic NET: Indications, Outcomes and Impact on Embolotherapy 3:10 PM After the TIPS: Imaging, Endoscopy or What?
3:10 PM Pancreatic Cancer Metastatic to the Liver – Role for Infusion Therapy 3:20 PM Panel Discussion
3:20 PM New Experience With Transarterial Micro-Perfusion (TAMP) 3:30 PM Adjourn session
3:30 PM ADJOURN SESSION
3:30 PM Refreshment Break and Visit Exhibits 3:30 PM Refreshment Break and Visit Exhibits

Plenary Session XII: Visceral Aneurysms and Endoleak

PORTAL INTERVENTION SYMPOSIUM II : Special TIPS Topics (SAMs)

4:00 PM Visceral Aneurysms: Natural History, High Risk Patients and When to Intervene 4:00 PM DIPS and Other Percutaneous Shunts
4:10 PM Visceral Aneurysms: Tehniques for Vessel Preservation 4:15 PM Recurrent Bleeding After TIPS: How I Deal With This
4:20 PM Visceral Aneurysms: Optimal Embolization Techniques 4:25 PM Managing Encephalopathy and Recurrent Ascites After TIPS
4:30 PM Specific Case of Pancreaticoduodenal Aneurysms 4:35 PM TIPS Reduction Techniques and Indications
4:40 PM Visceral Aneurysms: Complication and Misadventure: Case presentation 4:45 PM The Thrombosed TIPS
4:50 PM Visceral Aneurysms in Systemic Vasculitis, Segmental Arterial Mediolysis, FMD: How to Manage? 4:55 PM Budd Chiari: When to Shunt, When to Stent the Hepatic Veins
5:00 PM Endoleak: New Classification 5:05 PM Forget How You Do TIPS Today: Guidance Techniques for the Future
5:10 PM Type I & 3 Endoleak: When Embolization is the Only Option and How? 5:15 PM Panel Discussion
5:20 PM Type II Endoleak Intraarterial and Translumbar Management: Technical Tips 5:30 PM Adjourn Session
5:30 PM ADJOURN SESSION

SUNDAY, MAY 12, 2019

Plenary Session XIII: Trauma – SAMs

PORTAL INTERVENTION SYMPOSIUM III – SAMs: #RTO: BRTO,PARTO, CARTO…… (SAMs)

8:00 AM Optimizing the Angio Suite and Team for Trauma 8:00 AM Role of #RTO: Instead of TIPS? With TIPS?
8:10 AM Key Medical Therapies to Keep Your Patient Alive While Embolizing 8:10 AM Anatomy Essential for #RTO of Gastric Varices: What You Didn’t Know
8:20 AM Selecting the Right Tools (Catheters, Embolics, etc.) for the Situation 8:25 AM How I Do It: Asia (Technique/Devices)
8:30 AM Management of Traumatic Aortic Injury 8:35 AM How I Do It: EU/Americas
8:40 AM Head and Neck – Carotid / Vertebral Trauma 8:45 AM My Worst #RTO Nightmare
8:50 AM Splenic Lacerations: When and How to Intervene 8:50 AM My Worst #RTO Nightmare
9:00 AM Renal Lacerations: When and How to Intervene 8:55 AM The Long Term Results Justify #RTO First for Gastric Varices
9:10 AM Managment of Pelvic Arterial Injury 9:05 AM The Long Term Results Justify TIPS First for Gastric Varices
9:20 AM Does Pelvic Embolization Inhibit Fracture Healing? 9:15 AM How I Follow #RTO Patients
9:30 AM Peripheral / Extremity Trauma 9:25 AM How to Treat Duodenal and Other Varices
9:40 AM Iatrogenic Trauma 9:35 AM How to Deal With Stomal Varices
9:50 AM Interesting Cases 9:45 AM Panel Discussion
10:00 AM ADJOURN SESSION 10:00 AM Adjourn Session
10:00 AM Refreshment Break and Visit Exhibits 10:00 AM Refreshment Break and Visit Exhibits

Plenary Session XIV: Morbidity and Mortality – SAMs

PORTAL INTERVENTION SYMPOSIUM IV – SAMs Portal Vein Reconstruction (SAMs)

10:30 AM 10:30 AM Acute Portal Vein Thrombosis: When and How to Intervene
10:40 AM 10:40 AM Indications for Recanalization of Chronic Portal Occlusion
10:50 AM 10:50 AM Access Options When Everything is Occluded
11:00 AM 11:00 AM How to Cross and How to Keep These Veins Open
11:10 AM 11:10 AM Panel Discussion
11:20 AM 11:20 AM Managing the Isolated Spleen After Portal Vein Reconstruction
11:30 AM ADJOURN SESSION 11:30 AM Dilated or Colonized Bile Ducts: Now What?
11:40 AM How I Manage and Follow Patients After Portal Vein Reconstruction
11:50 AM Panel Discussion
12:00 PM Adjourn

GEST 2019 | May 9-12, 2019 | New York, NY