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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 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 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 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

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

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 Lunch, Industry Sessions and Visit Exhibits 12:00 PM Lunch, Industry Sessions and Visit Exhibits

Plenary Session VII: HCC 1


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 Refreshment Break and Visit Exhibits 3:30 PM Refreshment Break and Visit Exhibits

Plenary Session VIII: Renal Intervention


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)

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

SATURDAY, MAY 11, 2019

Plenary Session IX: Masterclass and Materials: Liquid Embolics


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 Lunch, Industry Sessions and Visit Exhibits 12:00 PM Lunch, Industry Sessions and Visit Exhibits

Plenary Session XI: Liver Metastases


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 Refreshment Break and Visit Exhibits 3:30 PM Refreshment Break and Visit Exhibits

Plenary Session XII: Visceral Aneurysms and Endoleak


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

SUNDAY, MAY 12, 2019

Plenary Session XIII: Trauma – 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


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