CX 2025 Programme Highlights

Vascular & Endovascular

Challenges Update

PROGRAMME HIGHLIGHTS WEDNESDAY-FRIDAY 23–25 APRIL 2025 EXCEL, LONDON UNITED KINGDOM

AORTIC

PERIPHERAL ARTERIAL & CLTI

VENOUS & LYMPHATIC

CAROTID & ACUTE STROKE

VASCULAR ACCESS

VASCULAR TRAUMA

CXSYMPOSIUM.COM

CONTROVERSIES

EDUCATION

CHALLENGES

INNOVATION

CONSENSUS

EVIDENCE

Vascular & Endovascular Challenges Update

CX 2025 Programme highlights 50+ PODIUM FIRSTS • 20+ EDITED CASES • 250+ SPEAKERS

CX AORTIC CHALLENGES UPDATE AORTIC

• • • •

Inaugural Roger M Greenhalgh Memorial lecture: Delivered

by Gustavo Oderich entitled “Meeting the 21st century challenges in aortic education, innovation and evidence” odium first: Recognising and treating abdominal compartment P syndrome is more important than ever in the era of EVAR for rAAA odium first: The impact of blood pressure on AAA growth rates: A P prospective longitudinal cohort study odium first: Risk stratification and treatment selection in patients with P asymptomatic AAAs

• • • •

ot topic: Artificial Intelligence (AI) and the aorta in the CX Innovation H Showcase ey evidence: The SUNDAY trial on uncomplicated type B dissection K therapy ebate: Endobentall will become standard repair technique for type A D aortic dissection dited case: Off-the-shelf 4 inner branch stent graft for thoracoabdominal E and juxtarenal aortic pathologies

CX PERIPHERAL ARTERIAL CHALLENGES UPDATE PERIPHERAL ARTERIAL & CLTI

• • •

Podium first: New data from BASIL-2, BASIL-3, BEST-CLI, and SPINACH trials: Redefining benefits of surgical bypass vs. endovascular first approaches, costeffectiveness and health economic analysis odium first: Breakthroughs from five trials on drug-elution in lower limb P interventions

• •

Deep dive: Impact of vessel preparation techniques in shaping outcomes

Launch of the CX Hurting Leg campaign to save legs: Reducing amputations with awareness campaigns in deprived communities and promoting systemic healthcare reform

eep dive: Drug resorbable scaffolds (DRS) - the next revolution in lower limb D treatment

CX VENOUS & LYMPHATIC CHALLENGES UPDATE VENOUS & LYMPHATIC

• • •

odium first: Interim analysis of the STRIKE-PE trial on catheter-directed P thrombolysis (CAVT) for acute pulmonary embolism

•

Deep dive: In-depth discussions on care pathway challenges and optimising treatment outcomes

Podium first: Prospective clinical trial evaluating cyanoacrylate closure in patients with C6 disease

Latest innovations: Insights into new technologies, including the latest venous valve, adjunctive therapies and strategies for stent maintenance

CX CAROTID & ACUTE STROKE CHALLENGES UPDATE CAROTID & ACUTE STROKE

• • •

odium first: PERFORMANCE II: First European presentation of the two-year P outcomes eep dive: ESVS and SVS carotid guidelines: Clinical applications, common D ground and contrasting views

• •

ebate: Best medical therapy is equivalent to revascularisation in asymptomatic D patients Debate: Severely calcified ICA lesions are at higher risk and are best treated by CEA

reat Debate: The gold standard for carotid revascularisation is CEA, TCAR, or G CAS

CX VASCULAR ACCESS & RENAL INTERVENTIONS CHALLENGES UPDATE VASCULAR ACCESS

• • •

Podium first: ACCESS 2: A randomised controlled multinational arteriovenous

fistula trial evaluating outcomes following intra-operative periadventitial delivery of sirolimus

Podium first: 12-month outcomes from the WAVE study Podium first: The FLEX FIRST AV registry

• • •

Podium first: Six years in: The EndoAVF learning curve

Deep dive: Infected access – challenges in diagnosis and treatment Great debate: Drug coated balloons should not be the standard of care for vascular access stenosis

CX VASCULAR TRAUMA CHALLENGES UPDATE VASCULAR TRAUMA

• •

Debate: TEVAR debate: Early vs. delayed intervention for trauma Deep dive: In depth review of the latest ESVS vascular trauma guidelines and clinical applications

VISIT CXSYMPOSIUM.COM FOR LATEST PROGRAMME INFORMATION

2

23–25 April 2025

CX 2025 Programme highlights Honouring the founding fathers of EVAR

Juan Parodi

Michael Dake

Frank Veith

Krassi Ivancev

Rodney White

Christopher Zarins

With distinguished panel members Juan Parodi, Michael Dake, Frank Veith, Krassi Ivancev, Rodney White and Christopher Zarins

Wednesday 23 April 2025 09:40-10:10 Auditorium 2 Chairman: Stephen Greenhalgh, London, United Kingdom Moderators: Tilo Kölbel, Hamburg, Germany and Dittmar Böckler, Heidelberg, Germany 09:40-09:43

Introduction

09:43-09:48

The origins of 40 years of stent grafting

09:48-10:00

anel discussion: Reflections and Future insights P Themes for discussion: • Early challenges: initial hurdles in developing stent grafting • Game-changing moments and key contributions • Future direction of the field Juan Carlos Parodi, Buenos Aires, Argentina

Stephen Greenhalgh, London, United Kingdom Krassi Ivancev, Lund, Sweden

Michael Dake, Tucson, United States Krassi Ivancev, Lund, Sweden Frank Veith, New York, United States Rodney White, Torrance, United States Christopher Zarins, Stanford, United States 10:00-10:10

Audience participation and discussion

Inaugural Roger M. Greenhalgh Memorial Lecture Friday 25 April 2025, 12:00-13:00 Auditorium 1

Chairman: Stephen Greenhalgh, London, United Kingdom Moderator: Tilo Kölbel, Hamburg, Germany 12:00-12:05

Introduction

12:05-12:15 Introductory comments

Stephen Greenhalgh, London, United Kingdom Maarit Venermo (ESVS), Helsinki, Finland Keith Jones (Vascular Society), London, United Kingdom Peter Bell, Leicester, United Kingdom

12:15-12:45 Meeting the challenges of 21st century aortic education, innovation and evidence Gustavo Oderich, Houston, United States 12:45-12:58

Audience participation and discussion

12:58-13:00

Vote of thanks

Dittmar Böckler, Heidelberg, Germany

CX 2025 Workshop Activities At CX 2025, the hands-on workshops focus on pre-booked, hands-on activities and courses across all educational streams. The workshops provide physician-led education in a highly interactive and practical setting with a therapeutic focus.

Venous workshop – Wednesday 23 April

Vascular Access workshop – Thursday 24 April

Superficial: Thermal ablation course

Endovascular versus Open Access: Techniques and Indications

Karolina Halmesmäki, Marianne de Maesneer

Superficial: Sclerotherapy masterclass Manj Gohel, Raghu Kolluri, Sophie Renton

Interventions for acute DVT Interventions for chronic venous disease Kush Desai, Houman Jalaie, Taha Khan

Pelvic: Complications masterclass Aleksandra Jaworucka-Kaczorowska, Gloria Salazar, Narayanan Thulasidasan Aleksandra Jaworucka-Kaczorowska, Philip Coleridge-Smith

Drop in stations: Emerging Technologies Compression bandaging

David Dexter, Robert McLafferty, Sriram Narayanan Angela Williams, Kirstie Lane

Thrombectomy workshop: surgical versus radiological

Diabetic limb salvage workshop

Naseer Ahmad, Frank Bowling, Hani Slim, Mo Elkawafi

Percutaneous closure workshop

Complex Access Maintenance

Robert Jones, Bart Dolmatch

Aortic workshop – Wednesday 23 & Thursday 24 April Fenestrated Aortic course

Jason Lee

AI Workshop

TBA

Aortic workshop – Friday 25 April

BEVAR / FEVAR Physician Modified Procedures Alexander Zimmermann, Benedikt Reutersberg

Vascular Triathlon

Peripheral workshop – Thursday 24 April Fiona Rohlffs

Vessel preparation workshop Narayanan Thulasidasan, Athanasios Diamantopoulos

Amputation workshop

Ryan Villaneuva, Caroline Green, Aurgzaib Khawaj Narayan Karunanithy, Matthew Gibson

Efthymios Avgerinos, Michael Lichtenberg, Emma Wilton

Aesthetics

Panagiotis Kitrou, Nicholas Inston

Real life ultrasound

Naseer Ahmad, Frank Bowling

TBA

AI Workshop

TBA

TBE Workshop

Dittmar Böckler, Luca Bertoglio

Carotid workshop – Friday 25 April Carotid endarterectomy course Carotid stenting course

Domenico Valenti Adnan Siddiqui, Christopher Metzger

Vascular Trauma workshop – Friday 25 April Vascular Trauma

Chris Aylwin, Ross Davenport, Todd Rasmussen

Vascular (Ultrasound) Imaging Workshop

– Thursday 24 April

Society for Vascular Technology

3

Vascular & Endovascular Challenges Update

CX 2025 Invited Faculty will include CX Co-Chairs

Christian-Alexander Behrendt, Hamburg, Germany Mehrdad Ghoreishi, Miami, United States Rachel Bell, Newcastle upon Tyne, United Kingdom Paul Gibbs, Fareham, United Kingdom

Lorenz Meuli, Zurich, Switzerland

Shannon Thomas, Sydney, Australia

Luca Mezzetto, Verona, Italy

Narayanan Thulasidasan, London, United Kingdom

Luca Bertoglio, Brescia, Italy

Kathleen Gibson, Bellevue, United States

Bruno Migliara, Peschiera del Garda, Italy

Giovanni Tinelli, Rome, Italy

Colin Bicknell, London, United Kingdom

Matthew Gibson, Reading, United Kingdom

Antoine Millon, Lyon, France

Giovanni Torsello, Berlin, Germany

Panagiota Birmpili, Bromley, United Kingdom

Manj Gohel, Cambridge, United Kingdom

Bijan Modarai, London, United Kingdom

Matteo Tozzi, Varese, Italy

CX Executive Boards

Moritz Bischoff, Heidelberg, Germany

Alessandro Grandi, Brescia, Italy

Piero Montorsi, Milan, Italy

Nikolaos Tsilimparis, Munich, Germany

Martin Bjorck, Uppsala, Sweden

William Gray, Wynnewood, United States

Robert Morgan, Dorking, United Kingdom

Domenico Valenti, London, United Kingdom

Aortic

Stephen Black, London, United Kingdom

Caroline Green, Stockport, United Kingdom

Patrick Muck, Cincinnati, United States

Rao Vallabhaneni, Liverpool, United Kingdom

Dittmar Böckler, Heidelberg, Germany

Dittmar Böckler, Heidelberg, Germany

Martin Griffiths, London, United Kingdom

Grace Mulatti, Sao Paulo, Brazil

Jos C. van den Berg, Lugano, Switzerland

Tilo Kölbel, Hamburg, Germany

Michel Bosiers, Bern, Switzerland

Karoliina Halmesmäki, Helsinki, Finland

Alberto Muñoz, Bogota, Colombia

Daniel van den Heuvel, Nieuwegein, Netherlands

Gustavo Oderich, Houston, United States

Frank Bowling, Manchester, United Kingdom

Lydia Hanna, London, United Kingdom

Erin Murphy, Charlotte, United States

Isabelle Van Herzeele, Ghent, Belgium

Alexander Zimmermann, Zurich, Switzerland

Andrew Bradbury, Birmingham, United Kingdom

Adam Haque, Manchester, United Kingdom

Piotr Musialek, Krakow, Poland

Carla Van Rijswijk, Leiden, Netherlands

Aung Oo, London, United Kingdom

Daniela Branzan, Munich, Germany

Robin Heijmen, Nijmegen, Netherlands

Firas Mussa, Houston, United States

Ramon Varcoe, Sydney, Australia

Joseph Bavaria, Pennsylvania, United States

Andre Brito, Bahia, Brazil

Robert Hinchliffe, Bristol, United Kingdom

Petroula Nana, Hamburg, Germany

Maarit Venermo, Helsinki, Finland

Marianne Brodmann, Graz, Austria

Tobias Hirsch, Halle, Germany

Sriram Narayanan , Singapore, Singapore

Hence Verhagen, Rotterdam, Netherlands

Karim Brohi, London, United Kingdom

Stacie Hodge, Little Hayfield, United Kingdom

Ross Naylor, Leicester, United Kingdom

Ryan Villanueva, Hitchin, United Kingdom

Håkan Brorson, Hässleholm, Sweden

Andrew Holden, Auckland, New Zealand

Sonya Noor, Buffalo, United States

Conrad von Stempel, London, United Kingdom

Thomas Brott, Jacksonville, United States

Rebecka Hultgren, Stockholm, Sweden

Gerard O’Sullivan, Galway, Ireland

Arsalan Wafi, London, United Kingdom

Jacob Budtz-Lilly, Aarhus N, Denmark

Nicholas Inston, Birmingham, United Kingdom

Gustavo Oderich, Houston, United States

Carl-Magnus Wahlgren, Stockholm, Sweden

Jacques Busquet, Paris, France

Mihai Ionac, Timisoara, Romania

Takao Ohki, Tokyo, Japan

Samuel Walker, Birmingham, United Kingdom

Richard Bulbulia, Oxford, United Kingdom

Frederico Isolani e Andrade, Oliveira - MG, Brazil

Kyriakos Oikonomou, Frankfurt, Germany

Grace Wang, Philadelphia, United States

Ludovic Canaud, Montpellier, France

Ounali Jaffer, London, United Kingdom

Karl Wilhelm Olsson, Uppsala, Sweden

Anders Wanhainen, Uppsala, Sweden

Daniel Carradice, Brough, United Kingdom

Houman Jalaie, Aachen, Germany

Manuel Pabon, Seville, Spain

Angela Williams, London, United Kingdom

Mariano Castelli, Buenos Aires, Argentina

Aleksandra Jaworucka-Kaczorowska, Gorzów

Gustavo Paludetto, Brasilia, Brazil

Emma Wilton, Oxford, United Kingdom

Dittmar Böckler, Heidelberg, Germany Andrew Holden, Auckland, New Zealand Erin Murphy, Charlotte, United States

Peripheral Arterial & CLTI Andrew Holden, Auckland, New Zealand Gunnar Tepe, Rosenheim, Germany Thomas Zeller, Bad Krozingen, Germany Rob Hinchliffe, Bristol, United Kingdom Robert Morgan, London, United Kingdom Naseer Ahmad, Manchester, United Kingdom Michael Edmonds, London, United Kingdom Brian DeRubertis, New York, United States

Venous & Lymphatic

Guilherme Centofanti, São Paulo, Brazil

Wielkopolski, Poland

Sahil Parikh, New York, United States

Masato Yamaguchi, Kobe, Japan

Erin Murphy, Charlotte, United States

Edward Choke, Georgetown, Malaysia

Arun Pherwani, Stoke-on-Trent, United Kingdom

Dai Yamanouchi, Madison, United States

Stephen Black, London, United Kingdom

Michael Jenkins, London, United Kingdom

Joo-Young Chun, London, United Kingdom

Michele Piazza, Padova, Italy

Thomas Yearwood, Pascagoula, United States

Manj Gohel, Cambridge, United Kingdom

Robert Jones, Birmingham, United Kingdom

Daniel Clair, Nashville, United States

Matthew Popplewell, Birmingham, United Kingdom

Kak Khee Yeung, Amsterdam, Netherlands

Kush Desai, Chicago, United States

Vincent Jongkind, Amsterdam, Netherlands

Rachel Clough, London, United Kingdom

Andrea Kahlberg, Milan, Italy

Janet Powell, London, United Kingdom

Jeniann Yi, Denver, United States

Carotid & Acute Stroke

Philip Coleridge-Smith, London, United Kingdom

Narayan Karunanithy, London, United Kingdom

Giovanni Pratesi, Genoa, Italy

Christopher Zarins, Stanford, United States

Joseph Coselli, Houston, United States

Athanasios Katsargyris, Athens, Greece

Vikram Puttaswamy, Sydney, Australia

Hany Zayed, London, United Kingdom

Jeremy Crane, London, United Kingdom

Misaki Kiguchi, Washington, United States

Barbara Rantner, Munich, Germany

Thomas Zeller, Bad Krozingen, Germany

Fabio Augusto Cypreste , Goiânia, Brazil

Panagiotis Kitrou, Patras, Greece

Todd Rasmussen, Rochester, United States

Alexander Zimmermann, Zurich, Switzerland

Ross Davenport, London, United Kingdom

Taha Khan, London, United Kingdom

Maxime Raux, Paris, France

Alun Davies, London, United Kingdom

Aurgzaib Khawaj, Birmingham, United Kingdom

Jim Reekers, Amsterdam, Netherlands

Additional events

Gianmarco de Donato, Siena, Italy

Tilo Kölbel, Hamburg, Germany

Michel Reijnen, Arnhem, Netherlands

Tomas Baltrunas, Vilnius, Lithuania

Marianne De Maeseneer, Reet, Belgium

Raghu Kolluri, Columbus, United States

Sophie Renton, London, United Kingdom

Peter Bell, Leicester, Netherlands

Jean Paul de Vries, Groningen, Netherlands

Benedikt Reutersberg, Zurich, Switzerland

Mitchel Benovoy, Montreal, Germany

Vascular Trauma

Ali Kordzadeh, Chelmsford, United Kingdom

Brian DeRubertis, New York, United States

Robert Rhee, New York, United States

Andrew Bradbury, Birmingham, Netherlands

Christopher Aylwin, London, United Kingdom

Drosos Kotelis, Bern, Switzerland

Kush Desai, Chicago, United States

Enrico Rinaldi, Milan, Italy

Jacques Busquet, Paris, United States

Ross Davenport, London, United Kingdom

Ari Kramer, Spartanburg, United States

Nimesh Desai, Philadelphia, United States

Dainis Krievins, Riga, Latvia

Fiona Rohlffs, Regensburg, Germany

Christopher Cheng, Stanford, United States

David Dexter, Virginia Beach, United States

Steven Kum, Singapore, Singapore

Maria Antonella Ruffino, Lugano, Switzerland

Finbar Dolan, Galway , Ireland

Athanasios Diamantopoulos, London, United

Matti Laine, Helsinki, Finland

John Rundback, New Jersey, United States

Tiffany Gan, Singapore

Kingdom

Kirstie Lane, London, United Kingdom

David Russell, Leeds, United Kingdom

Chen Giladi, Yokneam Illit, Israel

Nuno Dias, Malmo, Sweden

Michael Lichtenberg, Arnsberg, Germany

Gloria Salazar, Chapel Hill, United States

Jan Heyligers, Tilburg, Netherlands

Lucas Marcelo Dias Freire, Campinas, Brazil

David Lindstrom, Stockholm, Sweden

Jonas Salm, Freiburg, Germany

Elena Iborra, Barcelona, Spain

Bart Dolmatch, Mountain View, United States

Ian Loftus, London, United Kingdom

Athanasios Saratzis, Leicester, United Kingdom

Jan de Jong van Beek en Donk, Best, United States

Frank Dor, Rotterdam, Netherlands

Charmaine Lok, Toronto, Canada

Antoine Sauguet, Toulouse, France

Keith Jones, London, Germany

Michael Edmonds, London, United Kingdom

Luis Loureiro, Porto, Portugal

Bruno Scheller, Homburg Saar, Germany

Jeffrey Jump, Lusanne, United Kingdom

Wolf Eilenberg, Vienna, Austria

Alan Lumsden, Houston, United States

Peter Schneider, San Francisco, United States

Alan Karthikesalingam, London, United States

Steve Elias, Englewood, United States

Sean Lyden, Brecksville, United States

Eric Secemsky, Boston, United States

Patrick Kelly, Sioux Falls, Austria

Mohamed Elkawafi, Manchester, United Kingdom

Lindsay Machan, Vancouver, Canada

Robert Shahverdyan, Hamburg, Germany

Andreas Kohl, Koblenz, United States

Rob Elliott, Cambridge, United Kingdom

Ravi Maheswaran, Sheffield, United Kingdom

Rashid Sharaf, San Antonio, United States

Jason Lee, Stanford, Switzerland

Mario Alejandro Fabiani, Monterrey, Mexico

Alexandros Mallios, Paris, France

Andrew Sharp, Dublin, Ireland

Jason MacTaggart, Omaha, United States

Renato Fanchiotti, São José dos Campos, Brazil

Kevin Mani, Uppsala, Sweden

Adnan Siddiqui, Buffalo, United States

Mark Mewissen, Milwaukee, United States

Fabrizio Fanelli, Florence, Italy

Daniele Mascia, Milan, Italy

Hani Slim, London, United Kingdom

Robert Mitchell, Utah, Austria

Alik Farber, Boston, United States

Jon Matsumura, Aurora, United States

Konstantinos Spanos, Larissa, Greece

Frans Moll, Utrecht, United States

Javairiah Fatima, McLean, United States

Steven Maximus, Houston, United States

Francesco Spinelli, Rome, Italy

Aung Ye Oo, London, United Kingdom

Stefano Fazzini, Rome, Italy

Robert McLafferty, Springfield, United States

Kate Steiner, Stevenage, United Kingdom

Vincent Riambau, Barcelona, Spain

Carlota Fernandez Prendes, Uppsala, Sweden

Guilherme Meirelles, Campinas, Brazil

Karen Stevenson, Glasgow, United Kingdom

Isabel Schellinger, Erlangen, Germany

Bruno Freitas, Leipzig, Germany

Katrin Meisenbacher, Heidelberg, Germany

Michael Stoner, Rochester, United States

Deepak Srikant, Sunnyvale, Germany

Enrico Gallitto, Bologna, Italy

Matthew Menard, Boston, United States

Apostolos Tassiopoulos, Stony Brook, NY, United

Chas Taylor, West Sussex, Germany

Pierre Galvagni Silveira, Florianopolis, Brazil

Stephen Merrilees, Auckland, New Zealand

States

Matt Thompson, London, United Kingdom

Ulf Teichgräber, Jena, Germany

Valentin Welz, Munich, Germany

Barbara Rantner, Munich, Germany Domenico Valenti, London, United Kingdom Adnan Siddiqui, New York, United States Chris Metzger, Columbus, United States

Vascular Access & Renal Interventions Nicholas Inston, Birmingham, United Kingdom Kate Steiner, Stevenage, United Kingdom

CX Faculty Dorothy Abel, Silver Spring, United States Steven Abramowitz, Washington, United States Naseer Ahmad, Manchester, United Kingdom Pekka Aho, Helsinki, Finland Michele Antonello, Padua, Italy Frank Arko, Charlotte, United States Enrico Ascher, New York, United States Ellie Atkins, Cambridge, United Kingdom Martin Austermann, Muenster, Germany Delfina Auza, Tandil, Argentina Efthymios Avgerinos, Pittsburgh, United States Christopher Aylwin, London, United Kingdom Ali Azizzadeh, Los Angeles, United States Nobuyosh Azuma, Asahikawa, Japan Trissa Babrowski, Chicago, United States Mohamed Baguneid, Abu Dhabi, United Arab Emirates

Julian Balestrini, Buenos Aires, Argentina Bhaskar Basu, Manchester, United Kingdom Camila Battú, Santa Fe, Argentina Adam Beck, Birmingham, United States

Raghvinder Gambhir, Chessington, United Kingdom Christopher Metzger, Columbus, United States Andrew Garnham, Wolverhampton, United Kingdom

Gunnar Tepe, Rosenheim, Germany

CX Statistics

2917

Participants

82

Countries

CX 2024 had 2917 participants from 82 countries, achieving 18% growth in participant numbers.

The programme received 24 CME accreditation points, with EU-US reciprocity.

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Accreditation Statement The CX International Symposium 2025, London, United Kingdom 23/04/2025 – 25/04/2025, has been accredited by the European Accreditation Council for Continuing Medical Education (EACCME®) with 24.0 European CME credits (ECMEC®s).

Each medical specialist should claim only those hours of credit that he/she actually spent in the educational activity.

Through an agreement between the Union Européenne des Médecins Spécialistes and the American Medical Association, physicians may convert EACCME® credits to an equivalent number of AMA PRA Category 1 CreditsTM. Information on the process to convert EACCME® credit to AMA credit can be found at https://edhub.ama-assn.org/pages/applications.

Live educational activities, occurring outside of Canada, recognised by the UEMS-EACCME® for ECMEC®s are deemed to be Accredited Group Learning Activities (Section 1) as defined by the Maintenance of Certification Program of the Royal College of Physicians and Surgeons of Canada.

Register at www.cxsymposium.com/registration