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Diabetic Limb Salvage
MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL
Conference Co-Chairmen: Christopher E. Attinger, MD
Cameron M. Akbari, MD, MBA
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John S. Steinberg, DPM
Nelson Lim Bernardo, MD
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Welcome
Image by Christopher E. Attinger, MD
to DLS.
Define. Assess. Manage.
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T E A M
A P P R O A C H
Diabetic Limb Salvage
MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL
Conference Co-Chairmen:
Christopher E. Attinger, MD John S. Steinberg, DPM
Cameron M. Akbari, MD, MBA Nelson Lim Bernardo, MD
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Diabetic Limb Salvage
MEDSTAR
MEDSTAR GEORGETOWN
GEORGETOWN UNIVERSITY
UNIVERSITY HOSPITAL
HOSPITAL
Exhibit Hours
THURSDAY
6:00 PM - 7:30 PM
October 9-11, 2014
FRIDAY
9:30 AM - 3:30 PM
Thursday
SATURDAY
9:00 AM - 1:30 PM
Tour
MedStar Georgetown
University Hospital Center
for Wound Healing
Registration
Bus departs at 8:30 AM from Penn Ave. level
of JW Marriott and returns at 10:30 AM
WEDNESDAY
4:30 PM - 6:00 PM
PENNSYLVANIA AVENUE -1
THURSDAY
6:30 AM - 6:00 PM
6:00 – 7:30 PM
Reception with Exhibitors
CAPITOL BALLROOM & FOYER, GRAND FOYER -3
FRIDAY
6:30 AM - 6:00 PM
SATURDAY
6:30 AM - 3:30 PM
View Poster Abstracts
Sponsor:
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ACCME & ANCC Accredited by:
Mezzanine Level -2
CPME Accredited,Managed and Produced by:
M ED S TAR G EORGETOWN U NIVERSITY H OSPITAL
D L S 2 0 1 4 FA C U LT Y
C ONFERENCE C O -C HAIRMEN
Christopher E. Attinger, MD
John S. Steinberg, DPM
Cameron M. Akbari, MD, MBA
Nelson Lim Bernardo, MD
Professor
Division Chief
Center for Wound Healing
MedStar Georgetown University Hospital
Associate Professor
Co-Director
Center for Wound Healing
MedStar Georgetown University Hospital
Senior Attending,Vascular Surgery
Director,
Vascular Diagnostic Laboratory
Washington Hospital Center
Co-Chair, Cardiac and
Peripheral Vascular Disease
MedStar Heart Institute
at Washington Hospital Center
MedStar Georgetown University Hospital Faculty
Mark R. Abbruzzese, MD
Paul S. Cooper, MD
Stephen R.T. Evans, MD
Dorothy Goodman, BSN, RN, CWOCN
Katherine J.S. Hubley, RN, CWCN
Paul J. Kim, DPM, MS
Karen F. Kim Evans, MD
Kerry Moose, NP
M. Jeffrey Novorr, MHA
Katherine Raspovic, DPM
Brinder Singh, MHA
Helen Turner, RN, CPHQ
Edward Y. Woo, MD
FA C U LT Y
George Andros, MD
Los Angeles Vascular Specialists
Valley Presbyterian Hospital
Los Angeles, CA
Javier Aragón-Sánchez, MD, PhD
La Paloma Hospital
Las Palmas de Gran Canaria
Las Palmas, Spain
David G. Armstrong, DPM, MD, PhD
University of Arizona
Tucson, AZ
Lawrence B. Colen, MD
Eastern Virginia Medical School
Norfolk, VA
Frances Game, MD
Derby Hospitals NHS FT
Derby, UK
Kara S. Couch, MS, CRNP, CWS
Walter Reed National Military Medical Center
Bethesda, MD
Gary W. Gibbons, MD
South Shore Hospital
Boston U. School of Medicine
Harvard Medical School
Boston, MA
D. Scott Covington, MD, FACS, CHWS
Healogics
Jacksonville, FL
Adrian Barbul, MD, FACS
Washington, DC
Richard Derner, DPM
Inova Fairfax Hospital
Lake Ridge, VA
Andrew J.M. Boulton, MD, DSc
Univs. of Manchester and Miami
Manchester, UK and Miami, FL
Robert S. Dieter, MD
Loyola University Hospital
Maywood, IL
David R. Campbell, MD
Harvard Medical School
Beth Israel Deaconess Hospital
Boston, MA
Michael Edmonds, MD
Kings College Hospital
London, UK
Emil I. Cohen, MD
MedStar Washington Hospital Center
Washington, DC
William J. Ennis, DO, MBA
University of Illinois
Chicago, IL
David L. Gillespie, MD
Southcoast Healthcare Systems
Fall River and New Bedford, MA
Mark S. Granick, MD, FACS
Rutgers New Jersey Medical School
Newark, NJ
Elliott Gruskin, PhD
DePuy Synthes Biomaterials
West Chester, PA
Lawrence B. Harkless, DPM
Western University of the Health Sciences
College of Podiatric Medicine
Pomona, CA
J.P. Hong, MD, PhD, MBA
Asan Medical Center
Seoul, South Korea
David J. Margolis, MD, PhD
University of Pennsylvania
Philadelphia, PA
Thomas Roukis,DPM,PhD, FACFAS
Gundersen Health System
La Crosse, WI
Bonnie Hurwitz, PhD
University of Arizona
Tucson, AZ
Joseph L. Mills Sr., MD
University of Arizona Vascular Surgery
Tucson, AZ
Pamela Scarborough, DPT, CDE, CWS
American Medical Technologies
Irvine, CA
William J. Jeffcoate, MB, MRCP
Nottingham University Hospitals Trust
Nottingham, UK
J.A. Mustapha, MD
Metro Health Hospital
Wyoming, MI
N.C. Schaper, MD
Maastricht University Hospital
Maastricht, The Netherlands
Robert S. Kirsner, MD, PhD
University of Miami
Miller School of Medicine
Miami, FL
Aravinda Nanjundappa, MD
West Virginia University
Charleston, WV
Kathleen D. Schaum, MS
Kathleen D. Schaum & Associates, Inc.
Lake Worth, FL
Sean D. O’Donnell, MD
Memorial Regional Hospital
Hollywood, FL
Niten Singh, MD
University of Washington
Seattle, WA
John R. Laird, MD
UC Davis Vascular Center
Sacramento, CA
Bradley Lamm, DPM, FACFAS
Sinai Hospital
Baltimore, MD
Lawrence A. Lavery, DPM, MPH
University of Texas
Southwestern Medical Center
Dallas, TX
Benjamin A. Lipsky, MD
University of Oxford;
University of Geneva (Visiting);
University of Washington (Emeritus)
Oxford, UK
Frank B. Pomposelli Jr., MD
St. Elizabeth’s Medical Center
Tuft's University School of Medicine
Brighton, MA
Seshadri Raju, MD
The Rane Center
Jackson, MS
Gerry Rayman, MD, MRCP
The Diabetes and Endocrine Centre
Ipswich Hospital
Ipswich, UK
Grant H. Skrepnek, PhD
The University of Oklahoma
Health Sciences Center
Oklahoma City, OK
Lynne Tudhope, MD
Montana and Wilgers Hospitals
Pretoria, South Africa
Dane K. Wukich, MD
University of Pittsburgh Medical Center
Pittsburgh, PA
DR. WILLIAM JEFFCOATE TO RECEIVE 2014 MEDSTAR
GEORGETOWN DISTINGUISHED ACHIEVEMENT AWARD
Dr. William Jeffcoate, the MedStar Georgetown 2014 Distinguished Achievement Award recipient, received his medical training at Cambridge University. He started out in endocrinology and over the last two decades has narrowed the
scope of his work to the field of diabetes and diabetic foot disease, centering on the principle of the ever-increasing
need for evidence to reinforce routine clinical practice.
“Throughout the duration of his career, Dr. Jeffcoate has repeatedly provided valuable insight into the field of diabetic
foot disease,” said DLS Conference Co-Chairman Dr. Christopher Attinger. “He and his research team are relentless in
their evidence-based pursuit to further understand this complex realm of medicine.”
In 2002, Dr. Jeffcoate partnered with Dr. Fran Game to establish the Nottingham Foot Ulcer Trials Unit, which has since gone on to publish over
100 articles. By 2005, members of the group, alongside Professor Peter Cavanagh, proposed the widely-accepted hypothesis on the causes of the
acute Charcot foot.
His current research focuses on the microbiome of foot ulcers and the use of hyperspectral imaging to predict ulcer healing.
DLS Conference Co-Chairman Dr. John Steinberg added, “We, in the medical community, are anxiously awaiting the results of Dr. Jeffcoate’s
ground-breaking research. The insights gained will undoubtedly prove to be revolutionary in the treatment of diabetic ulcers.”
Dr. Jeffcoate also functions as Clinical Lead of the newly-launched Foot Care Audit of England and Wales, seeking to not only establish an
ongoing nationwide database of all newly presenting diabetic foot ulcers, but to also identify a link between outcome and the adoption of
recommended guidelines of care.
Previous honorees for the award include:
George Andros, MD, 2013; Andrew J.M. Boulton, MD, DSc, 2012; William J. Ennis, DO, MBA, 2011; Gary W. Gibbons, MD, 2010;
Peter Sheehan, MD, 2009; Lawrence B. Harkless, DPM, 2008; and David G. Armstrong, DPM, MD, PhD, 2007.
CMEs/Evaluations
Please complete CME certificates of attendance/evaluations
online at www.DLSconference.com through November 3, 2014.
Attendance Verification
To meet the requirements of the credentialing bodies, we are using a
scanning system to verify attendance throughout the conference. All
participants seeking continuing education credit are required to scan the
bar code on their name badge in the morning and afternoon of each day.
Scanners will be set up outside of the Education Ballroom. If you lose your badge,
please go to the registration desk where a new badge can be prepared for you.
View Poster Abstracts
MEZZANINE LEVEL -2
POSTER ABSTRACT REVIEW WITH AUTHORS
Friday 6:00 - 7:00 PM
Photography
Please be advised that photographs may be taken at the meeting for use
a) on the conference website and on conference social media pages
b) in the press, including marketing materials and publications distributed to the public.
By entering the meeting, you consent to such photographing and
use of your image and likeness for the purposes mentioned above.
DLS Presentation Access
Online streaming video of the DLS Educational Program will be available for
viewing at www.portaleducation.com. Following the conference, every attendee will
be provided a username and password via email from Portal Education to continue
to access the course presentations. You must follow the steps in the email in order
to access the presentations. If you do not receive your username and password,
please check your SPAM folder. Passwords can be retrieved by clicking the
“Lost Your Password” link and entering your email address. Queries regarding
this should be sent to [email protected].
Note: Presentations will be made available as quickly as possible. Some
presentations may be omitted due to no author permissions.
Worldwide Broadcast
DLS 2014 is broadcast live globally in partnership with Portal Education.
Visit www.portaleducation.com
Thursday S
PECIAL
EVENTS October 9
8:30 – 10:30 AM
MedStar Georgetown University Hospital
Center for Wound Healing Tour
Bus departs at 8:30 AM from Penn Ave. level
of JW Marriott and returns at 10:30 AM
PENNSYLVANIA AVENUE -1
Tour is not a CME event.
12:15 - 12:30 PM
MEDSTAR GEORGETOWN DISTINGUISHED
ACHIEVEMENT AWARD IN DIABETIC LIMB SALVAGE
HONOREE - WILLIAM J. JEFFCOATE, MB, MRCP
Presented by Dr. Richard Goldberg, President,
MedStar Georgetown University Hospital
12:30 - 1:15 PM
LUNCH SYMPOSIUM
Clinical Experience with Biologics for
Atypical and Inflammatory Wounds
Attinger, Kim, Steinberg
This non-CME accredited activity is supported by Integra LifeSciences.
6:00 - 7:30 PM
RECEPTION WITH EXHIBITORS
CAPITOL BALLROOM & FOYER, GRAND FOYER -3
Thursday October 9
8:30 – 10:30
MedStar Georgetown University Hospital Center for Wound Healing Tour
Bus departs at 8:30 AM from JW Marriott and returns at 10:30 AM.
Tour is not a CME event.
7:30 – 8:00
Breakfast
DLS: Defining the Scope of the Problem
Moderators: Christopher E. Attinger, MD; John S. Steinberg, DPM
8:00 – 8:05
Introduction Christopher E. Attinger, MD; John S. Steinberg, DPM; Cameron M. Akbari, MD, MBA
8:05 – 8:25
Simple Science: Diabetic Ulcers and Sensory Neuropathy Andrew J.M. Boulton, MD, DSc
8:25 – 8:45
Simple Science: Diabetic Ulcers and Critical Limb Ischemia Cameron M. Akbari, MD, MBA
8:45 – 9:05
Simple Science: Diabetic Ulcers and Biomechanics Lawrence A. Lavery, DPM, MPH
9:05 – 9:25
The Team Concept: Essential Components to Success Frances Game, MD
9:25 – 9:45
Limb Salvage Lessons Learned from ‘Eurodiale’:
European Study Group on Diabetes and the Lower Extremity N.C. Schaper, MD
9:45 – 10:00
Panel Discussion
10:00 – 10:15 Break
Managing the Cost of Diabetic Limb Salvage
Moderators: Christopher E. Attinger, MD; John S. Steinberg, DPM
10:15 – 10:35 Lawrence B. Kirstein Memorial HBO Lectureship:
Role of HBO Therapy for the Diabetic Foot: Yes or No? David J. Margolis, MD, PhD
10:35 – 11:00 NICE and NHS: What Can the British Teach Us about Fiscal Management in
Diabetic Limb Salvage? William J. Jeffcoate, MB, MRCP
11:00 – 11:20 Not All Diabetic Foot Care Is Created Equal: Learning from the Regional Disparity in Care
Gerry Rayman, MD, MRCP
11:20 – 11:40 Cost Containment in a Comprehensive Hospital Based Wound Program
William J. Ennis, DO, MBA
11:40 – 12:00 Recidivism: Fancy Word for a Really Big Problem. Can It Be Avoided?
Michael Edmonds, MD
12:00 – 12:15 Panel Discussion
12:15 – 12:30 MEDSTAR GEORGETOWN DISTINGUISHED ACHIEVEMENT AWARD
IN DIABETIC LIMB SALVAGE
Honoree – William J. Jeffcoate, MB, MRCP
Presented by Dr. Richard Goldberg, President, MedStar Georgetown University Hospital
12:15 – 1:30
Lunch
12:30 – 1:15
LUNCH SYMPOSIUM
Clinical Experience with Biologics for Atypical and Inflammatory Wounds
Attinger; Kim; Steinberg
This non-CME accredited activity is supported by Integra LifeSciences.
First Impressions: Making a Proper Initial Assessment
Moderators: Christopher E. Attinger, MD; John S. Steinberg, DPM
1:30 – 1:50
The Patient Interview: Can We Actually Apply the Socratic Method to Educate the Patient?
Gerry Rayman, MD, MRCP
1:50 – 2:05
Physical Examination of the Diabetic Foot Ulcer: What Not to Leave Out
Michael Edmonds, MD
2:05 – 2:20
Biofilm and Implants: Why the Connection? Elliott Gruskin, PhD
2:20 – 2:35
Assessing the Ulcer: Etiology Determines Treatment Javier Aragón-Sánchez, MD, PhD
2:35 – 2:55
So Much Attention to Cultures...: Evidence for What, When, and How?
Benjamin A. Lipsky, MD
2:55 – 3:15
Lower Extremity Imaging Options from Bones to Vessels: What Do We Really Need?
Emil I. Cohen, MD
3:15 – 3:35
Wound Bed Preparation: What Works Best and When? Robert S. Kirsner, MD, PhD
3:35 – 3:45
Panel Discussion
3:45 – 4:05
Break
The Battle of Infection
Moderators: Christopher E. Attinger, MD; Benjamin A. Lipsky, MD
4:05 – 4:25
Implant Related Biofilm: Can We Define It, Treat It, and Prevent It? Bonnie Hurwitz, PhD
4:25 – 4:45
Evidence-Based Antibiotic Therapy Recommendations in DLS
Benjamin A. Lipsky, MD
4:45 – 5:05
The Architecture of Reimbursement for Limb Salvage in the US:
What Does the Future Hold? Stephen R.T. Evans, MD
5:05 – 5:25
Osteomyelitis in the Diabetic Limb: Surgical Management
Javier Aragón-Sánchez, MD, PhD
5:25 – 5:40
Osteomyelitis in the Diabetic Limb: Medical Management Frances Game, MD
5:40 – 6:00
Infection Imposters!: Charcot, PVD, Lymphedema Venous Stasis Michael Edmonds, MD
6:00 – 7:30
Opening Reception with Exhibitors
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Diabetic Limb Salvage
M E D S TA R G E O R G E T O W N U N I V E R S I T Y H O S P I TA L
Friday S
PECIAL
EVENTS October 10
7:00 - 8:30 AM
HANDS-ON WORKSHOP
Are You Healing Enough of Your DFU Patients?
Come Learn How to Heal More…
Jeffrey D. Lehrman, DPM, FACFAS
LOCATION: SALON I
This non-CME accredited activity is supported by BSN Medical, Inc.
7:00 - 8:00 AM
BREAKFAST SYMPOSIUM
Meet the Masters
Abbruzzese; Andros; Gibbons; Harkless
LOCATION: SALONS II-IV
12:15 - 1:15 PM
LUNCH SYMPOSIUM
What Is the Solution for NPWT with Instillation:
Saline vs. Prontosan
Attinger; Kim; Lavery; Lipsky
6:00 - 7:00 PM
POSTER ABSTRACT REVIEW
WITH AUTHORS
LOCATION: MEZZANINE LEVEL -2
6:00 PM - 7:30 PM
EVENING SYMPOSIUM
Platelet Derived Growth Factors - Faster Healing for Lower
Extremity Diabetic Neuropathic Ulcers
Paul Sullivan, DPM
LOCATION: SALON I
This non-CME accredited activity is supported by Smith & Nephew Biotherapeutics.
Friday October 10
7:00 – 8:00
BREAKFAST SYMPOSIUM: Meet the Masters
Abbruzzese; Andros; Gibbons; Harkless
Location: Salons II-IV
7:00 – 8:30
HANDS-ON WORKSHOP
Are You Healing Enough of Your DFU Patients? Come Learn How to Heal More…
Jeffrey D. Lehrman, DPM, FACFAS
Location: Salon I
This non-CME accredited activity is supported by BSN Medical, Inc.
7:00 – 8:00
Breakfast
It’s All about Blood Flow?
Moderators: George Andros, MD; Gary W. Gibbons, MD
8:00 – 8:20
PVD and Diabetes: The Implications of Trifurcation Disease Frank B. Pomposelli Jr., MD
8:20 – 8:40
LIVE CASE Session I Surgeon: Cameron M. Akbari, MD, MBA
Moderators: Campbell, Laird, Mills, Pomposelli
8:40 – 9:00
The Benefits and Shortcomings of the Endovascular Approach John R. Laird, MD
9:00 – 9:10
LIVE CASE Recap Session I Surgeon: Cameron M. Akbari, MD, MBA
Moderators: Campbell, Laird, Mills, Pomposelli
9:10 – 9:30
Is There Still a Role for Bypass Surgery? Where and When David R. Campbell, MD
9:30 – 10:15
Break / Exhibits
10:15 – 10:35
LIVE CASE Session II Surgeons: Christopher E. Attinger, MD; Karen F. Kim Evans, MD
Moderators: Colen, Gibbons, Steinberg, Wukich
10:35 – 10:55
Vascular Imaging: So Many Choices, How Do I Choose? Angiogram, CT Angiogram, MRA,
Ultrasound, or SPY Joseph L. Mills Sr., MD
10:55 – 11:00
LIVE CASE Recap Session II Surgeons: Christopher E. Attinger, MD; Karen F. Kim Evans, MD
Moderators: Colen, Gibbons, Steinberg, Wukich
11:00 – 11:20
Lymphedema: In Search of a Protocol for Effective Diagnosis and Treatment
Lynne Tudhope, MD
11:20 – 11:40
LIVE CASE Session III Surgeons: Christopher E. Attinger, MD; Karen F. Kim Evans, MD
Moderators: Colen, Gibbons, Steinberg, Wukich
11:40 – 12:00
What You Need to Know about Venous Disease When Managing Patient with Diabetes
Lynne Tudhope, MD
12:00– 12:10
LIVE CASE Recap Session III Surgeons: Christopher E. Attinger, MD; Karen F. Kim Evans, MD
Moderators: Colen, Gibbons, Steinberg, Wukich
12:10 – 1:30
Lunch / Exhibits
12:15 – 1:15
LUNCH SYMPOSIUM
What Is the Solution for NPWT with Instillation: Saline vs. Prontosan
Attinger; Kim; Lavery; Lipsky
Assessing What We Do Not Know
Moderator: Christopher E. Attinger, MD
1:30 – 1:50
Questions to Ask and Research to Do: What Do We NOT Know about Diabetic Foot Ulcers?
Lawrence A. Lavery, DPM, MPH
1:50 – 2:10
LIVE CASE Session IV Surgeon: Cameron M. Akbari, MD, MBA
Moderators: Campbell, Gibbons, Mills, Pomposelli
2:10 – 2:30
LIVE CASE Session V Surgeons: Paul J. Kim, DPM, MS; John S. Steinberg, DPM
Moderators: Attinger, Harkless, Wukich
2:30 – 2:50
Putting Published Literature to the Test: How to Evaluate Wound Literature
Critically to Assess What Is Claimed William J. Jeffcoate, MB, MRCP
2:50 – 3:00
LIVE CASE Recap Session V Surgeons: Paul J. Kim, DPM, MS; John S. Steinberg, DPM
Moderators: Attinger, Harkless, Wukich
3:00 – 3:30
Break / Exhibits
3:30 – 3:40
LIVE CASE Recap Session IV Surgeon: Cameron M. Akbari, MD, MBA
Moderators: Campbell, Gibbons, Mills, Pomposelli
A Chance to Cut Is a Chance to Cure?
Moderators: Christopher E. Attinger, MD; Dane K. Wukich, MD
3:40 – 4:00
LIVE CASE Session VI Surgeons: Paul J. Kim, DPM, MS; John S. Steinberg, DPM
Moderators: Attinger, Lavery, Wukich
4:00 – 4:20
Forefoot: Biomechanical Approach to Prophylactic Surgery and Partial Amputations
Lawrence A. Lavery, DPM, MPH
4:20 – 4:30
LIVE CASE Recap Session VI Surgeons: Paul J. Kim, DPM, MS; John S. Steinberg, DPM
Moderators: Attinger, Lavery, Wukich
4:30 – 4:50
Midfoot and Rearfoot: Biomechanical Approach to Prophylactic Surgery and Amputations
Richard Derner, DPM
4:50 – 5:10
Charcot Surgery: Evidence-Based Approach to a Complex Deformity Dane K. Wukich, MD
5:10 – 5:30
Algorithm for Diabetic Foot Reconstruction vs. Major Amputation
J.P. Hong, MD, PhD, MBA
5:30 – 5:50
Why Major Amputations, When Properly Done on the Right Patient,
Is Not a Failure but a New Life Dane K. Wukich, MD
5:50 – 6:00
Panel Discussion
6:00 – 7:00
Poster Abstract Review with Authors
6:00 – 7:30
EVENING SYMPOSIUM: Platelet Derived Growth Factors - Faster Healing
for Lower Extremity Diabetic Neuropathic Ulcers
Paul Sullivan, DPM
This non-CME accredited activity is supported by Smith & Nephew Biotherapeutics.
Saturday October 11
6:30 – 8:00
Breakfast
8:00 - 12:45 THREE CONCURRENT SPECIALTY TRACKS WITH THE LATEST UPDATES ON THE NEXT 3 PAGES.
SEE PAGE 4 OF SATURDAY SPREADS FOR SYMPOSIA AND CADAVER WORKSHOPS
TRACK I
TRACK I: VASCULAR/CARDIO TRACK – LEAVES
LOCATION: GRAND BALLROOM, SALON I
Diabetic Foot Ulceration and Venous Disease:
No Healing Despite Normal Arterial Flow
Moderator: Cameron M. Akbari, MD, MBA
8:00 – 8:15
The Pathophysiology of Venous Reflux, Venous Obstruction, and Ulceration
Seshadri Raju, MD
8:15 – 8:30
Techniques for Endovascular Treatment of Chronic Venous Occlusion
David L. Gillespie, MD
8:30 – 8:45
Catheter-Based Ablation of the Saphenous Vein Sean D. O’Donnell, MD
8:45 – 9:00
Complications in Endovenous Ablation: Avoidance, Recognition, and Treatment
TBA
9:00 – 9:15
Panel Discussion
9:15 – 9:45
Break / Exhibits
Arterial Disease I: Open Bypass
Moderator: Cameron M. Akbari, MD, MBA
9:45 – 10:00
Autogenous Vein Bypass: Technical Tips for Success Frank B. Pomposelli Jr., MD
10:00 – 10:15
Prosthetic Bypasses: Do They Really Work?
10:15 – 10:30
Paramalleolar and Inframalleolar Bypass David R. Campbell, MD
10:30 – 10:45
Panel Discussion
10:45 – 11:00
Break / Exhibits
Cameron M. Akbari, MD, MBA
Arterial Disease II: Endovascular
Moderator: Edward Y. Woo, MD
11:00 – 11:15
Traversing the Lesion: Update on Wires and CTO Devices Aravinda Nanjundappa, MD
11:15 – 11:30
Subintimal Angioplasty: Technique and Re-Entry John R. Laird, MD
11:30 – 11:45
Aortoiliac Occlusions: Endovascular Options and Techniques Niten Singh, MD
11:45 – 12:00
When and How to Use Stent Grafts in the SFA
12:00 – 12:15
Endovascular Approaches to Long Tibial Occlusions Aravinda Nanjundappa, MD
12:15 – 12:30
Atherectomy: When, Which, Why, and How J.A. Mustapha, MD
12:30 – 12:45
Pedal Access: Techniques and Tips Nelson L. Bernardo, MD
Robert S. Dieter, MD
Saturday October 11
TRACK II
TRACK II: ADMINISTRATIVE TRACK
Moderators: William J. Ennis, DO, MBA; Gary W. Gibbons, MD; Niten Singh, MD
LOCATION: GRAND BALLROOM, SALON II
The Business of Running a Wound Center
8:00 – 8:05
Introduction
Gary W. Gibbons, MD
8:05 – 8:20
The Cost of Leaving Podiatry Out of Diabetic Foot Care:
The Case for Comprehensive Coverage Grant H. Skrepnek, PhD
8:20 – 8:35
The Good, the Bad, and the Ugly of the New Reality in Medicine:
Consumerism and Public Ratings Are Here to Stay M. Jeffrey Novorr, MHA
8:35 – 8:50
What Does a Wound Center Bring to the Hospital’s Margin? Brinder Singh, MHA
8:50 – 9:05
Choosing Between Private vs. Hospital-Based Wound Centers:
The Advantages and Disadvantages of Both William J. Ennis, DO, MBA
9:05 – 9:20
Panel Discussion
9:20 – 10:00
Break / Exhibits
10:00 – 10:15
Telemedicine in Wound Care: The Next Horizon or Regulatory Nightmare
Mark S. Granick, MD, FACS
10:15 – 10:30
Common Coding Errors in Wound Care: How to Bill Visits and Procedures Correctly
Kathleen D. Schaum, MS
10:30 – 10:45
Clinical Practice Guidelines: Opportunities and Challenges
D. Scott Covington, MD, FACS, CHWS
10:45 – 11:05
Current Innovations That May Make Limb Salvage Obsolete if Insurance
Will Pay for Them David G. Armstrong, DPM, MD, PhD
11:05 – 11:25
Using Advanced Technology to Maximize Efficiency in the
Hospital Environment J.P. Hong, MD, PhD, MBA
11:25 – 11:45
Auditing: Nightmare or Chance to Excel Helen Turner, RN, CPHQ
11:45 – 12:00
Panel Discussion
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Diabetic Limb Salvage
M E D S TA R G E O R G E T O W N U N I V E R S I T Y H O S P I TA L
Saturday October 11
TRACK III
TRACK III: WOUND CARE AND BIOMECHANICAL SURGERY
Moderator: John S. Steinberg, DPM
LOCATION: GRAND BALLROOM, SALONS III-IV
8:00 – 8:05
Introduction John S. Steinberg, DPM
8:05 – 8:20
Stop Blaming the Achilles for Everything: Maybe You Should Be Messing with
Some OTHER Tendons… Paul J. Kim, DPM, MS
8:20 – 8:35
New Wound Care Technologies That Are Worth Your Time and Your Money
Kara S. Couch, MS, CRNP, CWS
8:35 – 8:50
Nutritional Therapy for Wound Healing: Real or Imagined?
Adrian Barbul, MD, FACS
8:50 – 9:05
Just Put the Cast Back On and Heal the Wound
Lawrence A. Lavery, DPM, MPH
9:05 – 9:20
Panel Discussion
9:20 – 10:00
Break / Exhibits
10:00 – 10:15
Cellular and Tissue-Based Products for Wounds: A Method or a Madness?
John S. Steinberg, DPM
10:15 – 10:30
Saving the Unsavable: Case Reports Bradley Lamm, DPM, FACFAS
10:30 – 10:45
Engaging the Team to Include Physical Therapy Modalities for Wound Healing
Pamela Scarborough, DPT, CDE, CWS
10:45 – 11:00
Amputation and Reamputation: Let the Data Speak
Thomas Roukis, DPM, PhD, FACFAS
11:00 – 11:15
I Wish I Had Never Done This Case: Diabetic Foot Reconstruction
Richard Derner, DPM
11:15 – 11:30
You Only See What You Look for and You Only Recognize What You Know
Lawrence B. Harkless, DPM
11:30 – 11:45
Internal Fixation vs. External Fixation for Charcot Reconstruction
Paul S. Cooper, MD
11:45 – 12:00
You Have It All Wrong…Caring for the Patient AND the Wound from the RN Perspective
Katherine J.S. Hubley, RN, CWCN
12:00 – 12:15
Panel Discussion
SATURDAY
Gloves-On Cadaver
Workshops
RUSSELL,
HART,
CANNON
MEETING ROOM LEVEL
-2
Workshop III:
Wound Care,
Compression,
and Casting
COMMERCE
RAYBURN
Workshop II:
Skin Grafts,
Tendon Transfers,
and Tendon
Lengthening
TREASURY
JUSTICE
Workshop I:
Local and Regional
Flaps for Foot and
Ankle Wound Closure
STATE
DIRKSEN
Workshop IV:
Vascular Workshop
LONGWORTH
Saturday October 11
12:00 – 1:30
Lunch / Exhibits
12:15 – 12:30
Poster Session Awards
LOCATION: SALONS III-IV
1:30 - 3:30
GLOVES-ON CADAVER WORKSHOPS
Gloves-On Cadaver Workshops are non-CME accredited activities.
LOCATION: MEETING ROOM LEVEL -2
WORKSHOP I
Local and Regional Flaps for Foot and Ankle Wound Closure
Christopher E. Attinger, MD; Lawrence B. Colen, MD; Karen F. Kim Evans, MD
Location: Treasury -2
WORKSHOP II
Skin Grafts, Tendon Transfers, and Tendon Lengthening
Paul J. Kim, DPM, MS; John S. Steinberg, DPM; Katherine Raspovic, DPM
Location: Commerce -2
WORKSHOP III
Wound Care, Compression, and Casting
Kara S. Couch, MS, CRNP, CWS; Katherine J.S. Hubley, RN, CWCN;
Dorothy Goodman, BSN, RN, CWOCN; Kerry Moose, NP
Location: Russell/Hart/Cannon -2
WORKSHOP IV
Vascular Workshop:
Chronic Total Occlusion, Atherectomy, and Pedal Access
Cameron M. Akbari, MD, MBA
Location: State -2
FACULTY DISCLOSURES
As a sponsor accredited by the ACCME, it is the policy of MedStar Georgetown University Hospital to require that everyone who is in the
position to control the content of an educational activity disclose all financial relationships with any commercial interest prior to the educational activity. The ACCME considers relationship of the person(s) involved in the CME activity to include financial relationship(s) of a
spouse or partner. Faculty and planners who refuse to disclose their financial relationships will be disqualified from participating in the
CME activity. For an individual with no relevant financial relationship(s), the participant must be informed that no conflicts of interest or
financial relationship(s) exist.
Name
Name of Commercial Interests
Nature of
Financial Relationship
Mark R. Abbruzzese, MD
No relevant financial relationships with any commercial interests to disclose
Cameron M. Akbari, MD, MBA
No relevant financial relationships with any commercial interests to disclose
George Andros, MD
No relevant financial relationships with any commercial interests to disclose
Javier Aragón-Sánchez, MD, PhD
No relevant financial relationships with any commercial interests to disclose
David G. Armstrong, DPM, MD, PhD No relevant financial relationships with any commercial interests to disclose
Christopher E. Attinger, MD
No relevant financial relationships with any commercial interests to disclose
Adrian Barbul, MD, FACS
No relevant financial relationships with any commercial interests to disclose
Nelson L. Bernardo, MD
Cook Medical
Terumo Medical
Medtronic, Inc.
Training Site
Consultancy
Training Site, Speakers Bureau
Andrew J.M. Boulton, MD, DSc
No relevant financial relationships with any commercial interests to disclose
David R. Campbell, MD
No relevant financial relationships with any commercial interests to disclose
Emil I. Cohen, MD
No relevant financial relationships with any commercial interests to disclose
Lawrence B. Colen, MD
No relevant financial relationships with any commercial interests to disclose
Paul S. Cooper, MD
Integra, Small Bone Innovations
Smith and Nephew
Consultant
Royalties
Kara S. Couch, MS, CRNP, CWS
Mölnlycke, Organogenesis
Derma Sciences
Speakers Bureau
Honorarium
D. Scott Covington, MD, FACS, CHWS Healogics
Medical Advisory Board
Richard Derner, DPM
No relevant financial relationships with any commercial interests to disclose
Robert S. Dieter, MD
No relevant financial relationships with any commercial interests to disclose
Michael Edmonds, MD
Urgo, Olympus, Crawford, Bard
Advisory Committee
William J. Ennis, DO, MBA
Accelecare Wound Centers
Consultant
Stephen R.T. Evans, MD
No relevant financial relationships with any commercial interests to disclose
Frances Game, MD
No relevant financial relationships with any commercial interests to disclose
Gary W. Gibbons, MD
No relevant financial relationships with any commercial interests to disclose
David L. Gillespie, MD
Volcano
Cook Medical
Consultant, Speakers Bureau
Speakers Bureau
Dorothy Goodman, BSN, RN, CWOCN No relevant financial relationships with any commercial interests to disclose
Mark S. Granick, MD, FACS
No relevant financial relationships with any commercial interests to disclose
Elliott Gruskin, PhD
DePuy Synthes, Companies of Johnson & Johnson Employee
Lawrence B. Harkless, DPM
Valeant Pharmaceuticals North America, LLC
Consultant
L&M Healthcare Communications, Organogenesis Speakers Bureau
J. P. Hong, MD, PhD, MBA
No relevant financial relationships with any commercial interests to disclose
Katherine J.S. Hubley, RN, CWCN
No relevant financial relationships with any commercial interests to disclose
Bonnie Hurwitz, PhD
No relevant financial relationships with any commercial interests to disclose
Name
Name of Commercial Interests
Nature of
Financial Relationship
William J. Jeffcoate, MB, MRCP
No relevant financial relationships with any commercial interests to disclose
Paul J. Kim, DPM, MS
KCI, Integra LifeSciences
Karen F. Kim Evans, MD
No relevant financial relationships with any commercial interests to disclose
Robert S. Kirsner, MD, PhD
Mölnlycke, Cardinal Health, 3M, Kerecis
Keretec
Smith and Nephew, Macrocure
Advisory Board
Consultant
Research Grant
John R. Laird, MD
Abbott Vascular, Boston Scientific, Covidien,
Shockwave, AngioSlide
Bard Peripheral Vascular
Medtronic
WL Gore
VIVA Physicians
Syntervention
Advisory Board
Consultant
Consultant/Advisory Board
Research Support
Board Member
Stock, Board Member
Research and Consulting
Bradley Lamm, DPM, FACFAS
No relevant financial relationships with any commercial interests to disclose
Lawrence A. Lavery, DPM, MPH
No relevant financial relationships with any commercial interests to disclose
Benjamin A. Lipsky, MD
Cubist, Forest
Merck
Innocoll
Debiopharm, Dipexium
David J. Margolis, MD, PhD
No relevant financial relationships with any commercial interests to disclose
Joseph L. Mills Sr., MD
No relevant financial relationships with any commercial interests to disclose
Kerry Moose, NP
No disclosures submitted at press time
J.A. Mustapha, MD
Cardiovascular Services, Inc., Covidien,
Spectranetics, Bard Peripheral Vascular
Bayer, Boston Scientific
Advisory Board
Speakers Bureau
Consultant, Research Funding
Consultant
Consultant, Research
Consultant
Aravinda Nanjundappa, MD
No relevant financial relationships with any commercial interests to disclose
M. Jeffrey Novorr, MHA
No relevant financial relationships with any commercial interests to disclose
Sean D. O'Donnell, MD
No relevant financial relationships with any commercial interests to disclose
Frank B. Pomposelli Jr., MD
No relevant financial relationships with any commercial interests to disclose
Seshadri Raju, MD
Veniti, Inc.
Katherine Raspovic, DPM
No disclosures submitted at press time
Gerry Rayman. MD, MRCP
No relevant financial relationships with any commercial interests to disclose
Stock
Thomas Roukis, DPM, PhD, FACFAS No relevant financial relationships with any commercial interests to disclose
Pamela Scarborough, DPT, CDE, CWS No relevant financial relationships with any commercial interests to disclose
N. C. Schaper, MD
No relevant financial relationships with any commercial interests to disclose
Kathleen D. Schaum, MS
Smith & Nephew Biotherapeutics
Niten Singh, MD
No relevant financial relationships with any commercial interests to disclose
Employee
Brinder Singh, MHA
No relevant financial relationships with any commercial interests to disclose
Grant H. Skrepnek, PhD
No disclosures submitted at press time
John S. Steinberg, DPM
KCI
Lynne Tudhope, MD
No disclosures submitted at press time
Helen Turner, RN, CPHQ
No relevant financial relationships with any commercial interests to disclose
Consultant
Edward Y. Woo, MD
No relevant financial relationships with any commercial interests to disclose
Dane K. Wukich, MD
Stryker Orthopaedics
Arthrex
Consultant
Royalties
Faculty Disclosures including those not submitted at press time are available at the Faculty Desk.
ACCREDITATION
FOR EVERY MEMBER OF THE TEAM
◆
Diabetes & Wound Healing Specialists ◆ Vascular Surgeons ◆ Orthopaedic Surgeons
◆ Podiatric Surgeons ◆ Plastic Surgeons ◆ Endocrinologists ◆ FPs
◆ Infectious Disease Specialists ◆ Cardiovascular & Endovascular Specialists
◆ NPs ◆ PTs ◆ RNs ◆ CDEs ◆ Peripheral Nerve Specialists…
the entire team that works on the diabetic foot and on limb salvage
MedStar Georgetown University Hospital is accredited by the Accreditation Council for
Continuing Medical Education to provide continuing medical education for physicians.
MedStar Georgetown University Hospital designates this educational activity for a maximum of 21.5 AMA PRA Category 1
Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
International Conference Management is approved by the Council on Podiatric Medical Education as a sponsor of continuing medical education
in podiatric medicine. International Conference Management has approved this conference for a maximum of 21.5 continuing medical education contact hours of CPME credit.
MedStar Georgetown University Hospital Department of Nursing Education is an approved provider of continuing nursing education
by the Maryland Nurses Association, an accredited provider by the American Nurses Credentialing Center's Commission on accreditation. Nurses will
be awarded a maximum of 21.5 contact hours for successfully completing the program.
Disclosure of Financial Relationships with Any Commercial Interest: As sponsors accredited by the ACCME and CPME, it is the policy of MedStar Georgetown University Hospital and International Conference Management to require that everyone who is in the position to control the
content of an educational activity disclose all relevant financial relationships with any commercial interest prior to the educational activity. The ACCME
and CPME consider relationships of the person involved in the CME activity to include financial relationships of a spouse or partner. Faculty and planners who refuse to disclose relevant financial relationships will be disqualified from participating in the CME activity. For an individual with no relevant
financial relationship(s), the participant must be informed that no conflicts of interest or financial relationship(s) exist.
Conference Objectives: This course will enhance the background, knowledge and skills of attendees in the science of diabetic limb salvage.
At the conclusion of this CME activity, participants should be able to: discuss the public health crisis of diabetic limb loss • discuss the pain of sensory loss and non-compliance • discuss the options in vascular interventional technology and techniques, both surgical and endovascular • discuss
the complexities of biomechanics, limb salvage, the problem wound, wound based infection, preserving limb length • cite the financial and social impact of diabetic limb salvage and amputation • integrate into their practices the knowledge obtained through the didactic lectures, workshops and live
surgical cases.
Target Audience: This program has been planned, designed, and is intended for Diabetes & Wound Healing Specialists • Vascular Surgeons
• Orthopaedic Surgeons • Podiatric Surgeons • Plastic Surgeons • Endocrinologists • FPs • Infectious Disease Specialists • Cardiovascular & Endovascular Specialists • NPs • PTs • RNs • CDEs • Peripheral Nerve Specialists • the entire team who work on the diabetic foot and limb salvage
Course Description: The MedStar Georgetown University Hospital's A Team Approach to Diabetic Limb Salvage conference is intended to better equip each member of the health care team with the education and resources needed to heal wounds and prevent amputations. It features a prominent multidisciplinary faculty that promotes the importance of every member of the team. The course is designed for health care practitioners of all
specialties and promotes an evidence-based approach. The meeting format will include didactic lectures, hands-on workshops, specialty symposia, and
live surgical case demonstrations for the purpose of providing a live interactive learning experience.
Acknowledgment: This continuing medical education activity is supported by unrestricted educational grants from contributing organizations.
A complete list is published in the program notebook.
Advisory: Certificates of Attendance for CMEs and Contact hours are available for you to print online after this conference. Attendees can update
or edit their Attendance Checklist or CME Certificates through November 3, 2014. After that time, no further changes can be made on the forms. Certificates can be printed for a period of two years.
Sponsor:
ACCME & ANCC Accredited by:
CPME Accredited,Managed and Produced by:
Administrative Headquarters: 2701 Johnston Street; Suite 201; Lafayette, LA 70503
Tel: 337.235.6606 ❖ Fax: 337.235.7300 ❖ [email protected]
HOW TO PRINT
YOUR OWN
CME CERTIFICATE
CME certificates for DLS will be available only online.
You can complete yours for up to 3 weeks after the conference.
1. Log in to the DLS CME site www.DLSconference.com/cme
Immediately after the conference, you will receive an email with a link to the
CME site (www.DLSconference.com/cme) and your ID Number. Click on the link or paste
it into your browser. Log in with your ID number.
Note: You can update or edit your Attendance Checklist through November 3, 2014. After that
time, no further changes can be made in the form.
2. Check off the box of the session you attended
3. Fill out the survey and click "Submit" at the bottom of the page
4. You will automatically be taken back to the main page
5. Repeat this process for each session you attended
6. Once all session surveys are completed, click “Print Certificate”
Note: You can print your certificate as many times as you like for a period of two years. Be sure to keep the link
and login ID number in order to do so.
C OMMERCIAL F UNDING
Funding for the conference has been provided by educational grants from the following companies:
ABBOTT VASCULAR
ACELITY (KCI, LIFECELL, SYSTAGENIX)
B. BRAUN MEDICAL, INC.
BOSTON SCIENTIFIC CORPORATION
COVIDIEN
ETHICON
FASHEK FOUNDATION
E XHIBITORS /S UPPORTERS
Additional underwriting has been provided by the following exhibitors/supporters:
ACELITY
(KCI, LIFECELL, SYSTAGENIX)
ACELL
ALLIQUA BIOMEDICAL, INC.
AMERICAN EXPRESS
B. BRAUN MEDICAL, INC.
BARD PERIPHERAL VASCULAR
BAYER HEALTHCARE, LLC
BIANCO BROTHERS INSTRUMENTS
BOSTON SCIENTIFIC CORPORATION
BSN MEDICAL, INC.
CAPTUREPROOF
CARDIOVASCULAR SYSTEMS, INC.
CELLERATION
COOK MEDICAL
CORDIS CORPORATION,
A JOHNSON & JOHNSON COMPANY
COVIDIEN
DARCO INTERNATIONAL
DERMA SCIENCES, INC.
GORE & ASSOCIATES
HEALOGICS
E XHIBITORS /S UPPORTERS
HITACHI ALOKA MEDICAL
HOLLISTER
IMS MEDICAL EQUIPMENT
INTEGRA LIFESCIENCES
LIFENET HEALTH
MEDICAL SOLUTIONS SUPPLIER
MERCK & CO., INC.
MIMEDX
MISONIX, INC.
MÖLNLYCKE HEALTH CARE
MONARCH LABS
NASCOTT, INC. –
A HANGER CLINIC COMPANY
NEUROGENX, INC.
NOVADAQ
OPTIMA-MOLLITER Italy
ORGANOGENESIS
ORPYX MEDICAL
TECHNOLOGIES, INC.
continued
ORTHOMERICA PRODUCTS, INC.
OSIRIS THERAPEUTICS, INC.
PAMLAB
SMITH & NEPHEW
SMITH & NEPHEW
BIOTHERAPEUTICS
SPECTRANETICS
SPIRACUR, INC.
STEADMED
SUREFIT
SYSTAGENIX
(AN ACELITY COMPANY)
TEI MEDICAL, INC.
TEKSCAN
U. S. ARMY
WIMBLEDON HEALTH PARTNERS
WRIGHT MEDICAL TECHNOLOGY
Z-MEDICA
IN-KIND MARKETING
JOURNAL OF WOUND TECHNOLOGY
BOOK DONATIONS
WOLTERS KLUWER HEALTH
See Addendum Insert
Win an
iPad Air
®
Enter to Win a new
iPad Air – 32 GB
®
• Pick up Entry Card at the
Registration Desk
• Visit DLS Supporters in the
Exhibitor Ballroom
• Have a minimum of 12
exhibitors initial your
Entry Card
• Drop Entry Card in the Drawing
Box at the Registration Desk
Prize Drawing will be held
Saturday @ 9:45 AM
Contest open to registered DLS delegates only. Entry requires visit to minimum
of 12 exhibit booths. No purchase necessary. You need not be present to win.
SPEAKER
TOPIC
Image by Christopher E. Attinger, MD
Leadership
in Action
EDUCATIONAL GRANTS
Abbott Vascular ■ Acelity (KCI, LifeCell, Systagenix)
B. Braun Medical, Inc. ■ Boston Scientific Corporation
Covidien ■ Ethicon ■ Fashek Foundation
E XHIBITORS
ACell
Alliqua Biomedical, Inc.
American Express
Bard Peripheral Vascular
Bayer HealthCare, LLC
Bianco Brothers Instruments
Boston Scientific Corporation
CaptureProof
Cardiovascular Systems, Inc.
Celleration
Cordis Corporation,
a Johnson & Johnson Company
Covidien
Darco International
Gore & Associates
Hollister
IMS Medical Equipment
Journal of Wound Technology
LifeNet Health
Medical Solutions Supplier
Merck & Co., Inc.
MiMedx
Misonix, Inc.
Monarch Labs
Nascott, Inc.–A Hanger Clinic Company
NEUROGENX, Inc.
Novadaq
OPTIMA-MOLLITER Italy
Orpyx Medical Technologies, Inc.
Orthomerica Products, Inc.
Osiris Therapeutics, Inc.
Spectranetics
Spiracur, Inc.
SteadMed
SureFit
TEI Medical, Inc.
Tekscan
U. S. Army
Wimbledon Health Partners
Wolters Kluwer Health
Wright Medical Technology
Z-Medica
Conference Co-Chairmen:
Christopher E. Attinger, MD John S. Steinberg, DPM
Cameron M. Akbari, MD, MBA Nelson Lim Bernardo, MD
■
■
A
T E A M
A P P R O A C H
Diabetic Limb Salvage
MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL
Leadership in Action
Image by Christopher E. Attinger, MD
Thank You
ALPHA
ACELITY (KCI, LIFECELL, SYSTAGENIX)
INTEGRA LIFESCIENCES
PLATINUM
SMITH & NEPHEW
SILVER
BSN MEDICAL, INC.
HITACHI ALOKA MEDICAL
GOLD
SMITH & NEPHEW BIOTHERAPEUTICS
BRONZE
ABBOTT VASCULAR
B. BRAUN MEDICAL
COOK MEDICAL
COVIDIEN
DERMA SCIENCES
HEALOGICS
MÖLNLYCKE HEALTH CARE
ORGANOGENESIS
PAMLAB
Conference Co-Chairmen:
Christopher E. Attinger, MD John S. Steinberg, DPM
Cameron M. Akbari, MD, MBA Nelson Lim Bernardo, MD
■
A
T E A M
A P P R O A C H
Diabetic Limb Salvage
MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL
■