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30th Annual UCLA Symposium: A Comprehensive Review and Update of What's New in Vascular and Endovascular Surgery


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30th Annual UCLA Symposium: A Comprehensive Review and Update of What's New in Vascular and Endovascular Surgery

  1. 1. 30th ANNUAL UCLA SYMPOSIUM A Comprehensive Review and Update of What’s New in Vascularand Endovascular Surgery Course Chair: Wesley S. Moore, MD Course Co-Chair: Juan Carlos Jimenez, MD Division of Vascular Surgery and the Gonda (Goldschmied) Vascular Center September 10-13, 2012 Monday - Thursday Renaissance Hollywood Hotel & Spa, Hollywood, California
  2. 2. 30th Annual UCLA Symposium:Vascular and Endovascular Surgery A Comprehensive Review and Update of What’s New in Vascular and Endovascular Surgery T his four-day course provides an in-depth review of the specialty of vascular surgery. This will be the 30th year of offering an in-depth review for those preparing to take the vascular board examinations as well as providing the basic didactic education for the vascular resi- dents in training. The course recognizes four major pillars of vascular surgery practice, which include (1) conventional open operations, (2) catheter-based intervention (endovascular surgery), (3) the medical aspects of patient management, (4) diagnostic imaging and noninvasive testing. An internationally recognized faculty will present a comprehen- sive survey of generally accepted views, including basic science, patho- genesis, diagnosis, and management of the broad spectrum of vascular disorders. In addition, each speaker has been asked to take a portion of their allotted time in order to review the important new developments, as related to their topic that have taken place within the last year. We have also requested that each speaker begin or end their presentation with 2-3 questions appropriate to their topic. In recognition of the increasingly important role of endovascular inter- vention in the vascular surgeon’s practice, we continue to add topics that provide an update on endovascular surgery together with interac- tive case presentations involving those techniques. This course addresses the needs of practicing vascular surgeons who wish to review the specialty and update their knowledge of new topics in this rapidly expanding field. In addition, vascular surgery residents will find this course a comprehensive overview of the subject that is de- signed to supplement their training and to provide a foundation of basic science necessary for their complete understanding of the subject. It conforms to the clinical and basic science curriculum as outlined by the vascular surgery program directors (APDVS). The course is supported by a textbook in vascular surgery. The chap- ters have been written by the course faculty. Participants attending this course will receive a copy of the textbook, Vascular and Endovascular Surgery: A Comprehensive Review, edited by Wesley S. Moore, MD.
  3. 3. FACULTYfor Enrollment – Fall 2012 Application David A. Rigberg, MD Matthew J. Eagleton, MDCourse Title & Number M123-4 Associate Professor of Surgery Course Chair Associate Professor AmountWesley S. Moore, MD Division of Vascular Surgery Departments of Vascular Surgery and David Geffen School of Medicine atProfessor Annual UCLA Symposium: A Comprehensive Review Biomedical Engineering 30th and Chief Emeritus UCLADivision of Vascular Surgery New in Vascular and Endovascular Surgery Cleveland Clinic Lerner College of and Update of What’s Gonda (Goldschmied) Vascular Medicine-CWRUDavid Geffen School of Medicine atUCLA Center Cleveland, Ohio Ronald M. Fairman, MDCoursePRINTPLEASE Co-Chair Guest Faculty The Clyde F. Barker - William Maul Measey Professor of SurgeryJuan Carlos Jimenez, MD Jeffrey L. Ballard, MD, FACS Chief, Division of Vascular SurgeryAssistant Professor of Surgery Staff Vascular Surgeon and Endovascular Therapy St. Joseph HospitalDivision of Vascular Surgery Security Number Last four digits of your Social Vice-Chairman for Clinical Affairs,David Geffen School of Medicine at Orange, California Department of SurgeryUCLA Michael Belkin, MD Hospital of the University of Name (First/Middle/Last) Chief of Vascular and Endovascular Pennsylvania Male Female UCLA Faculty Surgery Philadelphia, Pennsylvania Brigham and Women’s Hospital D. Preston Flanigan, MDBrian G. DeRubertis, MD Professor of Surgery Degree Medical DirectorAssistant Professor of Surgery Harvard Medical School St. Joseph Hospital Vascular InstituteDivision of Vascular Surgery Boston, Massachusetts Orange, CaliforniaDavid Geffen School of Medicine at Affiliation Ramon Berguer, MD, PhDUCLA Bruce L. Gewertz, MD Frankel Professor of Vascular Surgery Surgeon-in-ChiefSteven Farley, MD Cardiovascular Center H and S Nichols Endowed Chair inAssistant Professor of Surgery The University of Michigan Preferred Mailing Address SurgeryDivision of Vascular Surgery Ann Arbor, Michigan Chair, Department of SurgeryDavid Geffen School of Medicine at Ruth L. Bush, MD, MPH Vice-President, InterventionalUCLA City/State/ZIP Professor of Surgery and Associate ServicesHugh A. Gelabert, MD Dean for Education Temple Campus, Vice-Dean, Academic AffairsProfessor of Surgery Texas A & M College of Medicine Cedars-Sinai Medical CenterDivision of Vascular Surgery Scott & White Hospital Los Angeles, California Email (please print)David Geffen School of Medicine at Temple, Texas David L. Gillespie MD, RVT,UCLA ( ) Ankur Chandra, ( MD, RPVI ) FACSAntoinette S. Gomes, MD Assistant ProfessorArea code Fax of Surgery and Chief, Division of Vascular Surgery Area code PhoneProfessor of Radiology and Medicine Biomedical Engineering Professor of SurgeryDepartment of Radiological Sciences Director, Vascular Diagnostic Lab University of RochesterDavid Geffen School of Medicine at Director, Cardiovascular Device School of Medicine and DentistryUCLA Check enclosed payable to: The Regents of the University of California Design Program Rochester, New YorkPeter F. Lawrence, MD Division of Vascular Surgery Peter Gloviczki, MDWiley F. Barker Endowed Chair in University of Rochester School of Joe M. and Ruth Roberts ProfessorVascular SurgeryMasterCard Charge: Visa Medicine and Dentistry Discover of SurgeryChief, Division of Vascular Surgery Rochester, New York Chair Emeritus, Division of VascularDepartment of Surgery Anthony J. Comerota, MD, and Endovascular SurgeryDavid Geffen School of Medicine at- - FACS, FACC - - Gonda Vascular CenterUCLA Director Jobst Vascular Institute Expiration Mo/Yr Mayo ClinicJessica B. O’Connell, MD Toledo, Ohio Rochester, MinnesotaAssistant Professor of Surgery Adjunct Professor of Surgery Jerry Goldstone, MD, FACS, Authorizing SignatureDivision of Vascular Surgery University of Michigan FRCSEdDavid Geffen School of Medicine at Ann Arbor, Michigan Professor of Surgery and ChiefUCLA with credit card number and expiration date, directly toFACS Fax, Ralph G. DePalma, MD, our office at: (310) 794-2624 Emeritus ORWilliam J. Quiñones-Baldrich, Professor of Surgery Division of Vascular and EndovascularMD Mail to: Uniformed University of the Health SurgeryProfessor of Surgery Sciences University Hospitals Case Medical Office of Continuing MedicalSpecial Operations Officer Education CenterDivision of Vascular Surgery VA Office of Research andDavidDavid School ofSchool of Medicine at UCLA Geffen Geffen Medicine at Case Western Reserve University DevelopmentUCLA10920 Wilshire Blvd., Suite 1060 School of MedicineDirector UCLA Vascular Center Washington, DC Cleveland, Ohio Los Angeles, CA 90024-6512UCLA Medical Center
  4. 4. FACULTY continuedKimberley J. Hansen, MD, FACS Michel S. Makaroun, MD Gale L. Tang, MD, RPVI, FACSProfessor of Surgery Co-Director, UPMC Heart & Vascular Assistant Professor of SurgeryInterim Chair, Department of Vascular Institute University of Washingtonand Endovascular Surgery Professor and Chair, Division of VA Puget Sound Health Care SystemDirector of the Vascular Surgery Vascular Surgery Seattle, WashingtonFellowship Program University of Pittsburgh School of Frank J. Veith, MDDirector of the Mentored Clinical Medicine Professor of SurgeryScientist Program in Vascular Pittsburgh, Pennsylvania New York University Medical SchoolMedicine Joseph L. Mills, Sr., MD New York, New YorkDirector of the Clinical Vascular Professor of Surgery Professor of SurgeryLaboratory Chief, Vascular and Endovascular Cleveland Clinic Lerner College ofVascular and Endovascular Surgery Surgery Medicine of Case Western ReserveWake Forest University School of Co-Director, Southern Arizona Limb UniversityMedicine Salvage Alliance (SALSA) The William J. von Liebig Chair inWinston-Salem, North Carolina University of Arizona Vascular SurgeryKim J. Hodgson, MD Tucson, Arizona The Cleveland Clinic FoundationDavid S. Sumner Professor and Cleveland, Ohio Charles M. Peterson, MD, MBAChairman of Vascular Surgery Chief Scientist/TATRC Thomas W. Wakefield, MDSouthern Illinois University School of (Telemedicine and Advanced James C. Stanley Professor ofMedicine Technology Research Center/MRMC) SurgerySpringfield, Illinois Fort Detrick, Maryland Section HeadDouglas Hood, MD Section of Vascular Surgery Seshadri Raju, MD, FACSAssociate Professor Department of Surgery The Rane Center for Venous andSouthern Illinois University School of University of Michigan Medical Lymphatic DiseaseMedicine Center Flowood, MississippiSpringfield, Illinois Ann Arbor, Michigan Hazim J. Safi, MDGlenn C. Hunter, MD Samuel Eric Wilson, MD Professor and ChairmanProfessor, Clinical Surgery Professor of Surgery Department of Cardiothoracic andUniversity of Arizona University of California Irvine Vascular SurgeryVascular Surgery Service School of Medicine University of Texas Medical SchoolSAVAHCS UC Irvine Medical Center Houston, TexasTucson, Arizona Orange, California Peter A. Schneider, MDVikram S. Kashyap, MD, FACS Wei Zhou, MD Chief, Division of Vascular TherapyProfessor of Surgery and Chief, Associate Professor of Surgery Hawaii Permanente Medical GroupDivision of Vascular Surgery and Stanford University Kaiser Foundation HospitalEndovascular Therapy Chief of Vascular Surgery Honolulu, HawaiiCo-Director, Harrington Heart and Palo Alto, CaliforniaVascular Institute Michael B. Silva, Jr., MD, FACS R. Eugene Zierler, MDUniversity Hospitals Case Medical The Fred J. and Dorothy E. Wolma Professor of Surgery, University ofCenter Professor of Vascular Surgery and Washington School of MedicineCase Western Reserve University Professor of Radiology Medical Director, D. E. Strandness Jr.Cleveland, Ohio Chief, Division of Vascular Surgery Vascular Laboratory and Endovascular TherapyGregory J. Landry, MD University of Washington Medical Director, Texas Vascular CenterAssociate Professor of Surgery Center and Harborview Medical The University of Texas MedicalDepartment of Vascular Surgery Center BranchOregon Health & Science University Seattle, Washington Galveston, TexasPortland, Oregon James C. Stanley, MDTimothy K. Liem, MD Handleman Professor of SurgeryAssociate Professor of Surgery Director, Cardiovascular CenterVice-Chairman, Department of University of Michigan MedicalSurgery CenterOregon Health & Science University Ann Arbor, MichiganPortland, Oregon
  5. 5. PROGRAM30th Annual UCLA Symposium:A Comprehensive Review and Update ofWhat’s New in Vascular andEndovascular SurgeryMonday, September 10th, 2012Mo r nin g 7:00 AM Registration/Breakfast 8:00 AM Welcome and Introduction Wesley S. Moore, MDModerator: Wesley S. Moore MD 8:15 AM Anatomy, Physiology, and Pharmacology of the Vessel Wall Gale L. Tang, MD, RPVI, FACS 8:55 AM Principles of Imaging in Vascular Disease Antoinette S. Gomes, MD 9:35 AM Coffee Break 9:55 AM Hemodynamics for the Vascular Surgeon R. Eugene Zierler, MD 10:35 AM The Vascular Diagnostic Laboratory Ankur Chandra, MD, RPVI 11:15 AM Exposure of Blood Vessels and Related Structures Jeffrey L. Ballard, MD, FACS 12:00 PM Lunch BreakA fter no o nModerator: Peter F. Lawrence, MD 1:30 PM Drugs Commonly Used in Vascular Disease Patients: Dosage and Pharmacology Jessica B. O’Connell, MD 2:00 PM Vasculogenic Erectile Dysfunction Ralph G. DePalma, MD, FACS 2:30 PM Primary (Arterial) Vascular Infection: Etiology, Diagnosis, and Management Hugh A. Gelabert, MD 3:00 PM Coffee Break 3:20 PM Surgical and Endovascular Management of Vascular Trauma David L. Gillespie, MD, RVT, FACS 4:00 PM Hemodialysis and Angio Access Samuel Eric Wilson, MD 4:30 PM An Introduction and Highlights of the VESAP II Examination Kim J. Hodgson, MD 5:40 PM Interactive Case Presentations Moderators: Brian G. DeRubertis, MD and Wei Zhou, MD 6:40 PM Adjourn
  6. 6. Tuesday, September 11th, 2012Mo r nin g 7:00 AM BreakfastModerator: Hugh A. Gelabert, MD 7:30 AM Introduction to Endovascular Surgery: Arterial Access, Guidewires, Sheaths, Angioplasty Catheters, and Stents Michael B. Silva, Jr., MD, FACS 8:20 AM Cerebrovascular Disease I: Surgery of the Carotid Artery Wesley S. Moore, MD 9:10 AM Cerebrovascular Disease II: Surgery of the Aortic Arch Trunks and the Vertebral Basilar System Ramon Berguer, MD, PhD 10:00 AM Coffee Break 10:20 AM Vascular Malformations Peter Gloviczki, MD 10:50 AM Angioplasty and Stenting for Cerebrovascular Disease: Technique and Results Peter A. Schneider, MD 11:30 AM Surgical Management of Chronic Venous Obstruction Peter Gloviczki, MD 12:00 PM Lunch BreakA fter no o n MEDICAL ASPECTS OF VASCULAR DISEASECo-Moderators: Wesley S. Moore, MD and Anthony J. Comerota, MD, FACS, FACC 1:30 PM Atherosclerosis: Pathology, Pathogenesis, and Medical Management Ralph G. DePalma, MD, FACS 2:05 PM Non-Atherosclerotic Vascular Disease Gregory J. Landry, MD 2:55 PM Risk Factor Management: Tobacco, Statins, Beta Blockers and ACE Inhibitors Peter F. Lawrence, MD 3:25 PM Coffee Break 3:45 PM Antiplatelet Therapy Anthony J. Comerota, MD, FACS, FACC 4:15 PM Influence of Diabetes Mellitus and its Complications on Vascular Disorders Charles M. Peterson, MD, MBA 4:55 PM Panel Discussion – QA Moderator: Anthony J. Comerota, MD, FACS, FACC Panelists: Drs. DePalma, Landry, Lawrence, and Peterson 5:30 PM Interactive Case Presentation Moderators: Brian G. DeRubertis, MD and Wei Zhou, MD 6:30 PM Adjourn
  7. 7. Wednesday, September 12th, 2012Mo r nin g 7:00 AM BreakfastModerator: David A. Rigberg, MD 7:30 AM Aneurysms of the Abdominal Aorta and Iliac Arteries Jerry Goldstone, MD, FACS, FRCSEd 8:10 AM Endovascular Repair of Abdominal Aortic Aneurysm: Comparative Techniques and Results of Currently Available Devices Ronald M. Fairman, MD 8:40 AM Thoracoabdominal Aortic Aneurysm: Diagnosis, Prognosis, and Surgical Management Hazim J. Safi, MD 9:10 AM Fenestrated and Branched Endograft Repair of Aortic Arch and Thoraco-Abdominal Aortic Aneurysm Matthew J. Eagleton, MD 9:40 AM Coffee Break 10:00 AM Endovascular Repair of Thoracic Aneurysms: Currently Available Devices and Results Michel S. Makaroun, MD 10:30 AM The Hybrid Approach to Thoracoabdominal Aortic Aneurysm William J. Quiñones-Baldrich, MD 11:00 AM Panel Discussion – QA Moderator: David A. Rigberg, MD Panelists: Drs. Eagleton, Goldstone, Fairman, Makaroun, Quiñones, and Safi 12:00 PM Lunch BreakA fter no o nModerator: Juan Carlos Jimenez, MD 1:30 PM Hematologic Problems in Vascular Surgery: Bleeding and Thrombosis Timothy K. Liem, MD 2:00 PM Venous Thromboembolic Disease Thomas W. Wakefield, MD 2:30 PM Thrombolysis and Mechanical Thrombectomy for Arterial and Graft Occlusions: Technique and Results Vikram S. Kashyap, MD, FACS 2:55 PM Thrombolysis and Mechanical Thrombectomy for Deep Venous Thrombosis and Pulmonary Embolism: Technique and Results Anthony J. Comerota, MD, FACS, FACC 3:25 PM Coffee Break 3:40 PM Management of the Incompetent Saphenous Vein – Endovenous Ablation and Sclerotherapy David A. Rigberg, MD 4:10 PM Chronic Venous Obstruction – Catheter-Based Intervention Seshadri Raju, MD, FACS 4:40 PM Surgical Management of Aorto-Iliac Occlusive Disease Michael Belkin, MD 5:10 PM Angioplasty and Stenting for Aorto-Iliac Occlusive Disease: Technique and Results Ruth L. Bush, MD, MPH 5:40 PM Panel Discussion – QA Moderator: Juan Carlos Jimenez, MD Panelists: Drs. Belkin, Bush, Comerota, Kashyap, Liem, Raju, Rigberg, and Wakefield 6:30 PM Adjourn
  8. 8. Thursday, September 13th, 2012Mo r nin g 7:00 AM BreakfastModerator: Jessica B. O’Connell, MD 7:30 AM Surgical Management of Renovascular Hypertension Kimberly J. Hansen, MD, FACS 8:10 AM Diagnosis, Surgical and Endovascular Management of Intestinal Ischemia Bruce L. Gewertz, MD 8:50 AM Angioplasty and Stenting for Renal Artery Disease: Technique and Results Douglas Hood, MD 9:30 AM Coffee Break 9:50 AM Visceral Artery Aneurysms James C. Stanley, MD 10:30 AM Aneurysms of the Peripheral Arteries, Including a Comparison of Open and Endovascular Techniques D. Preston Flanigan, MD 11:10 AM Non-Infectious Complications in Vascular Surgery Glenn C. Hunter, MD 12:00 PM Lunch BreakA fter no o nModerator: William J. Quiñones-Baldrich, MD 1:00 PM Vascular Graft Infection: Etiology, Diagnosis, Management, and Prevention Peter F. Lawrence, MD 1:40 PM Surgical and Endovascular Management of Ruptured Abdominal Aortic Aneurysm Frank J. Veith, MD 2:20 PM Management of the Thoracic Outlet Syndrome Hugh A. Gelabert, MD 2:50 PM Coffee Break 3:10 PM Infrainguinal Arterial Occlusive Disease: Surgical Management Frank J. Veith, MD 3:50 PM Catheter-Based Intervention for Infra-Inguinal Occlusive Disease: Technique and Results Joseph L. Mills, Sr., MD 4:20 PM Management of the Non-Reconstructable Ischemic Extremity Steven Farley, MD 4:50 PM Lower Extremity Amputation for End Stage Vascular Disease Juan Carlos Jimenez, MD 5:30 PM Course Adjourns
  9. 9. General InformationSymposium Location AccommodationsRenaissance Hollywood Hotel Spa A block of rooms has been reserved at the1755 North Highland Avenue Renaissance Hollywood Hotel Spa at aHollywood, California 90028 special seminar rate of $189 single or doublePhone: 323-856-1200 occupancy per night plus 14% city room tax andFax: 323-856-1205 a 0.20 cents California Hospitality Tax. call the Renaissance directly at 323-856-1200Experience an ultra-stylish hotel destined for or 877-622-3056 and request the group rate forfame as a premier Los Angeles hotel located the UCLA Annual Vascular Surgery the movie-making capital of the world at the Confirmations of reservations received afterRenaissance Hollywood Hotel Spa. Boasting August 24, 2012 is subject to availability.a sophisticated design and breathtaking views, Transportation to Hotelthis dazzling West Hollywood hotel captures Shuttle bus service is available via Super Shuttlethe legendary glamour of the city’s illustrious for approximately $16 per person one way.past. Including nearly 65,000 sq ft of event Reservation is required. Contact them atspace, as well as a 3,500 sq ft rooftop panorama 800-258-3826 or suite with 270 degree views, this hotel in Follow signs to Super Shuttle outside theHollywood, California even features a rooftop baggage claim area. Taxicabs are also availablepool. For its efforts to protect the environment with an estimated fare of $50-65 one conserving water and energy, the property Conference Parkinghas earned the prestigious ENERGY STAR® Hotel parking rate: $32 valet parking fee perlabel from the U.S. EPA. As the cornerstone of night. Off-site parking rate at the Hollywood Hollywood Highland Center, this Hollywood Highland Center: $10 per day. Parking rates areHills hotel is located among trendy shops, subject to restaurants, famous landmarks andstate-of-the-art entertainment venues. Emergency Calls You may be reached during the conference at 323- 856-1200. Ask the hotel operator to direct your call to UCLA Vascular Surgery Registration Desk.
  10. 10. General InformationVascular and Endovascular Surgery ENROLLMENT Accreditation The Office of Continuing Medical Education, Enrollment Fees $995 David Geffen School of Medicine at UCLA is accredited by the Accreditation Council ONLINE for Continuing Medical Education to provide Go to and continuing medical education for physicians. choose 30th Annual UCLA Symposium: A Comprehensive Review and Update of What’s The Office of Continuing Medical Education, New in Vascular and Endovascular Surgery and David Geffen School of Medicine at UCLA click the registration button. You may use your designates this live activity for a maximum of American Express, MasterCard, VISA or Discover 34.5 AMA PRA Category 1 CreditsTM. Physicians card to register online. should claim only the credit commensurate with the extent of their participation in the activity. By Mail Use the form attached. Disclosure Statement Mail to the UCLA Office of Continuing Medical The FDA has issued a concept paper which Education, David Geffen School of Medicine at classifies commercial support of scientific UCLA, Vascular Surgery Symposium, 10920 and educational programs as promotional Wilshire Blvd., Suite 1060, Los Angeles, CA unless it can be affirmed that the program is 90024-6512 “truly independent” and free of commercial By FAX influence. In addition to independence, the FDA Send the completed enrollment form with credit requires that non-promotional, commercially card information and authorizing signature. supported education be objective, balanced, FAX 310-794-2624. and scientifically rigorous. The policy further states that all potential conflicts of interest of By Phone the CME staff and faculty be fully disclosed Use your MasterCard, VISA, or Discover Card. to the program’s participants. In addition, Call 310-794-2620. Accreditation Council for Continuing Medical E-mail address: Education policy now mandates that the provider Please visit our website for other UCLA CME adequately manages all identified potential offerings: conflicts of interest prior to the program. We, at UCLA, fully endorse the letter and spirit of these Early registration is recommended, as concepts. space is limited. Refunds Cancellations must be received in writing by Friday, August 10, 2012 and will be subject to a $75 processing fee. No refunds will be given after that date. If for any reason the course must be canceled, discontinued, or rescheduled by the Office of Continuing Medical Education, a full refund will be provided.
  11. 11. Application for Enrollment – Fall 2012 Course Title Number M123-4 Amount 30th Annual UCLA Symposium: A Comprehensive Review and Update of What’s New in Vascular and Endovascular SurgeryPLEASE PRINTLast four digits of your Social Security NumberName (First/Middle/Last) Male FemaleDegreeAffiliationPreferred Mailing AddressCity/State/ZIPEmail (please print)( ) ( )Area code Phone Area code Fax Check enclosed payable to: The Regents of the University of CaliforniaCharge: MasterCard Visa Discover - - - - Expiration Mo/YrAuthorizing SignatureFax, with credit card number and expiration date, directly to our office at: (310) 794-2624OR Mail to: Office of Continuing Medical Education David Geffen School of Medicine at UCLA 10920 Wilshire Blvd., Suite 1060 Los Angeles, CA 90024-6512
  12. 12. UCLA Office of Continuing Medical Education NONPROFIT ORG.David Geffen School of Medicine at UCLA405 Hilgard Avenue MC29 U.S. POSTAGELos Angeles, CA 90095-6938 PA I D UCLA30 t h A NN UA L UC LA S YM PO SI U MA ComprehensiveReview and Update ofWhat’s New in Vascular andEndovascular SurgerySeptember 10-13, 2012Renaissance Hollywood Hotel SpaHollywood, California