Translating Guidelines into Practice: Management of Patients with Varicose Veins of the Lower Extremities

Free Virtual Interactive Roundtable Session

Tuesday, Dec. 6
6:00 p.m. to 7:30 p.m. CT

This session is based on the 2022 Society for Vascular Surgery, American Venous Forum, and American Vein and Lymphatic Society Clinical Practice Guidelines for the Management of Varicose Veins of the Lower Extremities. 

A Multidisciplinary Roundtable Discussion

• Panel
• Moderators
• Audience
• Learning Objectives 
• Description
• Schedule
• Recommended Readings

Featuring Internationally Recognized Experts in Venous Disease 

Panel 

Anil P. Hingorani, MD  Professor of Surgery New York University Langone - Brooklyn Brooklyn, New York	Arjun Jayaraj, MD Vascular Surgeon The Rane Center Jackson, Mississippi
Mark H. Meissner, MD Peter Gloviczki Professor of Venous and Lymphatic Disorders University of Washington Medical Center Seattle, Washington	Andrea T. Obi, MD Assistant Professor of Vascular Surgery Ann Arbor, Michigan University of Michigan
Harold J. Welch, MD Interim Chair, Department of Vascular Surgery, Lahey Hospital & Medical Center Burlington, Massachusetts Professor of Surgery, Tufts University School of Medicine

Moderators 

Peter Gloviczki, MD Joe M. and Ruth Robers Emeritus Professor of Surgery Mayo Clinic Rochester, Minnesota	Peter Lawrence, MD Professor of Surgery  David Geffen School of Medicine at UCLA Chief of Vascular & Endovascular Surgery Gonda Vascular Center   Los Angeles, California
Suman M. Wasan, MD, MS, PharmD Vascular Medicine Physician UNC Health, Rex Vascular Specialists Garner, North Carolina

Target Audience 

Vascular surgeons, interventional radiologists and cardiologists, dermatologists, phlebologists, vein disease specialists, vascular medicine physicians, residents and trainees in these disciplines, physicians and non-physician clinicians (e.g., nurse practitioners and physician assistants), working in the United States and abroad, who are involved in the management of patients with varicose veins of the lower extremities.

Learning Objectives 

1. To present the latest clinical practice guidelines for the management of patients with varicose veins, based on a systematic review and meta-analysis of the available scientific evidence.

2. To analyze results of percutaneous venous ablation procedures and compare them to those  obtained with compression therapy and open surgery for treatment of symptomatic varicose veins.

3. To compare outcomes after concomitant vs staged interventions for the treatment of saphenous incompetence and symptomatic varicose veins.

Description

This session will be helpful in expanding physician knowledge base and improving clinical confidence and effectiveness in treating patients with varicose veins. The session will address diagnostic evaluation of patients with varicose veins, using duplex scanning to confirm pathologic superficial truncal reflux. The session will also cover compression therapy, open surgical and percutaneous endovenous therapies for lower extremity varicosities, including thermal and non-thermal ablations of the great, small and accessory saphenous veins. The treatment of perforating veins and the concomitant treatment of varicose tributaries with sclerotherapy or mini-phlebectomy will also be discussed. 

The faculty will use case vignette to design treatment strategies and demonstrate how to put the recommendations from the evidence based clinical practice guidelines into practice. A short survey will be conducted before and after the session, and follow-up survey will follow 60 days later to gauge and evaluate if guidelines were easy to translate into daily clinical practice. 

Schedule 

Recommended Readings 

1. Gloviczki P, Lawrence PF, Wasan SM, Meissner MH, Almeida J, Brown K, et al.
   The 2022 Society for Vascular Surgery, American Venous Forum, and American Vein and Lymphatic Society Clinical Practice Guidelines for the Management of Varicose Veins of the Lower Extremities.J Vasc Surg Venous Lymphat Disord. 2022, https://doi.org/10.1016/j.jvsv.2022.09.004.
    
2. Farah MH, Nayfeh T, Urtecho M, Hasan B, Amin M, Sen I, Wang Z, Prokop LJ, Lawrence PF, Gloviczki P, Murad MH. A systematic review supporting the Society for Vascular Surgery, the American Venous Forum, and the American Vein and Lymphatic Society guidelines on the management of varicose veins. J Vasc Surg Venous Lymphat Disord. 2022 Sep;10(5):1155-1171.
    
3. Lurie F, Passman M, Meisner M, Dalsing M, Masuda E, Welch H, Bush RL, Blebea J, Carpentier PH, De Maeseneer M, Gasparis A, Labropoulos N, Marston WA, Rafetto J, Santiago F, Shortell C, Uhl JF, Urbanek T, van Rij A, Eklof B, Gloviczki P, Kistner R, Lawrence P, Moneta G, Padberg F, Perrin M, Wakefield T. The 2020 update of the CEAP classification system and reporting standards. J Vasc Surg Venous Lymphat Disord. 2020 May;8(3):342-352.
    
4.  Masuda E, Ozsvath K, Vossler J, Woo K, Kistner R, Lurie F, Monahan D, Brown W, Labropoulos N, Dalsing M, Khilnani N, Wakefield T, Gloviczki P. The 2020 appropriate use criteria for chronic lower extremity venous disease of the American Venous Forum, the Society for Vascular Surgery, the American Vein and Lymphatic Society, and the Society of Interventional Radiology. J Vasc Surg Venous Lymphat Disord. 2020 Jul;8(4):505-525.e4. 
    
5. Gloviczki P, Comerota AJ, Dalsing MC, Eklof BG, Gillespie DL, Gloviczki ML, Lohr JM, McLafferty RB, Meissner MH, Murad MH, Padberg FT, Pappas PJ, Passman MA, Raffetto JD, Vasquez MA, Wakefield TW; Society for Vascular Surgery; American Venous Forum. The care of patients with varicose veins and associated chronic venous diseases: clinical practice guidelines of the Society for Vascular Surgery and the American Venous Forum. J Vasc Surg. 2011 May;53(5 Suppl):2S-48S.
    
6. Bhushan R, Lebwohl MG, Gottlieb AB, Boyer K, Hamarstrom E, Korman NJ, Kirsner RS, Sober AJ, et al. Translating Psoriasis Guidelines into Practice. Important Gaps revealed. J Am Acad Dermatol. 2015