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



October 27 – December 6, 2022

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

Featuring Internationally Recognized Experts in Venous Disease 


Anil Hingorani Headshot

Anil P. Hingorani, MD 
Professor of Surgery
New York University Langone - Brooklyn
Brooklyn, New York

Arjun Jayaraj Headshot

Arjun Jayaraj, MD
Vascular Surgeon
The Rane Center
Jackson, Mississippi 

Mark H Meissner, headshot

Mark H. Meissner, MD
Peter Gloviczki Professor of Venous and Lymphatic Disorders
University of Washington Medical Center
Seattle, Washington 

Andrea Obi Headshot

Andrea T. Obi, MD
Assistant Professor of Vascular Surgery
Ann Arbor, Michigan
University of Michigan 

Harold J. Welch, headshot

Harold J. Welch, MD
Interim Chair, Department of Vascular Surgery, Lahey Hospital & Medical Center
Burlington, Massachusetts

Professor of Surgery, Tufts University School of Medicine 




Peter Glovicski headshot

Peter Gloviczki, MD
Joe M. and Ruth Robers Emeritus Professor of Surgery
Mayo Clinic
Rochester, Minnesota 


Peter Lawrence headshot in whitecoat

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 Wasan, headshot

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.
  1. 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.
  1. To compare outcomes after concomitant vs staged interventions for the treatment of saphenous incompetence and symptomatic varicose veins.


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. 


6:00-6:10 p.m.

Pre-Survey, Introduction and Overview

Peter Gloviczki, MD
6:10-6:17 p.m. Diagnostic Evaluation of Vein Incompetence Mark H. Meissner, MD
6:18-6:25 p.m. High Ligation and Surgical Stripping vs. Endovenous Ablation Andrea T. Obi, MD
6:26-6:32 p.m. Thermal Ablation vs. Non-Thermal Ablation of Saphenous Veins Anil P. Hingorani, MD
6:33-6:39 p.m. Perforating Vein Ablation in Patients With Varicose Veins (CEAP Class C2) Arjun Jayaraj, MD
6:39-6:46 p.m. Saphenous Vein Ablation With Concomitant vs. Staged Treatment of Varicose Tributaries Harold J. Welch, MD
6:50-7:25 p.m. Panel Discussion Panel
7:25-7:30 p.m. Post-Survey All

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,
  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
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