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



Free Virtual Roundtable Panel Session

Organized by the Society for Vascular Surgery, the American Venous Forum and the American Vein and Lymphatic Society

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Moderators and Faculty

Peter Glovicski headshot

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



Peter Lawrence headshot in whitecoat

Peter F. Lawrence, MD
Professor of Surgery
David Geffen School of Medicine, UCLA
Emeritus Chief of Vascular and Endovascular Surgery
Gonda Vascular Center
Los Angeles, California 

Faculty & Moderator

Suman Wasan, headshot

Suman M. Wasan, MD, MS, PharmD
Vascular Medicine Physician
Garner, North Carolina 

Faculty & Moderator


Jose Almeida Headshot

Jose Almedia, MD
Vascular Surgeon, Miami Vein Center
Miami, Floridia 


Monika Gloviczki Headshot

Monika Gloviczki, MD, PhD
Research Fellow, Emertius, Mayo Clinic
Gonda Vascular Center
Rochester, Minnesota


Mark H Meissner, headshot

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


Andrea Obi Headshot

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


Target Audience 

Vascular surgeons, interventional radiologists and cardiologists, dermatologists, phlebologists, vein and lymphatic 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 or research 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 systematic reviews and meta-analyses of the available scientific evidence.
  2. To analyze results of percutaneous venous ablation procedures
  3. To discuss the role of adjuvant medical treatment, compression therapy and open surgery for treatment of symptomatic varicose veins.
  4. 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 the latest guidelines in the diagnostic evaluation of patients with varicose veins, using duplex scanning. It will also cover adjuvant medical treatment with available nutritional supplements, 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 thrombotic complications of venous interventions and superficial thrombophlebitis as well as concomitant or staged treatment of varicose tributaries with sclerotherapy or mini-phlebectomy will also be discussed.

The faculty will use case vignettes 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 a follow-up survey will follow 60 days later to gauge and evaluate if the guidelines were easy to translate into daily clinical practice.



Topic and Presenter

6:00 - 6:10 p.m. Pre-Survey, Introduction and Overview
Peter Gloviczki, MD, PhD
6:10 - 6:16 p.m. Diagnostic Evaluation of Vein Incompetence
Mark H. Meissner, MD
6:17 - 6:23 p.m. Compression therapy for varicose veins
Andrea T. Obi, MD
6:24 -6:30 p.m. 

Drug therapy for varicose veins
Monika L. Gloviczki, MD, PhD

6:31 - 6:37 p.m. Percutaneous endovenous ablations of saphenous veins
Jose Almeida, MD
6:38 - 6:42 p.m. Thrombotic complications of endovenous ablations
Peter F. Lawrence, MD
6:43 - 6:49 p.m. Treatment of superficial thrombophlebitis
Suman M. Wasan, MD
6:50 - 7:25 p.m. Panel Discussion
7:25 - 7:30 p.m. Post-survey


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