Overview

This session is based on the 2023 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. 

Pre- and Post-Course Surveys

Before you watch the recording, you are encouraged to take the roundtable pre-survey to evaluate if the guideline recommendations are easy to translate into daily clinical practice.

TAKE THE PRE-COURSE SURVEY

Once you have completed the recording, you are encouraged to take the post-survey. This will help gauge what you have learned. 

TAKE THE POST-COURSE SURVEY

Session Recording

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.

Overview

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. 

Pre- and Post-Course Surveys

Before you watch the recording, you are encouraged to take the roundtable pre-survey to evaluate if the guideline recommendations are easy to translate into daily clinical practice.

Take the Pre-Course Survey

Once you have completed the recording, you are encouraged to take the post-survey. This will help gauge what you have learned. 

Take the Post-Course Survey

Session Recording

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. 

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

Continue to Part II

The Society for Vascular Surgery offers several different types of clinical practice documents and tools to assist our members and the healthcare industry.

Clinical Practice Guidelines

The Society's guidelines evaluate the evidence in the scientific literature, assess the likely benefits and harms of a particular treatment, and enable healthcare providers to select the best care for a unique patient based on his or her preferences. The Society develops clinical practice guidelines to aid its members and their patients in the decision-making process.  Access the guidelines. 

Translating Guidelines Into Clinical Practice 

GVG-CLTI Series

In the fall of 2022, expert moderators and panelists came together to host a series of interactive roundtables addressing how to incorporate the Global Vascular Guidelines on the Management of Patients with CLTI into practice. The three sessions are helpful in expanding physician knowledge base and improving clinical confidence and effectiveness in treating patients with CLTI. 

Varicose Veins

Varicose Vein experts hosted an interactive session addressing diagnostic evaluation of patients with varicose veins, using duplex scanning to confirm pathologic superficial truncal reflux. The session also covered compression therapy, and 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 were also be discussed. 

Part 1

Part 2

Structured Decision-Making in the CLTI Patient: Understanding the PLAN 

This session will help expand physicians’ knowledge base and improve clinical confidence and effectiveness in treating patients with CLTI. The focus of this webinar will be to review the patient PLAN algorithm based on the Global Vascular Guidelines in CLTI. The importance of staging to guide the course of treatment and potential alterations in the treatment plan will be reviewed. The use of the VQI, WIfI, and GLASS applications to facilitate evidence-based decision-making for CLTI patients will be reviewed.

Case presentations will illustrate how to practically use the PLAN approach in specific clinical scenarios. Watch Now

Multi-specialty Consensus Documents

The Society occasionally participates in Multi-specialty Consensus Documents with external organizations. 

Reporting Standards

Reporting standards are intended to provide uniformity of definitions and classifications for comparative purposes. They are instructive on how to report information from clinical studies in a consistent manner to make it easy for the reader to compare results. 

Credentialing Resources 

Find papers and information on vascular credentialing and clinical competencies. 

Best Practices

 A multi-specialty effort on best practice for talking points concerning the risks and benefits of using paclitaxel devices.