Global Perspectives: Cardiovascular Risk, Overtreatment, VTE Care

Solutions Through Science and Global Perspectives

This session paired the American Venous Forum with the European Venous Forum, Society of Interventional Radiology and Society for Vascular Medicine for a cross specialty view of venous disease.

Chronic Venous Disease as a Systemic Risk

Studies from Taiwan, Germany, Australia and South Korea linked varicose veins and chronic venous insufficiency to higher cardiovascular events and mortality, independent of traditional risk factors, arguing the disease deserves recognition as a cardiovascular risk factor.

Balancing Over and Undertreatment

A second speaker described overtreatment and undertreatment as equally harmful, citing the rapid expansion of venous stenting and payer denials for symptomatic disease, and urged robust guidelines.

From Research Gaps to Funded Trials

The Society of Interventional Radiology Foundation’s research consensus panel model, shown through its pelvic venous disorders work, moves an evidence gap toward a funded trial through structured, multidisciplinary planning.

Antithrombotic Therapy Decisions

Adding antiplatelet therapy to full dose anticoagulation raises bleeding risk without consistent benefit, and provoked venous thromboembolism treatment should be guided by clot phenotype and risk factor persistence.