EAVLA Webinar: Ulcer Ablation, Venoactives, and Stents

Ablation Length, Not Modality, Drives Ulcer Healing

In 55 limbs with healed venous ulcers, thermal ablation combined with distal non-thermal ablation and single modality non-thermal ablation of the entire great saphenous vein produced equivalent healing at a median 61 days, with only incomplete ablation to the ankle predicting delayed healing.

Venoactive Drugs Across the Chronic Venous Disease Spectrum

Micronized purified flavonoid fraction modulates microcirculatory inflammation and is guideline recommended for symptomatic disease, with meta analysis showing five week faster ulcer healing, plus emerging evidence for post-thrombotic syndrome symptoms and pelvic pain relief.

Hydration Status Skews Iliac Vein Stent Sizing

Among 64 outpatients with nonthrombotic iliac vein lesions, those treated later in the day, after longer fasting, had significantly smaller measured veins and stents than morning patients, roughly two millimeters smaller per nine hours of fasting.

Clinical Pearls: Hydration and Cost-Conscious Foam Technique

Presenters recommend a liter of fluid before iliac vein procedures, which cut incidental compression findings on imaging from 47 to 6 percent, alongside leg elevation and blood displacement techniques that reduce foam sclerotherapy volume and procedure cost.