Fellows Course: Superficial and Deep Venous Disease Cases
Duplex Criteria and Imaging Only the Symptomatic Leg
Faculty agreed deep reflux exceeding 1000 milliseconds and superficial reflux exceeding 500 define abnormal studies, and that imaging and treatment should target only the symptomatic leg, since no data supports prophylactic intervention on an asymptomatic leg.
The 2020 CEAP Classification Updates
Updates added class C0 for no visible disease, recurrence modifiers C2r and C6r, corona phlebectatica as subclass C4c, and intravenous versus extravenous subcategories for secondary etiology, alongside the venous clinical severity score for tracking treatment response.
Radiofrequency Ablation Technique for Great Saphenous Vein
One presenter described accessing a hand’s breadth below the knee, keeping at least one centimeter from skin, positioning the catheter 2 to 3 centimeters from the junction, and treating 7 centimeter segments at 120 degrees, confirming closure with post-procedure duplex.
IVUS Guided Stenting for May-Thurner Syndrome
Eric Hager presented a May-Thurner case with a prior IVC filter, treated with wall stenting confirmed by IVUS, stressing undersizing causes more harm than oversizing, minimizing contralateral iliac jailing, and never jailing the profunda vein below the inguinal ligament.
