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Villavicencio Session: Top Abstracts and Teaching Cases

This session paired three top-voted scientific abstracts with panel-discussed teaching cases on complex venous disease.

Top Abstracts

  • A multicenter study found that isolated great saphenous reflux and combined saphenofemoral junction reflux respond equally well to endovenous ablation, suggesting treatment should follow symptom severity rather than junctional reflux status.
  • A registry analysis of venous leg ulcer patients found thermal ablation associated with higher ulcer healing than non-thermal techniques, though authors called for prospective comparative studies.
  • A multicenter trial of a high intensity focused ultrasound device achieved 96.8 percent occlusion of the great saphenous vein without tumescent anesthesia.

Panel Cases

Case discussions explored when deep venous recanalization for poor inflow is worth attempting, a decade of recurring in-stent stenosis tied to compression noncompliance in a young patient, and a teenager whose lymphedema was missed and worsened after saphenous vein ablation damaged his ventromedial lymphatic bundle.