Feb 12, 2024
In this podcast, Dr. Nedaa Skeik, a vascular surgeon with Minneapolis Heart Institute, brings his knowledge and experience in regards to vascular insufficiency, and the importance of a timely diagnosis and management options.
*Disclosure note: Dr. Nedaa Skeik, speaker for this educational event, has disclosed that he received honorarium from Medtronic. All relevant financial relationships for Dr. Skeik have been mitigated.
Enjoy the podcast.
Objectives:
Upon completion of this podcast,
participants should be able to:
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Thank-you for listening to the podcast.
SHOW NOTES:
*See the attachment for additional
information.
PODCAST OVERVIEW
Wide Range of Venous Disorders and
Presentations
- Morphologic (spider, reticular, varicose), skin discoloration,
ulceration
- Functional (venous reflux +/- loss of pumping mechanism
- Anatomic (thrombosis, congenital anomalies)
- Presentation (asymptomatic vs
symptomatic)
Anatomy
Pathophysiology
Epidemiology
- Chronic vein abnormalities
- Prevalence (venous
insufficiency)
- Varicose veins & prevalence
- Presence of
symptoms
Risk factors
- Family component
- Other
Clinical features
- Correlation - severity of venous reflux, age
-
Asymptomatic
- General symptoms
- Vein appearance
- Severity
Disease Severity - Classification
Scales
- CEAP calssification
scale
- Venous Clinial
Severity Score
Disease
Progression
- Correlation
-
pregression of disease not well
understood
Diagnosis
- History
- Symptoms
- Exam findings - including venous ultrasound
- Differential diagnoses (edema, skin manifestations, vein
engorgement)
- Pre-management considerations (severity, superficial and/or deep,
proximal/distal, multiple or single, comorbidities)
Management
Asymptomatic
- visual
sclerotherapy
-
surface laser therapy
- complications
Symptomatic
- compression therapy
- exercise
- leg elevation
- skin care
Conserative Therapy
- leg elevation
- exercise
- compression stockings
Pharmacologic Therapy and Skin Care
- vasoactive
drugs
- rheologic agents
- skin care
Interventional
Options
- Preintervention measures (venous anatomy, preop medications,
anesthesia)
- Sclerotherapy (visual, US
guided)
-
Vein closure procedures (thermal - RFA/EVLA, chemical, MOCA, PEM,
EHIT)
- Surgical (phlebectomy, ligation, stripping)
Post Intervention
Care
- pain management
- ambulation
- leg elevation
- compression
- return to normal activity/work
- post procedural US
- follow up
appointment
Thanks to Dr. Nedaa Skeik for his expert knowledge and contribution to this podcast.
Please check out the additional show notes for more information/resources.