+49 (0)30 21 28 04 - 11      workshop@angioclinic.de      Dr. Ragg

The Berlin Workshop of Future Phlebology | Scientific program

All presentations and instructions by Chris Ragg and the angioclinic® vein team and special international guest experts. Workshop language is English.

 

Day 1

 

9.00  Welcome, Introduction

9.15  Venous anatomy, physiology and pathophysiology

Regular anatomy and variants of clinical importance. Variations of venous flow in daily life. Work simulation. CEAP and other classifications.

9.45 Venous imaging and functional tests

Ultrasound, 2D/3D-phlebography, CT, MRI, transillumination, augmented reality. 3D-volumetry, plethysmography, pressure measurements: Which are essential, which are just an option?

10.15  Venous hemodynamics

Which tests? How to differentiate regular, borderline and diseased flow. 

10.30  Coffee break  

 

10.45  Ultrasound diagnostics - basics

From anatomy to hemodynamics. Rapid diagnosis of dilatation, reflux, phlebitis, thrombosis.

11.00  Ultrasound diagnostics – advanced level

Valve detection, valve status, classification. How to detect early stages of the disease.

Focus: Criteria for different treatment strategies.

11.30  Treatments: Relative and absolute aims  

Different ways of treatment, depending on climates, budgets, esthetics, patient live styles (e.g. obesity, sitting or standing professions, sports), patient expectations.

11.45  Vein preserving treatments

Hyaluronan valvuloplasty, interventional venoplasty; laser-assisted CHIVA, ASVAL; venotonic drugs, compression stockings.

12.15  Vein ablation 

Saphenous ablation (thermal, non-thermal, lasers of different wavelength, LAFOS, LOVE); foam sclerotherapy, Biomatrix sclerofoam, foam- and tumescence-assisted phlebectomy; modalities of saphenous and non-saphenous vein gluing. Include AAGSV, or leave it?

12.40  Adjunctive/post-interventional treatment 

Saphenous compression: External or internal (perivenous hyaluronan)? Compression to optimize results of sclerotherapy: Film compression bandage, individually tailored silicone pads. 

13.00  Lunch

 

13.30  Treatment strategies – which treatment for which patient?  

Including suggestions according to the Ragg classification of vein valve damage.

14.00  Presentation of patients 1 - 6

60 minutes of hands-on ultrasound examination in small groups, ultrasound-guided mapping.

15.00  Treatment plans for our patients, strategy discussion

15.15  Coffee break

 

15.30  Treatments 1 – 2

Cases have been selected to offer a multitude of options, and individual decisions are made by the participants together with the faculty. Participants will be allowed to do parts of the treatment under supervision. angioclinic® instructors will demonstrate every single step.

16.15  Treatments 3 – 4

17.00  Treatments 4 – 6

17.45  Treatment discussion I

Initial opinion – all technically well done? What could have been better?

18.15  End of today´s sessons

 

20.00  Dinner at a selected Berlin luxury location (Bus transfer 19.30 from venue)

 

Day 2

 

9.00  Treatment of perforator veins

Which need treatment? Which should still be done by surgery (2018)? What´s the best option for the future?

9.15  Treatment of recurrent varicose veins

Introduction to 100% non-surgical treatments, including vein stumps and very large Perforators. Update to PREVAIT.

9.45  How to avoid (or deal with) treatment complications

EHIT, post-sclero inflammation, DVT, skin lesions, infections.

10.15  Post-treatment anticoagulation and analgetics

Guideline status and updates.

10.30  Coffee break

 

10.45  Primary superficial thrombosis

New options: Instantaneous endovenous treatment

11.15  Treatment of late stages (e.g. ulcers) 

Latest studies: Hemodynamic improvement first!

12.00  Vein valve repair

Today: Bail-out cases. But maybe standard in the future? Deep and superficial veins.

12.15  Miscellaneous

Pelvic vein congestion, pelvic reflux, venous malformations, vein patients with arterial problems, lymphatic disease...

12.30  Case presentations I

Cases submitted by participants, questions and answers.

13.00  Lunch

 

14.00  Venous esthetics

Lesion analysis, specified sclerotherapy (POL – Dextrose), transdermal lasers, ClaCS (acc. To Kasuo Miyake), LOVE (acc. to Chris Ragg). Option: Participants treat their own spider veins under supervision, or have it done by angioclinic® experts.

15.00  Case presentations II

Cases submitted by participants, questions and answers.

15.30  Follow-up of yesterday´s patients

Hands-on ultrasound in small groups, three rooms. Will allow everybody to check the results.

15.45  Cases 1 – 3

16.15  Cases 4 - 6

16.45  Coffee break

 

17.00  Treatment discussion II

Day 1 opinion – all technically well done? No reflux? Any symptoms? Visual aspects?

17.15  Summary

Workshop summary, case presentation award, certificates... and good bye!

17.30  The end.

 

Option: A glass of Champagne together in our clinic.

 

Private talks

Contact

The Berlin Workshop of Future Phlebology
c/o Swiss-VX Venentherapie und Forschung GmbH
Chaltenbodenstrasse 16
CH - 8834 Schindellegi (SZ)

Fon  +49 30 / 21 28 04 - 11

workshop@angioclinic.de

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