+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, the angioclinic® team and international guest experts. Workshop language is English.


Day 1


9.00  Welcome, Introduction

9.15  Why venous insufficiency is no chronic disease

Results from the Berlin Vein Valve Study 2016 – 2022, analyzed by Artificial Intelligence (sponsored by VainBrain®).

9.45  World´s first complete therapy portfolio for phlebology

Far beyond surgery or ablation, tomorrow´s strategies will be based on science-proven prevention and early-stage repair. Compression stockings and common venotonic medication lose 80% of their markets, while new and effective products arise.

10.00  How to analyze your patient

Information and hospitality service recommendations. Regular anatomy and variants of clinical importance. How to check variations of venous flow in daily life. Ultrasound techniques including novel HD systems, 2D/3D-phlebography, CT, MRI, transillumination, augmented reality. 3D-volumetry, plethysmography, pressure measurements. Which methods are essential, which are just an option?

10.30  Coffee break  


10.45  Advanced ultrasound diagnostics - basics

How to do a complete scan in 5 minutes. Valve detection, valve status description. How to detect early stages of venous disease. Introduction to the novel EPS classification.

11.15  Vein disease in children – the basis for later-on disease

43% of children and adolescents up to the age of 18 have single or multiple vein valve lesions. At least 50% of them become symptomatic within 20 - 30 years.

11.30  Pressure – induced valve damage and progression patterns

Formerly hard work – nowadays gym excercise? Pressure peaks may decompensate perforators. Most or pressure-induced valve damage is secondary due to primary congenital lesions.

11.45  Stasis – related valve damage

It takes several decades for a vein valve in a low-flow-region to degenerate from initial funcional disturbance to inflammatory regression. Newest studieson effects of compression stockings and medication.

12.00  The idea of cause – related prevention and therapy

12 types of valve damage, 12 different strategies! Valve repair and lumen normalization by hyaluronan valvuloplasty and venoplasty; flow improvement modalities. For CEAP C1 – 2s cases: Laser- and glue-assisted CHIVA and ASVAL techniques.

12.30  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 (sponsored by ScleroGlue®, Lasotronix and others) ( Include AAGSV, or leave it?

12.45  Adjunctive/post-interventional treatment 

Compression to optimize results of sclerotherapy: Film compression bandage, individually tailored silicone pads. Optimal saphenous compression: External versus internal, film bandage and silicone pads versus perivenous hyaluronan (sponsored by VenaFilm® and IntraShape®)

13.00  Lunch


13.45  Treatment strategies for CEAP C2 – C6

Outcome-related and patient-related strategies, depending on climates, cultures, budgets, esthetic desires, patient expectations, live styles, demographic data, professions, sports etc.

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 sessions


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


Day 2


9.00  Treatment of perforator veins

Which perforators require treatment? Which modalities? Thermal, non-thermal and surgical options.

9.15  Treatment of recurrent varicose veins

How to eliminate even the worst recurrent varices in a single session. How to perform 100% non-surgical treatments, including vein stumps and very large perforators. Update to PREVAIT (sponsored by BioVena®)

9.45  How to avoid (or deal with) complications

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

10.15  Post-treatment anticoagulation and analgetics

Guideline status and updates.

10.30  Coffee break


10.45  Primary superficial thrombosis

Instantaneous endovenous treatment for fast relief instead of weeks of angicoagulation and delayed ablation – pro an con.

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

Latest studies with focus on hemodynamic improvement.

11.30  Deep vein valve repair

Surgical and interventional options, neovalve construction.

11.45  Pelvic vein issues

Pelvic vein congestion, pelvic reflux, pelvic vein obstruction… serious problems or just a new playground for interventionalists?

12.00  Miscellaneous

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

Ultrasound lesion analysis for small esthetic pathologies, specified sclerotherapy (POL – Dextrose), transdermal lasers, ClaCS (acc. to Kasuo Miyake), LOVE (acc. to Chris Ragg). Option: Participants may treat their own spider veins under supervision, or have it done by angioclinic® experts (sponsored by HappyVeins®)

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. Aim: To allow everybody to check the results.

15.45  Revision of cases 1 – 3

16.15  Revision of cases 4 - 6

16.45  Coffee break


17.00  Treatment discussion II

Opinions of participants and faculty – all technically well done? No reflux any more? Any symptoms? Visual aspects?

17.15  Summary

Workshop summary, case presentation award, certificates... option: a glass of champagne - and good bye! Now you are ready for the future of phlebology!

17.30  End of meeting




The Berlin Workshop of Future Phlebology
c/o angioclinic Venenzentrum Berlin

Bayreuther Str. 36

10789 Berlin

Phone +49 30 / 21 28 04 - 11