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By Larry Storer

The 9th Annual Venous Symposium, directed by Drs. Antonio Gasparis and Nicos Labropoulos, will convene April 5-7 at the Sheraton New York Times Square in New York City. More than 400 physicians, scientists, researchers, allied health professionals and industry professionals representing more than 40 states and 30 countries are expected.

The Venous Symposium (VS) attracts vascular surgeons, interventional radiologists, interventional cardiologists, phlebologists, general surgeons and other medical professionals currently treating venous disease or who wish to expand into this arena.

Co-course directors – Drs. Steve Elias, Mark Meissner, Peter J. Pappas, and Apostolos Tassiopoulos – will integrate a widely known and respected faculty of 37 from around the world in addressing the most pressing venous treatment educational issues of the day.

In 2018, VS will once again provide essential scientific programming, complimented by an exhibit hall showcasing the latest developments in the VS arena.

“The Venous Symposium Welcome Reception is like no other you’ve ever attended,” Dr. Gaspris said. “Music, great food, drinks and, most importantly, lots of dancing (for those who dare)! The VS Welcome Reception offers a unique opportunity to network and socialize with colleagues in a relaxed atmosphere.”

Fedor Lurie, MD, and Carl Fastabend, MD, will moderate “The Venous Consult,” which will be followed by case presenters Drs. Labropoulos and Gasparis, and a panel discussion consisting of Drs. Tom Maldonado, Marc Passman, Joseph Raffetto and Harold Welch. The session will focus on the exam, using CEAP in the clinical practice, evaluating the patients with recurrent disease, identifying swelling with a venous origin, diagnosis of venous reflux and factors other than reflux and obstruction influencing venous function.

The second session, “Critical Issues in Venous Thromboembolism,” is in collaboration with the American Venus Forum and is moderated by Drs. Elna Masuda and Welch. The discussion will include calf deep vein thrombosis, impact of the first episode DVT, facts about iliofemoral thrombosis, anticoagulation duration for the DVT and critical issues with IVC filters. A first panel will include Anthony Comerota, Gasparis, Meissner and Passman. A second panel will discuss how to treat superficial venous therapies, and will include Drs. Elias, Pappas, Alun Davies, Ellen Dillavou, and Paul Pittaluga.

“Deep Venous” is the third session, moderated by Drs. Steve Black and Akhilesh Sista. The session will cover detecting pelvic venous insufficiency and the VS protocol, detailing the IVUS exam, tools used in deep venous interventions, determining which patients will benefit from venous stenting, technical issues for post- thrombotic Iliac obstruction and compressive lesions, lessons from the VIDIO trial, and factors associated with contralateral deep venous thrombosis after iliocaval venous stenting. Drs. Labropoulos and Gasparis will lead a discussion on live imaging.

Drs. Davies and Dillavou will moderate the “Management of Superficial Vein Disease, followed by a panel discussion by Drs. Welch, Ignacio Escotto Sanchez, Pittaluga and Eberhard Rabe. A VS question panel, moderated by Dr. Elias, will include Drs. Black, Dillavou, Welch and Gerard O’Sullivan. Topics in the session include recognizing different patterns on superficial vein reflux, telling patients about progression of CVD, thermal ablation, using guided sclerotherapy in a practice, ultrasound guided vein stripping and non-thermal ablation.

“Important Clinical Issues on Lymphatic” moderated by Dr. Labropoulos will discuss a clinical case of a swollen limb, action on the clinical and socioeconomic burden of lymphedema, a clinical case of lymphedema and important clinical developments on lymphatic disease. Discussing the issues will be a panel of Drs. Maldonado, Peter Mortimer and Stanley Rockson.

“Deep Venous Clinical Cases,” a breakfast session moderated by Drs. Efthimios Avgerinos and Robert Lookstein, will detail venous ulcers with deep reflux, iliofemoral DVT, difficult IVC filter retrieval, and IVC thrombosis. A panel – Drs. Kush Desai, Elias, Mark Garcia and Nick Sikalas  – will follow.

Drs. Dillavou and Meissner will lead a session on “What I Learned from Cases That Went Wrong.” Problems include losing a venous stent, sclerotherapy gone wrong, VTE after ablation, deep vein access complications, worsening leg symptoms after superficial treatment. The panel will include Drs. O’Sullivan, Tassiopoulos, Luis Leon and Nick Morrison.

The session in collaboration with the American College of Phlebology, moderated by Drs. Neil Khhilnani and Morrison, will be “Case-based Practical Advice for Patients with Superficial Venous Disease Along with…” deep venous disease, pelvic venous disease, leg ulcer, and non-venous disease. Staffing the panel are Drs. Elias, Gaspari, Gibson and Meissner. Live imaging will be discussed by Drs. Elias and Labropoulos.

The keynote address, “Lessons I Learned from Recent Epidemiological Vein Studies,” will be delivered by Dr. Rabe. That will be followed by a debate regarding “Swelling with 50% Area Reduction in the Iliac Vein” moderated by Dr. O’Sullivan. Live Imaging presented by Drs. Gasparis and Labropoulos will precede a VS question time moderated by Dr. Elias with a panel consisting of Drs. Pappas, Comerota, Lowell Kabnick, Luis Leon and Pappas.

“Practical Advice for Your Vein Practice,” moderated by Drs. Black and Pappas, will cover accessing superficial and deep veins, identifying pathology on IVUS, optimal sizing of various stents, how many veins should be ablated per patient and per limb, when and how to treat perforator veins, managing patient expectations and complications, and building your vein practice. Panelists discussing the topics include Kabnick, Khilnani, Morrison, Paul Gagne, Peter Gloviczki and Arjun Jayaraj.x

Drs. Meissner and O’Sullivan will moderate the session “Pelvic Venous Insufficiency.” Topics include clinical and anatomic relations, venography evaluation of the pelvic veins, renal vein compression, ovarian reflux and iliac vein compression, and treatment of pelvic reflux. Leading the discussion will be a panel made up of Drs. Gagne, Gloviczki, Jayaraj, Parag Patel and Mahmood Razavi.

The Saturday breakfast session “The Pulmonary Embolism (PE) Challenge” will be moderated by Drs. Avgerinos and Gregory Piazza, and will include presentations about what’s new in the diagnosis of PE, algorithms in the management of PE, catheter interventions for PE and the aftermath of PE. The panel will consist of Drs. Desai and Sista.

The three best posters will be presented, following by voting under the direction of Drs. Gloviczki and Raffetto. The best papers from the <ital>Journal of Vascular Surgery” <endital>and from <ital>Phlebology Journal.<endital>

The session “In Collaboration with the Society of Interventional Radiology: Deep Venous Disease – Advanced Techniques for Challenging Venous Occlusions” will be moderated by Drs. Desai and Suresh Vedantham. Panelists will include Drs. Garcia, Razavi and Sista.

Session 17, “Venous Thromboembolism (VTE),” will be moderated by Drs. O’Sullivan and Vendantham. The panel, consisting of Drs. Caprini, Kabnick, Piazza and Rabe, will discuss management of superficial vein thrombosis, analysis of the ATTRACT Trial, management of PASTE, balancing VTE treatment and risk of bleeding, and extended anticoagulation therapy.

Drs. Davies and Piazza will moderate a presentation of “More Venous Therapies and New Trials.” The discussion will be generated by panelists Drs. Caprini, Elias, Lookstein and Raffetto.

Dr. Tassiopoulos will moderate a debate of “Symptomatic Saphenous Vein Reflux,” touching on the saphenous veins that can be preserved, and no point in saving the saphenous vein. Following the arguments of Drs. Pittaluga and Dillavou, there will be a VS question time with a panel made up of Drs. Davies, Khilnani, Rabe and Piazza with Dr. Elias moderating.

“Small Vein Session,” moderated by Drs. Dillavou and Gibson, will cover reticular veins, matting, corona phlebectatica, small varicose veins, small veins with underlying problems and failed treatment.

The final session, “Appropriate Vein Care – Interactive Cases” will be moderated by Drs. Black and Raffetto, and followed by a panel discussion by Drs. Ignacio Escotto Sanchez, Fastabend, O’Sullivan, Pappas and Piazza. Closing remarks will be made by course directors Drs. Gasparis and Labropoulos.

In addition to the program, the Venous Symposium 5k run, for all pace groups, will be three-mile course along beautiful Central Park.  VTN



  1. Perform a focused physical exam on a venous patient
  2. Summarize the clinical impact of deep vein thrombosis
  3. Differentiate the causes of leg swelling
  4. Identify the technical issues during venous stenting
  5. Recognize the different patterns of superficial vein reflux
  6. Explain the important clinical issues on lymphatic disease
  7. Decide how to manage complications during venous interventions
  8. Compare imaging modalities used to evaluate venous pathology
  9. Outline the treatment options for pulmonary embolism
  10. Assess the different treatment options for superficial vein disease
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Larry Storer

Larry Storer

Larry Storer has been editor of Vein Therapy News for 10 years. He has edited computer, shelter and medical publications at Publications & Communications LP for 30 years. He was also a corporate vice president and editorial director before retiring. Larry graduated from Baylor University with a BA in journalism and an MA in communications; and from Lamar University with a MED in school administration. He taught beginning and advanced reporting, beginning and advanced editing and editorial writing at Baylor University. Larry was a reporter, and city and news editor of the Beaumont Journal, and opinion editor at the Beaumont Enterprise and Beaumont Enterprise-Journal. He was also the founding managing editor of the Yuba City (California) Daily Independent-Herald.