Can you speak to the hurdles of insurance reimbursement for treatment?

Foam Sclerotherapy for Superficial Venous Disease with Dr. Chris Pittman

Lesson 1

What are the types of sclerosants out there and briefly discuss what you use?

Lesson 2

Is there a difference in sclerosing agents when it comes to reimbursement?

Lesson 3

Where and how is the best way to learn foam sclerotherapy?

Lesson 4

Can you walk us through your typical workup?

Lesson 5

How do you document compliance with compression hose for the payers?

Lesson 6

Can you walk through the foam sclerotherapy procedure, and are you doing it in combination with RF or laser ablation?

Lesson 7

Do you have any tips or tricks for perforators and keeping the foam out of the deep system?

Lesson 8

Knowing you don't want to undertreat or overtreat what other tips do you have?

Lesson 9

Do you ever have patients take ibuprofen for a few days?

Lesson 10

How long do you have them wear stockings after foam treatments?

Lesson 11

What do you think is the future of foam for treatment of superficial venous disease?

Treatment Algorithms for Superficial Venous Disease with Dr. Raghu Kolluri

Lesson 12

Tell us about the CEAP classification for superficial venous disease

Lesson 13

Can you tell us how these patients present in your practice and how you begin your work-up?

Lesson 14

Walk us through your workup for more advanced C4-6 disease

Lesson 15

When there is both superficial and deep venous disease, how do you decide where to start?

Lesson 16

Why is it a good strategy to have a patient focused algorithm?

Lesson 17

How do you approach treating a perforator?

Lesson 18

Tell us when and how you perform phlebectomy

Lesson 19

How do you manage patients with coexisting lymphedema, diabetes, infected ulcers or even coexisting PAD?

Lesson 20

How often are you treating severe venous disease with co-existing lymphedema?

Lesson 21

What is your compression stocking algorithm after you've done a treatment?

Lesson 22

Can you tell us about the specialty recognition for vascular medicine?

Management of Vulvar Varices with Dr. Brooke Spencer

Lesson 23

How common is the problem of vulvar varices and how do patients usually present?

Lesson 24

Can you talk about your algorithm and workup for the different ways these patients present?

Lesson 25

Can you speak to the hurdles of insurance reimbursement for treatment?

Lesson 26

It's hard to give patients an accurate prediction if they're covered or not, how do you deal with this?

Lesson 27

Can you tell us more about your imaging work up for these patients?

Lesson 28

Can you tell us how you set up, do the procedure, and then post-procedure care?

Lesson 29

Have you found ways to help with compression in the region?

Lesson 30

What are your endpoints when working without fluoroscopic guidance?

Lesson 31

What coils do you like to use for both gonadal and internal iliac vein embolizations?

Lesson 32

Any other technical pearls about how you do these procedures?

Lesson 33

When do you see these patients in follow up?

Advanced Pelvic Venous Duplex with Dr. Kathleen Gibson

Lesson 34

Tell us about the SVP classification and how you use it.

Lesson 35

Can you describe how you integrate your practice with your vascular lab technologist?

Lesson 36

How do you get your technologists trained to use these tests in their practice?

Lesson 37

Do you feel progress is being made with preoperative ultrasound?

Lesson 38

What is your workup algorithm?

Lesson 39

How do you follow these patients post operatively?

Lesson 40

How do we continue to improve ultrasound and get more techs to do it?

Iliofemoral Stenting: Decision-Making & Best Practices Explored with Dr. Kush Desai & Dr. Steven Abramowitz

Lesson 41

Why do we care about venous disease and why is it that big of a problem?

Lesson 42

Can you talk about how these deep venous patients present?

Lesson 43

What do you offer these patients and how do you take ownership?

Lesson 44

What is the workup for a patient presenting in your clinic?

Lesson 45

How do you tease out venous hypertension symptoms from other concurrent symptoms?

Lesson 46

What are some of the conservative treatments that you may initiate during the clinic visit and what are venoactives?

Lesson 47

What do you do to get your patient ready on the day of procedure?

Lesson 48

Tell us about patient positioning and access sites

Lesson 49

Can you talk about the relevant anatomy?

Lesson 50

What tools do you use to cross an occlusion?

Lesson 51

How does your approach change in a non-thrombotic patient?

Lesson 52

Talk about where you want to land the stent and overlapping segments?

Lesson 53

Can you talk about how you size your stent?

Lesson 54

What is your preferred equipment if you have the full gamut available?

Lesson 55

What have you seen go wrong by other operators in the past?

Lesson 56

What does follow up look like and any follow up imaging?

Recanalization of Iliocaval Occlusions with Dr. Minhaj Khaja

Lesson 57

How do these patients usually present to you and what is your workup?

Lesson 58

Does anything specific in imaging or history lead your approach when planning your iliocaval reconstruction?

Lesson 59

What do you do when the extent of the occlusion is below the GSV?

Lesson 60

Can you walk me through your basic setup for an iliocaval recan?

Lesson 61

Can you walk me through your escalation technique for crossing an occlusion in a benign case?

Lesson 62

How do you know if you're in the right spot when using these sharp recanalization devices?

Lesson 63

Walk us through your approach to stent sizing and ballooning

Lesson 64

How do you anticoagulate during these procedures?

Lesson 65

How do you treat from your posterior tibial vein access?

Lesson 66

What is your approach when crossing an occluded stent?

Lesson 67

What kind of anticoagulation regimen do you put folks on after the procedure?

Lesson 68

What's your followup schedule for these patients?

Treating Venous Stent Rethrombosis with Dr. Steven Abramowitz & Dr. Angelo Marino

Lesson 69

What are different scenarios where you see venous stent thrombosis?

Lesson 70

Can you tell us a little about your initial case experience with using a RevCore device?

Lesson 71

What's your access site when approaching these cases with this device?

Lesson 72

Walk us through your algorithm of how you approach a venous stent thrombosis?

Lesson 73

How do you stage the procedure?

Lesson 74

Do you feel that the RevCore device has really changed your approach?

Lesson 75

What is your technique for crossing a chronically occluded venous stent?

Lesson 76

What's the stopping point to say "I'm not going to cross this occluded stent"?

Lesson 77

What is your anticoagulant of choice?

TREAT LIVE CASE: IVC RECANALIZATION

Lesson 78

TREAT LIVE IVC RECAN