Lesson 23 • 17 Jan 2025
Classifying and Working Up Chronic Venous Disease with CEAP, VCSS, and Villalta
Course overview
This course explores the entire clinical spectrum of deep vein thrombosis, from initial workup and patient selection for acute iliofemoral disease to the management of chronic post-thrombotic obstruction. The lessons review contemporary anticoagulation strategies, evolving practices in catheter-directed thrombolysis, mechanical and aspiration thrombectomy, and stepwise procedural techniques including popliteal and tibial access, intravascular ultrasound-guided stenting, and evidence from pivotal studies such as the ATTRACT trial, CLOUT registry, and DEFIANCE trial. Additional chapters cover chronic venous disease classification, inflow assessment, debulking and stenting decisions, as well as protocols for surveillance and long-term anticoagulation. Learn from Drs. Nicolas Mouawad, Raja Ramaswamy, Adam Raskin, Steven Abramowitz, Sabeen Dhand, and Christopher Beck.
3 hours, 25 lessons
Lessons
Foundations of Acute DVT Intervention: Selection, Technique, & Evidence
Lesson 1
Referral Patterns, Diagnostic Workup, and Treatment Selection in Acute DVT
Lesson 2
Anticoagulant Choice, Intervention Timing, and Patient Selection for Mechanical Thrombectomy
Lesson 3
Weighing Intervention in Borderline Cases and Preventing Post-Thrombotic Syndrome
Lesson 4
Procedural Workflow for DVT Thrombectomy: Access, IVUS, Selective Stenting, and Filters
Lesson 5
Perioperative Heparin Dosing, Access Closure, and Postoperative Disposition after DVT Thrombectomy
Lesson 6
Adopting Mechanical Thrombectomy over Thrombolysis and Interpreting the ATTRACT Trial
Lesson 7
CLOUT Registry Two Year Outcomes and the Design of the DEFIANCE Trial
Guidelines, Registry Evidence, and Evolving Endpoints in Acute DVT Care
Lesson 8
New Society Guidelines Positioning Mechanical Thrombectomy in Acute DVT Management
Lesson 9
Defining the Technical Endpoint with Intravascular Ultrasound and CLOUT Registry Measures
Lesson 10
Long-Term CLOUT Outcomes, Villalta Trajectory, and Critiques of the Registry
Lesson 11
Venous Stent Evolution, Thrombus Age Categorization, and Wall-Adherent Clot Devices
Lesson 12
Expanding Indications toward Patient Experience, Function, and Referring Provider Alignment
Lesson 13
Remaining Indications for Thrombolysis and Deferring Stenting to a Second Session
Lesson 14
DEFIANCE Trial Design and the Value of a Broad Device Toolkit
Expanding the Reach of Venous Intervention from Iliofemoral to Tibial Veins
Lesson 15
Building DVT Referrals and Establishing an Aggressive Iliofemoral Treatment Approach
Lesson 16
Rationale for Lower Extremity Intervention after Pulmonary Embolism Treatment
Lesson 17
Staged Iliofemoral Intervention after Pulmonary Embolism and the Case for Restoring Inflow
Lesson 18
Tibial Access, Rail Technique, and Catheter Features for Venous Thrombectomy
Lesson 19
Below-Knee Intervention Principles, IVUS Safety, and Structured Patient Follow-Up
Chronic Venous Disease & the Management of Post-Thrombotic Obstruction
Lesson 20
Classifying and Working Up Chronic Venous Disease with CEAP, VCSS, and Villalta
Lesson 21
Preventing DVT and Building a Structured Follow-Up Pathway after Diagnosis
Lesson 22
Identifying Post-Thrombotic Disease and Establishing Indications for Intervention
Lesson 23
Crossing, Predilating, and Sizing Stents for Iliofemoral Post-Thrombotic Obstruction
Lesson 24
Stent Patency, Debulking Decisions, and Managing Patients with Poor Inflow
Lesson 25
Postprocedural Anticoagulation, Surveillance Imaging, and Communication with Referring Providers
The Materials available on BackTable are provided for informational and educational purposes only and are not a substitute for the independent professional judgment of a qualified healthcare professional in diagnosing or treating patients. Any opinions, statements, or views expressed are those of the individual contributors and do not necessarily reflect those of the publisher, platform, or any affiliated organization.