Charing Cross Symposium 2012

Charing Cross Vascular symposium – April 2012
The annual Charing Cross vascular symposium was held in London this April.
On Monday 16th of April, an excellent office-based vein surgery teaching area was full of experts giving lectures and practical tips to delegates.
There were stations on endovenous laser ablation (EVLA), radiofrequency ablation (RFA), and foam sclerotherapy as well has some of the new techniques including steam vein sclerosis (SVS), Sapheon Glue and Clarivein.
In addition, experts were on hand to demonstrate duplex ultrasonography, particularly difficult areas such as pelvic vein and vulval vein diagnosis and treatment. There was also a teaching area for the treatment of perforator veins using the transluminal occlusion of perforator technique (TRLOP).
On Tuesday 17 April, the venous sessions in the main auditorium consisted of experts discussing different vein surgery techniques, punctuated by debates on contentious issues.
Debate results of note include the majority of delegates voting for ablation of the venous trunk in treating veins and rejecting the idea popularised by CHIVA of saving and incompetent venous trunk; Lowell Kabnick of New York who successfully persuaded the delegates that tumescent anaesthesia is still essential for office based vein surgery and Barrie Price of The Whiteley Clinic who won his debate explaining why incompetent perforating veins should be treated, despite current practice suggesting that most doctors do not do so.
With a great many other fascinating talks and new technologies on show, it was a memorable meeting which will have ramifications throughout the vein world as to how our patients should be treated and by what methods.
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Sapheon Launches Glue Study In The UK

Sapheon, the company that is introducing “superglue” to close veins without needing so many anaesthetic injections, has launched a study in the UK.

Three centres, two NHS and one private (Charing Cross in London, Countess of Chester Hospital in Chester, and The Whiteley Clinic in Guildford) have all been selected to be part of this study.

Patients with varicose veins that fit the eligibility criteria will be offered treatment with this new glue technique.

In principle, a simple local anaesthetic injection will be used to pass a long thin tube (called a catheter) up the Great Saphenous Vein (GSV) under ultrasound guidance. In most endovenous techniques, this is then followed by the injection of local anaesthetic around the vein – a process called tumescence. This tumescence is essential when the vein is heated by laser or radiofrequency ablation.

Unfortunately, many patients find these injections uncomfortable and so a great effort has gone into finding ways around this technique.

The Sapheon system uses glue to stick the inside of the vein together and so no local anaesthetic is required.

The current study is going to look at a number of patients over one year to check that the system closes the vein successfully. Clearly, if the system is not effective, the advantages of fewer injections is irrelevant. However if the treatment proves as effective as expected, this could be a major advancement in venous surgery.

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Venefit (formerly VNUS) launches its new 3 cm catheter

Venefit (formerly VNUS Closure), the treatment that started the endovenous revolution for keyhole varicose vein surgery in 1998, has recently announced the development of a new shorter 3 cm catheter.

The original VNUS Closure catheter was a “bipolar” radiofrequency catheter – which meant it had a pair of electrodes that passed electrical current between them at radiofrequency rates, to treat the vein wall.

In 2005, VNUS launched the VNUS ClosureFAST catheter, to speed up the treatment of the Great Saphenous and Small Saphenous truncal Veins (GSV and SSV). Although still billed as “radiofrequency ablation“, the radiofrequency merely heated a 7 cm tip to 120°C. When the catheter was in the vein itself, this heat held for the right amount of time ablated the vein wall, causing the vein to close perfectly. Many studies have shown the efficacy of this technique and the patient satisfaction with a minimally invasive approach and low post-operative discomfort.

One of the criticisms of this 7cm VNUS Closure FAST catheter was that with such a long treatment tip, it was not possible to treat more complex veins which might only have sections of 6 cm or less that need treatment.

To counter this, Venefit (formerly VNUS) have now added a 3 cm catheter to their range, to allow surgeons to treat smaller sections of veins if they require, but keeping the same advantages of the VNUS Closure FAST technique.

This news article was last updated on 25/04/12. Content has been provided by Mr Mark Whiteley MS FRCS (Gen) FCPhleb. Mark Whiteley is a Consultant Vascular Surgeon from the UK
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More videos online!

We are happy to announce 40 new videos that have been put on The College of Phlebology’s Youtube channel.
Covering a wide range of topics from how to mark veins for treatment, how veins are best cannulated, and explanations of the major procedures, there is information here that is useful for patients and practitioners.
Please head over to our Youtube channel and see what you think! You can find it at www.youtube.com/collegeofphlebology
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Our advisory board has been assembled!

In order to keep The College of Phlebology at the forefront of all vascular innovations, we have assembled an international advisory board of specialists from around the world. At launch, this includes:
 
Ah-Kian Ah-Chong, Hong Kong, Surgeon
Abdulaziz Al-Muzaini, Kuwait, Surgeon/Radiologist
Attilio Cavezzi, Italy, Surgeon
Judy Holdstock, UK, Sonographer
Lowell Kabnick, USA, Surgeon
Edward Mackay, USA, Surgeon
Max B Mahendran, Ireland, Surgeon
Luke Matar, Australia, Radiologist
Kieran McBride, UK (Scotland), Radiologist
Barrie Price, UK, Surgeon
Thomas Proebstle, Germany, Dermatologist
Dr Hussein Safar, Kuwait, Surgeon
Prof. Jean-François Uhl, France, Surgeon
David West, UK, Radiologist
Mark Whiteley, UK, Surgeon and Medical Director of the CoP
 
 
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Preliminary Agenda Announced for 2nd International Veins Meeting

The conference, taking place at 30 Euston Square, London in March 2018, will provide significant insight into venous disease, male and female pelvic congestion syndrome, and leg ulcers.
Held over 3 days, the mainstream will concentrate on one subject at a time, including thermal ablation, non-thermal ablation, pelvic vein embolization, perforator vein disease, and venous leg ulcers and live streamed procedures. The Leg Ulcer Charity, in conjunction with the Lindsay Leg Club Foundation will host leg ulcer sessions and workshops with internationally renowned experts in the field.
The Science, Aesthetics, and Practicals stream will see live demonstrations and in-depth discussions on treatments of the arm, foot, temple, and breast veins and Aesthetics in Phlebology along with a diagnosis of Nutcracker & May Thurner syndromes and Air Plethysmography workshops and much more.

Learn – Watch – Understand – Ask

Generally vein meetings tend to fall into specific patterns. The more academic conferences have a series of talks on a variety of subjects, often a mixture of clinical studies and basic science, either by invited experts or selected by abstract. The more didactic meetings tend to have expert speakers teaching about their own subjects.
However, few (if any) meetings focus on one subject at a time and take it from the basic understanding, through the latest advances, show how this works in practice and then allow delegates to ask questions.

Who will get the most benefit from attending?

The College of Phlebology has always been a society that offers mutual advice and support to anyone involved in phlebology. Until this meeting, this has only been possible through our online forum.
This second international meeting is aimed at helping build the community that we have been developing online, allowing members to meet, learn and exchange ideas and experiences.
We believe that anyone dealing with patients with varicose veins, pelvic congestion or other venous disease, or looking after patients with leg ulcers, should benefit greatly from this meeting.

Call for Abstracts

Abstract submission are closing soon. Don’t miss out. Submit yours now.
For more information please email
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