What are the types of sclerosants out there and briefly discuss what you use?
Is there a difference in sclerosing agents when it comes to reimbursement?
Where and how is the best way to learn foam sclerotherapy?
Can you walk us through your typical workup?
How do you document compliance with compression hose for the payers?
Can you walk through the foam sclerotherapy procedure, and are you doing it in combination with RF or laser ablation?
Do you have any tips or tricks for perforators and keeping the foam out of the deep system?
Knowing you don't want to undertreat or overtreat what other tips do you have?
Do you ever have patients take ibuprofen for a few days?
How long do you have them wear stockings after foam treatments?
What do you think is the future of foam for treatment of superficial venous disease?
CME/CE Reflection: Module I
Tell us about the CEAP classification for superficial venous disease
Can you tell us how these patients present in your practice and how you begin your work-up?
Walk us through your workup for more advanced C4-6 disease
When there is both superficial and deep venous disease, how do you decide where to start?
Why is it a good strategy to have a patient focused algorithm?
How do you approach treating a perforator?
Tell us when and how you perform phlebectomy
How do you manage patients with coexisting lymphedema, diabetes, infected ulcers or even coexisting PAD?
How often are you treating severe venous disease with co-existing lymphedema?
What is your compression stocking algorithm after you've done a treatment?
Can you tell us about the specialty recognition for vascular medicine?
CME/CE Reflection: Module II
How common is the problem of vulvar varices and how do patients usually present?
Can you talk about your algorithm and workup for the different ways these patients present?
Can you speak to the hurdles of insurance reimbursement for treatment?
It's hard to give patients an accurate prediction if they're covered or not, how do you deal with this?
Can you tell us more about your imaging work up for these patients?
Can you tell us how you set up, do the procedure, and then post-procedure care?
Have you found ways to help with compression in the region?
What are your endpoints when working without fluoroscopic guidance?
What coils do you like to use for both gonadal and internal iliac vein embolizations?
Any other technical pearls about how you do these procedures?
When do you see these patients in follow up?
CME/CE Reflection: Module III
Tell us about the SVP classification and how you use it.
Can you describe how you integrate your practice with your vascular lab technologist?
How do you get your technologists trained to use these tests in their practice?
Do you feel progress is being made with preoperative ultrasound?
What is your workup algorithm?
How do you follow these patients post operatively?
How do we continue to improve ultrasound and get more techs to do it?
CME/CE Reflection: Module IV
Why do we care about venous disease and why is it that big of a problem?
Can you talk about how these deep venous patients present?
What do you offer these patients and how do you take ownership?
What is the workup for a patient presenting in your clinic?
How do you tease out venous hypertension symptoms from other concurrent symptoms?
What are some of the conservative treatments that you may initiate during the clinic visit and what are venoactives?
What do you do to get your patient ready on the day of procedure?
Tell us about patient positioning and access sites
Can you talk about the relevant anatomy?
What tools do you use to cross an occlusion?
How does your approach change in a non-thrombotic patient?
Talk about where you want to land the stent and overlapping segments?
Can you talk about how you size your stent?
What is your preferred equipment if you have the full gamut available?
What have you seen go wrong by other operators in the past?
What does follow up look like and any follow up imaging?
CME/CE Reflection: Module V
How do these patients usually present to you and what is your workup?
Does anything specific in imaging or history lead your approach when planning your iliocaval reconstruction?
What do you do when the extent of the occlusion is below the GSV?
Can you walk me through your basic setup for an iliocaval recan?
Can you walk me through your escalation technique for crossing an occlusion in a benign case?
How do you know if you're in the right spot when using these sharp recanalization devices?
Walk us through your approach to stent sizing and ballooning
How do you anticoagulate during these procedures?
How do you treat from your posterior tibial vein access?
What is your approach when crossing an occluded stent?
What kind of anticoagulation regimen do you put folks on after the procedure?
What's your followup schedule for these patients?
CME/CE Reflection: Module VI
