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WARNING
The lessons presented in this course with a timer and a number before them are active, the others will be quickly active.
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PART ONE: GENERALITIES
Generalities
- 1) Generalities on varicose veins
- 1.1) UPDATE of Clinical Etiologic Anatomic Pathophysiologic (CEAP) classification
- 2) Reminders about basis of anatomy and echo-anatomy of the superficial venous system (GSV, SSV, accessory saphenous veins, perforating veins)
- 2.1) Echo Anatomy and treatment of perforating veins
- 3) Reminders about standard pre-therapeutic assessment (clinical and US assessment, mapping)
- 4) Facilities and general equipment required
- 5 Generalities on endovenous catheterism
- 6) Indications, contraindications, limits of TA and NTA; precautions regarding special patients’ conditions
- 7) Overview of literature on TA and NTA (results and comparison between each other and versus other methods)
- 7) BIS Overview of literature on TA and NTA (results and comparison between each other and versus other methods)
- 8) International recommendations for TA and NTA
- 9) Selection of the patients and treatment strategies; how to choose the technique: Foam sclerotherapy, TA, NTA, minimal invasive surgery
- 10) Pre- and post-procedure patient instructions. Patient information and consent for TA and NTA and documents
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B. SECOND PART: THERMAL ABLATION (Radiofrequency and Endovenous Laser ablations; RFA and EVLA)
THERMAL ABLATION (Radiofrequency and Endovenous Laser ablations; RFA and EVLA)
- 1) Physical principles and mechanisms of action of RFA and EVLA
- 2) Common steps of a standard procedure of TA
- 3) Ultrasound contribution in thermal ablation – Specificities of tumescent anesthesia
- 4) RFA specificities (in terms of settings, procedure and indications); tips and tricks
- 5) EVLA specificities (in terms of settings, procedure and indications); tips and tricks
- 6) GSV treatment; specificities, precautions
- 7) Short Saphenous Vein – AASV Treatment; specificities, precautions
- 8) Management of tributaries
- 9) Treatment of recurrences (PREVAIT) by TA; specificities, precautions
- 10) Secondary effects and complications of TA; how to prevent and manage them
- 11) Focus on excessive inflammation and hyper pigmentation: prevention and practical behavior in case of occurrence
- 12) Duplex ultrasound for early outcome evaluation (Video)
- 13) “Choosing wisely” arguments in France about endovenous treatments of saphenous veins and recurrences
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THIRD PART: Other TA and NTA
Other TA and NTA
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SUMMARY OF WHAT TO DO AND WHAT NOT TO DO
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DIDACTIC VIDEOS
Didactic Video
- 1) Phlebectomy versus Sclerotherapy
- 2) Technical description of per procedural phlebectomies
- 3) Video of a thermal procedure in its entirety
- 4) Endovenous laser ablation of the Small Saphenous Vein
- 5) Advocacy for sclerotherapy Toulouse 2019
- 6) Thermal ablation and additional treatments
- 7) Focus on tumescent anesthesia (in french)
- 8) EndoVenous Laser Ablation: Tips and Tricks
- 9) Obstacle crossing during endovenous procedures
- 10) Toxic and allergic emergency management
- 11) Tips and Tricks: To make it hurt less than when you prick, you have to stretch the skin.
- 12) Laser and safety
- 13) Definition & description of various types of recurrences
- 14) Minimising pigmentation
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CLINICAL CASES
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