12th year
features:
CLINICAL AND NON-INVASIVE DIAGNOSIS OF THE VENOUS SYSTEMS
TRUNCAL VARICOSE VEINS:
INJECTION-SCLEROTHERAPY and the reasons for FAILURE;
CONVENTIONAL versus AMBULATORY INVAGINATED ("PIN")
STRIPPING & TRIBUTARY STAB AVULSION by HOOK PHLEBEXTRACTION
( UNDER LOCO-REGIONAL ANESTHESIA)
MICROSCLEROSIS for SPIDER VEINS
CVI-ETIOLOGY and MANAGEMENT:
NON-ELASTIC CIRC-AID COMPRESSION and ENDOSCOPIC PERFORATOR LIGATION & PARATIBIAL FASCIOTOMY
Conference Room, VEIN DISORDERS CENTER16311 Ventura Blvd., Suite 505, ENCINO, CA. 91436Tel:(818) 905-5502; (800) SEW-VEIN Fax:(818) 905-6092 E-MAIL ggoren@veincenter.com
ABOUT THE WORKSHOP
The stepcousin of the more glamorous arterial counterpart, vein disorders are ten times more prevalent than arterial pathology, and millions (10-15%) of Americans suffer from them. Due to the traditional neglect on the part of the surgical establishment, the created void was filled with misconceptions forwarded by dishonest practitioners guided by greed, ego or both cheating scores of naive consumers of medical goods.
After recapitulating the anatomy, physiology and pathophysiology of the venous systems, the workshop, held in a private office setting, will focus on the clinical as well as the non invasive evaluation (on patients) of the direction of flow, source and extent of reflux (c.w. Doppler US), quantitative assessment of reflux and calf pump functions (APG) and duplex imaging of the superficial venous systems. The workshop will also discuss the history of sclerotherapy, the technique(s), the materials needed, the methods used, and the possible adverse reactions to the sclerosing solutions.Performed under loco-regional anesthesia (femoral block) the minimally invasive surgery for primary varicose veins by invaginated stripping (PIN stripping of Oesch) and ambulatory phlebectomy (stab avulsion by hook phlebextraction) via the Muller, Oesch and Varady hooks will be demonstrated with utmost details. Microsclerosis for telangiectasia, will be demonstrated on patients. CVI will be discussed in general guidelines with emphasis on conservative management (elastic versus non elastic - i.e.Circ-Aid legging - compression) and on the novel endoscopic perforator ligation and paratibial fasciotomy. The business aspect, correct ICD-9CM and CPT codes and fee charts, are discussed in a special session.The Practitioner's Guide (see enclosed Table of contents), patients' educational brochures on varicose and spider veins, and miscellaneous file and billing forms, will be given to each participant as well.
7:45 am Registration 8:00 am Welcome & Introduction 8:15-1pm Anatomy, physiology, pathophysiology of the venous circulation. Hx. and principles of sclerotherapy and of surgical treatments. 1-2pm Lunch break. 2-5pm Examination of the venous system:Clinical, Doppler US, P.P.G./L.R.R.A.P.G.Duplex Imaging (on patients) 10am-1pm Injection compressive sclerotherapy for truncal varicose veins; Invaginated stripping and ambulatory stab avulsion hook phlebectomy. 4-5pm Business aspect: ICD-9CM, CPT codes, fees. 5pm Adjourn
8-10am Microsclerosis for spiders: Sclerosing solutions, Potential emergencies
2-3pm Microsclerosis and LASER for telangiectasia(on patients)3-4pm Chr.Ven.Insuff.
REGISTRATION POLICY
Total registration will be strictly limited to 30-35 participants for each workshop. Please complete and include a check for $1750.00 made payable to Vein Disorders Center. Please specify desired course dates i.e. May or October. Registration is on a first come, first serve basis and there will be no "on site" registration. The registration fee is fully refundable in case of cancellation any time before the conference. Late registrants (close to the actual dates) please call the Center for space availability. Phone registration is possible too with credit card.
HOTEL ACCOMMODATIONS
The Radisson Valley Center Hotel - on Ventura Blvd. (just 1 mile from the Center) Tel: (818) 981-5400 or (800) 333-3333 has reopened completely renovated in May of 1995. For workshop participants lower rates have been negotiated. To get the reduced rates please mention Dr. Goren's workshop.(Radisson website - http://www.radisson.com/shermanoaksca) The following other lodging alternatives are 5-7 miles away from the Vein Disorder Center:
Holiday Inn - Brentwood (310) 476-6411
Marriott - Woodland Hills (818) 887-4800
Hilton - Woodland Hills (818) 595-1000
For those using car rentals, validated parking is guaranteed in our building.
Equipped with a c.w. Doppler US (Parks Electronics, Aloha, OR.); PPG/LRR ; calibrated air-plethysmograph - APG of Nicolaides (ACI Medical, San Marcos, CA.); Phlebometron of Varadi (Sigvaris) for the measurement of ambulatory venous pressure and duplex imaging (Biosound-phase 2, Indianapolis, IN.), the Vein Disorders Center can successfully compete with any major university setting in venous diagnostics .
Because of the surgical skills needed for the correct treatment of truncal varicose veins, the workshop is designed and advised mainly for surgical specialties( general, vascular and plastic).
