39th BIANNUAL CONGRESS ― OUTCOMES AND INNOVATIONS IN PHLEBOLOGY

OCTOBER 3-4-5, 2014 ― Hotel Delta Montreal, CANADA

PROGRAM CO-CHAIRMEN

Jean-Luc Dupuis, La Malbaie, Canada Venous unit, Charlevoix, Canada

Vice President, Canadian Society of Phlebology

Guest speaker International Phlebology Community

Diplomate of the American Board of Venous and Lymphatic Medicine

Pauline Raymond-Martimbeau, Dallas, USA President, Canadian Society of Phlebology Diplomate of the American Board of Venous and Lymphatic Medicine Fellow of the American College of Phlebology Honorary Member of the French Society of Phlebology Honorary Member of the French College of Vascular Pathology UIP Committee of Honor

INTERNATIONAL FACULTY

Jean-Patrick Benigni, Saint-Mandé, France 20 years of medical practice in Phlebology

Board Member of the International Compression Club

Expert at the High Authority for Health in Medical Compression (France)

Scientific expert at the Ministry of the Higher Education and Research (France)

Kurosh Parsi, Sydney, Australia President, Australasian College of Phlebology

Head, Department of Dermatology, St. Vincent’s Hospital, Sydney

Head, Dermatology, Phlebology and Fluid Mechanics Research Laboratory, St. Vincent’s Centre for Applied Medical Research

Faculty of Medicine, University of New South Wales

Faculty of Aerospace, Mechanical and Mechatronic Engineering, The University of Sydney

Frédéric Vin, Neuilly-sur-Seine, France

American Hospital of Paris

Professor, University del Salvador Buenos Aires

Honorary Member of the Canadian Society of Phlebology.

Honorary Member of the American College of Phlebology

Past President and Honorary President of the French Society of Phlebology

CANADIAN FACULTY

Janna Bentley, Kelowna, Canada Registered Vascular Technologist

Diplomate of the American Board of Venous and Lymphatic Medicine

Fellow Member of the Canadian Society of Phlebology

Michel Dagenais, Sainte-Julie, Canada Diplomate of the American Board of Venous and Lymphatic Medicine

Member of the American College of Phlebology

Member of the French Society of Phlebology

Member of the Canadian Society of Phlebology

Richard Danylewick, Laval, Canada Royal College of Physicians and Surgeons Specialty Committee for Vascular Surgery

Diplomate of the American Board of Venous and Lymphatic Medicine

Member of the Canadian Society of Phlebology, American College of Phlebology, American Venous Forum and Association of Vascular Surgeons of Quebec

Céline Fortin, Québec, Canada Diplomate of University of Paris in Phlebology

Fellow Member of the Canadian Society of Phlebology

Member of the French Society of Phlebology

Member of the American College of Phlebology

Ultrasound guided sclerotherapy for varicose veins

Patrick Gilbert, Montreal, Canada Radiologist, CHUM Montreal

Executive Member of Léger & Associate Clinic

Member of the Canadian Interventional Radiology Association

Member of the Royal College of Canada

Member of the Canadian Interventional Radiology Association

Louis Grondin, Calgary, Canada Diplomate of the American Board of Venous and Lymphatic Medicine Fellow of the American College of Phlebology Fellow Emeritus of the Australasian Society of Phlebology He held the offices of President of the Canadian Society of Phlebology, and Vice-President of the International Union of Phlebology He serves currently as the Medical Director of the Santé Group in Calgary Tutor to Masters candidate in Practical Dermatology at the University of Cardiff in Whales

Douglas Hill, Calgary, Canada Treasurer of the Canadian Society of Phlebology

Fellow Member of the Canadian Society of Plebology

Diplomate of the American Board of Venous and Lymphatic Medicine

Fellow of the American College of Phlebology

Member of the American Venous Forum

Jeannette Soriano, Calgary, Canada Founding Member and Past President of the Canadian Complementary Medical Association

Fellow Member of the Canadian Society of Phlebology

Board Member and Vice President for ICIM International College of Integrative Medicine

Dominic St-Amour, Montréal, Canada Private practice

Member of the Canadian Society of Phlebology

Diplomate of the American Board of Venous and Lymphatic Medicine

David Szalay, Hamilton, Canada Division Head, Vascular Surgery, Hamilton Health Sciences and St Joseph’s HealthCare

Royal College of Physicians and Surgeons Specialty Committee for Vascular Surgery

Member of the Canadian Society for Vascular Surgery, Canadian Medical Association, Ontario Medical

Association, Hamilton Academy of Medicine, Association for Registered Diagnostic Sonographers and

Society for Vascular Surgery

Mandy Wong, Kelowna, Canada Diplomate of the American Board of Venous & Lymphatic Medicine

Fellow Member of the Canadian Society of Phlebology

Diplomate of the American Board of Laser Surgery

Michel Zummo, Montreal, Canada Member of the Advisory Board of the Canadian Society of Phlebology

Fellow Member of the Canadian Society of Phlebology

Member of the French Society of Phlebology

Diplomate of the American Board of Venous and Lymphatic Medicine

FRIDAY, OCTOBER 3rd, 2014

PRACTICAL MANAGEMENT OF CHRONIC VENOUS DISORDERS

7:30 Registration Opus Room

8:00 Welcome Pauline Raymond-Martimbeau

Learning objectives:

• Understand the importance of a precise diagnosis and develop a targeted approach. to treating venous incompetence.

• Understand technical assessment, its indications and benefits, and gain an approach to differentiating typical and unusual presentations of venous incompetence.

• Understand the various treatment modalities for early and advanced venous disorders therapies.

A series of workshops and presentations will be set up for trainees to experience instruction from key leaders in different aspects of venous disease. For some workshops, participants will be divided in groups and will rotate through different workshops.

8:15 Lower extremity superficial venous anatomy related to ultrasound assessment Céline Fortin Objectives: To review lower extremity superficial venous anatomy and recognize anatomical findings while performing ultrasound assessment.

9:00 Clinical and duplex assessments, live demonstration Jean-Patrick Benigni, Frédéric Vin, Mandy Wong Objectives: To cover how to recognize the importance of a precise diagnosis, identify different non-invasive assessment, its indications and benefits, and gain an approach to differentiating typical and unusual presentations of venous incompetence.

9:45 Refreshment break

9:00 Alternative treatments for saphenous incompetence Michel Dagenais, Kurosh Parsi, Michel Zummo Objectives: To highlight advances in alternative treatments. Participants will be able to understand the rationale (benefits/risks) for the use of conservative treatment, chemical and thermal ablations, surgery and embolization, and appreciate the potential impact of these therapies for various venous disorders.

9:00 Visual sclerotherapy: Indications, technique, post-care Pauline Raymond-Martimbeau Objectives: To discuss the use of sclerosant for small and medium size veins. The participant will learn techniques for injecting veins of non-saphenous incompetence.

11:30 Lunch

1:00 Complications management: Challenge the experts Jean-Patrick Benigni, Michel Dagenais, Céline Fortin, Kurosh Parsi Frédéric Vin, Mandy Wong, Michel Zummo

Objectives: To be able through an in-depth discussion of experts, to apply the clinical pearls and tips and to handle complicated cases with minimal complication and greater predictability.

2:00 Compression workshop Jean-Patrick Benigni, Kurosh Parsi Pauline Raymond-Martimbeau, Frederic Vin Objectives: To understand the importance of compression and its proper application.

3:00 Radiofrequency ablation workshop Michel Dagenais, Dominic St-Amour Objectives: To learn the indication, technique, post care and complications of radiofrequency.

4:00 Phantom workshop Jean-Patrick Benigni, Céline Fortin, Kurosh Parsi Pauline Raymond-Martimbeau, Frédéric Vin, Mandy Wong, Michel Zummo Objectives: To demonstrate, using a phantom, new and evolving technologies in the treatment of varicose vein.

5:00 Adjourn

SATURDAY, OCTOBER 4th, 2014

OUTCOMES AND INNOVATIONS IN PHLEBOLOGY 8:00 Registration Opus Room 8:10 Welcome Pauline Raymond-Martimbeau Overall learning objectives: Upon completion of this 3-day meeting, participants will be able to review and interpret basic knowledge and skills in phlebology; update and improve their knowledge about recent advances in the diagnosis, management, and treatment of venous disorders; and integrate new principles to improve their everyday practice of phlebology. Moderator: Pauline Raymond-Martimbeau 8:15 Should CO2 foam be the standard for foamed sclerotherapy? Mandy Wong Objectives: To evaluate and discuss if CO2 is has some advantages over other foam techniques. 8:35 Keynote Lecture Biological effects of detergent sclerosants Kurosh Parsi What sclerosants do to cells and what gets released Objectives: To understand the effects of detergent sclerosants. 9:05 Treating necrosis as a result of sclerotherapy Janna Bentley Objectives: To discuss avoidance and treatment of necrosis. 9:20 Is the venous disease a disease of the saphenous compartment? Frédéric Vin Objectives: To determine the origin of venous disease.

9:45 Refreshment break and exhibit Moderator: Douglas Hill 10:15 Sclerotherapy vs embolization Pauline Raymond-Martimbeau Objectives: To learn the difference between sclerotherapy and embolization. 10:30 An unsual case of leg pain without apparent varices Michel Zummo Objectives: To understand the etiology of leg pain. 10:50 Recurrent varicose vein challenges Louis Grondin Objectives: To understand the rate and treatment options for REVAS. 11:10 Keynote Lecture Cyanoacrylate adhesive for treating venous reflux disease: a tumescentless approach David Anthony Szalay Objectives: To familiarize with a new technique and evaluate its advantages and disadvantages. 11:40 Questions and answers 12:00 Lunch

SATURDAY, OCTOBER 4th, 2014

OUTCOMES AND INNOVATIONS IN PHLEBOLOGY Moderator: Louis Grondin 1:15 Ultrasound guided foam sclerotherapy of the SSV Jean-Patrick Benigni Objectives: To learn the indication, technique and outcome of ultrasound guided foam sclerotherapy of the SSV. 1:30 Keynote Lecture Dermatological manifestations of venous disease Kurosh Parsi Objectives: To familiarize with dermatological presentations of venous disease. 2:00 Keynote Lecture Atypical varices: From pelvic congestion to venous malformations Patrick Gilbert Objectives: To learn to recognize and manage atypical varices. 3:00 Refreshment break and exhibit Moderator: Janna Bentley 3:30 Nocturnal leg cramps Jeannette Soriano Objectives: To identify the factors contributing to nocturnal leg cramps and review the differential diagnosis and treatment options. 3:50 What deactivates the sclerosants? Relevance to treatment outcomes Kurosh Parsi Objectives: To understand the chemistry and behaviour of sclerosants. 4:10 Criteria non-compliance of MCS Jean-Patrick Benigni Objectives: To be informed and updated on criteria non-compliance of MCS. Moderator: Pauline Raymond-Martimbeau 4:25 Panel discussion: Pros and cons of foam sclerotherapy of small veins Michel Dagenais, Louis Grondin, Kurosh Parsi, Frédéric Vin, Mandy Wong, Michel Zummo 4:45 Adjourn

SUNDAY, OCTOBER 5th, 2014

OUTCOMES AND INNOVATIONS IN PHLEBOLOGY Moderator: Michel Zummo 8:15 My experience with tubular veins Janna Bentley Objectives: To learn how to treat tubular veins. 8:30 Radiofrequency, essential to complete care in phlebology. Dominic St-Amour Objectives: To discuss the indication, technique and outcome of endovenous radiofrequency ablation. 8:45 Keynote Lecture Interaction of detergent sclerosants with the coagulation system Kurosh Parsi Objectives: To learn the effects of sclerosants on activation of blood coagulation. 9:15 Video : Endoscopic aspect of the venous wall Frédéric Vin Objectives: To visualize and understand the venous wall. 10:00 Refreshment break Moderator: Mandy Wong 10:15 Diagnosis and treatment of superficial venous disease using duplex ultrasound Douglas Hill Objectives: To learn the importance of duplex ultrasound and its applications. 10:35 Medical compression in venous disorders Jean-Patrick Benigni Objectives: To understand the benefits of compression. 10:55 Panel discussion: How to manage neurological complications of foam sclerotherapy? Jean-Patrick Benigni, Janna Bentley, Richard Danylewick, Céline Fortin Douglas Hill, Jeannette Soriano, Dominique St-Amour 11:25 Questions and answers 11:45 Fellowship Ceremony 12:00 Lunch

SUNDAY, OCTOBER 5th, 2014

OUTCOMES AND INNOVATIONS IN PHLEBOLOGY

Moderator: Pauline Raymond-Martimbeau 1:15 Keynote Lecture Physiochemical properties and fluid mechanics of detergent sclerosants Kurosh Parsi Objectives: To learn about properties of detergent sclerosants. 1:45 Case study: May-Thurner syndrome Michel Dagenais Objectives: To understand a case of complicated anatomy. 2:05 Advances in endovenous laser treatment Richard Danylewick Objectives: To learn the benefits of endovenous laser ablation. 2:20 From Aspirin to Xarelto: a review of antiplatelets, old anticoagulants and new anticoagulants Jeannette Soriano Objectives: To familiarize with the mechanism of action of the newer anticoagulants, its dosage and identify the contraindications to the use of direct thrombin inhibitors. 2:35 Update on vascular anomalies Kurosh Parsi Objectives: To be informed on the newest developments on vascular malformations. 2:50 Questions and answers 3:15 General Assembly 3:45 Adjourn

39th BIANNUAL CONGRESS

OCTOBER 3-4-5, 2014

INFORMATION

CME CREDIT The Quebec Federation of General Practitioners, a fully certified organisation in continuing professional development by the Collège des médecins du Québec, recognizes 18.5 hours of class 1 credits to the participants in this activity, provided the Code of ethics of the Conseil québécois de développement professionnel continu des médecins (CQDPCM) is adhered to. www.cemcq.qc.ca FELLOWSHIP PROGRAM The 3-day meeting attendance is mandatory toward credits for fellowship program and maintenance ORGANISATION CANADIAN SOCIETY OF PHLEBOLOGY Claudette Raymond, Executive Director 424 du Domaine Street, St-Bruno, QC, Canada J3V 2S4 Phone: 514-990-8346 Fax: 450-653-2534 Email: phlebology@sympatico.ca LOCATION : DELTA MONTREAL 475 President Kennedy Avenue Montreal, QC, Canada H3A 1J7 Phone: 514-286-1986 Fax: 514-284-4342 HOTEL RESERVATION Reservations will be made directly on an individual basis. In order to facilitate reservations, attendees may contact the hotel directly at Delta Montreal Phone: 514-286-1986 Fax: 514-284-4342 OR use the following hyperlink: https://www.deltahotels.com/Groups/Delta-Montreal-Groups/Canadian-Society-of-Phlebology https://www.deltahotels.com/fr/Groups/Delta-Montreal-Groups/Societe-Canadienne-de-Phlebologie2

All reservations must be made by September 1st, 2014. All rooms will be released after this date.