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Foreword
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In 2000, at the 12th annual meeting of the American Venous Forum (AVF), Professor Norman Browse gave the keynote lecture. In his usual provocative way, he ques­tioned if anything was new in phlebology since the time of Hippocrates. His presentation was delivered just at the tipping point of the advancements in research and innova­tions in the treatment of venous disease. The VEITHsym­posium continues to be the largest vascular meeting in the United States. In 2002, when Iattended my rst sympo­sium, seven papers were presented in a venous session on late Friday afternoon, when most delegates already van­ished to enjoy the Big Apple. Eleven years later, in 2013, 175 papers were presented on venous disease during 17 sessions over three days, sometimes with simultaneous presentations. Something had happened. The rst edition of this Handbook of Venous Disorders was published under the auspices of the AVF in 1996. Today you hold in your hands the fth edition, which includes lymphatic dis­orders. If you took time to compare the two editions, you would nd that the content in the latter reects the sub­stantial evolution of research and management of venous and lymphatic disorders that has occurred during the last two decades.
In 1968, Robert Kistner in Hawaii performed the rst successful femoral internal valvuloplasty in a patient with severe deep vein reux. Open surgery in the deep venous system was born. Generally, it showed that surgery of the deep venous system did not invariably lead to thrombo­sis, as was the predominant belief, and, specically, that it was possible to repair the delicate venous valve leaets. It rekindled interest and thus research, diagnostics, and treat­ment of deep venous disease, especially, deep venous reux, chronic deep vein obstruction, and the treatment of exten­sive DVT. Open venous surgery was, however, not widely adopted, and its use today is still limited to a few interested venous surgeons.
The breakthrough for management of venous disease occurred during the rst decade of the new century. Ibelieve that several factors converged during this time. The major reason was, of course, that endovascular procedures largely started to replace open vascular surgery, except for valve repair. Additional events contributed, such as studies show­ing the major impact of venous disease on quality of life and loss of work, greater awareness in the general popula­tion of the possible downsides of the untreated disease, pro­fessional and industrial economic incentives, and greater
acceptance of the percutaneous procedures by patients due to low morbidity and very rare mortality.
In my opinion, a major landmark was the advancement of intravascular ultrasound-guided stenting of chronic pelvic outow obstructions by Peter Neglén and Seshadri Raju in Mississippi, starting in the mid-1990s. In 2007, they reported cumulative analysis at 6years of stent-related outcome and clinical and hemodynamic results in 982 patients. The study showed that venous stenting could be performed safely with low morbidity and mortality, long-term high stent patency rate, a low rate of in-stent restenosis, and major symptom relief. The paradigm for treatment of combined complex venous disease was once and for all changed.
The AVF was founded in 1989 by 20 members of the Society for Vascular Surgery. Now, 35years later, it is the foremost phlebological society in the world, with a strong inuence on the management of venous and lymphatic disease through its publication, the Journal of Vascular Surgery: Venous and Lymphatic Disorders, and through important consensus work. This fth edition of the Hand- book of Venous and Lymphatic Disorders is an additional important means to advance evidence-based management of these disorders. As for all the previous editions, the main editor is Peter Gloviczki. For this fth edition, he has chosen the following associate editors, all well-known leaders of the AVF: Michael C. Dalsing, Monika L. Gloviczki, Fedor Lurie, Gregory L. Moneta, Cynthia K. Shortell, and Thomas W. Wakeeld. This edition has undergone a radical revision with the addition of 19 novel chapters and a completely new part on “Critical issues in venous and lymphatic dis­ease.” Forty-nine new authors have contributed chapters, which guarantees a fresh modern update of the content.
The fth edition of the Handbook is the principal text­book in the world providing guidelines in the management of venous and lymphatic disorders. It represents not only the important role the AVF has but also includes excellent contributions from Europe and Latin America as a mark of the important and benecial international collabora­tions. This book is the premier go-to book for experienced venous therapists as well as for those taking their rst steps into this rewarding eld.
Bo Eklöf, MD, PhD
Past President, American Venous Forum
Associate Editor, Emeritus
Handbook of Venous and Lymphatic Disorders
xiii
Preface
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It is with real pleasure and great anticipation that we pres­ent you the fth edition of the Handbook of Venous and
Lymphatic Disorders: Guidelines of the American Venous Forum. Twenty-eight years after publication of the rst edi-
tion, the current volume serves as testimony to the remark­able progress that occurred during the past three decades in the investigation, prevention, evaluation, and treatment of venous and lymphatic disorders. Venous disease is one of the most prevalent medical conditions. Each year, an esti­mated 900,000 people have deep vein thrombosis (DVT) or pulmonary embolism (PE) and up to 100,000 will die. As many as 30%–50% of those who have DVT will develop chronic complications due to post-thrombotic syndrome. Twenty-ve to forty million American adults have chronic venous disease, and an estimated 1 in 1000 people around the world develop chronic lymphedema.
This new edition contains 80 chapters, written by 149 contributors, and it covers the full spectrum of acute and chronic venous disorders, chronic lymphedema, and chy­lous complications. New or entirely revised chapters dis­cuss in detail basic considerations, diagnostic evaluation, and management of acute venous thrombosis and chronic venous disorders, including deep venous disease and venous ulcers. Medical treatments, including compression ther­apy, veno-active compounds, and new oral antithrombotic medications are discussed. Minimally invasive endovascu­lar techniques to treat DVT and PE with catheter-directed thrombolysis, pharmaco-mechanical, mechanical throm­bectomy, and venous stenting are presented.
Few areas in medicine have progressed as fast as min­imally invasive outpatient treatment of chronic venous disease. Endovenous therapies include laser and radiof­requency ablation, liquid and foam sclerotherapy, using physician-compounded foam or polidocanol endovenous microfoam, minimally invasive surgery, cyanoacrylate embolization, and mechanico-chemical or ultrasonic abla­tions, among others.
New developments in endovascular venous interven­tions and in the management of venous trauma, tumors, malformations, and aneurysms are also presented, and a separate section is included on classication and treatment of pelvic venous disorders. Another important section
details critical issues in venous disease, including dispari­ties in management and outcome, standards of ofce-based laboratories and accredited vein centers, coding and reim­bursement, outcome assessments, and appropriate use cri­teria for evaluation and management. The availability of better imaging and evaluation of the lymphatic system, supermicroscopic lymphatic reconstructions, and objec­tive evidence of patency and function of lymphovenous anastomoses greatly enhanced our abilities to improve the life of patients with chronic lymphedema if conservative measures fail. Catheter-based treatment of chylous com­plications have improved as well. All these are discussed in separate chapters in detail. The volume includes evi­dence-based guidelines and consensus statements for each chapter and concludes with a collection of these at the end of the book. Color coding of the grading of guidelines helps to remember key recommendations of the American Venous Forum, a North American academic organization dedicated to improving the care of patients with venous and lymphatic disorders.
Written by the world’s foremost venous experts, lead­ers of the American Venous Forum, and international authorities, the Handbook has become the most important reference for both day-to-day management and investiga­tion of venous and lymphatic disorders. Together with our enthusiastic and expert group of editors, including Michael C. Dalsing, Monika L. Gloviczki, Fedor Lurie, Gregory L. Moneta, Cynthia K. Shortell, and Thomas W. Wakeeld, we express our most sincere gratitude to those who have contributed to this edition. Special thanks go to Dr. Jovan N. Markovic for his help in the editorial process. We are grateful to our publisher, CRC Press, Taylor & Francis Group in England; to Medical Editor Miranda Bromage; and Editorial Assistants Hudson Greig and Jacob Jew­itt-Jalland, and to Senior Project Manager Kate Fornadel for their outstanding efforts, professionalism, and constant support. For her expertise and help with this noble project, Iam most indebted to Monika L. Gloviczki. Her love and commitment to complete the 5th edition have inspired me tremendously.
Peter Gloviczki, MD, PhD, FACS
xv
Contributors
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Jose I. Almeida, MD, FACS, RPVI, RVT
Voluntary Professor of Surgery University of Miami Miller School of Medicine Founder, Miami Vein Miami, Florida
Elizabeth A. Andraska, MD, MS
Postdoctoral Research Fellow Vascular Surgery Resident University of Pittsburgh Medical Center Pittsburgh, Pennsylvania
Enrico Ascher, MD
Clinical Professor of Surgery New York University NYU Langone Medical Center New York, New York
Francisco R. Avila, MD
Postdoctoral Research Fellow Mayo Clinic Jacksonville, Florida
Faisal Aziz, MD, FACS, DFSVS
Gilbert & Elsie Sealfon Professor of Surgery Penn State University Chief of Vascular Surgery Penn State Health Hershey, Pennsylvania
Geoffrey D. Barnes, MD, MSc, FACC, RPVI
Associate Professor of Medicine University of Michigan Ann Arbor, Michigan
Gillian M.E. Belnavis, MD
Cardiovascular Medicine Fellow Ohio State University Columbus, Ohio
Mary A. Binko, MS
University of Pittsburgh Pittsburgh, Pennsylvania
Haraldur Bjarnason, MD
Professor of Radiology Mayo Clinic College of Medicine Director, Gonda Vascular Center Mayo Clinic Rochester, Minnesota
John Blebea, MD, MBA
Clinical Professor of Surgery Central Michigan University College
of Medicine Central Michigan University Saginaw, Michigan
Thomas C. Bower, MD
Professor of Surgery and Chair, Emeritus Division of Vascular and Endovascular
Surgery Mayo Clinic Rochester, Minnesota
Kellie R. Brown, MD
Professor of Surgery The Medical College of Wisconsin Senior Medical Director Froedtert Memorial Lutheran Hospital Milwaukee, Wisconsin
Ruth L. Bush, MD, JD, MPH, FACS, DFSVS
Professor of Vascular Surgery Associate Dean for Educational Affairs John Sealy School of Medicine The University of Texas Medical Branch Galveston, Texas
Xzabia A. Caliste, MD, RPVI, FACS
Albany Medical Health System Albany Medical College Albany, New York
Joseph A. Caprini, MD
Clinical Professor of Surgery, Emeritus Senior Clinician Educator Pritzker School of Medicine University of Chicago Louis W. Biegler Chair of Surgery, Emeritus Division of Vascular Surgery Northshore University Health System Evanston, Illinois
Rabih A. Chaer, MD, MPH
Professor of Surgery and Chief Division of Vascular Surgery Co-Director UPMC Heart and Vascular Institute UPMC Presbyterian Pittsburgh, Pennsylvania
xvii
xviii Contributors
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Willy Yung-Wei Chi, DO
Clinical Professor of Medicine University of California Davis, California
Adario Chirgwin-Dasgupta, MDCM
Candidate McGill University Montreal, Canada
Christopher Chow, MD
Division of Vascular and Endovascular Surgery University of Miami Miller School
of Medicine
Miami, Florida
John Chuback, MD, FACS, RPVI, RVT, RPhS
Chief Medical Ofcer Chuback Vein Center Paramus, New Jersey
Sebastian Cifuentes, MD
Ted Rogers Research Fellow Division of Vascular and Endovascular Surgery Mayo Clinic Rochester, Minnesota
Michael J. Davis, PhD
Medical Pharmacology and Physiology Curators’ Distinguished Professor Margaret Proctor Mulligan Professorship
in Medical Research University of Missouri Columbia, Missouri
Steven M. Dean, DO, FACP, RPVI
Clinical Professor of Medicine The Ohio State University Wexner
Medical Center Columbus, Ohio
Randall R. DeMartino, MD, MS
Associate Professor of Surgery and Chair Division of Vascular and Endovascular Surgery Mayo Clinic Rochester, Minnesota
Brian G. DeRubertis, MD, FACS
Professor of Surgery Division of Vascular and Endovascular Surgery New York Presbyterian/Weill Cornell
Medical Center New York City, New York
Jill J. Colglazier, MD
Assistant Professor of Surgery Division of Vascular and Endovascular Surgery Mayo Clinic, Rochester, Minnesota
Leo J. Daab, MD, RPVI, FACS
Assistant Professor of Surgery Division of Vascular Surgery Oregon Health & Science University Portland, Oregon
Michael C. Dalsing, MD, FACS
E. Dale and Susan E. Habegger Professor
of Surgery and Chair, Emeritus
Division of Vascular Surgery
Indiana University School of Medicine
Indianapolis, Indiana
Alun H. Davies, MD, DM, DSC, FrCS, FHEA, FEBVS,
FACPH
Professor of Surgery Division of Surgery & Cancer Head, Section of Vascular Surgery Imperial College Charing Cross & StMary’s Hospitals London, United Kingdom
Victor J. Davila, MD
Assistant Professor of Surgery Consultant, Division of Vascular
and Endovascular Surgery Mayo Clinic Phoenix, Arizona
Alan M. Dietzek, MD, RPVI, FACS
Clinical Professor of Surgery University of Vermont Larner College
of Medicine Network Chief, Vascular and Endovascular Surgery Linda and Stephen R. Cohen Endowed Chair
in Vascular Surgery Nuvance Health Danbury, Connecticut
Anahita Dua, MD, MSc, MBA, FACS
Associate Professor of Surgery Division of Vascular and Endovascular Surgery Massachusetts General Hospital
Harvard Medical School Boston, Massachusetts
Audra A. Duncan, MD, FACS
Professor of Surgery Chief of Vascular Surgery Western University London, Ontario, Canada
Steve Elias, MD, FACS, FACPh
Director, Center for Vein Disease Englewood Hospital and Medical Center Englewood, New Jersey
Young Erben, MD
Associate Professor of Surgery and Consultant Division of Vascular and Endovascular Surgery Mayo Clinic Jacksonville, Florida
Contributors xix
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Armin Farazdaghi, MD
Vascular Surgery Fellow Mayo Clinic Rochester, Minnesota
Cindy L. Felty, APrN, CNP, MSN
Mayo Clinic Rochester, Minnesota
Antonio J. Forte, MD, PhD, MS
Professor of Plastic Surgery Consultant, Division of Plastic Surgery Mayo Clinic Jacksonville, Florida
Ana Fuentes Perez, MD
Medical Student University of Anahuac, Mexico Division of Vascular and Endovascular
Surgery Mayo Clinic Jacksonville, Florida
Eri Fukaya, MD, PhD
Clinical Associate Professor of Surgery
and Medicine Division of Vascular Surgery Stanford University School of Medicine Stanford, California
Pedro J. Furtado Neves, MD
Postdoctoral Research Fellow Division of Vascular Surgery and
Endovascular Therapy University of Colorado Anschutz Medical Center Aurora, Colorado
Paul J. Gagne, MD
Clinical Associate Professor of Surgery NYU School of Medicine Vascular Care Group Darien, Connecticut
Sergio Gianesini, MD, PhD
Adjunct Professor and Clinical Lecturer University of Ferrara Adjunct Associate Professor Uniformed Services University
of Health Sciences
Bethesda, Maryland
Kathleen D. Gibson, MD
Lake Washington Vascular Surgeons Bellevue and Kirkland, Washington
David L. Gillespie, MD, RVT, FACS
Harvard Medical School Boston, Massachusetts
Monika L. Gloviczki, MD, PhD
Research Fellow, Emeritus Department of Internal Medicine
and Gonda Vascular Center Mayo Clinic Rochester, Minnesota
Peter Gloviczki, MD, PhD, FACS
Joe M. and Ruth Roberts Professor of Surgery
and Chair, Emeritus Division of Vascular and Endovascular Surgery Director, Emeritus, Gonda Vascular Center Mayo Clinic Rochester, Minnesota
James F. Glockner, MD, PhD
Professor of Radiology Department of Radiology Mayo Clinic Rochester, Minnesota
Manj S. Gohel, MD, FRCS, FEBVS
Consultant Vascular and Endovascular Surgeon University of Cambridge Cambridge, United Kingdom Honorary Senior Lecturer Imperial College London, United Kingdom
Antonios P. Gasparis, MD
Professor of Surgery System Chief for Venous Diseases Northwell Health Greenlawn, New York
Kate Gates, DO
Jobst Vascular Institute Toledo, Ohio
Hani Ghandour, MD
Resident in Surgery University of Illinois Metropolitan Program Advocate Lutheran General Hospital Park Ridge, Illinois
Roberta Lozano Gonzalez, MD
Visiting Scholar University of Anahuac, Mexico Division of Vascular and Endovascular Surgery Mayo Clinic Jacksonville, Florida
Salim G. Habib, MD
University of Pittsburgh Medical Center Pittsburgh, Pennsylvania
Eric S. Hager, MD, FACS
Associate Professor of Surgery University of Pittsburgh Medical Center Pittsburgh, Pennsylvania
xx Contributors
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Claudine Hamel-Desnos, MD
Paris Saint Joseph Hospital Group Paris, France
Henry Han, MD
Frankel Cardiovascular Center University of Michigan Ann Arbor, Michigan
Linda M. Harris, MD
Professor of Surgery State University of New York Buffalo, New York
Jake F. Hemingway, MD
Assistant Professor of Surgery Division of Vascular Surgery University of Washington Seattle, Washington
Peter K. Henke, MD
Professor of Surgery University of Michigan Frankel Cardiovascular Center Ann Arbor, Michigan
Anil Hingorani, MD
Clinical Professor of Surgery NYU Brooklyn Medical Center Brooklyn, New York
Arjun Jayaraj, MD, FACS
Rane Center for Venous and Lymphatic Diseases Jackson, Mississippi
Samuel Jessula, MD, MSc, FRCSC
Massachusetts General Hospital
Harvard Medical School
Boston, Massachusetts
Juan Carlos Jimenez, MD, MBA, FACS
Professor of Surgery David Geffen School of Medicine University of California, Los Angeles Los Angeles, California
Lowell S. Kabnick, MD, FACS, FAVLS, DFAVF
Chancellor Vein and Lymphatic University Lake Worth Beach, Florida
Susan R. Kahn, MD, MSc, FRCPC
Professor of Medicine McGill University Montreal, Canada
Raymond Kennedy, MD
Vascular Surgery Resident Rutgers Robert Wood Johnson
Medical School
New Brunswick, New Jersey
Raouf A. Khalil, MD, PhD
Associate Professor of Surgery Harvard Medical School Brigham and Women’s Hospital Division of Vascular Surgery Boston, Massachusetts
Misaki M. Kiguchi, MD, MBA, FACS
Associate Professor, Surgery Program Director, Vascular Surgery Director, MedStar Vein Health Centers MedStar Washington Hospital Center Washington, District of Columbia
Pamela S. Kim, MD
Center for Vein Restoration Framingham, Massachusetts
Angela A. Kokkosis, MD
Associate Professor of Surgery Director, Center for Vein Care Program Director, Integrated Vascular Surgery Residency Stony Brook University Medical Center Stony Brook, New York
Raghu Kolluri, MD, MS, RVT, MSVM
System Medical Director, Vascular Medicine OhioHealth Clinical Professor of Medicine
Ohio University HCOM
Columbus, Ohio
Tina Koutsos
Stony Brook University Medical Center Stony Brook, New York
Connie Koutsos
Stony Brook University Medical Center Stony Brook, New York
Kayla J. Krause, BS
Penn State College of Medicine Hershey, Pennsylvania
Emilia Krol, MD
OSF St Anthony Medical Center Rockford, Illinois
Manju Kalra, MBBS
Professor of Surgery and Consultant Division of Vascular and Endovascular Surgery Mayo Clinic Rochester, Minnesota
Nicos Labropoulos, BSc (Med), PhD, DIC, RVT
Professor of Surgery Director, Vascular Laboratory University Hospital Stony Brook, New York
Contributors xxi
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Tristan R. A. Lane, MD
Imperial College London, United Kingdom Cambridge University Hospitals Cambridge, United Kingdom
James Laredo, MD, PhD, FACS, RVT, RVPR
Clinical Associate Professor of Surgery Division of Vascular Surgery George Washington University Washington, District of Columbia
Peter F. Lawrence, MD
Professor of Surgery, Emeritus David Geffen School of Medicine Chief of Vascular and Endovascular Surgery, Emeritus Gonda Vascular Center University of California, Los Angeles Los Angeles, California
Byung-Boong Lee, MD
Clinical Professor of Surgery George Washington University Washington, District of Columbia
Timothy K. Liem, MD, MBA
Professor of Surgery Division of Vascular Surgery Oregon Health & Science University Portland, Oregon
Karla C. Maita, MD
Research Fellow Division of Plastic Surgery Mayo Clinic Jacksonville, Florida
Oscar Maleti, MD
Professor of Surgery PG School in Vascular Surgery University of Bologna Chief of Vascular Surgery Cardiovascular Department Hesperia Hospital Modena, Italy
Rafael D. Malgor, MD, MBA, FACS, FSVS, RPVI
Associate Professor of Surgery,
Program Director Robert B. Rutherford Fellowship and Integrated
Residency in Vascular Surgery Division of Vascular Surgery and Endovascular
Therapy, University of Colorado Anschutz Medical Center Aurora, Colorado
Jovan N. Markovic, MD
Department of Surgery Duke University School of Medicine Durham, North Carolina
Joann M. Lohr, MD, FACS, RVT
Chair, Dorn VA Vascular Surgery University of South Carolina Medical School Vascular Surgeon, Prisma Health Columbia, South Carolina
Marcia Lugli, MD
Professor of Surgery Hesperia Hospital Modena, Italy
Fedor Lurie, MD, PhD
Adjunct Research Professor University of Michigan Ann Arbor, Michigan Associate Director Jobst Vascular Institute Toledo, Ohio
Thanila A. Macedo, MD
Associate Professor
Department of Diagnostic and Interventional Imaging McGovern Medical School University of Texas Health Science Center Houston, Texas
Edward G. Mackay, MD, FACS, RPVI, RVT
Vein and Circulation Specialist Palm Harbor, Largo, and St. Petersburg, Florida
William A. Marston, MD
George Johnson Jr Distinguished Professor University of North Carolina School of Medicine UNC Hospitals Chapel Hill, North Carolina
Elna M. Masuda
Clinical Assistant Professor of Surgery John ABurns University of Hawaii Chief, Department of Vascular Surgery Kapiolani Medical Center for Women & Children Straub Medical Center Honolulu, Hawaii
David McAneny, MD, FACS
Professor of Surgery, Associate Dean for
Clinical Affairs Chobanian and Avedisian School of Medicine (BUSM) Chief Medical Ofcer, Senior Vice President
of Medical Affairs Boston Medical Center Boston, Massachusetts
Robert B. McLafferty, MD, MBA
Professor of Surgery Division of Vascular Surgery Director, Wound and Hyperbaric Center Oregon Health & Science University Portland, Oregon
xxii Contributors
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Mark H. Meissner, MD
Peter Gloviczki Professor of Venous and Lymphatic Diseases Division of Vascular Surgery University of Washington School of Medicine University of Washington Medical Center Seattle, Washington
M. Mark Melin, MD, FACS, RPVI, FACCWS
Wound Care Specialist Gonda Vascular Center Mayo Clinic Rochester, Minnesota
Erica Menegatti, PhD
Assistant Professor
Department of Environmental Science and Prevention University of Ferrara Ferrara, Italy
Iva Minga, MD
Advanced Cardiology Fellow in Cardiac Imaging University of Chicago Pritzker School of Medicine Chicago, Illinois
Balazs Mohos, MD
Plastic and Reconstructive Surgeon Heart and Vascular Center Semmelweis University Budapest, Hungary Division of Plastic and Reconstructive Surgery Department of Surgery County Hospital Veszprem, Hungary
Daniel L. Monahan, MD
Surgeon Monahan Vein Clinic Roseville, California
Erin H. Murphy, MD, FACS, DFAVF
Director, Venous and Lymphatic Center Sanger Heart and Vascular Institute, Atrium Health Charlotte, North Carolina
Thomas F. O’Donnell, MD
Benjamin Andrews Emeritus Professor of Surgery Tufts University School of Medicine Senior Surgeon Tuft Medical Center Boston, Massachusetts
Andrea T. Obi, MD
Assistant Professor of Vascular Surgery University of Michigan and Ann Arbor
Veterans Association Samuel and Jean Frankel Cardiovascular Center Ann Arbor, Michigan
Sarah Onida, MD
Honorary Senior Lecturer Imperial College London, United Kingdom Locum Consultant Vascular Surgeon Imperial College Healthcare NHS Trust London, United Kingdom
Kathleen J. Ozsvath, MD
Chief of Surgery Samaritan Hospital Vascular Surgeon Vascular Associates, StPeter’s Health Partners Troy, New York
Frank T. Padberg Jr., MD, FACS
Professor of Surgery Division of Vascular Surgery Rutgers New Jersey Medical School Newark, New Jersey
Samuel R. Money, MD, MBA
Professor Emeritus Mayo Clinic College of Medicine Ochsner Clinic New Orleans, Louisiana
Gregory L. Moneta, MD, FACS
Professor of Surgery Division of Vascular Surgery Oregon Health & Science University Portland, Oregon
Christopher Montoya, MD
Vascular Surgery Research Fellow University of Miami Miami, Florida
Courtney E. Morgan, MD
Associate Professor of Surgery
Division of Vascular Surgery University of Wisconsin Madison, Wisconsin
Hugo Partsch
Vienna, Austria Deceased
Marc A. Passman, MD
Professor of Surgery Division Vascular Surgery & Endovascular Therapy Director, Vein Program & Clinic University of Alabama at Birmingham Birmingham, Alabama
Rhusheet Patel, MD, MS
Assistant Professor of Surgery Division of Vascular Surgery Oregon Health & Science University Portland, Oregon
Amani D. Politano, MD, MS
Associate Professor of Surgery Division of Vascular Surgery Oregon Health & Science University Portland, Oregon
Contributors xxiii
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Andrew Pollard, DO
Internal Medicine Specialist Ohio Health Riverside Methodist
Hospital
Columbus, Ohio
Helen Potter, MD
Vascular Surgery Fellow University at Buffalo Buffalo, New York
Thomas M. Proebstle, MD, PhD
Clinical Professor of Dermatology University of Mainz Director Private Clinic Proebstle Mainz and Mannheim, Germany
Alessandra Puggioni, MD
Vascular Surgeon East Vein and Lymphatic Center New York, New York
Joseph D. Raffetto, MD
Associate Professor of Surgery Harvard Medical School Chief, Section of Vascular Surgery VA Boston Healthcare System
Brigham and Women’s Hospital
West Roxbury, Massachusetts
Seshadri Raju, MD, FACS
RANE Center for Venous and
Lymphatic Diseases
Jackson, Mississippi
John E. Rectenwald, MD, MS
Professor of Surgery and Chair Division of Vascular Surgery Department of Surgery University of Wisconsin Madison, Wisconsin
Justin M. Robbins, MD
General Surgery Resident Wright State University/Wright-Patterson
AFB
Dayton, Ohio
Richard T. Rogers, MD
Vascular Surgery Fellow Division of Vascular and Endovascular
Surgery Mayo Clinic Rochester, Minnesota
Thom W. Rooke, MD, MSVM, FACC
Krehbiel Professor of Vascular Medicine Division of Vascular Medicine Gonda Vascular Center Mayo Clinic Rochester, Minnesota
Rowza T. Rumma, MD
Vascular Surgery Fellow New York Presbyterian/Weill Cornell Medical
Center & Columbia University Irving Medical Center New York, New York
Constance E. Ryjewski, APN
Vascular Nursing Specialist Advocate Lutheran General Hospital Park Ridge, Illinois
Mikel Sadek, MD
Associate Professor of Surgery New York University Langone Health Director NYU Langone Vein Center New York, New York
Jacqueline Sasek, RVT, RPhS
Director Ultrasound Diagnostic Laboratory Chuback Vein Center Paramus, New Jersey
Lewis B. Schwartz, MD
Clinical Professor of Surgery University of Illinois Vascular Surgeon Advocate Lutheran General Hospital Park Ridge, Illinois
Indrani Sen, MBBS
Assistant Professor of Surgery Mayo Clinic College of Medicine and Science Luther Campus Clinic Mayo Clinic Eau Claire, Wisconsin
Cynthia K. Shortell, MD, FACS
Professor of Vascular and Endovascular Surgery Executive Vice Chair Department of Surgery Duke University Medical Center Durham, North Carolina
Anton N. Sidawy, MD, MPH
Professor of Surgery George Washington University Chair, Department of Surgery George Washington University Hospital Washington, District of Columbia
Jeffrey J. Siracuse, MD, FACS
Professor of Surgery and Radiology Boston University Chobanian and Avedisian School of Medicine Program Director, Vascular and Endovascular Surgery
Fellowship Medical Director, Vascular Study Group of New England Boston Medical Center Boston, Massachusetts
xxiv Contributors
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Patrick Sullivan, MD
Jobst Vascular Medicine Fellow Jobst Vascular Institute Toledo, Ohio
Alfonso J. Tafur, MD,MS,MBA
Director, Vascular Medicine and Cardiovascular Research Endeavor Health Evanston, Illinois, Clinical Professor of Medicine University of Chicago Pritzker School of Medicine Chicago, Illinois
Ricardo A. Torres-Guzman, MD
Research Fellow Plastic and Reconstructive Surgery Mayo Clinic Jacksonville, Florida
Chieh-Han John Tzou, MD, MBA
Associate Professor of Plastic and
Reconstructive Surgery Department of Surgery Hospital of Divine Savior Vienna Faculty of Medicine, Sigmund Freud University Lymphedema Center Vienna, Tzou Medical Vienna, Austria
Jorge H. Ulloa, MD, FACS
Professor of Vascular Surgery Universidad de los Andes Venous Clinic Division Hospital Fundación Santa Fe de Bogotá Bogotá, Colombia
Chandu Vemuri, MD
Clinical Associate Professor Vascular Surgery Clinic and Frankel
Cardiovascular Center University of Michigan Ann Arbor, Michigan
Terri J. Vrtiska, MD
Associate Professor of Radiology, Emeritus Department of Radiology Mayo Clinic Rochester, Minnesota
Thomas W. Wakeeld, MD, FACS
Professor Emeritus of Surgery Section of Vascular Surgery University of Michigan Ann Arbor, Michigan
Suman Wasan, MD, MS
Clinical Professor of Medicine Rex Vascular Specialists UNC Health Raleigh, North Carolina
Harold J. Welch, MD, FACS, RVT, RPVI
Professor of Surgery Tufts University School of Medicine Interim Chair, Division of Vascular Surgery Lahey Hospital & Medical Center Burlington, Massachusetts
John V. White, MD
Clinical Professor of Surgery University of Illinois College of Medicine Chair of Surgery Advocate Lutheran General Hospital Niles, Illinois
Mohammadreza Zaris, MD
Postdoctoral Research Fellow University of Pittsburgh Medical Center Pittsburgh, Pennsylvania
Ahsan Zil-E-Ali, MBBS, MPH
Heart and Vascular Institute Pennsylvania State University Hershey, Pennsylvania