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Foreword
https://t.me/med1917
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 Iattended 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 reects 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 reux. 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, specically, that it
was possible to repair the delicate venous valve leaets. It
rekindled interest and thus research, diagnostics, and treatment of deep venous disease, especially, deep venous reux,
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. Ibelieve
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
outow obstructions by Peter Neglén and Seshadri Raju in
Mississippi, starting in the mid-1990s. In 2007, they reported
cumulative analysis at 6years 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, 35years later, it is the
foremost phlebological society in the world, with a strong
inuence 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. Wakeeld. 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 benecial 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 classication and treatment
of pelvic venous disorders. Another important section
details critical issues in venous disease, including disparities in management and outcome, standards of ofce-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. Wakeeld,
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,
Iam 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 Ofcer
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 & StMary’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 ABurns 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 Ofcer, 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, StPeter’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
https://t.me/med1917
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. Wakeeld, 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
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