Radiology Resources
Radiology Resources · online course

Varicose Veins and Chronic Venous Disease course

Online varicose veins and chronic venous disease course: venous anatomy and physiology, CEAP and VCSS, reflux duplex and venous mapping, compression, endovenous thermal and non-thermal ablation, sclerotherapy, recurrence and special situations.

9modules24sessions10.8 hstudy time120questions

Each session has learning objectives, short illustrated teaching screens, key points, pearls and pitfalls, self-assessment MCQs with explanations and a summary. Session 1.1 is free; the full course is 3 months of access.

Course syllabus

Module 1: Foundations: Terminology, Anatomy and Physiology

What chronic venous disease is, how common it is, the anatomy of the superficial, perforating and deep veins, the calf pump and the microvenous valves

  1. 1.1Chronic Venous Disease: Terminology, Epidemiology and Natural History22 min
  2. 1.2Anatomy of the Lower-Limb Veins: Superficial, Perforating and Deep Systems26 min
  3. 1.3Venous Physiology: The Calf Pump, Ambulatory Venous Pressure and the Microvenous Valves24 min

Module 2: Pathophysiology and Clinical Presentation

From valve failure and venous hypertension to skin damage; symptoms, signs, examination, acute complications and referral criteria

  1. 2.1Pathophysiology: From Valve Failure to Skin Damage24 min
  2. 2.2Clinical Presentation: Symptoms, Signs, Examination and Acute Complications24 min

Module 3: Classification and Severity Scoring

The CEAP classification (2004 revision and 2020 update), the revised Venous Clinical Severity Score, the Villalta scale and quality-of-life tools

  1. 3.1The CEAP Classification: 2004 Revision and 2020 Update26 min
  2. 3.2Measuring Severity: the Revised VCSS, Villalta Scale and Quality-of-Life Tools24 min

Module 4: Investigations: Duplex Ultrasound and Beyond

Reflux duplex and venous mapping, the iliocaval duplex protocol, CT/MR venography, IVUS and plethysmography, and duplex after treatment

  1. 4.1Duplex Ultrasound of the Leg Veins: Reflux Assessment and Venous Mapping30 min
  2. 4.2Iliocaval Duplex Protocol and Advanced Imaging: CT, MR, Venography, IVUS and Plethysmography30 min
  3. 4.3Duplex After Treatment: What Normal and Abnormal Look Like (UIP Consensus)28 min

Module 5: Conservative Management

Patient information, exercise, weight loss, venoactive drugs and compression therapy, including eccentric thigh compression after procedures

  1. 5.1Conservative Care I: Information, Lifestyle, Exercise and Venoactive Drugs22 min
  2. 5.2Conservative Care II: Compression Therapy, Including Thigh Compression After Procedures30 min

Module 6: Interventional Treatment of Superficial Venous Incompetence

Indications and peri-procedural care, thermal and non-thermal ablation (including HIFU), surgery, tributaries, perforators, saphenous-sparing strategies and treatment of spider and reticular veins

  1. 6.1Principles of Intervention: Indications, Setting, Anaesthesia and Peri-procedural Care26 min
  2. 6.2Endovenous Thermal Ablation: Laser, Radiofrequency and Their Complications30 min
  3. 6.3Non-Thermal Ablation: Cyanoacrylate, Foam Sclerotherapy, Mechanochemical Ablation and HIFU32 min
  4. 6.4Surgery, Tributaries, Perforators and Saphenous-Sparing Strategies32 min
  5. 6.5Telangiectasias, Reticular Veins and Feeder Veins: Sclerotherapy, Lasers and Vein Imaging26 min

Module 7: Recurrence, Complications and Special Situations

Why varicose veins come back and how to treat them; superficial vein thrombosis, bleeding, aneurysms, and obesity, pregnancy, anticoagulation, the elderly and children

  1. 7.1Recurrent Varicose Veins: Neovascularisation, Recanalisation and Re-treatment28 min
  2. 7.2Acute Complications and Special Patient Groups26 min

Module 8: Venous Ulcers, Deep Venous Disease and Pelvic Veins

Venous leg ulcer care and early ablation, post-thrombotic and non-thrombotic iliac obstruction and stenting, deep valve surgery, and pelvic venous disorders

  1. 8.1Venous Leg Ulcers: Wound Care, Compression and Early Endovenous Ablation30 min
  2. 8.2Deep Venous Disease: Post-Thrombotic Syndrome, Iliac Obstruction, Stenting and Valve Repair30 min
  3. 8.3Pelvic Venous Disorders and Varicose Veins of Pelvic Origin26 min

Module 9: Venous Thrombosis

Duplex ageing of lower-limb DVT and selection for thrombolysis, and diagnosis and management of upper-extremity DVT

  1. 9.1Acute Lower-Limb DVT: Duplex Ageing of Thrombus and Selecting Patients for Thrombolysis26 min
  2. 9.2Upper-Extremity Deep Vein Thrombosis26 min