Pelvic Venous Disorders

Tuesday, March 7, 2023

8:30 AM – 10:00 AM

Location:Phoenix Convention Center, 232AB

CE: 1.5 Credits

Coordinator(s)

Teodora Bochnakova, MD

Assistant Professor - Interventional Radiology
Oregon Health and Science University

Disclosure(s): No financial relationships to disclose
Neil Khilnani, MD (he/him/his)

Professor of Clinical Radiology
Weill Cornell Medicine- NY Presbyterian Hospital

Disclosure(s): Medtronic Vascular, Inc.,: Advisory Committee or Review Panel Member (Ongoing), Speaking and Teaching (Ongoing)

Disclosure(s):

Teodora Bochnakova, MD: No financial relationships to disclose

Neil Khilnani, MD: Medtronic Vascular, Inc.,: Advisory Committee or Review Panel Member (Ongoing), Speaking and Teaching (Ongoing)

During this session, the speakers will review topics relevant to this evolving area of clinical care. A review of the current diagnostic criteria for PeVD that is being used in upcoming clinical trials will be reviewed to allow clinicians and other researchers to harmonize their diagnostic approach. The use of the SVP classification of PeVD will be demonstrated with example. Advice on managing iliac and renal vein obstruction with and without reflux in women with chronic pelvic pain will be discussed. An assessment of the current state of access to reimbursement issues for care for women with pelvic reflux will be shared with some advice on navigating the pre-approval process. Time will he held for a panel discussion and Q and A.

Learning Objectives:

understand rationale and approaches for managing obstruction with or without reflux in caring for women with chronic pelvic pain of venous origin
learn the history, physical exam and imaging diagnostic critera being used in upcomming clincial trials for PeVD caused by reflux
appreciate the imprortance of becoming fluent in speaking about pelvic venous disorders utilizing SVP and abandoming the syndromic classifications that have contirbuted to both confusion and cynicism of these clinical conditions by colleagues in other disciplines

Presentations:

8:30 AM – 8:45 AM

Clinical diagnosis of venous origin chronic pelvic pain
Speaker: Neil Khilnani, MD (he/him/his) – Weill Cornell Medicine- NY Presbyterian Hospital
8:45 AM – 8:55 AM

SVP Classification
Speaker: Waleska Pabon-Ramos, MD – Duke University Medical Center
8:55 AM – 9:10 AM

Iliac venous stenting for the treatment of chronic pelvic pain
Speaker: Brooke Spencer, MD, FSIR (she/her/hers) – Minimally Invasive Procedure Specialists
9:10 AM – 9:25 AM

Treatment decisions in women with reflux and either iliac or renal vein obstruction
Speaker: Lindsay Machan, MD, FSIR – University of British Columbia Hospital
9:25 AM – 9:35 AM

Pelvic escape points and lower extremities
Speaker: Ramona Gupta, MD – Northwestern
9:35 AM – 9:45 AM

The nightmare of insurance coverage or lack thereof
Speaker: Ronald Winokur, MD – Weill Cornell Vein Treatment Center
9:45 AM – 10:00 AM

Q & A