6th International Symposium on Venous Interventions


Polish Society of Phlebology    


Preliminary Program                     

8th December 2017 (FRIDAY)  



Registration open /8th December 2017/: 9.00 – 19.00

Start of the Meeting: 13.00  


Welcome 13.00  
Technical forum I  13.05 – 14.20                      

Pelvic congestion syndrome endovascular treatment – basic principles


L. Altrazi, T. Jargiełło, T. Zubilewicz, T. Urbanek

13.05-13.20 Ovarian vein embolization – technical steps: from the vein access to the coil deployment
Tomasz Jargiełlo (Poland) 

13.20-13.35 Vascular access to the pelvic vein embolization – practical advices
Louay Altarazi (Syria) 

13.35-13.50 PCS – staged endovascular treatment based on the close follow up of the PCS patients
Marek Krzanowski (Poland) 

13.50-14.05 Pelvic vein embolization – how to find and confirm the pelvic reflux sources? – practical advices
Radosław Pietura (Poland) 

14.05-14.20 Pelvic congestion syndrome treatment – lesson to be learned
Michał Zawadzki (Poland) 


Coffee break 14.30 – 14.45

Diagnostic Forum  14.45 – 16.15

Ultrasound diagnostics of PCS and pelvic reflux sources – how to do it?


K. Gibson, M. Mielnik, T. Grzela, T. Urbanek

14.45-15.00 Pelvic congestion syndrome: does one name fits all ?
Sergio Gianesini  (Italy, USA)  

15.00-15.15 Doppler US of the pelvic veins – general principles – how to perform examination?
Marzena Frołow (Poland) 

15.15-15.30 Challenging situations in US duplex diagnostics of the pelvic congestion syndrome
Małgorzata Mielnik (Poland) 

15.30-15.45 Diagnostics of the pelvic congestion syndrome – own experience
Kathleen Gibson (USA) 

15.45-16.00 Diagnostic work up in PCS patient – lesson to be learned
Cezary Szary (Poland) 

16.00-16.10 My worst PCS case: US diagnostics is important but often not sufficient
Krzysztof Pyra (Poland) 


Coffee Break 16.10-16.30

Technical forum II  16.30 – 18.00
Pelvic congestion syndrome – treatment difficulties and complications


M. Rosenblatt, T. Heller, M. Krzanowski, T. Urbanek

16.30-16.45 Pelvic congestion syndrome: internal iliac vein and its branches embolization – when and how?
Antony Lopez (UK) 

16.45-17.00 My tips and tricks in the pelvic vein embolization
Melvin Rosenblatt (USA)

17.00-17.15 An overview of the available embolic materials – what to choose for the embolization in the PCS patients? Does the type, number and size of coils matters?
Thomas Heller (Germany) 

17.15-17.30 Technical difficulties in pelvic vein embolization
Louay Altarazi (Syria) 

17.30-17.45 Complications of pelvic vein embolization procedures
Zaza Lazarashvili (Georgia) 



18.00-18.30 KEY NOTE LECTURE /main hall – Holiday Inn Conference Centre/

Personal experience in the diagnostics and treatment of the PSC and varicose veins of pelvic origin

Melvin Rosenblatt (USA)  

Discussion 15 min


 Registration open /9th December 2017/: 7.00-18.00

9th December 2017 (Saturday) – SYMPOSIUM


8.00 – 8.45 Case presentations:

Pelvic congestion syndrome (ovarian vein embolization)
/registered cases/
M. Krzanowski (Poland)

Session I  8.50- 10.50

Pelvic congestion syndrome (PCS) and varicose veins of pelvic origin – from pelvic vein incompetence to the clinical symptoms


M. Whiteley, T. Paszkowski, Z. Rybak, T. Urbanek

08.50-09.00 Anatomy of pelvic veins 
Marian Simka (Poland)

09.00-09.15 Chronic pelvic pain – overlooked and underdiagnosed gynecologic conditions: think also about PCS!
Tomasz  Paszkowski (Poland)

09.15-09.25 Varicose veins of pelvic origin – the scope of the problem 
Tomasz Urbanek (Poland)

09.25-09.40 Who should we treat because of the pelvic vein incompetence ? – from pathogenesis to the symptomatology of the PCS patients 
Kathleen Gibson (USA)                                                                                            

09.40-09.55 PCS diagnostic approach 
Mark Whiteley (UK)                                                                                                     

09.55-10.05 US Doppler assessment of pelvic vein incompetence and pelvic venous reflux sources 
Marzena Frołow (Poland)                                                                                                

10.05-10.15 Imaging radiological studies in the diagnostics of PCS 
Radosław Pietura  (Poland)

10.15-10.25 Not all PCS cases and varicose veins of pelvic origin are related to the same pathology (doubts and difficulties) 
Małgorzata Mielnik (Poland)                                                                                           

Coffee break 10.40 – 11.10

Session II  11.10 – 12.45

When and how to treat the pelvic congestion syndrome patient?


K. Gibson, A. Lopez, R. Pietura, T. Urbanek

11.10-11.30 Invasive treatment of pelvic congestion syndrome – principles and efficacy 
Kahleen Gibson (USA)

11.30-11.50 PCS – should we treat all reflux sources? 
Mark Whiteley (UK)

11.50-12.10 Personal experience in pelvic congestion syndrome – staged or simultaneous treatment of all reflux sources 
Antony Lopez (UK)

12.10-12.30 Practical approach to the diagnostics and treatment of PCS and varicose vein of pelvic origin – personal experience, cases presentation – why sclerotherapy only can be not sufficient? 
Romaric Loffroy (France)                                                                                             

Discussion:  The optimal treatment algorithm, staged or single session treatment

12.45 – 13.30 Lunch Break

Session III 13.30 – 15.15

Pelvic sources of pudendal and lower extremity varicose veins – diagnostic and therapeutic approach


L. Tessari, R. Loffroy, W. Kuczmik, T. Urbanek

13.30-13.45 Tips and tricks in the invasive treatment of the pelvic congestion syndrome 
Thomas Heller (Germany)

13.45-13.55 The role of the pelvic reflux in varicose vein recurrence or treatment failure
Łukasz Dzieciuchowicz  (Poland)                                                               

13.55-14.05 Embolisation can be not essential in the treatment of leg varicose veins related to the pelvic venous insufficiency: sclerotherapy without embolization – does it make sense? 
Tomasz Urbanek (Poland)                                                                   

14.05-14.20 Pudendal varicose veins, varicose veins of pelvic origin – sclerotherapy can be enough! 
Lorenzo Tessari (Italy)                                                                     

14.20-14.35 Pittfalls and technical dificulties in the invasive PCS treatment – how to avoid the treatment failure and complications? 
Romaric Loffroy (France)                                                                                                

14.35-14.45 Pudendal varicose veins – the problem not only for phlebologist 
Aleksandra Jaworucka – Kaczorowska (Poland)             

14.45-15.00 Endovascular treatment of varicocoele – still an experiment or established treatment method? 
Tomasz Jargiełło (Poland)                                                                    

Discussion: Embolization materials. Principals of sclerotherapy in the pelvic region 

15.15 – 15.35 Coffee break

Session IV  15.35 -17.15

Clinical aspects of the venous reflux and venous obstruction at the pelvic level


 A. Jawień, U. Maurins, T. Kleszczyński, W. Skibiński 

15.35-15.55 The role of the venous stenting in the treatment of the pelvic venous hypertension related to the outflow obstruction 
Narayan Karuanithy (UK)

15.55-16.05 Conservative treatment of the pelvic venous hypertension related symptoms – phlebologists’ point of view 
Arkadiusz Jawień (Poland)

16.05-16.15 Conservative treatment of the pelvic venous hypertension related symptoms – gynecologists’ point of view 
Sławomir Woźniak (Poland)

16.15-16.25 Suprapubic varicose veins (natural Palma shunting) – when can we remove it? 
Imre Bihari (Hungary)

16.25-16.40 The treatment of the lower extremity varicose veins in the patients with competent sapheno – femoral and sapheno-popliteal junctions /not all reflux come from the pelvis – look for other sources!/
František Žernovický (Slovakia)                                                                                         

16.40-16.50 Venous problems in pregnancy – how to deal with this? 
Zbigniew Krasiński (Poland)

16.50-17.00 Acute deep vein thrombosis of the pelvic veins – how to deal with this in 2017 
Tomasz Urbanek (Poland)

Discussion – 15 min