Opinion statement
As the treatment of superficial venous insufficiency transitioned from the hospital to the office setting, a remarkable increase in provider interest developed. However, the novelty of the disease process and procedural opportunities are tempered by the challenges associated with knowledge acquisition, skill development, strategic planning, and program development. Only a unique recipe of clinical growth, technical acumen, management skill, operational efficiency, and financial sense lead to program success. Despite the variety of skills required, treating superficial venous insufficiency is obtainable for both the formally and non-formally trained physicians with sufficient commitment, education, and resources.
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References and Recommended Reading
Onida S, Davies AH. Predicted burden of venous disease. Phlebology. 2016;31(1S):74–9.
Mundy L, Merlin TL, Fitridge RA, Hiller JE. Systematic review of endovenous laser treatment for varicose veins. Br J Surg. 2005;92:1189–94.
Gloviczki P, et al. The Care of patients with varicose veins and associated chronic venous diseases: clinical practice guidelines of the Society for Vascular Surgery and the American Venous Forum. J Vasc Surg 2011;5 Suppl 53:2S–48S.
Soares G. Varicose vein management: considerations for the diagnostic radiology group practice. Semin Interv Radiol. 2005;22(1):49–55.
Antonacci V. Developing an interventional radiology varicose vein practice. Semin Interv Radiol. 2005;22(1):233–41.
Hussain S, McLafferty R, Passman M, et al. Establishment of a varicose vein center in a Tertiary vascular surgery practice: urban versus rural differences. Ann Vasc Surg. 2006;20:447–50.
Intersocietal Accreditation Commission. IAC Standards for Vein Center Accreditation: superficial venous evaluation and man agement. 2017. http://www.intersocietal.org/vein/standards/IACVeinStandards2017.pdf. Accessed 1 Feb 2017.
Intersocietal Accreditation Commission: CMS payment policies. http://www.intersocietal.org/iac/reimbursement/policies/iacvascular_cmspaymentpolicies.pdf (2017).
ARDMS: Registered vascular technologist (RVT). http://www.ardms.org/get-certified/RVT/Pages/default.aspx (2017).
Cardiovascular Credentialing International: Registered vascular specialist. http://www.cci-online.org/content/registered-vascular-specialist-rvs (2017).
AVVLM. Certification exam: application requirements & policies. 2015. https://www.abvlm.org/files/pdfs/ABVLM_Overview.pdf. Accessed 1 Feb 2017.
Bureau of Labor Statistics, U.S. Department of Labor. Occupational Outlook Handbook, 2016–17 Edition, Diagnostic Medical Sonographers and Cardiovascular Technologists and Technicians, Including Vascular Technologists. https://www.bls.gov/ooh/healthcare/diagnostic-medical-sonographers.htm. Accessed 1 Feb 2017.
Weiss RA, Feied CF, Weiss MA. Vein diagnosis and treatment. New York: McGraw-Hill; 2001.
Evans CJ, Fowkes FG, Ruckley CV, Lee AJ. Prevalence of varicose veins and chronic venous insufficiency in men and women in the general population: Edinburgh Vein Study. J Epidemiol Community Health. 1999;53(3):149–53.
McLafferty RB, Passman MA, Caprini JA, et al. Increasing awareness about venous disease: the American Venous Forum expands the National Venous Screening Program. J Vasc Surg. 2008;48:394–9.
Theivacumar NS, Dellagrammaticas D, Mavor AID, Gough MJ. Endovenous laser ablation: does standard above-knee great saphenous vein ablation provide optimum results in patients with both above- and below-knee reflux? A randomized controlled trial. J Vasc Surg. 2008;48(1):173–8.
USA Vein Clinics. http://www.usaveinclinics.com/ (2017).
Vein Clinics of America. http://www.veinclinics.com/ (2017).
Centers for Medicare and Medicaid Services: Physician fee schedule. https://www.cms.gov/apps/physician-fee-schedule (2017).
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Andrew Galmer, Jonathan Dunn, and Joe F. Lau declare that they have no conflicts of interest. Maja Zaric is a clinical consultant for Medtronic and Faculty at master Venous Course and Venous Summit Course, both sponsored by Medtronic. Mitchell Weinberg is a consultant for CSI and Medtronic and reports a grant from CSI.
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Galmer, A., Dunn, J., Zaric, M. et al. Building a Successful Superficial Venous Program. Curr Treat Options Cardio Med 19, 59 (2017). https://doi.org/10.1007/s11936-017-0557-z
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DOI: https://doi.org/10.1007/s11936-017-0557-z