BackTable Vascular & Interventional Ep. 609 Chronic Venous Disease Diagnosis & Management Strategies with Dr. Steven Abramowitz
Jan 20, 2026
Dr. Steven Abramowitz, a vascular surgeon at MedStar Health, shares his expertise on chronic venous disease management. He discusses the importance of classification systems like CEAP and VCSS, targeted patient history, and innovative imaging strategies. Abramowitz emphasizes proactive prevention of post-thrombotic syndrome and various therapeutic options, including stenting techniques. He also delves into the significance of shared decision-making and the evolving role of adjunct therapies such as statins. Tune in for valuable insights and practical tips!
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Reevaluate Iliofemoral DVT At 4–6 Weeks
- Reassess acute iliofemoral DVT patients at 4–6 weeks; intervene if symptoms plateau on anticoagulation.
- Consider delayed mechanical thrombectomy or aspiration for patients who fail to improve after this window.
Create Early Post-DVT Follow-Up Appointments
- Build an outpatient follow-up algorithm: schedule DVT clinic visits at 2–4 weeks to check anticoagulation, compression use, and symptom trajectory.
- Use EMR orders and imaging alerts to ensure these follow-ups occur reliably.
Think From Toes To Bell Button
- Treat venous disease from 'toe to bell button' because inflow at distal segments determines durability of proximal interventions.
- Without adequate distal inflow, even well-deployed iliofemoral stents are unlikely to remain patent.