AVF 2013 Preliminary Program by VeinExperts.org

American Venous Forum PRELIMINARY PROGRAM 1

Table of Contents Message From the President . . . . . . . . . . . . . . . . . . 1 AVF & AVFF Leadership . . . . . . . . . . . . . . . . . . . . . . 1 AVF Initiatives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 AVF 25th Silver Anniversary Annual Meeting . . . . . . 2 Schedule-At-A-Glance . . . . . . . . . . . . . . . . . . . . . . . . 3 David S. Sumner Venous Summit . . . . . . . . . . . . . . 4 Specialty Symposia . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Meeting Program . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Poster Presentations . . . . . . . . . . . . . . . . . . . . . . . . . 9 Hotel & Travel Information . . . . . . . . . . . . . . . . . . . . 11 Registration Information . . . . . . . . . . . . . . . . . . . . . 12 Registration Form . . . . . . . . . . . . . . . . . . . . . . . . . . 13

American Venous Forum 555 E. Wells Street, Suite 1100 Milwaukee, WI 53202 www.veinforum.org (414) 918-9880 Bartlett Lake

About AVF The American Venous Forum (AVF) is dedicated to improving the care of patients with venous and lymphatic disease. Founded in 1987, AVF fosters cutting edge research and clinical innovation and educates health care professionals, patients and policy makers about venous and lymphatic diseases. AVF’s leadership and membership are recognized internationally as thought leaders, expert investigators and clinicians in venous and lymphatic disease.

DATES TO REMEMBER

• Early Bird Registration Deadline: December 3, 2012 • Hotel Reservation Deadline: January 24, 2013 • Pre-Registration Deadline: February 11, 2013

PROGRAM COMMITTEE

Nicos Labropoulos, PhD - Chair Antonios Gasparis, MD Colleen J. Moore, MD Harold Welch, MD Peter Henke, MD - Postgraduate Course Lowell Kabnick, MD - Administrative Council Chair

ACCREDITATION

AMA PRA Category 1 Credits™ will be provided for this activity.

Message From the President Dear Colleagues, I invite you to attend the American Venous Forum 25th Anniversary Annual Meeting in Phoenix, AZ February 27 – March 2, 2013. This meeting will bring together leaders from around the world in the field of venous and lymphatic health for cutting edge, high-quality scientific presentations of the latest, most relevant research and information. This year we celebrate our 25th Silver Anniversary Annual Meeting with outstanding programs and presentations. Some of our special features include: • The David S. Sumner Venous Summit, presented by AVF President-Elect Peter Henke, MD, will feature seven interactive case studies in venous and lymphatic disease management. • Concurrent Specialty Symposia on vascular medicine & thrombosis, biomechanics & bioengineering, wound care & compression, and live venous ultrasound. • The Villavicencio Symposium addresses pelvic congestion syndrome and will be lead by AVF Past President Mark Meissner, MD. This annual symposium honors Dr. J. Leonel Villavicencio, an AVF founding member who is noted for his career in treating venous malformation. • D. Eugene Strandness Memorial Lecture, presented by Susan R. Kahn, MD, Professor of Medicine, McGill University. • Scientific sessions featuring never-before-presented abstracts from leading scientists on topics including superficial venous disease, deep vein thrombosis and chronic venous insufficiency. • Oral, quick-shot and poster presentations of scientific abstracts, including a new addition of abstract poster displays. • 25th Anniversary Gala Celebration featuring a reception, dinner and live entertainment. AVF membership and meeting attendance are growing along with the field of venous and lymphatic healthcare. Our initiatives focus on scientific research, education of physicians, fellows and residents through educational courses, and education of the public through our venous screening programs. We ask that new AVF members join us at the 2013 annual meeting, and encourage all who are interested in venous and lymphatic medicine to join us and experience this in-depth educational program. I look forward to seeing you at the meeting and celebrating AVF’s 25th Anniversary!

Robert McLafferty, MD AVF President

AVF & AVFF Leadership AMERICAN VENOUS FORUM Executive Committee

Robert McLaffterty, MD - President Peter Henke, MD - President-Elect Fedor Lurie, MD - Vice President Lowell Kabnick, MD - Secretary John Blebea, MD, MBA - Treasurer Seshadri Raju, MD - Past President Peter Pappas, MD - Past President Joseph Caprini, MD - Past President Elna Masuda, MD - Councilor

AMERICAN VENOUS FORUM FOUNDATION Board of Directors

Julianne Stoughton, MD - Councilor Suresh Vedantham, MD - Councilor William Marston, MD - Education Chair Brajesh Lal, MD - Research Chair Joseph Raffetto, MD - Recorder Patrick Muck, MD - Archivist

Joann M. Lohr, MD, RVT - President Fedor Lurie, MD - Secretary John Blebea, MD - Treasurer Jose Almeida, MD - Director Joseph A. Caprini, MD - Director Lowell Kabnick, MD - Director Elna Masuda, MD - Director Peter J. Pappas, MD - Director

AVF Initiatives AVF MEMBERSHIP

EDUCATION PROGRAMS

The AVF continues to grow and now includes more than 650 influential leaders, expert investigators and clinicians in the venous and lymphatic healthcare field. Membership in the AVF is a mark of professional distinction and denotes a dedication to understanding and treating the entire spectrum of venous and lymphatic disorders. Apply online at www.veinforum.org

• The Fellows Course In Venous Disease • The Vein Forum: A Comprehensive Hands-On Course For Practicing Clinicians • Annual Meeting

PUBLICATIONS

• Journal of Vascular Surgery – Venous and Lymphatic Disorders • Educational Brochures • Handbook of Venous Disorders • Layman’s Handbook of Venous Disorders

RESEARCH

• American Venous Registry & Annual Reports • AVF Surveys

SCREENING PROGRAMS

• National Venous Screening Programs • Public Online Venous Screening

AVF 25th Silver Anniversary Annual Meeting 2013 PROGRAM FEATURES & HIGHLIGHTS

The Annual Meeting of the American Venous Forum (AVF) brings together internationally recognized authorities on all aspects of venous disease, diagnosis, pathophysiology and treatment. In addition, researchers’ most recent work leading to improved understanding of these topics is presented and discussed.

• • • • • • • • • •

The objective of this comprehensive meeting is to provide those attending with knowledge of current thinking in effective clinical management of venous disease and insight into the future directions from critical analysis of investigative findings. The program consists of the halfday David S. Sumner Venous Summit, specialty symposia, scientific sessions and scientific posters.

Cutting Edge Scientific Program Sumner Venous Summit Postgraduate Course Presidential Address by Dr. Robert McLafferty Presentations from Key Leaders Strandness Memorial Lecture Oral Abstract Presentations Specialty Symposia Networking Opportunities Scientific Poster Presentations 25th Anniversary Gala Celebration

25TH ANNIVERSARY GALA CELEBRATION The event will be held the evening of Friday, March 1, and includes cocktails on the terrace, dinner and live entertainment. All meeting attendees and industry representatives are invited to the Gala Celebration. Celebrate 25 years with the founding members of the American Venous Forum, who began forming the society in 1987. Seating is limited.

The 2013 Annual Meeting celebrates the AVF’s 25th year as a scientific and academic leader in the advancement of venous and lymphatic healthcare. The event will commemorate the history of the AVF and all who have been involved along the way. We invite you to attend this landmark meeting and join us for a Gala Celebration on Friday, March 1.

INDUSTRY PARTNERS

TARGET AUDIENCE

A select group of companies have been invited to participate in the 25th Silver Anniversary Annual Meeting, either as sponsors or exhibitors. The Exhibits will feature the latest products for diagnosis and treatment of venous disease. Continental breakfast, coffee breaks and Welcome Reception will be in the Exhibit Hall to give participants an opportunity to visit the various companies in attendance.

Join us and network with vascular and general surgeons, interventional radiologists, interventional cardiologists, phlebologists, plastic surgeons, physician assistants, vascular nurse practitioners, technicians, technologists and other medical professionals who are currently treating venous disease.

Schedule-At-A-Glance Below is a quick glance at the schedule for the upcoming 25th Silver Anniversary Annual Meeting. Please Note: Presentation dates and times are subject to change

WEDNESDAY 2/27/13

THURSDAY 2/28/13

FRIDAY 3/1/13

SATURDAY 3/2/13

Registration 7:00 AM – 7:30 PM

Registration 7:00 AM – 7:00 PM

Registration 7:00 AM – 2:00 PM

Registration 7:00 AM – 3:00 PM

Continental Breakfast 7:00 AM – 8:00 AM

David S. Sumner Venous Summit 8:00 AM – 12:00 PM

Scientific Session 2 Deep Vein Thrombosis 1 8:00 AM – 9:55 AM

Scientific Session 5 Chronic Venous Disease 3 8:00 AM – 9:20 AM

Scientific Session 7 Deep Venous Thrombosis 3 8:00 AM – 9:40 AM

Lunch 12:00 PM – 1:15 PM

ACP Best Paper 9:55 AM – 10:10 AM

Coffee Break 9:20 AM – 10:00 AM

Specialty Symposia (Concurrent) Registration Required 1:15 PM – 3:15 PM

Coffee Break 10:10 AM – 10:50 AM

Scientific Session 6 President’s Session 10:00 AM – 12:05 PM

European Venous Forum Best Papers 9:40 AM – 10:10 AM

(A) Vascular Medicine & Thrombosis (B) Biomechanics & Bioengineering (C) Wound Care & Compression (D) Live Venous Ultrasound Coffee Break 3:15 PM – 3:45 PM Scientific Session 1 Chronic Venous Disease 1: Varicose Veins 3:45 PM – 5:35 PM Welcome Reception 6:00 PM – 7:30 PM

Scientific Session 3 Deep Vein Thrombosis 2 10:50 AM – 12:30 PM

Presidential Address Introduction 11:05 AM – 11:20 AM

Villavicencio Symposium 12:30 PM – 1:30 PM

Presidential Address 11:20 AM – 12:05 PM

ACP Symposium 1:30 PM – 3:00 PM

Member Business Luncheon 12:05 PM – 1:05 PM

Coffee Break 3:00 PM – 3:30 PM

Open Afternoon

Scientific Session 4 Chronic Venous Disease 2 3:30 PM – 5:30 PM

25th Silver Anniversary Gala 7:30 PM – 10:00 PM

Poster Sessions 5:45 PM – 7:00 PM BTG International Inc. Industry Symposium Physicians and patients’ perspectives on treatment outcomes: do current instruments measure up? 7:00 PM – 8:30 PM

Royal Society Venous Forum Best Paper 10:10 AM – 10:25 AM Coffee Break 10:25 AM – 10:50 AM D. Eugene Strandness Memorial Lecture 10:50 AM – 11:40 AM Lunch 11:40 AM – 1:00 PM Scientific Session 8 Chronic Venous Disease 4 1:00 PM – 2:50 PM Conclusion

David S. Sumner Venous Summit This year the Sumner Venous Summit will be a presentation of challenging cases, with an audience response interface. The seven (7) esteemed faculty will each present a challenging case related to common aspects of venous disease. Each speaker will present their case, ask the audience management questions, and then provide a brief review of the evidence. Questions will be presented via the audience response system as a post test for AMA PRA Category 1 Credits™ and MOC Part 2 Credits.

8:00 AM – 12:00 PM

Challenging Cases in Venous Disease

Peter Henke, MD - Chair Case # 1 IVC Filter Use and Management John Rectenwald, MD Case # 2: Tibial DVT Management Elna Masuda, MD Case # 3: COMPLEX Non DVT System Disease Requiring Intervention Antonios Gasparis, MD Case # 4: Complex Superficial Venous Disease Requiring Intervention Lowell Kabnick, MD Case # 5: Wound Management of Venous Stasis Ulceration William Marston, MD Case # 6: Complex Acute DVT Intervention Rabih Chaer, MD Case # 7: Lymphatic Disease Management Byung-Boong Lee, MD

The Sumner Venous Summit will take place on Wednesday, February 27, 2012 from 8:00 AM – 12:00 PM. This course is by separate subscription ($100).

Specialty Symposia This year the AVF will offer concurrent Specialty Symposia to meeting attendees on Wednesday, February 27th. A Wednesday One Day Pass is available for a separate subscription. This includes one Specialty Symposium Session, Coffee Break, Scientific Session 1 and the Welcome Reception. There is no additional fee to the Specialty Symposium for registered attendees; however, space is limited and tickets will be required for attendance. Please indicate your session choice at the time of registration. Time: 1:15 PM – 3:15 PM

Time: 1:15 PM – 3:15 PM

Chair: Thom W. Rooke, MD, FSVM New Anticoagulants for VTE: The Off-Label Talk James B. Froehlich, MD, MPH, FSVM Benefits and Caveats of Warfarin Alternatives: They’re Here! But Are They Worry Free? James B. Froehlich, MD, MPH, FSVM A New Way to Look at Varicose Veins Thom W. Rooke, MD, FSVM Lymphedema and Overlap Syndromes - Diagnosis and Management Raghu Kolluri, MD, RVT, FSVM Differential Diagnosis of an Ankle Ulcer Raghu Kolluri, MD, RVT, FSVM Work-Up of Sapheno-Femoral Junction Thrombus after Ablative Therapy Raghu Kolluri, MD, RVT, FSVM

Chair: Seshadri Raju, MD, FACS Hemodynamic Parameters for Critical Venous Stenosis Seshadri Raju, MD, FACS Structural Adaptation in the Vascular System Timothy W. Secomb, PhD Role of Flow Reversal on Oxidative Stress: Implications for Venous Reflux Ghassan S. Kassab, PhD Role of Mechanotransduction of Venous Hypertension in Varicose Vein Formation Atta Hussein, MD, PhD Microfluidic Technologies for Growing Vascular Networks Roger D. Kamm, PhD Discussion

VASCULAR MEDICINE AND THROMBOSIS

BIOMECHANICS AND BIOENGINEERING

Time: 1:15 PM – 3:15 PM

WOUND CARE AND COMPRESSION Chair: William Marston, MD Joseph Raffetto, MD William Ennis, MD

Time: 1:15 PM – 3:15 PM

LIVE VENOUS ULTRASOUND

Chair: Nicos Labropoulos, PhD, DIC, RVT Antonios Gasparis, MD Objectives: - Understand how to optimize imaging of superficial and deep veins -Learn ultrasound venous anatomy - Recognize different patterns of reflux and obstruction

Meeting Program WEDNESDAY, FEBRUARY 27, 2013

Center, Boston, MA, 5Southern Illinois Medical Center, Springfield, IL, 6Brooklyn Hospital Center, New York, NY, 7Univ of Oklahoma College of Medicine, Tulsa, OK, 8University of Rochester, Rochester, NY, 9American Venous Forum, Milwaukee, WI, 10University of Maryland School of Medicine, Baltimore, MD.

7:00 AM – 8:00 AM

Continental Breakfast 8:00 AM – 12:00 PM

DAVID S. SUMNER VENOUS SUMMIT Challenging Cases in Venous Disease

4:00 PM – 4:15 PM 1-2 Pelvic Venous Reflux Is A Major Contributory Cause Of Recurrent Varicose Veins In More Than A Quarter Of Women A. M. Whiteley, D. C. Taylor, M. S. Whiteley; The Whiteley Clinic, Guildford, United Kingdom.

4:15 PM – 4:30 PM 1-3 Big Veins, Big Deal - Vein Diameter Affects Disease Severity Not Quality Of Life T. R. A. Lane, A. C. Shepherd, M. Gohel, I. J. Franklin, A. H. Davies; Academic Section of Vascular Surgery, Imperial College London, London, United Kingdom. 4:30 PM – 4:45 PM 1-4 Influence On Chronic Venous Insufficiency Of Primary Absence Of The Great Saphenous Vein In The Saphenous Compartment At The Thigh P. Pittaluga, C. Sylvain; Riviera Veine Institut, Nice, France. 4:45 PM – 5:00 PM 1-5 The European Multicenter Study On Cyanoacrylate Embolization Of Refluxing Great Saphenous Veins Without Tumescent Anaesthesia And Without Compression Therapy T. M. Proebstle1, J. Alm2, L. Rasmussen3, S. Dimitri4, J. Lawson5, M. Whiteley6, I. J. Franklin7, A. H. Davies7; 1University of Mainz, Mainz, Germany, 2Dermatoligikum, Hamburg, Germany 3The Danish Vein Center, Naestved, Denmark, 4Veinsolutions Center, Spire Cheshire, United Kingdom, 5Vein Center, Ouderkerk, Netherlands, 6The Whiteley Clinic, Guildford, United Kingdom, 7 Imperial College, London, United Kingdom.

12:00 PM – 1:15 PM

Lunch On Own

1:15 PM – 3:15 PM

SPECIALTY SYMPOSIA (CONCURRENT) (Limited Seating - Registration Required)

1:15 PM – 3:15 PM (A) VASCULAR MEDICINE & THROMBOSIS Chair: Thom Rooke, MD, FSVM 1:15 PM – 3:15 PM (B) BIOMECHANICS & BIOENGINEERING Chair: Seshadri Raju, MD, FACS

5:00 PM – 5:07 PM Q1-1 Foam Washout Sclerotherapy A New Technique Geared Toward Reducing Short & Long Term Complications Of Regular Foam Sclerotherapy, And Comparison With Existing Foam Sclerotherapy Method K. Fattahi; Vein Specialty Medical Clinic Inc, Campbell, CA.

1:15 PM – 3:15 PM (C) WOUND CARE & COMPRESSION Chair: William Marston, MD

5:07 PM – 5:14 PM Q1-2 Negotiations With Health Insurers Can Lead To Positive Changes In Policies Towards Venous Disease H. J. Welch1, T. F. O’Donnell, Jr.2, M. Iafrati2, D. R. Gorin3, M. Merport4; 1Lahey Clinic, Burlington, MA, 2Tufts Medical Center, Boston, MA, 3Cape Cod Hospital, Hyannis, MA, 4Southcoast Hospitals Group-St. Luke’s Hospital, New Bedford, MA.

1:15 PM – 3:15 PM (D) LIVE VENOUS ULTRASOUND Chair: Nicos Labropoulos, PhD, DIC, RVT

3:15 PM – 3:45 PM

Coffee Break

3:45 PM – 5:35 PM

SCIENTIFIC SESSION 1 Chronic Venous Disease 1: Varicose Veins

5:14 PM – 5:21 PM Q1-3 Reflux In The Below Knee Great Saphenous Vein Can Be Safely Treated With Endovenous Ablation S. M. Gifford, M. Kalra, P. Gloviczki, J. Friese, H. Bjarnason, A. Duncan, G. Oderich, M. Fleming, T. Bower; Mayo Clinic, Rochester, MN.

Moderators: Lowell Kabnick, MD, Fedor Lurie, MD, Alun Davies, DM 3:45 PM – 4:00 PM 1-1 Management Trends For Chronic Venous Insufficiency Across The United States: A Report From The American Venous Registry J. Almeida1, L. Kabnick2, T. Wakefield3, J. Raffetto4, R. McLafferty5, P. Pappas6, J. Rectenwald3, J. Blebea7, D. Gillespie8, U. Onyeachom9, R. Kinsman10, B. K. Lal10; 1Miami Vein Center, Miami, FL, 2NYU, New York, NY, 3University of Michigan, Ann Arbor, MI, 4Veterans Affairs Boston Medical

5:21 PM – 5:28 PM Q1-4 Venous Center Accreditation - An Initiative For Improving Patient Care J. Blebea1, L. Kabnick2, M. Passman3, E. Dillavou4, M. Meissner5, S. Daugherty6, T. Rooke7; 1University of Oklahoma, Tulsa, OK, 2New York University, New York, NY, 3University

Meeting Program of Alabama at Birmingham, Birmingham, AL, 4University of Pittsburgh, Pittsburgh, PA, 5University of Washington Medical Center, Seattle, WA, 6Vein Care Centers of Tennessee, Clarksville, TN, 7Mayo Clinic, Rochester, MN.

9:45 AM – 9:50 AM Q2-7 Three Dimensional Ultrasound Assessment Of Dvt Volume: A Clinical Protocol And Description Of The Timecourse Of Thrombus Resolution L. Zhao1, S. J. Prior1, M. Kampmann1, J. D. Sorkin2, K. Caldwell1, M. Braganza1, S. McEvoy1, A. Goldberg2, B. K. Lal1; 1 University of Maryland School of Medicine, Baltimore, MD, 2 Veterans Affairs Geriatric Research Education and Clinical Center, Baltimore, MD.

5:28 PM – 5:35 PM Q1-5 Value Of A Diagnostic Score Ascribing Leg Symptoms To Chronic Venous Disorders In Patients Undergoing Surgery For Varicose Veins P. Pittaluga, S. Chastanet; Riviera Veine Institute, Nice, France.

9:50 AM – 9:55 AM Q2-8 Vein Wall And Circulating P-selectin Promote Venous Thrombogenesis During Aging In A Rodent Model D. D. Myers, D. Culmer, J. Diaz, A. Hawley, T. Jackson, K. Shuster, R. Sigler, T. Wakefield; University of Michigan, Ann Arbor, MI.

6:00 PM – 7:30 PM

Welcome Reception

THURSDAY, FEBRUARY 28, 2013

9:55 AM – 10:10 AM

7:00 AM – 8:00 AM

ACP BEST PAPER

Continental Breakfast

10:10 AM – 10:50 AM

8:00 AM – 9:55 AM

Coffee Break

SCIENTIFIC SESSION 2 Deep Vein Thrombosis 1

10:50 AM – 12:20 PM

Moderators: Joseph Caprini, MD, David Gillespie, MD

SCIENTIFIC SESSION 3 Deep Vein Thrombosis 2

8:00 AM – 8:20 AM 2-6 Creation Of A Simple VTE Risk Stratification Tool For Inpatient Surgical Procedures C. Pannucci1, S. Laird2, D. Campbell1, J. Dimick1, P. Henke1; 1 University of Michigan, Ann Arbor, MI, 2Michigan Surgical Quality Collaborative, Ann Arbor, MI.

Moderators: John Blebea, MD, MBA, Cees Wittens, MD, PhD 10:50 AM - 11:10 AM 3-11 Iron Processing Mechanisms Are Responsible For Changes In MRI T1 Relaxation In Venous Thrombosis P. Saha, M. Andia, J. Jenkins, S. Grover, A. Phinikaridou, C. Evans, A. S. Patel, B. Modarai, M. Waltham, A. Smith; King’s College London, London, United Kingdom.

8:20 AM – 8:40 AM 2-7 Galectin-3 Binding Protein And Galectin-3: Novel Factors Promoting Venous Thrombosis J. A. Diaz, A. E. Hawley, S. K. Wrobleski, E. Shea, E. DeRoo, R. Al-Khalil, D. D. Myers, Jr., T. W. Wakefield; University of Michigan, Ann Arbor, MI.

11:10 AM – 11:30 AM 3-12 Prolonged Radiation Exposure In IVC Filter Removal H. Ma, H. Almutairi, L. Lavoie, M. D. Iafrati, N. A. Rosen; Tufts Medical Center, Boston, MA.

8:40 AM - 9:00 AM 2-8 Natural History Of Deep Vein Thrombosis In Children G. Spentzouris, N. Labropoulos, A. Gasparis, A. Tassiopoulos, R. Scriven, T. Lee; Stony Brook University Hospital, Stony Brook, NY.

11:30 AM – 11:50 AM 3-13 Anticoagulation Treatment For Catheter Associated Upper Extremity Deep Venous Thrombosis (CA-UEDVT): Assessment Of Risk And Benefits. A. Akinrinlola, M. AMendola, F. Albuquerque, M. Levy; Virginia Commonwealth University, Richmond, VA.

9:00 AM – 9:20 AM 2-9 Patients Who Are Transferred From Other Hospitals Have Higher Incidence Of DVT F. Aziz, A. B. Reed; Penn State University, Hershey, PA.

11:50 AM – 12:10 PM 3-14 Validation Of The Villalta Scale In Assessing Post-thrombotic Syndrome Using Clinical, Duplex And Hemodynamic Comparators C. R. Lattimer, E. Kalodiki, M. Azzam, G. Geroulakos; Ealing Hospital & Imperial College, Middlesex, United Kingdom.

9:20 AM – 9:40 AM 2-10 Vitronectin Gene-deletion, Pai-1 Gene-deletion And Lmwh Treatment: Effect On Thrombus Resolution And Vein Wall Remodeling In A Mouse Model Of Dvt A. T. Obi, J. A. Diaz, D. M. Farris, K. J. Roelofs, N. Ballard-Lipka, P. K. Henke, T. W. Wakefield; University of Michigan, Ann Arbor, MI.

12:10 PM – 12:15 PM Q3-9 Assessment Of The Post Thrombotic Syndrome Using Mr-venography And Dus: The Correlation With Clinical Scoring Systems Vcss, Villalta And Ceap C. W. K. P. Arnoldussen, C. H. A. Wittens; Maastricht University Medical Centre, Maastricht, Netherlands.

9:40 AM – 9:45 AM Q2-6 Abundant Pericytes In The Venous Intima And The Vasa Venarum: Evidence For Their Key Role In Venous Thrombosis S. Nees1, D. R. Weiss2, H. Partsch3, G. Juchem1; 1University of Munich, Munich, Germany, 2University of Erlangen-Nuremberg, Erlangen, Germany, 3Wilhelminenspital Vienna, Vienna, Austria.

12:15 PM – 12:20 PM Q3-10 The Thrombotic Reactivity Of Endothelial Cells From Deep Vein And Pulmonary Artery Venous Beds In Response To Thrombin X. A. Caliste, E. Roztocil, A. L. Clark, J. P. Cullen, D. L. Gillespie; University of Rochester Medical Center, Rochester, NY.

Meeting Program 4:50 PM – 5:10 PM 4-19 Measurements Of Calf Muscle Oxygenation During Standing And Exercise In Patients With Chronic Venous Insufficiency T. Yamaki, H. Konoeda, A. Osada, A. Hamahata, M. Nozaki, H. Sakurai; Tokyo Women’s Medical University, Tokyo, Japan.

12:20 PM – 12:30 PM

Box Lunch

12:30 PM – 1:30 PM

VILLAVICENCIO SYMPOSIUM Chair: Mark Meissner, MD

5:10 PM – 5:30 PM 4-20 Relationship Between Tissue Pressures And Disease Severity In Venous Disease J. T. Christenson; University Hospital of Geneva, Venous Center, Geneva, Switzerland.

1:30 PM – 3:00 PM

ACP SYMPOSIUM

Chair: Melvin Rosenblatt, MD

3:00 PM – 3:30 PM

5:45 PM – 7:00 PM

Coffee Break

POSTER PRESENTATION SESSIONS 1 & 2 (CONCURRENT) See page 9–10

3:30 PM – 5:30 PM

SCIENTIFIC SESSION 4 Chronic Venous Disease 2

FRIDAY, MARCH 01, 2013

Moderators: Peter Pappas, MD, Steve Elias, MD

7:00 AM – 8:00 AM

3:30 PM – 3:50 PM 4-15 American Venous Registry - The First National Registry For The Treatment Of Varicose Veins B. K. Lal1, J. I. Almeida2, L. Kabnick3, T. W. Wakefield4, R. B. McLafferty5, P. J. Pappas6, J. J. Raffetto7, S. Raju8, J. Blebea9, M. C. Dalsing10, M. Meissner11, J. Rectenwald4, D. L. Gillespie12, U. Onyeachom13, R. Kinsman14; 1University of Maryland School of Medicine, Baltimore, MD, 2Miami Vein Center, Miami, FL, 3 NYU, New York, NY, 4University of Michigan, Ann Arbor, MI, 5 Southern Illinois Medical Center, Springfield, IL, 6Brooklyn Hospital Center, New York, NY, 7Veterans Affairs Boston Medical Center, Boston, MA, 8River Oaks Hospital, Flowood, MS, 9 Univ of Oklahoma College of Medicine, Tulsa, OK, 10Indiana University, Indianapolis, IN, 11University of Washington, Seattle, WA, 12University of Rochester School of Medicine, Rochester, NY, 13American Venous Forum, Milwaukee, WI, 14University of Maryland, Baltimore, MD.

Continental Breakfast 8:00 AM – 9:20 AM

SCIENTIFIC SESSION 5 Chronic Venous Disease 3

Moderators: Ashraf Mansour, MD, Harold Welch, MD 8:00 AM – 8:20 AM 5-21 Use Of Compression Therapy In Patients With Chronic Venous Insufficiency Undergoing Ablation Therapy: A Report From The American Venous Registry L. Kabnick1, T. Wakefield2, J. Almeida3, J. Raffetto4, R. McLafferty5, P. Pappas6, J. Rectenwald2, J. Blebea7, D. Gillespie8, U. Onyeachom9, R. Kinsman10, B. K. Lal11; 1NYU, New York, NY, 2University of Michigan, Ann Arbor, MI, 3Miami Vein Center, Miami, FL, 4Veterans Affairs Boston Medical Center, Boston, MA, 5Southern Illinois Medical Center, Springfield, IL, 6Brooklyn Hospital Center, New York, NY, 7Univ of Oklahoma College of Medicine, Tulsa, OK, 8University of Rochester, Rochester, NY, 9American Venous Forum, Milwaukee, WI, 10University of Maryland, Baltimore, MD, 11 University of Maryland School of Medicine, Baltimore, MD.

3:50 PM – 4:10 PM 4-16 The Real Costs Of Treating Venous Ulcers In A Contemporary Vascular Practice H. Ma, N. A. Rosen, M. D. Iafrati, T. F. O’Donnell; Tufts Medical Center, Boston, MA. 4:10 PM – 4:30 PM 4-17 Prolonged Mechanical Stretch Alters The Metabolic Profile In Rat Inferior Vena Cava M. A. Anwar1, P. Vorkas1, J. Li1, O. Resslan2, E. Want1, J. D. Raffetto2, R. A. Khalil2, E. Holmes1, A. H. Davies1; 1Imperial College London, London, United Kingdom, 2Harvard Medical School, Brigham and Women’s Hospital, Boston, MA.

8:20 AM – 8:40 AM 5-22 The Role Of Duplex Ultrasound In The Pelvic Congestion Syndrome Workup R. D. Malgor, G. Spentzouris, D. Adrahtas, A. P. Gasparis, A. K. Tassiopoulos, N. Labropoulos; Stony Brook University Medical Center, Stony Brook, NY. 8:40 AM – 9:00 AM 5-23 Oscillatory Turbulent Flow In Chronic Venous Disease Induces Pro-inflammatory And Reparative Biological Signaling S. Gianesini, V. Tisato, E. Menegatti, I. Volpi, R. Voltan, S. Occhionorelli, P. Secchiero, P. Zamboni; Ferrara University, Ferrara, Italy.

4:30 PM – 4:50 PM 4-18 Endovenous Laser Ablation Versus Conventional Surgery In The Treatment Of Small Saphenous Vein Incompetence: Short Term Results Of A Multicenter Randomized Controlled Trial A. D. Roopram1, M. Y. Lind2, J. P. Van Brussel1, L. C. TerlouwPunt3, E. Birnie1, A. A. E. A. De Smet3, A. C. Van der Ham1; 1 Sint Franciscus Gasthuis, Rotterdam, Netherlands, 2Polikliniek De Blaak, Leidschendam, Netherlands, 3Maasstad Ziekenhuis, Rotterdam, Netherlands.

9:00 AM – 9:20 AM 5-24 Relationship Between Medical Compression And Intramuscular Pressure--explanation Of A Paradox Of Compression j. Benigni1, j. UHL2; 1HIA Begin, St Mandé 94160, France, 2 University Paris Descartes, Paris, France.

9:20 AM – 10:00 AM

Coffee Break

Meeting Program 8:20 AM – 8:40 AM 7-26 Isol-8: A Multicenter, Retrospective Study Of The Effectiveness Of The Trellis-8 To Treat Iliofemoral Dvt And Prevent Post-thrombotic Syndrome P. J. Gagne1, H. Rajasinghe2, T. Khoury3; 1Southern CT Vascular Center, Darien, CT, 2Vascular Group of Naples, Naples, FL, 3 Southern Ohio Surgical Associates, Portsmouth, OH.

10:00 AM – 12:05 PM

SCIENTIFIC SESSION 6 President’s Sessions

Moderators: Robert McLafferty, MD, Peter Henke, MD 10:00 AM – 10:15 AM 2012 Servier Traveling Fellowship Reports Frank Vandy, MD Emily Wood, MD

8:40 AM – 9:00 AM 7-27 Catheter-directed Thrombolysis For Patients With Massive And Submassive Pulmonary Embolism H. Akin, M. Al-Jabouri, Z. Assi, R. Acino, D. Sepanski, A. J. Comerota; The Toledo Hospital, Toledo, OH.

10:15 AM – 10:30 AM 2012 BSN Jobst Research Winner - Interim Report Rabih Chaer, MD

9:00 AM – 9:20 AM 7-28 Using A Fibrin-targeted Molecular Magnetic Resonance Imaging To Identify Venous Thrombi Susceptible To Thrombolysis P. Saha, M. Andia, S. Grover, A. Phinikaridou, J. Jenkins, A. Patel, B. Modarai, R. Botnar, M. Waltham, A. Smith; King’s College London, London, United Kingdom.

10:30 AM – 10:40 AM History of the American Venous Forum Patrick Muck, MD J. Leonel Villavicencio, MD 10:40 AM – 10:50 AM American Venous Registry Update Brajesh K. Lal, MD

9:20 AM – 9:40 AM 7-29 Blood Type And Post Thrombotic Syndrome Early Indication For Endovascular Treatment F. J. Osse, Sr., P. E. Thorpe; Centro Vascular Sao Paulo, Sao Paulo, Brazil.

10:50 AM – 11:00 AM Journal of Vascular Surgery – Venous and Lymphatic Disorders Anton Sidawy, MD

9:40 AM – 9:55 AM

11:00 AM – 11:05 AM National Venous Screening Update Marc Passman, MD

EUROPEAN VENOUS FORUM Best Paper 1 9:55 AM – 10:10 AM

11:05 AM – 11:20 AM Presidential Address Introduction Peter Henke MD, President-Elect

EUROPEAN VENOUS FORUM Best Paper 2

11:20 AM – 12:05 PM Presidential Address Robert McLafferty, MD

10:10 AM – 10:25 AM

ROYAL SOCIETY VENOUS FORUM Best Paper

12:05 PM – 1:05 PM

MEMBER BUSINESS LUNCHEON

10:25 AM – 10:50 AM

Coffee Break

1:05 PM

Open Afternoon

10:50 AM – 11:40 AM

D. EUGENE STRANDNESS MEMORIAL LECTURE

7:30 PM – 10:00 PM

Chair: Susan R. Kahn, MD, McGill University

THE FORUM 25th SILVER ANNIVERSARY GALA Awards, Dinner, Entertainment & More!

11:40 AM – 1:00 PM

SATURDAY, MARCH 02, 2013

1:00 PM – 2:50 PM

Lunch On Own

SCIENTIFIC SESSION 8 Chronic Venous Disease 4

7:00 AM – 8:00 AM

Continental Breakfast

Moderator: Colleen Moore, MD

8:00 AM – 9:40 AM

1:00 PM – 1:20 PM 8-30 Inferior Vena Cava Endovascular Reconstructions Fifteen Years Of Experience F. J. Osse, Sr., P. E. Thorpe; Centro Vascular Sao Paulo, Sao Paulo, Brazil.

SCIENTIFIC SESSION 7 Deep Vein Thrombosis 3

Moderators: Antonios Gasparis, MD, Anthony Comerota, MD 8:00 AM – 8:20 AM 7-25 The Importance Of Ivus Assessment In Venous Thrombolytic Regimens S. Raju, A. Martin, M. Davis; The Rane Center, Jackson, MS.

1:20 PM – 1:40 PM 8-31 Classification Of Anatomic Involvement Of The Iliocaval Venous Outflow Tract And Its Relationship To Early Outcomes After Ilio-caval Venous Stenting J. Crowner1, W. Marston1, J. Almeida2, R. McLafferty3, M. Passman4; 1University of North Carolina, Chapel Hill, NC,

Meeting Program 2:40 PM – 2:45 PM Q8-11 Radiologic Classification Of Iliac Vein Compression And Patterns Of Pelvic Collateralization In Patients With Chronic Venous Disease A. S. Gaweesh1, M. H. Kayed2, T. Y. Gaweesh2; 1Department of Vascular Surgery, Alexandria Faculty of Medicine, University of Alexandria, Egypt, Alexandria, EgypT, 2Department of Radiology, Alexandria Faculty of Medicine, University of Alexandria, Egypt, Alexandria, Egypt.

Miami Vein Center, Miami, FL, 3Southern Illinois University, Springfield, IL, 4University of Alabama, Birmingham, AL. 2

1:40 PM – 2:00 PM 8-32 Managing The Iliac-caval Confluence In Iliac Vein Stenting S. Raju1, O. Kirk2; 1 University of Mississippi Medical Center/ River Oaks Hospital, Jackson, MS, 2The Rane Center, Jackson, MS. 2:00 PM – 2:20 PM 8-33 Hemodynamic Changes In The Femoral Vein With Increasing Outflow Resistance C. R. Lattimer1, M. Azzam2, E. Kalodiki1, G. Geroulakos1; 1Ealing Hospital & Imperial College, Middlesex, United Kingdom, 2 Ealing Hospital, Middlesex, United Kingdom.

2:45 PM – 2:50 PM Q8-12 Surgical Desobstruction Of The Common Femoral Vein In Deep Venous Occlusive Disease M. A. F. de Wolf1, J. Grommes2, C. W. Arnoldussen1, M. W. de Haan1, R. de Graaf1, C. H. A. Wittens3; 1 Maastricht University Medical Center, Maastricht, Netherlands, 2 Aachen University Hospital, Aachen, Germany, 3Maastricht University Medical Center, Aachen University Hospital, Maastricht, Aachen, Netherlands.

2:20 PM – 2:40 PM 8-34 Characterization Of Chronic Postthrombotic Intraluminal Venous Obstruction C. Oostra1, A. J. Comerota2, W. T. Gunning1, A. Lynn2, Z. Fayad2; 1University of Toledo Medical Center, Toledo, OH, 2The Toledo Hospital, Toledo, OH.

CONCLUSION

Poster Presentations THURSDAY, FEBRUARY 28, 2013

P7 Avulsions - Now Or Later? A Meta-analysis T. R. A. Lane, S. Onida, M. Gohel, I. J. Franklin, A. H. Davies; Imperial College London, London, United Kingdom.

5:45 PM – 7:00 PM Two Poster sessions will be held concurrently. Poster sessions are open to all meeting attendees.

P8 Varicose Veins - An Evaluation Of Management Outcomes Between Endovenous Therapy And Open Surgical Ligation Using The American College Of Surgeons’ National Surgical Quality Improvement Program Database N. J. Mouawad, A. Thors, B. Satiani, M. J. Haurani; The Ohio State University, Columbus, OH.

SESSION 1

Moderator: Joseph Raffetto, MD P1 A Study To Compare Disease Specific Quality Of Life Scoring Systems In Patients With Varicose Veins M. Kuet, T. R. A. Lane, I. J. Franklin, A. H. Davies; Academic Section of Vascular Surgery, Imperial College London, London, United Kingdom.

P9 Increase Incidence Of Deep Vein Thrombosis In Patients With Lower Extremity Ulcers Undergoing Surgery For Varicose Veins J. Benarroch-Gampel, C. Cheng, L. Choi, Z. F. Cheema, M. B. Silva, Jr., L. A. Killewich; University of Texas Medical Branch, Galveston, TX.

P2 Diverse Management Of Superficial Venous Thrombosis In Primary And Secondary Care T. R. A. Lane, K. Sritharan, I. J. Franklin, A. H. Davies; Imperial College London, London, United Kingdom.

P10 Closurefast Radiofrequency Ablation Versus 1470-nm Endovenous Laser Ablation: A Prospective Comparative Nonrandomized Multicenter Study E. Shaidakov1, E. Ilyukhin2, A. Petuchov3, A. Grigoryan1, D. Rosukhovsky2; 1Institute of Experimental Medicine, Russian Academy of Medical Sciences., Saint-Petersburg, Russian Federation, 2Clinic “Medalp”, Saint-Petersburg, Russian Federation, 3Clinic “Artmedia”, Saint-Petersburg, Russian Federation.

P3 Fluid-structure Interaction And Design Optimization Of Venous Valves H. Y. Chen1, W. Tien2, Z. Berwick1, G. S. Kassab1; 1Indiana University School of Medicine, Indianapolis, IN, 2University of Washington, Seattle, WA. P4 Increased Calf Muscle Deoxygenation During Lightintensity Exercise Predicts Nonresponse To Compression Therapy For Chronic Leg Edema Of Unclear Origin T. Yamaki, H. Konoeda, A. Osada, A. Hamahata, M. Nozaki, H. Sakurai; Tokyo Women’s Medical University, Tokyo, Japan.

P11 Incidence And Quality Implications Of Deep Venous Thrombosis After Peripherally Inserted Central Venous Catheter S. T. Greathouse, J. N. Gilstrap, R. Garza, III, K. Reinart, V. Deacon, H. Tavianini, R. X. Murphy, Jr.; Lehigh Valley Health Network, Allentown, PA.

P5 Ten Year Results Of Radiofrequency Ablation (vnus Closure®) Of The Great Saphenous And Anterior Accessory Saphenous Veins, In The Treatment Of Varicose Veins D. C. Taylor, A. M. Whiteley, T. J. Fernandez-Hart, M. S. Whiteley; The Whiteley Clinic, Guildford, United Kingdom.

P12 Venous Duplex And Pathologic Differences In Thrombus Characteristics Between Denovo Deep Vein Thrombi And Endovenous Heat-induced Thrombi B. Santin, J. Lohr, T. Panke, P. Neville, M. Recht, P. Muck; Good Samaritan Hospital, Cincinnati, OH.

P6 Initial Experience With A New Pharmacomechanical Thrombectomy Device In Deep Venous Thrombosis C. Koksoy, U. Sanlidilek; Ankara University, Ankara, Turkey.

Poster Presentations SESSION 2

P19 Incidence, Progression And Risk Factors For Endovenous Heat Induced Thrombosis After Laser Ablation Vs Radiofrequency S. Sufian, A. Arnez, N. Labropoulos, S. Lakhanpal; Center for Vein Restoration, Glenn Dale, MD.

Moderator: Marc Passman, MD P13 Changes In Calf Venous Volume With Increasing Outflow Resistance C. R. Lattimer1, M. Azzam2, G. Geroulakos1, E. Kalodiki1; 1Ealing Hospital & Imperial College, Middlesex, United Kingdom, 2 Ealing Hospital, Middlesex, United Kingdom.

P20 Incidence Of Ulcer Healing And Ulcer Recurrence After Endovenous Laser Ablation In CEAP Clinical Class 5 And 6 Limbs W. Marston, K. Corey, A. Kouri, M. Weiner; University of North Carolina, Chapel Hill, NC.

P14 Impact Of A Vascular Specialist On The Proper Workup Of Venous Disease In An Urban Wound Care Center N. Awad, R. Choudry, R. Solit, J. Durinka, E. Tobin, F. Karipineni, H. Simms; Albert Einstein Medical Center, Philadelphia, PA.

P21 Treating Varicose Veins Improves Depression Scores, Quality Of Life And Disease Severity T. R. A. Lane, K. Sritharan, I. J. Franklin, A. H. Davies; Imperial College London, London, United Kingdom.

P15 Positive Predictive Value Of Icd-9 Cm Codes For Identifying Venous Ulcer Patients: An Analysis From The Olmsted County Venous Ulcer Study M. Gibson, M. Gloviczki, Y. Huang, H. Kalsi, S. Cha, P. Gloviczki, J. Heit; Mayo Clinic, Rochester, MN.

P22 Accuracy Of Duplex Ultrasound Vein Mapping For Dialysis Access J. D. Ayers1, S. Toursavadkohi1, K. Caldwell1, P. J. Pappas2, F. T. Padberg3, B. K. Lal1; 1University of Maryland School of Medicine, Baltimore, MD, 2Brooklyn Hospital Center, New York, NY, 3University of Medicine and Dentistry of New Jersey, Newark, NJ.

P16 Diagnostic Value Of The Absence Of Respiratory Variation In The Femoral Flow For Detection Of Chronic Iliocaval Venous Obstruction C. Koksoy, S. I. Kayilioglu, Z. Unal, U. Sanlidilek; Ankara University, Ankara, Turkey.

P23 The Prohibitive Cost Of Diagnosing Lower Extremity DVT By Venous Duplex J. Mathew, E. Peterson, J. Lin; Henry Ford Hospital, Detroit, MI.

P17 The Treatment Of Symptomatic Central Venous Stenosis May Be Targeted To The Hemodynamically Significant Lesion M. Sadek, L. S. Kabnick, T. L. Berland, H. Rana, N. S. Cayne, T. S. Maldonado, C. B. Rockman, G. R. Jacobowitz, P. J. Lamparello, M. A. Adelman; New York University Langone Medical Center, New York, NY.

P24 Lymphovenous Reconstructions And Peritoneovenous Shunts For Management Of Refractory Chylous Effusions Y. Huang, P. Gloviczki, A. A. Duncan, M. D. Fleming, J. L. Friese, M. Kalra, G. S. Oderich, T. C. Bower; Mayo Clinic, Rochester, MN.

P18 A Randomized Placebo Controlled Trial Of Endovenous Thermal Ablation With Or Without Polidocanol Endovenous Microfoam Treatment In Patients With Great Saphenous Vein Incompetence And Visible Varicosities M. A. Vasquez1, D. Wright2; 1 SUNY Buffalo Department of Surgery, The Venous Institute of Buffalo, Buffalo, NY, 2BTG International Inc., London, United Kingdom.

Phoenix Sunset

Hotel & Travel Information THE WIGWAM

PHOENIX

Just named “Best In-Town Resort” by AZCentral.com, The Wigwam is an Arizona treasure offering a unique blend of nostalgic charm with a modern sense of adventure. Whether you want to relax in the luxurious comfort of the 331 casitas & suites, practice your swing on the 54 holes of golf, cruise down two 25-foot waterslides, unwind at the superb Elizabeth Arden Red Door spa, savor distinctive cuisine or enjoy some fantastic live entertainment. The Wigwam has something for tourists and locals alike! Continuing its rich history as an Arizona treasure, The Wigwam inspires guests to “Make Some History” by creating cherished memories and unrivaled experiences of their very own.

Things are different in the desert. The sky is bigger. The stars are brighter. The sunsets stop you in your tracks. America’s fifth-largest city still has real cowboys and rugged mountains and the kind of cactus most people see only in cartoons. Phoenix is the gateway to the Grand Canyon, and its history is a testament to the spirit of puebloans, ranchers, miners and visionaries. Projected against this rich backdrop is a panorama of urban sophistication.

TRANSPORTATION

Fly into Phoenix Sky Harbor International Airport - 3400 East Sky Harbor Blvd., Phoenix, Arizona 85034.

Hotel Reservations On behalf of meeting participants, the American Venous Forum has reserved rooms at The Wigwam for a discounted rate of $229.00 per night (plus 12.7% sales tax) including all resort AMenities. Resort fee is waived for AVF attendees.

Arizona Corporate can provide sedan service to/from airport/hotel for an individual traveler at $69.00 one way. To make reservations: www.arizonacorporatecoach.com/ or call 623-670-7926.

Reservation cut-off date of Thursday, January 24, 2013. After this date, (or once our reserved rooms have been sold) the group rate cannot be guaranteed. We strongly suggest you book your room early.

Super Shuttle can provide shuttle service for an individual to/from the airport for $25.00 one way. Receive an AVF discount of $2.00, make reservations on line at: www.supershuttle.com with discount code AMUYT.

Check in 4:00 PM, Check out 12:00 PM

Driving directions to the Wigwam Resort can be found on their website: http://wigwamarizona-px.rtrk.com/arizonaresort-location.shtml

Hotel Information The Wigwam 300 East Wigwam Blvd. Litchfield Park, Arizona 85340

WEATHER

Phoenix has a subtropical desert climate, typical of the Sonoran Desert in which it lies, with extremely hot summers and warm winters. Temperatures in February and March tend to be mild, hovering between 44° and 70° Fahrenheit, and cooling off in the evening.

Phone: 623-935-3811 Toll Free: 1-800-327-0396 www.wigwamresort.com

FOREIGN VISAS

Travelers without a US Passport may need to apply for a visitor visa. For additional information regarding obtaining a visa, visit the U.S. government website at: http://travel. state.gov/visa/index.html. Travelers entering the United States from all countries (including Canada, Mexico and the Caribbean) must present a passport.

The Wigwam Resort

Registration Information ON-SITE REGISTRATION HOURS

Registration fee for medical professionals includes: all scientific sessions, lunch symposia, daily continental breakfast and coffee breaks, the Welcome Reception on Wednesday, February 27th and the Gala Dinner Friday evening. The half-day David S. Sumner Venous Summit (formerly known as the AVF Postgraduate Course) is by separate subscription ($100). Spouse/guest registration is by separate subscription and includes daily continental breakfast in the Hospitality Suite, the Welcome Reception, access to the Exhibit Hall and the Gala Dinner Celebration.

Tuesday . ...........3:00 PM - 5:30 PM Wednesday .......7:00 AM - 7:30 PM Thursday ...........7:00 AM - 7:00 PM Friday ................7:00 AM - 2:00 PM Saturday ............7:00 AM - 3:00 PM

HOW TO REGISTER

• Register online at www.veinforum.org. Please Note: AVF members should use the email address the AVF has on file when registering online. • If you do not have internet access, you may mail or fax the Meeting Registration Form included in this brochure (Fax 414-276-3349).

ACCEPTED FORMS OF PAYMENT

MasterCard, VISA, American Express, Discover, check or money order drawn on a U.S. bank made payable to the American Venous Forum. We will not accept cash onsite.

DATES TO REMEMBER • • • •

CANCELLATION POLICY

Early Bird Registration Deadline: December 3, 2012 Hotel Reservation Deadline: January 24, 2013 Registration Cancellation Deadline: January 24, 2013 Pre-Registration Deadline: February 11, 2013

If written notice of cancellation is received by Monday, January 24, 2013, any registration fees paid, less a $50.00 administrative fee, will be refunded after the meeting. No refunds will be issued after this date.

REGISTRATION FEES

In order to receive the discounted rate, your registration must be received by the deadlines mentioned under Dates To Remember. All registrations received after Monday, February 11, 2013 will be subject to the onsite rates. Please Note: An email address must be provided in order to receive a registration confirmation.

Montezuma Castle

AVF 25th Silver Anniversary Annual Meeting MEETING REGISTRATION FORM First Name

Last Name

State

Daytime Telephone

Institution Address City

EARLY BIRD By12/3/2012

PRE-REGISTRATION 12/4/2012–2/11/2013

ONSITE 2/12/2013–3/2/2013

Email Address (Required)

AVF Physician (Active/Senior/Honorary)

$500

$550

$600

Guest Physician

$650

$700

$750

AVF Fellow/Resident (Candidate Member)

$350

$400

$450

Guest Fellow/Resident

$400

$450

$500

AVF Allied Health (Associate Member)

$350

$400

$450

Guest Allied Health

$400

$450

$500

Corporate Guest

$725

$775

$825

*Spouse/Guest

$150

$175

$200

**Wednesday One Day Pass

$150

$175

$200

Annual Meeting Registration

(All registrations must be post-marked and paid in full on or before deadlines noted.)

Postal Code

Country

25th Silver Anniversary Gala Dinner Registration

Registration to the Annual Meeting as an attendee or registration as a Spouse/ Guest includes a ticket to the GALA dinner. To get an accurate count for dinner, please indicate if you will join us for the 25th Silver Anniversary Gala.

Yes, I will attend, please include my dinner ticket with my registration packet. No, I will not attend. Additional tickets are available for adult guests to accompany a meeting attendee or for a Wednesday one day pass attendee. You MUST register in advance to receive a ticket to the GALA dinner. Additional GALA ticket(s)

x $75 = $

Golf Tournament*

$125

*held during open afternoon on Friday, March 1.

Payment Method Total AMount Due Mastercard

VISA AMEX

Discover

Credit Card Number

*SPOUSE/GUEST includes access to the daily Hospitality Suite, Welcome Reception, Exhibit Hall and the GALA dinner. This does not include access to the scientific sessions.

Expiration Date

Billing Address

**WEDNESDAY ONE DAY PASS: This fee includes one Specialty Symposium, Coffee Break, Scientific Session 1 and Welcome Reception.

City

State

David S. Sumner Venous Summit

Country

CVV Code

Postal Code

Please provide the name of your spouse/guest

You must be registered as a full attendee to register for this course.

FEE

Member

$100

Guest

$150

Name on Card

Specialty Symposia Wednesday 1:15 – 3:15 PM

You must be registered in advance for one of these sessions to attend. (Concurrent – please choose one)

Vascular Medicine and Thrombosis

Wound Care and Compression

Biomechanics and Bioengineering

Live Venous Ultrasound

—Or— M ail Registration Form and Payment to: American Venous Forum 555 E Wells St., Suite 1100 Milwaukee WI 53202 (414) 918-9880 —Or— F AX Registration Form with Credit Card Payment to: 414-276-3349

American Venous Forum 555 E. Wells Street, Suite 1100 Milwaukee, WI 53202