Massachusetts General Hospital Protocols and Procedures for Venous Disease

Dr. Carlos Echevarria is the Chief Medical Officer of Vascular Centers of Excellence. He specializes in vascular medicine and endovenous interventions. Dr. Echevarria completed his subspecialty training in venous and lymphatic disease in the Department of Vascular and Endovascular Surgery at the Massachusetts General Hospital/Harvard Medical School. He has been the award winner of multiple scholarships that have supported his career in vascular disease. These accolades came from esteemed institutions such as the American Society of Laser in Medicine and Surgery (ASLMS)/Beckman Laser Institute – Vascular Clinic at UC Irvine, American Academy of Phlebology/American Vein and Lymphatic Society (AVLS), the American Society of Vascular Medicine, and the American Venous Forum (AVF).Dr. Echevarria is currently the co-chair of the Society of Vascular Medicine Venous Taskforce and chair of the AVLS IVUS program. His multiple contributions to the scientific community, including peer-reviewed publications and national and international conference presentations, reflect his commitment to evidence-based venous care. Anahita Dua, MD, MS, MBA, FACS, is a vascular surgeon at Massachusetts General Hospital and an Associate professor of Surgery at Harvard Medical School. At Mass General, she is the director of the Peripheral Artery Disease Center and Limb Evaluation and Amputation Program (LEAPP), associate director of the Wound Care Center, associate director of the Vascular Surgery Clerkship and director of clinical research for the division of vascular surgery.She specializes in advanced endovascular (minimally invasive) and traditional (open) limb salvage techniques for treating peripheral arterial disease and critical limb ischemia, diabetic limb disease, aortic disease, carotid disease, thoracic outlet syndrome and venous disease.Dr. Dua completed her vascular surgery fellowship at Stanford University Hospital, her general surgery residency at the Medical College of Wisconsin and her medical school in the United Kingdom. She has also completed a master’s degree in trauma sciences, a master’s in business administration in health care management and has a certificate in health economics and outcomes research as well as a certificate in drug and device development from the Massachusetts Institute of Technology. She is board-certified in vascular surgery, general surgery and advanced wound care and management.Dr. Dua has published over 200 peer reviewed papers and has edited five vascular surgery medical textbooks. She serves on multiple national vascular surgery committees through the Society for Vascular Surgery and other vascular organizations.

• Part I: Chronic Venous Insufficiency.- 1. Superficial Venous insufficiency.- 2. Deep Venous Insufficiency.- Part II: Thrombosis.- 3. Superficial Vein Thrombosis.- 4. Deep Vein Thrombosis.- Part III: Arterial Considerations for the Vein Specialist.- 5. The Great Saphenous Vein as a Conduit.- 6. Vascular Medicine for the Venous Specialist.- Part IV: Areas of Special Interest.- 7. Venous Leg Ulcers.- 8. Neurological Considerations for the Vein Specialist.- 9. Podiatric Considerations for the Vein Specialist.- 10. Lymphedema as a Differential Diagnosis of The Swollen Limb.- Part V: PROTOCOLS.- 11. Duplex Ultrasound of the Lower Limb – deep system.- 12. Duplex Ultrasound of the Lower Limb – Superficial Venous System.- 13. Abdominopelvic Venous Duplex Ultrasound.-  14. Lymphedema: Protocol of Care.- 15. Wounds: Protocol of Care.- Part V: Procedures.- 16. Vein Care Workflow-New Patient/follow up.- 17. Thermal Ablation Techniques.- 18. Non-Thermal Ablation Techniques.- 19. Microsurgical Techniques.