Multispecialty Management of Patients with Severe Venous Hypertension and Ulceration


In this special joint episode, The PVD Channel builds on foundational learning as we welcome Raghu Kolluri, MD and Stephen Black, MD for an in-depth, case-based look at best practices for the management of patients with severe venous hypertension and ulceration. Join our experts as they examine complex real-world cases, providing their unique perspectives drawn from their experience practicing in the United States and the United Kingdom. Drs. Kolluri and Black delve into the numerous factors that cause leg ulceration, providing insights and key points of differentiation that can help prevent amputation in some of the most challenging cases.

Learning Objectives

After completing this activity, the participant should be better able to:

  • Describe the multifactorial nature of leg ulcers
  • Identify strategies to promote wound healing in chronic leg ulcers
  • Classify those severe venous hypertension and ulceration cases that warrant input from specialists

Target Audience

The educational design of this activity addresses the needs of Interventional Radiologists, Vascular Surgeons, Vascular Specialists, Nurse Practitioners, Radiologic Technologists, and Vascular Allied Health Professionals involved in the treatment of patients with peripheral vascular disease.

Stephen Black, MD

Stephen Black, MD

Consultant Vascular Surgeon
Guy’s and St. Thomas’ Hospital
Professor of Venous Surgery, Kings College
London, UK

Dr. Stephen Black is a Consultant Vascular Surgeon at Guy’s and St. Thomas’ Hospital and a Professor of Venous Surgery at Kings College, London. Dr. Black is the Clinical Lead for Vascular Surgery at Guy’s and St. Thomas’ Hospital and the Co-R&D Lead for the Cardiovascular Directorate (Cardiology, Cardio-Thoracic and Vascular Surgery).

Dr. Black is the Co-founder & Medical Director at the UK Vein Clinic. In Private Practice, he undertakes medical consultations and minimally invasive procedures, and his principal clinical interest is the treatment of Venous Disease. Dr. Black has established a large practice in the treatment of both Acute and Chronic Deep Venous Disease as well as superficial venous disorders and together with a comprehensive multi-disciplinary team of colleagues at Guy's and St Thomas' Hospital, he is part of one of the largest such services in Europe.

Following his medical training in South Africa at the University of the Witwatersrand, Dr. Black completed his MD degree at St. Mary’s Hospital and Imperial College (London) in 2006 under the supervision of Mr. John Wolfe and Lord Ara Darzi. In 2011, Dr. Black received the fellowship of the European Board of Vascular Surgery.

Dr. Black is the Program Director for both the European Venous Forum Hands-On Workshops and the Charing Cross Vascular Symposium Venous Programme. Dr. Black was the Venous Tutor for the European Society of Vascular Surgery from 2014-2018 and is an examiner for the Fellowship of the European Board of Vascular Surgery.

Dr. Black has lectured and published extensively on the subjects of treatment of acute and chronic DVT as well as the treatment of superficial venous disease, in addition to other areas of vascular surgery and education. He is currently the Editor in Chief for Vascular and Endovascular Review and serves on the Editorial Board for International Angiology.

In addition, Dr. Black is the global and UK principal investigator for a number of ongoing trials, and is actively involved in research to improve the treatment of patients with Venous Disease and has been involved a number of first-in-man procedures.

Raghu Kolluri, MD, MS, RVT, FSVM

Raghu Kolluri, MD, MS, RVT, FSVM

System Medical Director, Vascular Medicine and Vascular Labs
OhioHealth Heart and Vascular
Clinical Professor of Medicine
Ohio University Heritage College of Osteopathic Medicine
President, The Society for Vascular Medicine
Director, Syntropic Core Lab
Columbus, OH, USA

Dr. Raghu Kolluri is the President of the Society for Vascular Medicine. He serves as the Medical Director of Syntropic Core Lab at OhioHealth Research and Innovation Institute. As the System Medical Director of Vascular Medicine at OhioHealth, he directs the Vascular Medicine service line and Vascular Laboratories across 12 hospitals in central Ohio.  

A graduate of the Armed Forces Medical College, India, Dr. Kolluri earned his Master of Science degree in Physiology from Penn State University, and received Internal Medicine residency training at Riverside Methodist Hospital in Columbus, Ohio, followed by Vascular Medicine fellowship training at the Cleveland Clinic.  

A well-known vascular educator, Dr. Kolluri has been invited to organize and lecture at several cardiovascular conferences across the world. He co-founded The VEINS meeting in 2011and also founded the SVM Fellows and SVM Advanced Practice Provider review courses. 

Dr. Kolluri serves as a reviewer for several cardiovascular journals and serves on the editorial board for journals Vascular Medicine and Annals of Vascular Surgery. His clinical and research interests include non-invasive testing, peripheral artery disease, deep venous thrombosis, critical limb ischemia, and chronic venous disease. 

Physician Accreditation Statement

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Global Education Group (Global) and Educational Awareness Solutions. Global is accredited by the ACCME to provide continuing medical education for physicians.

Physician Credit Designation

Global Education Group designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

ABIM MOC Recognition Statement

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.0 medical knowledge MOC point in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

Nurse Practitioner Continuing Education

This activity has been planned and implemented in accordance with the Accreditation Standards of the American Association of Nurse Practitioners (AANP) through the joint providership of Global Education Group and Educational Awareness Solutions. Global Education Group is accredited by the American Association of Nurse Practitioners as an approved provider of nurse practitioner continuing education. Provider number: 110121. This activity is approved for 1.0 contact hour(s) (which includes 0.1 hour(s) of pharmacology).

American Society of Radiologic Technologists

This activity has been reviewed and approved for 0.50 Category A CE credit by the ASRT.

European Board for Accreditation in Cardiology

This programme is accredited by the European Board for Accreditation of Continuing Education for Health Professionals (EBAC) for 1.0 hour(s) of external CE credit(s). Each participant should claim only those hours of credit that have actually been spent in the educational activity.

Term of Offering

This activity was released on October 29, 2021 and is valid for one year. Requests for credit must be made no later than November 1, 2022.

Global Contact Information

For information about the accreditation of this program, please contact Global at 303-395-1782 or

Instructions to Receive Credit

In order to receive credit for this activity, the participant must complete the pre-activity questions, view the program in its entirety, and complete the post-activity questions, evaluation form, and credit request.

Fee Information and Refund/Cancellation Policy

There is no fee for this educational activity.

Disclosure of Conflicts of Interest

Global Education Group (Global) adheres to the policies and guidelines, including the Standards for Integrity and Independence in Accredited CE, set forth to providers by the Accreditation Council for Continuing Medical Education (ACCME) and all other professional organizations, as applicable, stating those activities where continuing education credits are awarded must be balanced, independent, objective, and scientifically rigorous. All persons in a position to control the content of an accredited continuing education program provided by Global are required to disclose all financial relationships with any ineligible company within the past 24 months to Global. All financial relationships reported are identified as relevant and mitigated by Global in accordance with the Standards for Integrity and Independence in Accredited CE in advance of delivery of the activity to learners. The content of this activity was vetted by Global to assure objectivity and that the activity is free of commercial bias. 

In compliance with EBAC guidelines, all speakers/chairpersons participating in this programme have disclosed or indicated potential conflicts of interest which might cause a bias in the presentations. The Organizing Committee/Course Director is responsible for ensuring that all potential conflicts of interest relevant to the event are declared to the audience prior to the CE activities.

All relevant financial relationships have been mitigated.

The faculty have the following relevant financial relationships with ineligible companies:

Name of Faculty or Presenter

Reported Financial Relationship
Stephen Black, MD
Consulting FeesBSCI, Veryan, Vetex, Cook, Philips, BD, Medtronic, Optimed, Inari
Contracted Research: BSCI
Honoraria: BSCI, Veryan, Vetex, Cook, Philips, BD, Medtronic, Optimed, Inari
Speaker’s Bureau: BSCI, Veryan, Vetex, Cook, Philips, BD, Medtronic, Optimed, Inari
Advisory Board: BSCI, Philips, BD, Vesper, Optimed
Raghu Kolluri, MD, MS, RVT, FSVM

Consulting Fees: Boston Scientific, Inari, Medtronic, Philips IGT, Vesper Medical, Intact Vascular, Thrombolex, Avail, Penumbra, Surmodics

The planners and managers have the following relevant financial relationships with ineligible companies:

Name of Planner or Manager
Reported Financial Relationship
Kristin Delisi, NP
Nothing to disclose
Lindsay Borvansky
Nothing to disclose
Andrea Funk
Nothing to disclose
Liddy Knight
Nothing to disclose
Ashley Cann
Nothing to disclose
Kim Rodriguez 
Nothing to disclose
Maria DelCegno
Nothing to disclose
James Miller
Nothing to disclose
Daniel Romanowitz
Nothing to disclose
Paul J. Gagne, MD, FACS, RVT
Consulting Fees: Philips, Cook Medical, Boston Scientific
Contracted Research: Vesper, Humacyte, Boston Scientific, PQ Bypass, Merit Medical, Medtronic, Intervene
Speaker’s Bureau: Philips, Cook Medical, Medtronic, Boston Scientific

Disclosure of Unlabeled Use

This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. Global Education Group (Global) and Educational Awareness Solutions do not recommend the use of any agent outside of the labeled indications.

The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of any organization associated with this activity. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.


Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed in this activity should not be used by clinicians without evaluation of patient conditions and possible contraindications on dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities.

System Requirements

An Internet-connected web browser is required.


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