
CASE DISCUSSION
Beyond the Basics: Managing Perforator Vein Insufficiency
Presented from by Dr. Jan Szczepanski
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Case Description
Beyond the Basics: Managing Perforator Vein Insufficiency delves into advanced strategies for diagnosing and treating this key contributor to chronic venous disease. While often overlooked, incompetent perforator veins can significantly worsen symptoms like leg swelling, skin changes, and venous...
Case Summary
- Dr. Jan Stupanski presented a webinar on managing perforator vein insufficiency, emphasizing their clinical importance in connecting superficial and deep venous systems. Incompetent perforators contribute to venous hypertension, swelling, skin changes, and ulcers, often being an underestimated source of venous leaks. Closing these incompetent perforators via techniques like EBLA, RFA, CCR, and sclerotherapy has closure rates averaging 60-80%, but early intervention is crucial to manage venous disease.
Speaker Profile

Dr. Jan Szczepanski
CEO and Co-Founder, Melius Clinic, PolandDr. Jan Szczepański is a highly experienced vascular and general surgeon, with over two decades of clinical expertise across both public and private healthcare settings in Poland. He currently serves as the Chief Executive Officer of Melius Clinic in Toruń, where he leads a patient-centered practice specializing in vascular surgery and phlebology. Since 2014, he has also held a long-standing position at Szpital ESKULAP w Osielsku, serving as a senior assistant in the Department of Vascular Surgery. Dr. Szczepański’s earlier roles include senior surgical appointments at the Klinika Chirurgii Naczyniowej i Angiologii CMKP in Warsaw and the Municipal Hospital in Toruń, where he gained extensive experience in general, oncologic, and vascular surgery. Passionate about innovation and teaching, he is deeply involved in clinical trials, surgical consultations, and the development of modern wound care and phlebological practices. His dedication to evidence-based care, combined with his leadership in surgical excellence, makes him a valuable contributor to the advancement of vascular medicine in the region.