There are several ways of doing this:
1. If you have 'vehicle' objects in your application - make them support IRenender - this way they can draw themselves at the right location whenever the map is drawn. Add all your vehicles to a renderlist.
2. Keep a reference to the pushpin object and update the location of the pushpin when the vehicle moves (perhaps in the vehicle object).
3. Don't use Renderers at all. Get a map using GetMap and the use a Graphics object to draw your icons where you want them before you display the map using LatLonToXY to find the locations.
4. If you have a collection of vehicles, make the collection object support IRenender - it can then iterate through each vehicle and plot the position.
5. Create a new renderlist of all the pushpins for each vehicle whenever one moves, use this new renderlist to draw you map