TY - JOUR
T1 - Guidelines for Noninvasive Vascular Laboratory Testing
T2 - A Report from the American Society of Echocardiography and the Society of Vascular Medicine and Biology
AU - Gerhard-Herman, Marie
AU - Gardin, Julius M.
AU - Jaff, Michael
AU - Mohler, Emile
AU - Roman, Mary
AU - Naqvi, Tasneem Z.
N1 - Funding Information:
Increasing interest in endovascular therapy as a primary option for patients with cardiovascular disease has resulted in a greater frequency of vascular complications. Despite the efficacy of these endovascular procedures, complications of vascular access do occur, including hematoma formation, arteriovenous fistulae, infection, atheroemboli, retroperitoneal hemorrhage, native arterial thrombosis, and pseudoaneurysm (PSA). PSA is among the most common iatrogenic vascular complication, and is associated with significant risk of expansion, extrinsic compression on native arteries, rupture, embolization, and infection. A PSA represents a persistent defect throughout all 3 layers of the arterial wall, resulting in extravasation of blood outside of the artery. This extravascular blood is supported by the surrounding soft tissues.
PY - 2006/8
Y1 - 2006/8
N2 - Accompanying the rapid growth of interest in percutaneous vascular interventions, there has been increasing interest among cardiologists in performing noninvasive vascular testing using ultrasound. In an attempt to provide recommendations on the best practices in vascular laboratory testing, this report has been prepared by a writing group from the American Society of Echocardiography (ASE) and the Society of Vascular Medicine and Biology. The document summarizes principles integral to vascular duplex ultrasound-including color Doppler, spectral Doppler waveform analysis, power Doppler, and the use of contrast. Appropriate indications and interpretation of carotid artery, renal artery, abdominal aorta, and peripheral artery ultrasound imaging are described. A dedicated section summarizes noninvasive techniques for physiologic vascular testing of the lower extremity arteries-including measurement of segmental pressures and pulse volume plethysmography. The use of exercise testing in the evaluation of peripheral artery disease, ultrasound evaluation of the lower extremities after percutaneous revascularization, and the diagnosis and management of iatrogenic pseudoaneurysm (PSA) is also discussed. A section on the important topic of vascular laboratory accreditation is included. Finally, additional details regarding proper technique for performance of the various vascular tests and procedures are included in the Appendix.
AB - Accompanying the rapid growth of interest in percutaneous vascular interventions, there has been increasing interest among cardiologists in performing noninvasive vascular testing using ultrasound. In an attempt to provide recommendations on the best practices in vascular laboratory testing, this report has been prepared by a writing group from the American Society of Echocardiography (ASE) and the Society of Vascular Medicine and Biology. The document summarizes principles integral to vascular duplex ultrasound-including color Doppler, spectral Doppler waveform analysis, power Doppler, and the use of contrast. Appropriate indications and interpretation of carotid artery, renal artery, abdominal aorta, and peripheral artery ultrasound imaging are described. A dedicated section summarizes noninvasive techniques for physiologic vascular testing of the lower extremity arteries-including measurement of segmental pressures and pulse volume plethysmography. The use of exercise testing in the evaluation of peripheral artery disease, ultrasound evaluation of the lower extremities after percutaneous revascularization, and the diagnosis and management of iatrogenic pseudoaneurysm (PSA) is also discussed. A section on the important topic of vascular laboratory accreditation is included. Finally, additional details regarding proper technique for performance of the various vascular tests and procedures are included in the Appendix.
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U2 - 10.1016/j.echo.2006.04.019
DO - 10.1016/j.echo.2006.04.019
M3 - Article
C2 - 16880090
AN - SCOPUS:33746343317
SN - 0894-7317
VL - 19
SP - 955
EP - 972
JO - Journal of the American Society of Echocardiography
JF - Journal of the American Society of Echocardiography
IS - 8
ER -