Principles of Vascular and Intravascular Ultrasound E-Book
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423 pages
English

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Description

Principles of Vascular and Intravascular Ultrasound—a title in the Principles of Cardiovascular Imaging series—has everything you need to successfully obtain and interpret vascular ultrasound images. Stuart J. Hutchison—a premier cardiac imaging specialist—explains the dos and don’ts of ultrasound so you get the best images and avoid artifacts. Get only the coverage you need with clinically oriented, practical information presented in a consistent format that makes finding everything quick and easy.

  • Focuses on clinically oriented and practical information so that you get only the coverage that you need.
  • Explains how to obtain the best image quality and avoid artifacts through instructions on how to and how not to perform vascular ultrasound.
  • Provides excellent visual guidance through high-quality images—many in color—that reinforce the quality of information in the text.
  • Includes numerous tables with useful values and settings to help you master probe settings and measurements.
  • Presents material in a consistent format that makes it easy to find information.

Sujets

Informations

Publié par
Date de parution 14 octobre 2011
Nombre de lectures 1
EAN13 9781437703573
Langue English
Poids de l'ouvrage 13 Mo

Informations légales : prix de location à la page 0,0253€. Cette information est donnée uniquement à titre indicatif conformément à la législation en vigueur.

Extrait

Principles of Vascular and Intravascular Ultrasound

Stuart J. Hutchison, MD, FRCPC, FACC, FAHA
Clinical Professor of Medicine, University of Calgary, Departments of Cardiac Sciences, Medicine, and Radiology
Director of Echocardiography, Foothills Medical Center, Calgary, Ontario, Canada

Katherine C. Holmes, RVT, RT(R)
Team Leader, Vascular Ultrasound Laboratory, Division of Cardiology, St. Michael’s Hospital, Toronto, Ontario, Canada
Saunders
Front Matter

Principles of Vascular and Intravascular Ultrasound
S TUART J. H UTCHISON , MD, FRCPC, FACC, FAHA
Clinical Professor of Medicine, University of Calgary, Departments of Cardiac Sciences, Medicine, and Radiology
Director of Echocardiography, Foothills Medical Center, Calgary, Ontario, Canada
K ATHERINE C. H OLMES , RVT, RT(R)
Team Leader, Vascular Ultrasound Laboratory, Division of Cardiology, St. Michael’s Hospital, Toronto, Ontario, Canada
Copyright

1600 John F. Kennedy Blvd.
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Philadelphia, PA 19103-2899
PRINCIPLES OF VASCULAR AND INTRAVASCULAR ULTRASOUND ISBN 978-1-4377-0404-4
Copyright © 2012 by Saunders, an imprint of Elsevier Inc.
All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopy, recording, or any information storage and retrieval system, without permission in writing from the publisher. Details on how to seek permission, further information about the Publisher’s permissions policies and our arrangements with organizations such as the Copyright Clearance Center and the Copyright Licensing Agency, can be found at our website: www.elsevier.com/permissions .
This book and the individual contributions contained in it are protected under copyright by the Publisher (other than as may be noted herein).

Notice
Knowledge and best practice in this field are constantly changing. As new research and experience broaden our understanding, changes in research methods, professional practices, or medical treatment may become necessary.
Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds, or experiments described herein. In using such information or methods, they should be mindful of their own safety and the safety of others, including parties for whom they have a professional responsibility.
With respect to any drug or pharmaceutical products identified, readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of practitioners, relying on their own experience and knowledge of their patients, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions.
To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors, assume any liability for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein.
ISBN 978-1-4377-0404-4
Acquisitions Editor: Natasha Andjelkovic
Developmental Editor: Bradley McIlwain
Publishing Services Manager: Pat Joiner-Myers
Project Manager: Marlene Weeks
Designer: Steven Stave
Printed in China.
Last digit is the print number: 9 8 7 6 5 4 3 2 1
Dedication
To my Cindy, Noel Keith, and Liam James. Your gifts of love, time, and belief can only ever be repaid in kind .
SJH
To Miles Cramer, RVT, for incredible teaching, encouragement, example, collegiality and friendship .
SJH and KCH
My deep appreciation goes to Stuart Hutchison for giving me the opportunity to participate in this adventure .
I dedicate this book to Maggie, whose love and support have enabled me to realize a dream .
KCH
Contributors

Junya Ako, MD, Center for Research in Cardiovascular Interventions, Stanford University Medical Center, Stanford, California

Joe Chauvapun, MD, Department of Surgery, Harbor-UCLA Medical Center, Torrance, California

Katherine C. Holmes, RVT, RT(R), Team Leader, Vascular Ultrasound Laboratory, Division of Cardiology, St. Michael’s Hospital, Toronto, Ontario, Canada

Stuart J. Hutchison, MD, FRCPC, FACC, FAHA, Clinical Professor of Medicine, University of Calgary, Departments of Cardiac Sciences, Medicine, and Radiology, Director of Echocardiography, Foothills Medical Center, Calgary, Ontario, Canada

George E. Kopchok, BS, Los Angeles Biomedical Research Institute, Harbor-UCLA Medical Center, Torrance, California

Katsuhisa Waseda, MD, Center for Research in Cardiovascular Interventions, Stanford University Medical Center, Stanford, California

Rodney A. White, MD, Vascular Surgery Division Chief, Vascular Surgery Fellowship Program Director, Vice Chairman of Research, Harbor-UCLA Medical Center, David Geffen School of Medicine, University of California, Los Angeles, Torrance, California
Preface
Vascular ultrasound represents one of the first successful applications of Doppler ultrasound to clinical medicine, and it has evolved to be a versatile diagnostic test for the assessment of both arterial and venous disease. Given the anatomic extent and potential complexities of arterial and venous trees and the inherent requirements of ultrasound imaging, vascular ultrasound has its limitations, but when approached properly and formally (with thorough and structured protocols), it is a very useful diagnostic tool. Attention to technique and to detail and an attempt to have the greatest knowledge possible of native anatomy and its variants, vascular diseases and their permutations, and interventional and surgical techniques maximize the yield of vascular ultrasound.
The historic standard of comparison of vascular ultrasound has been conventional angiography/venography. With the progress and developments of computed tomography (CT) angiography and magnetic resonance (MR) angiography, both of which also have as their basis of comparison conventional angiography, the respective roles of vascular ultrasound, CT angiography, and MR angiography are evolving and are slowly being defined. Each modality has its strengths and weaknesses. CT and MR angiography are anatomic tests; vascular ultrasound is both a physiologic and an anatomic test. Vascular ultrasound is still currently the pre-eminent noninvasive test of venous disease; CT venography is less competitive. CT angiography is certainly a rising contributor to the assessment of arterial disease, but vascular ultrasound remains a radiation-free means to initially assess arterial disease.
This book is our attempt to summarize and provide our experience, principles, and approach to the application of vascular ultrasound to the arterial and venous vascular fields, and also a platform from which to stalwartly encourage structured and thorough technique and protocol, as well as awareness of disease permutations.
It is our hope that this book will prove useful to those who are dedicated to providing care to patients through the clinical application of vascular ultrasound.
Acknowledgments. We acknowledge with appreciation Adrien Boutin, Vern M. Campbell, Tony M. Chou, Melma J. Evangelista, Allan J. Lossing, Krishnankutty Sudhir, Inga Tomas, William S. Tucker, and contributors Junya Ako, Joe Chauvapun, George E. Kopchok, Katsuhisa Waseda, and Rodney A. White.

Stuart J. Hutchison

Katherine C. Holmes
Table of Contents
Front Matter
Copyright
Dedication
Contributors
Preface
Chapter 1: Technical Issues in Vascular Ultrasound
Chapter 2: Carotid Artery Disease and Extracranial Cerebrovascular Disease
Chapter 3: Upper Extremity Arterial Disease
Chapter 4: Arteriovenous Fistulas
Chapter 5: Lower Extremity Arterial Disease
Chapter 6: Catheterization-Related Complications
Chapter 7: The Abdominal Aorta
Chapter 8: Renal Artery Disease
Chapter 9: Splanchnic/ Visceral Arteries
Chapter 10: Venous Disease of the Upper Extremity
Chapter 11: Venous Disease of the Lower Extremity
Chapter 12: Intravascular Ultrasound
Chapter 13: Intravascular Ultrasound Imaging of the Descending Aorta and Iliac Arteries
Appendix
Index
1 Technical Issues in Vascular Ultrasound

Key Points

Maximizing and easing optimal image acquisition is achieved by:
Integration of knowledge of anatomy, disease, machine factors, and scanning technique
Effort and persistence

Basic Guidelines

Optimizing Settings: Beyond Factory Presets
Although providing a useful starting point, factory settings and algorithms are designed for optimal scanning of patients of average body habitus, without consideration of precisely what is to be depicted or measured. Further optimization and enhancement of the image and color or spectral Doppler for a particular study/zone can be achieved by directed empiric manual adjustment of machine settings. Knowledge and confidence with machine settings provides incremental diagnostic yield and avoidance of many artifacts.

Knowledge of Anatomic Variants: As Important As Knowledge of Normal Anatomy
Arterial, and especially venous, anatomy is subject to a considerable range of variation. Failing to consider

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