Noninvasive Vascular Diagnosis (eBook)

John J. Bergan MD is founder of The Vein Institute in La Jolla and is a staff surgeon at Scripps Memorial Hospital, La Jolla, California, USA. Ali F. AbuRahma, M.D. is Professor of Surgery at the Robert C Byrd Health Sciences Center of West Virginia University, Charleston, West Virginia, USA. Dr Bergan is a world-renowned vascular surgeon who has already authored or edited twenty-nine textbooks, nine of which are on venous disorders, including, for Springer, Chronic Venous Insufficiency: Diagnosis and Treatment with Jeffrey Ballad (1-85233-172-0) and Atlas of Endoscopic Perforator Vein Surgery with Peter Gloviczki (3-540-76171-3). Dr Bergan and Dr AbuRahma have collaborated previously and were the editors of the Springer title Noninvasive Vascular Diagnosis (1-85233-128-3), which was published in November 1999.

Foreword to the Second Edition 7
Foreword to the First Edition 9
Preface 11
Acknowledgments 13
Contents 15
Contributors 19
Vascular Laboratory Operations 25
Improving Quality in Noninvasive Testing by Certification and Accreditation 26
Qualifications of the Physician in the Vascular Diagnostic Laboratory 32
Basic Physics 36
Principles and Instruments of Diagnostic Ultrasound and Doppler Ultrasound 37
Cerebrovascular Diagnosis 59
Overview of Cerebrovascular Disease 60
Overview of Various Noninvasive Cerebrovascular Techniques 77
Duplex Scanning of the Carotid Arteries 87
The Role of Color Duplex Scanning in Diagnosing Diseases of the Aortic Arch Branches and Carotid Arteries 116
Vertebral Artery Ultrasonography 124
Transcranial Doppler Sonography 130
Ultrasonic Characterization of Carotid Plaques 154
Carotid Plaque Echolucency Measured by Grayscale Median Identifies Patients at Increased Risk of Stroke during Carotid Stenting. The Imaging in Carotid Angioplasty and Risk of Stroke Study 176
Duplex Ultrasound in the Diagnosis of Temporal Arteritis 182
Duplex Ultrasound Velocity Criteria for Carotid Stenting Patients 188
Use of Transcranial Doppler in Monitoring Patients during Carotid Artery Stenting 194
Use of an Angle-Independent Doppler System for Intraoperative Carotid Endarterectomy Surveillance 203
Clinical Implications of the Vascular Laboratory in the Diagnosis of Cerebrovascular Insufficiency 210
Noninvasive Diagnosis of Peripheral Arterial Disease of the Extremities 234
Overview of Peripheral Arterial Disease of the Lower Extremity 235
Overview of Noninvasive Vascular Techniques in Peripheral Arterial Disease 249
Segmental Doppler Pressures and Doppler Waveform Analysis in Peripheral Vascular Disease of the Lower Extremities 259
Pulse Volume Recording in the Diagnosis of Peripheral Vascular Disease 273
Duplex Scanning for Lower Extremity Arterial Disease 281
Duplex Surveillance of Infrainguinal Bypass Grafts 290
Rationale and Bene.ts of Surveillance After Prosthetic Infrainguinal Bypass Grafts 301
Rationale and Benefits of Surveillance After Percutaneous Transluminal Angioplasty and Stenting of Iliac and Femoral Arteries 307
Duplex Ultrasound in the Diagnosis and Treatment of Femoral Pseudoaneurysms 315
Lower Extremity Arterial Mapping: Duplex Ultrasound as an Alternative to Arteriography Prior to Femoral and Popliteal Reconstruction 321
Preoperative Saphenous Vein Mapping 331
Noninvasive Diagnosis of Upper Extremity Vascular Disease 340
Ultrasound Imaging of Upper Extremity Arteries: Clinical Applications 353
Protocol and Technique of Dialysis Ultrasound Surveillance 362
Noninvasive Evaluation for Congenital Arteriovenous Fistulas and Malformation 369
Clinical Implications of the Vascular Laboratory in the Diagnosis of Peripheral Arterial Disease 377
Noninvasive Diagnosis of Venous Disorders of the Extremities 397
Overview of Venous Disorders 398
Overview: Plethysmographic Techniques in the Diagnosis of Venous Disease 404
Venous Duplex Ultrasound of the Lower Extremity in the Diagnosis of Deep Venous Thrombosis 414
Venous Imaging for Re.ux Using Duplex Ultrasonography 423
Duplex Ultrasound Use for Bedside Insertion of Inferior Vena Cava Filters 429
Venous Stenting Using Intravascular Ultrasound 435
Ultrasound Guidance for Venous Therapy: VNUS, Endovenous Laser Treatments, and Foam 443
Clinical Implications of the Vascular Laboratory in the Diagnosis of Venous Disorders 451
Deep Abdominal Doppler 460
Deep Doppler in the Liver Vasculature 461
Duplex Evaluation of the Renal Arteries 480
Duplex Ultrasonography of the Mesenteric Circulation 496
The Role of Color Duplex Ultrasound in Patients with Abdominal Aortic Aneurysms and Stent Grafts 506
Miscellaneous 521
Transcutaneous Oxygen Tension: Principles and Applications 522
Role of Magnetic Resonance Angiography in Peripheral Vascular Disease 528
Intravascular Ultrasound Applications 537
Three-Dimensional Vascular Imaging and Three- Dimensional Color Power Angiography Imaging 548
Contrast-Enhanced Ultrasound 560
Index 578