SVU 2025 Annual Conference Arterial Session-SVU 2025 Annual Conference Arterial Session

Video Transcription

Video Summary

The Arterial Session offers an in-depth exploration of both foundational and cutting-edge topics in arterial imaging and intervention, focusing on vascular ultrasound's expanding role in managing arterial disease. Dr. Michael Ciaramella opens by discussing non-invasive vascular evaluation in diabetic foot care, emphasizing the integration of diagnostic tools like ABIs, toe pressures, and imaging for chronic limb-threatening ischemia (CLTI). He highlights recent trials (BEST-CLI and BASL-2) guiding revascularization strategies, stressing the importance of patient-specific anatomy, wound classification (Wi-Fi system), and the “target artery path” for optimized limb salvage.<br /><br />Mary Beth Georges follows with a practical guide on lower extremity arterial duplex evaluation of grafts, detailing how to interpret various graft materials (vein, PTFE, Dacron, Artigraft), label complex bypasses accurately, and recognize hemodynamic changes and common postoperative findings. She underscores the necessity of reviewing operative notes and precise anatomical labeling to improve understanding and reporting.<br /><br />Andrew Bachman addresses advances in endovascular treatments influencing ultrasound protocols, encouraging sonographers to confidently scan novel procedures and complex grafts without fear. He discusses innovative techniques like the Detour system and limb arterialization, noting the challenges and nuances in imaging such grafts, including their distinct flow patterns.<br /><br />Finally, Lindsey Ferraro focuses on deep venous arterialization (DVA) and transcatheter arterialization of deep veins as limb-preserving options for patients with CLTI and non-healing wounds. She highlights the sonographer’s critical role in preoperative vein mapping, postoperative surveillance via flow volume measurements, detection of complications (e.g., pseudoaneurysms, stenoses, steal syndrome), and collaborative care to foster wound healing.<br /><br />Throughout, speakers stress multidisciplinary teamwork, customized imaging protocols, and ongoing innovation to improve outcomes in complex arterial disease, especially for high-risk diabetic and CLTI populations.

Keywords

arterial imaging

vascular ultrasound

diabetic foot care

chronic limb-threatening ischemia

revascularization strategies

arterial duplex evaluation

graft materials

endovascular treatments

ultrasound protocols

deep venous arterialization

transcatheter arterialization

multidisciplinary teamwork