SVU 2025 Annual Conference Grand Rounds Session-SVU 2025 Annual Conference Grand Rounds Session

Video Transcription

Video Summary

The session highlighted complex vascular cases demonstrating diagnostic challenges and clinical impact in vascular labs. Steve Knight presented a cryptogenic stroke case involving Transcranial Doppler (TCD), bubble testing, and venous duplex imaging in a 54-year-old male firefighter. Despite normal echocardiography, massive microbubbles on TCD indicated a right-to-left cardiac shunt (PFO), a common cause of cryptogenic strokes. The case emphasized TCD's sensitivity in detecting embolic sources over transthoracic echo.<br /><br />Brian Sapp discussed a 49-year-old female with chronic venous insufficiency and complicated venous anatomy including a large intergastric gastrocnemius perforator vein. Treatment included endovenous ablation and close monitoring of thrombus formation following saphenous vein closure, illustrating the importance of collaborative, patient-centered care and selective treatment of perforators.<br /><br />Andrew Bachman presented a rare mycotic pseudoaneurysm of the posterior tibial artery in a 68-year-old male with endocarditis, highlighting rapid vascular deterioration and the importance of comprehensive arterial and venous duplex imaging.<br /><br />Diane Danon shared a rare case of vascular Ehlers-Danlos syndrome showing spontaneous regression of a left ulnar artery aneurysm, underscoring the unpredictability of vascular complications and the value of serial, non-invasive ultrasound imaging in managing high-risk patients.<br /><br />Overall, the cases reinforced the critical role of advanced vascular imaging, multidisciplinary collaboration, and individualized treatment strategies in managing complex vascular conditions.

Keywords

vascular labs

cryptogenic stroke

Transcranial Doppler (TCD)

right-to-left cardiac shunt

chronic venous insufficiency

endovenous ablation

mycotic pseudoaneurysm

vascular Ehlers-Danlos syndrome

multidisciplinary vascular care