This issue contains an update from the Society for Vascular Ultrasound Foundation President, a review on infra-popliteal arterial disease, the role of ultrasound mapping in an arteriovenous fistula formation, various oral case studies focusing on vascular disease, a case report of ischemic steal syndrome, a technical note highlighting creation of a vascular surgery specific model for vascular access, and images of splenic vein thrombosis and the usefulness of superb microvascular imaging.

After reading and studying the papers used for CME in the December 2022 Issue of the Journal for Vascular Ultrasound, participants will be able to:

1.Explain how to measure acceleration time.
2.State risk factors that can worsen peripheral arterial disease.
3.State the artery that had the highest rate of segmental occlusion.
4.List the risk factors associated with arteriovenous fistula failure.
5.State the mapping tools used to supplement the clinical assessment prior to arteriovenous fistula surgery.
6.Explain the venous assessment for an arteriovenous fistula creation.
7.List the clinical presentation of mid aortic syndrome.
8.List the pathology seen in the right and left internal carotid arteries at the mid and distal segments on diagnostic ultrasound.
9.Describe the ultrasound features of transient perivascular inflammation involving the carotid artery.
10.State the gold standard used to diagnose arterial steal syndrome.
11.List the complications associated with an arteriovenous creation.
12.List the clinical symptoms associated with ischemic steal syndrome.
13.State the different mediums used to create a vascular access model.
14.Explain the procedural technique used for the advanced trainee which allows for a more realistic simulation.
15.List the advantages and disadvantages of the vascular surgery access model.
16.State the modalities use to visualize splenic vein thrombosis.
17.Explain the benefits of superb microvascular imaging.
18.State the modalities used to confirm the resolution of the splenic vein thrombosis.

Physician, Vascular Technologists and Sonographer members of SVU should find participating in this educational activity valuable

Activity release date: December 1, 2022
Expiration date: November 30, 2025

This Enduring Material activity is available online at www.svu.org. To receive credit, participants must read the CME articles, including the learning objectives and disclosure statements, as well as the full content of each of these articles, and then complete the post test and evaluation form. Upon successful completion of the post test (80% correct) and evaluation form, a CME certificate of participation will be awarded automatically. The certificate may be printed directly from the website.

In accordance with the ACCME Standards for Commercial Support, the authors for this journal have been asked to disclose to participants the existence of any financial interest and/or relationship(s) (e.g., paid speaker, employee, paid consultant on a board and/or committee for a commercial company) that would potentially affect the objectivity of his/her article or whose products or services may be mentioned during their article. The following disclosures were made:

David Dawson, MD RVT RPVI – Nothing to Disclose
Professor
Baylor Scott & White Health (Temple)
Temple, TX

R Eugene Zierler, MD RPVI --  Nothing to Disclose
Editor-in-Chief, JVU
University of Washington School of Medicine
Seattle, WA

Sandra Yesenko, MHS DHSc RVT RDMS FSVU -- Nothing to Disclose
Associate Editor for Education, JVU
Cleveland Clinic
Westlake, OH

Sandra Katanick, FSVU -- Nothing to Disclose
Managing Editor, JVU
Hollywood, FL

Bruce Gebhardt, MD – Nothing to Disclose/Compliance
University of Cincinnati College of Medicine
Family Medicine

Barbara Forney – Nothing to Disclose/Compliance
University of Cincinnati College of Medicine
0ffice of Continuing Medical Education

Toru Ariyoshi -- Nothing to Disclose                      Faisal Aziz, MD – Nothing to Disclose
Faizaan Aziz – Nothing to Disclose                      William Delvalle – Nothing to Disclose
Maen Aboul Hosn, MD – Nothing to Disclose       Kha Tan Huynh, MD – Nothing to Disclose
Minh Son Kieu, MD – Nothing to Disclose             An Quang Kieu, MD – Nothing to Disclose
Natsu Kinoshita, MD PhD – Nothing to Disclose   Jeanette Man, MD – Nothing to Disclose
Michael Matchett – Nothing to Disclose                Takashi Nawata, MD PhD -- Nothing to Disclose
Tien Cong Nguyen, MD -- Nothing to Disclose     Quynh Ngoc Hoa Nguyen -- Nothing to Disclose
Truc T.T. Nguyen, MD -- Nothing to Disclose         Van Thanh Nguyen, MD – Nothing to Disclose
Rachael Nicholson, MD – Nothing to Disclose         Nkemjika Nwaneri, MS – Nothing to Disclose
John Radtka, MD – Nothing to Disclose              Ann T Vo, MD PhD – Nothing to Disclose
Yasuaki Wada, MD PhD -- Nothing to Disclose    David Wedderman – Nothing to Disclose
William Wilson -- Nothing to Disclose                   Yano Wada, MD PhD -- Nothing to Disclose
Masafumi Yano, MD PhD -- Nothing to Disclose