OVERVIEW
This issue contains information on imaging protocols for branched endoprostheses for endovascular repair, blood flow volumes in patients with posterior circulation ischemic disorders, partial subclavian steal due to kinking in the artery, an incidental finding of fibromuscular dysplasia in the forearm, and the poster abstracts presented at the Society for Vascular Ultrasound annual conference.
LEARNING OBJECTIVES
After reading and studying the papers used for CME in the Winter 2021 Issue of the Journal for Vascular Ultrasound, participants will be able to:
1. State the most serious complication of a thoracoabdominal aortic aneurysm
2. List the advantages of using a structured protocol to image the branched endoprosthesis device
3. Discuss the importance of using a correct Doppler angle
4. List the various imaging modalities used to detect lesions in the cerebral arteries
5. Explain why women were not included in the research project pertaining to cerebral blood flow volumes
6. Compare the findings of the blood flow volumes in the right and left vertebral arteries in patients with steno-occlusive disease
7. Explain subclavian steal syndrome
8. Describe the direction of blood flow in the vertebral artery in a patient with subclavian steal
9. Describe the spectral Doppler waveforms before and after exercise maneuvers
10. List the best medical treatment for fibromuscular dysplasia
11. State the pathophysiology of fibromuscular dysplasia
12. List the gold standard for diagnosing fibromuscular dysplasia
13. State the imaging modalities used to assess nutcracker phenomenon-syndrome.
14. List the various causes of a spontaneous pseudoaneurysm
15. List imaging optimization techniques used to visualize webbing in patients with fibromuscular dysplasia
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TARGET AUDIENCE
Physician, Vascular Technologists and Sonographer members of SVU should find participating in this educational activity valuable
ACCREDITATION STATEMENT
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the University of Cincinnati and Society for Vascular UltrasoundThe University of Cincinnati is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The University of Cincinnati designates this live activity for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
OFF-LABEL DISCLOSURE STATEMENT
Faculty members are required to inform the audience when they are discussing off-label, unapproved uses of devices and drugs. Physicians should consult full prescribing information before using any product mentioned during this educational activity.
LEARNER ASSURANCE STATEMENT
The University of Cincinnati is committed to resolving all conflicts of interest issues that could arise as a result of prospective faculty members' significant relationships with drug or device manufacturer(s). The University of Cincinnati is committed to retaining only those speakers with financial interests that can be reconciled with the goals and educational integrity of the CME activity.
DISCLAIMER STATEMENT
The opinions expressed during the live activity are those of the faculty and do not necessarily represent the views of the University of Cincinnati. The information is presented for the purpose of advancing the attendees' professional development.
• SVU 2021 Poster Presentations
The University of Cincinnati designates this Enduring Material activity for a maximum of .5 AMA PRA Category 1 Credit ™ per article. Physicians should claim only the credits commensurate with the extent of their participation in the activity.
• Branched Endoprosthesis Duplex Doppler Imaging Protocol for Baseline and Follow-up Imaging
• Left Subclavian Artery Kinking, an Unusual Cause of Partial Subclavian Steal Syndrome
• Incidental Finding of Fibromuscular Dysplasia in a Right Upper Limb Radial Artery by Duplex Ultrasonography
• Cerebral Blood Flow Volume in Posterior Circulation Ischemic Disorders
CREDIT AVAILABILITY
Activity release date: December 1, 2021
Expiration date: November 30, 2024
METHOD OF PARTICIPATION
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 – No Relationships
Professor
Baylor Scott & White Health (Temple)
Temple, TX
R Eugene Zierler, MD RPVI
Editor-in-Chief, JVU
University of Washington School of Medicine
Seattle, WA
Sandra Yesenko, MHS, DHSc, RVT, RDMS, FSVU
Associate Editor for Education, JVU
Cleveland Clinic
Westlake, OH
Sandra Katanick, FSVU
Managing Editor, JVU
Hollywood, FL
Bruce Gebhardt, MD – No Relationships/Compliance
University of Cincinnati College of Medicine
Family Medicine
Barbara Forney – No Relationships/Compliance
University of Cincinnati College of Medicine
0ffice of Continuing Medical Education
AUTHOR CONFLICT OF INTEREST DISCLOSURE
Zeeshan Ahmed – No Relationships Patricia Fitzgerald, MD – No Relationships
Sayed Aly – No Relationships Bhupinder Kalsi – No Relationships
Kwame Amankwah, MD – No Relationships Elrasheid Kheirelseid – No Relationships
Melinda Bender – No Relationships Thanila Macedo, MD -- No Relationships
Alexander Berdalin – No Relationships Seamus McHugh, MD – No Relationships
Mariana de Gregorio Farias – No Relationships Daragh Moneley, MD – No Relationships
Mauro de Deus Passos – No Relationships Peter Naughton, MD – No Relationships
Molly Dent – No Relationships Dilson Palhares Ferreira – No Relationships
Ramy Elkady – No Relationships Sergio Salles Cunha – No Relationships
AUTHOR CONFLICT OF INTEREST DISCLOSURE
Mark Farber – Relationships: Svetlana Lelyuk – Relationships:
WL Gore –Clinical Trial Support FSBI Federal Center of Brain Research and Neurotechnologies of the Federal –Consulting Fees/Speaker’s Bureau Medical Biological Agency -- Grant
Cook Medical – Research & Clinical Trial Support
Getinge – Advisory Board
Centerline Biomedical – Stock Options, Advisory Board
Vladimir Lelyuk – Relationships: Jon Matsumura, MD – Relationships:
FSBI Federal Center of Brain Research and Neurotechnologies of the Endologix/Abbott – Grants Research Support Recipient
Federal –Medical Biological Agency -- Grant Cook -- Grants Research Support Recipient
Gore -- Grants Research Support Recipient
Medtronic -- Grants Research Support Recipient
IAC – Board Member
Wendy Meadows – Relationships: Natalia Medvedeva – Relationships:
WL Gore – Independent Corelab for Clinic Research Trials FSBI Federal Center of Brain Research and Neurotechnologies
of the Federal –Medical Biological Agency – Grant
Carol Mitchell – Relationships: Gustavo Oderich, MD – Relationships:
Davies Publishing – Textbook Author Cook Medical Inc – Research Grand & Consultant Agreement
Elsevier – Author Textbook-Chapter may have future royalties WL Gore -- Research Grand & Consultant Agreement
Wolters-Kluwer -- Author Textbook-Chapter may have future royalties GE Healthcare -- Research Grand & Consultant Agreement
WL Gore & Associates – Contracted Research Grants