OVERVIEW
This issue contains information on treatment of a radial artery pseudoaneurysm using a compression device, an easily recreated ultrasound phantom for deep vein thrombosis, imaging practices for deep venous arterialization procedures, exercise stress testing when a patient presents with claudication and a normal ankle brachial index, changes of cerebral blood flow with a high-grade stenosis of a brachiocephalic pseudoaneurysm, a glomus tumor of the thigh, and penetrating wood splinter and ulnar artery occlusion.
LEARNING OBJECTIVES
After reading and studying the papers used for CME in the Summer 2021 Issue of the Journal for Vascular Ultrasound, participants will be able to:
1. Define limb-threatening critical ischemia
2. Define deep venous arterialization
3. State the most popular surveillance method used for deep venous arterialization
4. Discuss true claudication and pseudo-claudication
5. List the contraindications for exercise stress testing
6. Explain how to perform a reactive hyperemia examination
7. State the modality that is capable of detecting active embolization
8. List the characteristics of a micro embolic signal
9. Describe the abnormal “bunny” waveform seen on Transcranial Doppler
10. Explain the importance of adding simethicone to the gelatin phantom
11. State the importance of adding xanthan gum to the phantom
12. Explain how to diagnose an acute deep vein thrombosis with diagnostic ultrasound
13. List the typical symptoms of a glomus tumor
14. Describe the characteristics of a malignant glomus tumor
15. List the sonographic features of a glomus tumor
16. State the ideal treatment period for a retained foreign body
17. List the complications associated with a penetrating foreign body
18. State the sonographic features seen with a metal or glass foreign body
.
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.
• An Affordable and Easy Recreated Ultrasound Phantom for Deep Venous Thrombosis (DVT)
• A Review of Current Noninvasive Imaging Surveillance Practices for Deep Venous Arterialization Procedures
• Case Report: Glomus Tumor of the Thigh
• Exercise Stress Testing as a Necessary Adjunct to Normal Lower Extremity Noninvasive Arterial Testing: A Case Report
• High Grade Stenosis of a Traumatic Brachiocephalic Pseudoaneurysm and the Change in Cerebral Blood Flow Assessed with Transcranial Doppler Ultrasound
• Sonographic Evaluation of a Perpetual Penetrating Retained Wood Splinter, Ulnar Artery Occlusion and Soft Tissue Swelling in the Left Arm
CREDIT AVAILABILITY
Activity release date: June 1, 2021
Expiration date: May 31, 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
UC Davis Vascular Center
Sacramento, CA
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
Tammy Albanese – No Relationships Kimberly Rathbun, MD PhD MPH – No Relationships
Mark Davies – No Relationships Jacob Roemen, MD – No Relationships
Lucas Ferrer-Cardona – No Relationships Shazib Sagheer, MD – No Relationships
Dianne Masri – No Relationships Laligam Sekhar, MBBS -- No Relationships
Allison Hennigan, MD – No Relationships Vanessa Tran – No Relationships
Jessica Kralec – No Relationships John Treffalls – No Relationships
Anne Moore – No Relationships Qi Yan, MD – No Relationships
Winnie Nguyen – No Relationships Kimberly Weaver – No Relationships
Shane Prejean – No Relationships Aaron Zweig, MD – No Relationships
AUTHOR CONFLICT OF INTEREST DISCLOSURE
Mustafa Ahmed – Relationships:
Edwards – Proctor/Consultant/Research
Medtronic -- Proctor/Consultant/Research
Abbott -- Proctor/Consultant/Research