OVERVIEW
This issue contains information on arterial and venous Doppler waveform interpretation, multiparametric ultrasound, aortocaval fistula formation post-abdominal aortic aneurysm rupture, upper extremity arterial duplex and acceleration time after trauma, and popliteal vein aneurysms.


LEARNING OBJECTIVES
After reading and studying the papers used for CME in the September 2020 Issue of the Journal for Vascular Ultrasound, participants will be able to:
1. Compare the descriptions of arterial waveforms in previously published literature
2. Differentiate between high, low, and intermediate resistive waveforms
3. Describe the respirophasic flow pattern
4. Explain the alterations in vertebral waveforms as they change from normal to complete steal
5. Discuss the interventional goals for patients’ post-traumatic upper extremity arterial injury
6. Explain how acceleration time is measured on a duplex ultrasound image
7. Describe post-injury clinical findings that can be attributed to extensive upper extremity collateral circulation
8. Discuss how arterial stiffness can be an important indicator of end-organ damage in hypertension
9. Explain how multiparametric ultrasound can be useful in assessing carotid artery function and morphology
10. List multiple factors that may contribute to carotid artery health
11. Describe the incidence of aortocaval fistula after abdominal aortic aneurysm rupture
12. State the most common imaging test used to evaluate aortocaval fistulas
13. Explain the importance of early detection and management of aortocaval fistulas post abdominal aortic aneurysm rupture
14. Describe the pathogenesis of venous aneurysms
15. List the possible clinical presentations of venous aneurysms
16. State the most frequent location of venous aneurysms
.


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 the Society for Vascular Ultrasound.

The University of Cincinnati is accredited by the ACCME to provide continuing medical education for physicians.


The University of Cincinnati designates this Enduring Material activity for a maximum of 1 AMA PRA Category 1 Credit ™ per article. Physicians should claim only the credits commensurate with the extent of their participation in the activity.

Interpretation of Peripheral Arterial and Venous Doppler Waveforms A Consensus Statement from the Society for Vascular Medicine and Society for Vascular Ultrasound

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.

Arterial Duplex and Palmar Acceleration Time in an Upper Extremity Trauma Case
Identification of Persistent Aortocaval Fistula Using Ultrasonography in the Outpatient Setting: A Case Report
Incidental Saccular Popliteal Vein Aneurysm: 2 Cases Reports
Multiparametric Ultrasound to Assess Adult Carotid Arteries


CREDIT AVAILABILITY
Activity release date: September 1, 2020
Expiration date: August 31, 2023


David Dawson, MD, RVT, RPVI – No Relationships Kimberly Sorrentino, MS, BA, RVT, RDCS, RDMS Steven R. Talbot, RVT, FSVU
Professor Associate Editor, JVU Co-Editor, JVU
UC Davis Vascular Center Meriden, CT Univ of Utah Med Ctr
Sacramento, CA Salt Lake City, UT

Bruce Gebhardt, MD – No Relationships/Compliance Barbara Forney – No Relationships/Compliance
University of Cincinnati College of Medicine Office of Continuing Medical Education
Family Medicine University of Cincinnati College of Medicine





AUTHOR CONFLICT OF INTEREST DISCLOSURE

David Dawson, MD – No Relationships Robert Eberhardt, MD – No Relationships Jing Gao, MD – No Relationships
Joseph Hughes – No Relationships Riyad Karmy-Jones – No Relationships Esther Kim, MD – No Relationships
Steve Knight – No Relationships Ann Marie Kupinski, PhD -- No Relationships Juhyun Lee – No Relationships
Guillaume Mahe, MD – No Relationships Richard Meena, MD -- No Relationships Andrew Phan – No Relationships
Patricia Poe – No Relationships Abharika Sapru – No Relationships Robert Scissons – No Relationships
Viviane Seki Sassaki – No Relationships Aditya Sharma – No Relationships Rita Shugart – No Relationships
Jill Sommerset – No Relationships Desarom Teso – No Relationships Paul Wennberg, MD – No Relationships
David Williams – No Relationships R. Eugene Zierler, MD – No Relationships


Marsha Neumyer, --
Gulfcoast Ultrasound Institute, Honorarium Recipient, Royalty Recipient
Main Line Health, Honorarium Recipient, Consultant