Volume 50, Issue 1 Spring 2026 JVU 501-34 | Missed Diagnosis of Focal Subclavian Artery Stenosis Discovered During Duplex Ultrasound Examination
Missed Diagnosis of Focal Subclavian Artery Stenosis Discovered During Duplex Ultrasound Examination
OVERVIEW:
The Spring issue of the Journal for Vascular Ultrasound (JVU) features one original research article, four case reports, and one review article. The original research article reports on ultrasonographic venous abnormalities in CEAP C1 patients. The first case report reviews a radial artery injury following access for hemodynamic monitoring. The second case report reviews indirect arterial physiological testing in young adults with endofibrosis. The third case describes how subclavian artery stenosis was mistakenly diagnosed but detected with diagnostic ultrasound. The fourth case report features a post-stenting renal hemorrhage with perinephric hematoma and transient Page kidney. The review article reports on implementation of ultrasonography in nursing practice.

This issue includes a report on ultrasonographic venous abnormalities in CEAP C1 patients, a report on radial artery injury following access for hemodynamic monitoring, a review on indirect arterial physiologic testing in young patients with endofibrosis, a report on the misdiagnosis of subclavian artery stenosis and how diagnostic ultrasound detected the stenosis, a review of a patient with a renal hemorrhage, perinephric hematoma and a transient Page kidney, and the review article reports on implementation of ultrasonography in nursing practice.

LEARNING OBJECTIVES:
After reading and studying the papers used for CME in the Spring 2026 issue of the Journal of Vascular Ultrasound, participants will be able to:

  • List the compartments which make up the forearm.
  • Explain how compartment syndrome occurs.
  • List the symptoms a patient may present with in the presence of compartment syndrome.
  • Describe the signs patients may have with a CEAP C1 classification.
  • State the formula for body mass index.
  • State the perforator vein diameter associated with reflux.
  • Explain the patient population often seen with endofibrosis.
  • State the vessel which endofibrosis typically affects.
  • List the pathology which may lead to endofibrosis.
  • Describe the photoplethysmography waveform characteristics in the digits with a focal high-grade stenosis in the left subclavian artery.
  • State the diseases associated with small vessel disease in the digits.
  • Describe why the angiogram failed to identify the high-grade stenosis in the left subclavian artery.
  • State the imaging modalities used to identify post procedure renal hemorrhage.
  • Describe the physiology of a Page kidney.
  • Explain the Doppler findings which support impaired renal perfusion.
  • State the main applications of ultrasound in nursing practice.
  • State the types of training associated with successful implementation of ultrasound in the nursing practice.
  • List the barriers associated with the implementation of ultrasound in the nursing practice.

TARGET AUDIENCE:
Physician, Vascular Technologist and Sonographer members of SVU should find participating in this educational activity valuable.
Summary
Availability:
On-Demand
Expires on Feb 28, 2029
Cost:
Member: $0.00
Non-Member: $20.00
Credit Offered:
0.5 AMA-PRA Category 1 Credit
0.5 SVU-CME Credit
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