Course Description:  

In this course you will continue hands-on training in the sonographic evaluation of the peripheral vascular and extracerebral vascular system.  This course will include 2 D, color Doppler and spectral Doppler imaging techniques and optimization. The use of non-invasive physiologic testing will be included to complete the evaluation of the peripheral vascular system. Emphasis will also be placed on the prevention of musculoskeletal injuries (MSI).

Learning Outcomes:

Upon completion of this course, you will be able to identify and image anatomy of the carotid arteries, peripheral arterial and venous system. You will be able to perform segmental pressures and sonographic evaluations of the arteries and/or veins discussed in this course according to practice parameters established by national professional organizations and protocols of the clinical affiliates.

You will be able to:

1.       Demonstrate in long axis utilizing gray scale, color Doppler and spectral Doppler (angle corrected) of the following right and left:

a.      CCA-proximal, mid, and distal

b.      Bifurcation

c.       ICA-proximal, mid, and distal

d.      ECA-proximal

e.      Vertebral artery

f.        Measures peak systolic and end diastolic velocities of the above vessels

2.       Identify and image with and without compressions the right and left:

a.      Common femoral veins

b.      Saphenofemoral junction

c.       Deep Femoral vein proximal

d.      Femoral vein: upper, mid, and lower

e.      Popliteal vein

f.        Tibioperoneal trunk

g.      Posterior tibial veins-upper

h.      Peroneal veins upper

i.        Gastrocnemius veins

3.       Demonstrate in the long axis utilizing color and spectral Doppler of the following:

a.      Common femoral veins

b.      Saphenofemoral junction

c.       Deep Femoral vein proximal

d.      Femoral vein: upper, mid, and lower

e.      Popliteal vein

4.       Identify and image with and without compressions the right and left:

a.      Internal Jugular vein

b.      Axillary vein

c.       Branchial veins: upper mid, lower

d.      Radial and ulnar veins

e.      Basilic vein at antecubital fossa

f.        Cephalic vein at antecubital fossa

5.       Demonstrate in long axis utilizing color and spectral Doppler of the following right and left:

a.      Internal jugular vein- lower (evaluates contralateral IJV)

b.      Innominate vein

c.       Subclavian vein - medial and lateral (evaluates contralateral subclavian vein)

d.      Axillary vein

e.      Brachial vein -upper, mid, lower

f.        Radial and ulnar veins

6.       Demonstrate in long axis utilizing gray scale, color Doppler and spectral Doppler (angle corrected) of the following arteries:

a.      Common femoral artery

b.      Proximal Deep femoral artery (profunda femoris)

c.       Superficial femoral artery proximal, mid, and distal

d.      Popliteal artery proximal and distal

e.      Anterior tibial artery

f.        Peroneal Artery

g.      Posterior tibial artery

h.      Dorsalis pedis artery

i.        Measures peak systolic velocity of the above vessels

7.       Demonstrate in long axis utilizing gray scale, color Doppler and spectral Doppler (angle corrected) of the following arteries:

a.      Subclavian artery (medial and lateral)

b.      Axillary artery

c.       Brachial arteries (proximal, mid, and distal)

d.      Radial arteries (proximal, mid, and distal)

e.      Ulnar arteries (proximal, mid, and distal)

8.       Image the carotid artery in transverse at the following locations:

a.      CCA-proximal, mid, and distal

b.      Bulb and bifurcation with and without Color Doppler

9.       Perform Ankle brachial index

10.   Perform Lower extremity and digital arterial physiologic testing

11.   Perform Upper extremity and digital arterial physiologic testing

Prerequisites:   

Successful completion of Semester 1

Corequisites:

DMS-101	Ultrasound Physics I
CVS-101	Adult Cardiac Sonography I
CVS-101L	Cardiac Scanning Lab I
CVS-111	Vascular Sonography I
CVS-131	Clinical I

 Required Texts:

Pellerito, John S., and Joseph F. Polak. Introduction to Vascular Ultrasonography. Elsevier, Saunders, 2020. ISBN: 9780323428828 (available electronically in the library)

Daigle, Robert J. Techniques in Noninvasive Vascular Diagnosis 5^th ed Summer Publishing, LLC. ISBN 978-0-9899329-