Introduction to Vascular Ultrasonography ZWIEBEL * PELLERITO | FIFTH EDITIONIntroduction to Vascular Ultrasonography | FIFTH EDITION | WILLIAM J. ZWIEBEL, MD * JOHN S. PELLERITO, MD “Vascular sonography is moving rapidly forward, and we need the eae eam nd a eee aed This classic resource encompasses every aspect of arterial and venous ultrasound—from basic concepts and instrumentation through a full range of diagnostic and interventional techniques for cerebral vessels, Pn enema Ree EU aa ee eee Be ee Ur ae ee ee Cee ene ae wid + Details all aspects of diagnosis, including peripheral veins and arteries, carotid and vertebral arteries, abdominal vessels, and transcranial Doppler. See eee a oe CRC een ena ancl at a) | dialysis access, extremity arterial grafts, aortic stent grafts, and other invasive procedures. + Covers physiological diagnostic techniques such as plethysmography, segmental pressure examination, | and ankle-brachial index. Now it’s better than ever! BN Rano Meee een cece ome a Ree ce) Oe ese Cane ec oe oo eens cc SOU ie Oe Ru Mae a eR Ce ce a eee ee ee ee ee Cee ee eee ered + For ease of reference, organizes each section by clinical rationale, anatomy, examination technique, findings, and interpretation. + Includes at-a-glance tables that display examination protocols, normal values, diagnostic parameters, Ente CR Me acim rc Ro lin Sec ee oe een Reem or ee ee ee Introduction to Vascular Ultrasonography, 5th Edition makes a wealth of essential information easy to GEN ane ce MCRL) eee ney ee Shelving Classification Petey ISBN 0-7216-06: ELSEVIER SAUNDERS DL RSOyIntroduction to Vascular Ultrasonography Fifth Edition William J. Zwiebel, MD Professor of Radiology University of Utah School of Medicine Staff Radiologist University of Utah Medical Center and VA Medical Center Salt Lake City, UT John S. Pellerito, MD Chief, Division of Ultrasound, CT, and MRI Director, Peripheral Vascular Laboratory North Shore University Hospital Manhasset, NY Assistant Professor of Radiology New York University School of Medicine ‘New York, NY SAUNDERSELSEVIER SAUNDERS, {An Imprint of Elsevier The Curtis Center 170 § Indepencience Mall W 300E Philadelphia, Pennsylvania 19106 INTRODUCTION TO VASCULAR ULTRASONOGRAPHY 0-7216-0631-8 Copyright © 2005, Elsevier Inc. All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and setrieval system, without permission in writing from the publisher. Permissions may be so directly from Elsevier’s Health Sciences Rights Department in Philadelphia, PA, USA: phone: (1) 215 238 7869, fax: (+1) 215 238 2239, e-mail: healthpermissions@elseviercom. You may also complete your request on-line via the Elsevier homepage (http://wwwelsevier.com), by selecting “Cusiomer Support” and then “Obtaining Permissions” Notice Ultrasonography is an ever-changing field. Standard safety precautions must be followed, but as new research and clinical experience broaden our knowledge, changes in treatment and drug therapy may become necessary or appropriate, Readers are advised to check the ‘most current product information provided by the manufacturer of each drug to be administered to verify the recommended dose, the method and duration of administration, and contraindications. It is the responsibility of the treating physician, relying on experience and knowledge of the patient, to determine dosages and the best treatment for each individual patient. Neither the Publisher nor the author assume any liability for any injury and/or damage to persons or property arising from this publication, The Publisher Previous editions copyrighted 2000, 1992, 1986, 1983, Publication Data Sth ed. f [edited by| William J. Zwiebel Library of Congress Cataloging 4 Introduction to vascular ultrasonography. John 5. Pellerito, peycm Rev, ed. of: Introduction to vascular ultrasonography / William J, zwiebel. 4th ed. Includes bibliographical references and index. ISBN 0-7216-0031-8, I. Blood-vessels—Ultrasonic imaging. 1. Zweibel, William J. Il. Pellerito, Jobn S. Ill. Zwiebel, William J. Introduction to vascular ultrasonography. IDNLM: "1. Vascular Diseases—ultrasonography. 2. Blood Vessels—ultrasonography. WG $00 1637 2004) RC691.6.U47157 2004 616.1°307543—ded2 2003069337 Acquisitions Editor: Allan Ress Developmental Editor: Jennifer Sirviner Project Manager: Mary Sterinel Book Designer: Steven Stave Printed in China Last digit is the print number: 9 8 7 6 5 4SECTION I Basics Chapter 1 Hemodynamic Considerations in Peripheral Vascular and Cerebrovascular Disease Sitian A. Canien, MD, MSc, FRCP Chapter 2 Physics and Instrumentation in Doppler and B-Mode Ultrasonography Janes A. Zacze5sa, Px Chapter 3 Basic Concepts of Doppler Frequency Spectrum Analysis and Ultrasound Blood Flow Imaging ‘Was J. Zevessi, MD, Ano Jann S. Pausiro, MD Chapter 4 Contrast Agents in Arterial Sonography Laurence Netotewan, MD SECTION Il Cerebral Vessels Chapter 5 ‘The Role of Ultrasound in the Management of Cerebrovascular Disease ‘Avons V. Austaxonoy, MD, RVT Chapter 6 Cerebrovascular Anatomy and Collateral Pathways Eowano 8, Diencs, MD Chapter 7 Normal Findings and Technical Aspects of Carotid Sonography ‘Wauwam J. Ziveatt, MD- Chapter 8 Ultrasound Assessment of Carotid Plaque ‘Wauam J. Zimestt, MD 19 61 a1 107 133 143 155 Chapter 9 Ultrasound Assessment of Carotid Stenosis Enca L. Mircreut, MD, AND Gascony L. Monta, MD Chapter 10 Carotid Occlusion, Uncommon Carotid Pathology and Tricky Carotid Cases ‘Wns J. Zemast, MD, ano Jor. Peusnro, MD Chapter 11 Ultrasound Assessment of the Vertebral Arteries Pra |. Bevorce, PhD Chapter 12 Ultrasound Assessment of the Intracranial Arteries Dans G. Nasa, MD, Sunuey M, Ons, MD, Axo E, Beano Rinceistery, MD SECTION IIL Extremity Arteries Chapter 13, ‘The Role of Noninvasive Procedures in the Management of Extremity Arterial Disease J. Dass Baetn, MD Chapter 14 Extremity Arterial Anatomy and Collateral Routes Gnecomy M. Keck, MD, avo Witiaw J. Zvaear,, MD Chapter 15 Nonimaging Physiological Tests for Assessment of Lower Extremity Arterial Occlu Disease R. Eucant Zeme, MD © Chapter 16 Assessment of Upper Extremity Arterial Occlusive Disease Steves Tawor, RVT, FSYU, ano Wituam J. Zweset, MD 171 191 21 225 253 261 2758 297Chapter 17 Ultrasound Assessment Before and After Hemodialysis Access Moves L. Rosas, MD, MS, avo ‘Man, Locenaar, MD, MPH. Chapter 18 Ultrasound Assessment of Lower Extremity Arteries R. Eucene Zier, MD Chapter 19 Ultrasound Assessment During and After Peripheral Intervention Divs F. Bawove, MD Chapter 20 Ultrasound in the Diagnosis and Management of Arterial Emergencies Brass J, Bure, MD, RVT, ano Sieve G, Fatowan, MD SECTION IV Extremity Veins Chapter 21 The Role of Ultrasound in the Management of Extremity Venous Disease Rossar §, Sivct, MD, ano Srencen W. Gat, MD Chapter 22 Extremity Venous Anatomy, Terminology, and Ultrasound Features of Normal Veins Wa J. Zonas, MO Chapter 23 Technique for Extremity Venous Ultrasound Examination Waist J. Zose,, MD Chapter 24 Ultrasound Diagnosis of Venous Thrombosis Wuas J Zonet, MD Chapter 25 Controversies in Venous Ultrasound Josm: J. Crown, MD Chapter 26 Ultrasound Diagnosis of Venous Insufficiency Massing M. Neuse, 8S, RYT 341 357 381 403 431 449 467 479 Chapter 27 Nonvascular Pathology Encountered During Venous Sonography Wituam J. Zeveset, MD SECTION V Abdomen and Pelvis Chapter 28 Anatomy and Normal Doppler Signatures of Abdominal Vessels Wituam J. Zineset, MD Chapter 29 Ultrasound Assessment of the Aorta, Iliac Arteries and the Inferior Vena Cava Wns J. Zvacsa, MD Chapter 30 Ultrasound Assessment Following Endovascular Aortic Aneurysm Repair Geonct Bexo4o, BA, RVT, ano Eves C, Lustre, MD Chapter 31 Ultrasound Assessment of the Splanchnic (Mesenteric) Arteries Jom S, Peusarto, MD Chapter 32 Ultrasound Assessment of the Hepatic Vasculature Wis J. Ziman, MD ‘Chapter 33 Ultrasound Assessment of Native Renal Vessels and Renal Allografts Jou S. Peucsro, MD, ano Winns J. Zaven,, MD Chapter 34 Duplex Ultrasound Evaluation of the Uterus and Ovaries forms, Peusnro, MD Chapter 35 Duplex Ultrasound Evaluation of the Male Genitalia Was |. Zween,, MD, Casot 8. Bevson, MD, ano Penta M, Doustes, MD, PHD Index 501 513 529 571 611 637 685