Guidelines for Noninvasive Vascular Laboratory Testing: A Report from the American Society of Echocardiography and the Society of Vascular Medicine and Biology
Represented by Marie Gerhard-Herman, MD, MMSc, Julius M. Gardin, MD, FASE, Michael Jaff, DO, Emile Mohler, MD, Mary Roman, MD, and Tasneem Z. Naqvi, MD, FASE, RVT
EXECUTIVE SUMMARY Accompanying the rapid growth of interest in percutaneous vascular interventions, there has been increasing interest among cardiologists in performing noninvasive vascular testing using ultrasound. In an attempt to provide recommendations on the best practices in vascular laboratory testing, this report has been prepared by a writing group from the American Society of Echocardiography (ASE) and the Society of Vascular Medicine and Biology. The document summarizes principles integral to vascular duplex ultrasound–including color Doppler, spectral Doppler waveform analysis, power Doppler, and the use of contrast. Appropriate indications and interpretation of carotid artery, renal artery, abdominal aorta, and peripheral artery ultrasound imaging are described. A dedicated section summarizes noninvasive techniques for physiologic vascular testing of the lower extremity arteries–including measurement of segmental pressures and pulse volume plethysmography. The use of exercise testing in the evaluation of peripheral artery disease, ultrasound evaluation of the lower extremities after percutaneous revascularization, and the diagnosis and management of iatrogenic pseudoaneurysm (PSA) is also discussed. A section on the important
From Brigham and Women's Hospital, Boston, MA (M.G-H.); St. John Hospital and Medical Center, Detroit, MI (J.M.G.); Massachusetts General Hospital, Boston, MA (M.J.); University of Pennsylvania Health System, Philadelphia, PA (E.M.); Weill Medical College of Cornell University, New York, NY (M.R.); Cedars Sinai Medical Center, Los Angeles, CA (T.Z.N.). Copyright 2005 American Society of Echocardiography (ASE). Property of the ASE. Reprint of these documents, beyond single use, is prohibited without prior written authorization of the ASE. Reprint requests: The American Society of Echocardiography, 1500 Sunday Dr, Suite 102, Raleigh, NC 27607. (919) 864-7754. J Am Soc Echocardiogr 2006;19:955-972. 0894-7317/$32.00 Copyright 2006 by the American Society of Echocardiography. doi:10.1016/j.echo.2006.04.019

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