Noninvasive Vascular Diagnosis A Practical Textbook for Clinicians

This revised and updated edition reflects the increasing popularity of noninvasive techniques in the management of vascular disease. It represents the definitive text written on the subject and has been honed over the past editions to represent the enormous number of changes to the use of imaging to diagnose the multitude of conditions being seen in the clinic and surgical suite. 

Noninvasive Vascular Diagnosis comprehensively covers all aspects of noninvasive evaluation of the circulatory system, including the extremities, cerebrovascular, and abdomen. In this updated edition, it is well supported by exceptional illustrative material, making it invaluable to all those who work in vascular laboratories as well as internists, cardiologists, radiologists, vascular surgeons, vascular medicine specialists, vascular laboratory directors and staff, general surgeons involved in vascular surgery and the vascular surgery community in general.

Part I Vascular Laboratory Operations.- Improving Quality in Noninvasive Testing by Certification and Accreditation.- Physician Qualifications in the Clinical Diagnostic Vascular Laboratory.- Quality in the Vascular Laboratory.- Ergonomics and Vascular Lab.- Part II Vascular Hemodynamics and Basic Vascular Physics.- Principles of Vascular Ultrasound Physics.- Vascular Hemodynamics.- Part III Noninvasive Diagnosis of Cerebrovascular Disease.- Overview of Cerebrovascular Disease.- Color Duplex Scanning of the Extracranial Carotid Arteries.- Ultrasonic Characterization of Carotid Plaques and Its Clinical Implications.- Role of Duplex Ultrasound in Carotid Screening.- Duplex Ultrasound Velocity Criteria in Carotid Artery Stenting Patients.- Intraoperative Ultrasound Assessment of Carotid Endarterectomy and Carotid Stent Angioplasty.- Intima-Media Thickness and Plaque Evaluation: Predictive Value of Cardiovascular Events and Contribution to Cardiovascular Risk Evaluation.- Color Duplex Scanning of the Brachiocephalic/Subclavian Arteries.- Color Duplex Scanning of Vertebral Artery.- Transcranial Doppler Sonography.- TCD Monitoring During Carotid Artery Stenting.- Errors and Artifacts of Carotid Ultrasound Evaluation.- Computed Tomography Angiography and Magnetic Resonance Angiography of the Carotids.- Carotid Duplex Consensus Criteria on Interpretation  of Carotid Duplex Ultrasound.- Correlation of Doppler PSV/EDV in Determining Severity of Stenosis Beyond 70%: 70-80%, 80-90% and >90%.- Role of Duplex Ultrasound in Subclavian Steal: Incidence and Clinical Implications.- Duplex Ultrasound Surveillance After Carotid Endarterectomy.- Color Duplex Scanning on Other Miscellaneous Carotid Topics.- Part IV Noninvasive Diagnosis of Peripheral Arterial Disease of the Extremities.- Overview of Peripheral Arterial Disease of the Lower Extremity.- Segmental Doppler Pressures and Doppler Waveform Analysis in Peripheral Vascular Disease of the Lower Extremities.- Pulse Volume Recording in the Diagnosis of Peripheral Vascular Disease.- Duplex Ultrasound Assessment of Lower Extremity Arterial Disease.- Duplex Surveillance of Infrainguinal Bypass Grafts.- Duplex Surveillance After Prosthetic Infrainguinal Bypass Grafting.- Rationale of Surveillance After Endovascular Intervention of Iliac and Femoral Arteries.- Lower Extremity Arterial Mapping: Duplex Ultrasound as an Alternative to Arteriography Prior to Femoral, Popliteal, and Infrapopliteal Reconstructions.- Duplex Ultrasound: Evaluation and Management of Post-catheterization Femoral Pseudoaneurysms.- Noninvasive Diagnosis of Upper Extremity Arterial Disease.- Duplex Ultrasound Imaging of the Radial Artery.- Vascular Laboratory Protocol and Ultrasound Mapping Techniques for Dialysis Access Planning.- Color Duplex Ultrasound in Dialysis Access Surveillance.- Noninvasive Evaluation for Congenital Arteriovenous Fistulas and Malformations.- Noninvasive Vascular Testing in the Trauma Patient.- Color Duplex Ultrasound for Diagnosis of Peripheral Artery Aneurysms.- Color Duplex Ultrasound in Other Miscellaneous Arterial Topics.- Part V Noninvasive Diagnosis of Venous Disorders of the Extremities.- Overview of Venous Disorders.- Plethysmographic Techniques in the Diagnosis of Venous Disease.- Color Venous Duplex Ultrasound of the Lower Extremity in the Diagnosis of Deep Venous Thrombosis.- Color Duplex for Diagnosis of Venous Reflux.- Venous Duplex Ultrasound of the Upper Extremities.- Role of the Noninvasive Vascular Laboratory in Thoracic Outlet Syndrome.- Color Duplex Ultrasound-Guided Cava Filter Placement.- Intravascular Ultrasound for Venous Stenting and Inferior Vena Cava Filter Insertion.- The Role of Duplex Ultrasound Before, During, and After Endovenous Procedures.- Preoperative Saphenous Vein Mapping.- Role of Follow-Up Duplex Ultrasound Post Deep Vein Thrombosis.- Role of Duplex Ultrasound Screening/Surveillance in High-Risk Deep Vein Thrombosis Patients.- PartVI Noninvasive Diagnosis of Abdominal/Visceral Arteries.- Color Duplex Scanning of the Hepatoportal Circulation.- Color Duplex Scanning of the Renal Arteries.- Duplex Ultrasound of Renal Transplants.- Duplex Evaluation After Renal Artery Intervention.- Duplex Ultrasonography of the Mesenteric Circulation.- Color Duplex Scanning of Superior Mesenteric and Celiac Artery Stenting.- The Role of Color Duplex Ultrasound in Patients with Abdominal Aortic Aneurysms and Peripheral Aneurysms.- Clinical Validation of 3-Dimensional Ultrasound for Diagnosis of Abdominal Aortic Aneurysm.- Duplex Ultrasound Screening for Abdominal Aortic Aneurysm.- Role of Color Duplex Ultrasound for Aortic Endografts.- Role of CT Angiography in Pre and Post Abdominal Aortic Aneurysm Endovascular Grafts.- Part VII Miscellaneous.- Transcutaneous Oxygen Tension: Principles and Applications.- Three-Dimensional Vascular Imaging and Power Doppler Angiographic Imaging.- Contrast-Enhanced Ultrasound.- Arterial and Venous Intravascular Ultrasound Applications.- Coding and Reimbursement for Vascular Lab Testing.- Clinical Application of Ultrasound Guidance in Arterial and Venous Access.- Computed Tomographic Angiography in the Diagnosis of Peripheral Arterial Disease.- Magnetic Resonance Angiography in the Diagnosis of Peripheral Arterial Disease.- Role of Vascular Laboratory in Society for Vascular Surgery Vascular Center Certification.

Ali F. AbuRahma is a tenured Professor of Surgery, Chief of Vascular and Endovascular Surgery, Director of the Vascular Surgery Fellowship and Residency Programs of West Virginia University, Charleston. He also serves as Medical Director of the Vascular Laboratory and Co-director of the Vascular Center of Excellence at Charleston Area Medical Center. He attended Alexandria University Medical School and completed his general surgery residency at the State University of New York and West Virginia University and his vascular fellowship at Arizona Heart Institute. He is certified by the American Board of Surgery, Vascular Surgery Board, and Royal College of Surgeons of Canada in Vascular Surgery. His contributions to the SVS/regional vascular societies in our specialty are numerous. As noted in the next few paragraphs, his scholarly endeavors have led to active membership in over two dozen professional vascular/surgical societies, for example, Society for Vascular Surgery (since 1991) (Distinguished Fellow), American Surgical Association, Southern Surgical Association, Southern Association for Vascular Surgery, Eastern Vascular Society, and International Society of Endovascular Specialists. He has served in many of these societies on the regional/national level: President (2014–2015) of the Southern Association for Vascular Surgery, President of the Eastern Vascular Society (2010–2011), the Board of Directors of the Intersocietal Commission for the Accreditation of Vascular Laboratories (2006–2012), SVS Membership Chairman (2009–2010), Advisory Board to the President of xxiii the SVS (2005 –2006) and Chairman of the SVS Foundation Development Committee (2013 –2015), Board of Directors of SVS and SVS Foundation (2013 –present). Additionally, Dr. AbuRahma served as the Secretary of the Society for Vascular Surgery from 2016 to 2019, Vice President from 2019 to 2020 and as President-Elect from 2020 to 2021. He is currently serving as President and his term runs from 2021 to 2022. He has served/is serving on the editorial board of the Journal of Vascular Surgery, Annals of Vascular Surgery, Journal of Endovascular Therapy, Journal of Vascular and Endovascular Surgery, and Vascular Specialist; he is the Associate Editor of the journal, Vascular, and a reviewer for several other medical journals. Dr. AbuRahma has an avid interest in vascular surgery and has dedicated his life to research, earning him a national and international reputation for his contributions in this field. As a result, he has published over 275 articles in peerreviewed journals, over 200 abstracts, 125 book chapters, and eight textbooks in vascular surgery (seven in noninvasive vascular diagnostics and one vascular/endovascular surgery combat manual). He is also Associate Editor of the eighth, ninth, and tenth editions of Rutherford ’s Vascular Surgery and Endovascular Therapy. He has also made presentations at over 560 national and international medical meetings, including many named distinguished lectures (e.g., Rutherford lecture at John Hopkins, John Bergan lecture at Northwestern University, Yale lecture, W. Andrew Dale lecture at Vanderbilt, James M. Seeger lecture at the University of Florida, Gainesville, William H. Baker lecture at Loyola, etc.). He also serves on the advisory and scienti fi c committees of the Veith Symposium since 2014. He has also received many regional/national awards, including the Benedum Distinguished Scholar Award in Biosciences and Health Sciences of West Virginia University (which is given to one faculty member annually among all WVU Health Sciences); the William J. Maier, Jr. Health Sciences Education Award, West Virginia University (awarded to the physician who contributed the most to education and research); Honorary Chairman of Annual Vascular Fellows xxiv About the Editors Award, New York, NY; Honorary Chairman of the Pennsylvania Hospital Vascular Symposium, Philadelphia, PA; and the Society for Vascular SurgeryPresidential Citation Award (2016). Recently, Dr. AbuRahma was given an Honorary Membership in the German Vascular Society (2018).

Bruce A. Perler Julius H. Jacobson II, M.D. Professor of Surgery The Johns Hopkins University School of Medicine Vice-Chair for Clinical Operations, Department of Surgery, Chief Emeritus, Division of Vascular Surgery & Endovascular Therapy, and Director of the Vascular Noninvasive Laboratory The Johns Hopkins Hospital Dr. Perler received a Bachelor ’s of Arts degree, Summa cum laude, Phi Beta Kappa, in 1972 from Duke University and his M.D. in 1976 from the Duke University School of Medicine. In 2004 he received a Master of Business Administration from the Johns Hopkins University and received the Outstanding Student Award in the class. He completed his internship and residency at the Massachusetts General Hospital as well as a Clinical and Research Fellowship in Vascular Surgery at the Massachusetts General Hospital and theHa