Vascular Technology : An Illustrated Review

by Rumwell, Claudia; McPharlin, Michalene

• ISBN13: 9780941022453
• ISBN10: 0941022455
• Edition: 2nd
• Format: Paperback
• Copyright: 2000-01-01
• Publisher: Davies Inc

Summary

Oregon Health Sciences Univ., Portland. Review book for Registered Vascular Technology specialty examination candidates which integrates text with case studies and multiple-choice, self-assessment questions with answers. Many illustrations. Previous edition: c1998. Softcover. DNLM: Vascular Diseases--ultrasonography.

Table of Contents

Preface
Acknowledgments
Part I Arterial Evaluation	1	(120)
Gross Anatomy of the Central and Peripheral Arterial System	1	(12)
The Aortic Arch	1	(1)
Upper Extremity Arteries	2	(2)
The Thoracic and Abdominal Arteries	4	(3)
The Lower Extremity Arteries	7	(4)
Microscopic Anatomy of the Arterial Wall	11	(2)
Physiology and Fluid Dynamics	13	(20)
The Arterial System	13	(2)
Energy	15	(2)
Blood Flow Characteristics	17	(2)
Poiseuille's Law	19	(2)
Pressure/Flow Relationships (Reynolds Number)	21	(1)
Pressure/Velocity Relationships (Bernoulli)	22	(2)
Steady versus Pulsatile Flow	24	(2)
Peripheral Resistance	26	(2)
Collateral Effects	28	(1)
Effects of Exercise	28	(2)
Effects of Stenosis on Flow	30	(3)
Arterial Testing	33	(76)
Patient History: Signs and Symptoms	34	(1)
Patient History: Risk Factors and Contributing Diseases	35	(1)
Mechanisms of Disease	36	(4)
Physical Examination	40	(3)
Doppler Waveform Analysis in the Upper and Lower Extremities	43	(9)
Doppler Segmental Pressures---Lower Extremities	52	(7)
Doppler Segmental Pressures---Lower Extremity Exercise and Reactive Hyperemia	59	(2)
Doppler Segmental Pressures---Upper Extremities	61	(3)
Allen Test	64	(1)
Penile Pressures and Waveforms, Duplex/Color Flow Imaging Evaluation	65	(5)
Plethysmography---Upper and Lower Extremities	70	(6)
Digital Pressures and Plethysmography	76	(6)
Transcutaneous Oximetry (tcPO2)	82	(3)
Duplex Scanning and Color Flow Imaging of the Upper Extremities	85	(5)
Duplex and Color Flow Imaging of the Lower Extremities	90	(6)
Duplex and Color Flow Imaging of the Abdominal Vessels	96	(13)
Other Conditions	109	(5)
Thoracic Outlet Syndrome	109	(2)
Compartment Syndromes	111	(1)
Popliteal Artery Entrapment Syndrome	111	(1)
Trauma	112	(1)
Arteriovenous Fistulae	112	(1)
Blue Toe Syndrome	113	(1)
Invasive Tests and Therapeutic Intervention	114	(7)
Arteriography	114	(2)
Medical Therapy	116	(1)
Surgical Therapy	116	(2)
Nonsurgical Intervention	118	(3)
Part II Cerebrovascular Evaluation	121	(48)
Gross Anatomy	121	(6)
Anterior Circulation	121	(2)
Posterior Circulation	123	(1)
Periorbital Circulation	124	(2)
Collateral Pathways	126	(1)
Structural Anatomy of the Arteries	126	(1)
Physiology and Fluid Dynamics	127	(2)
Pressure/Flow Relationships	127	(2)
Effects of Stenosis on Flow	129	(1)
Cerebrovascular Testing	129	(33)
Patient History: Signs and Symptoms	130	(1)
Patient History: Risk Factors and Contributing Diseases	130	(1)
Mechanisms of Disease	131	(1)
Physical Examination	132	(4)
Periorbital Doppler	136	(2)
Oculopneumoplethysmography (OPG-Gee)	138	(6)
Continuous Wave and Pulsed Doppler	144	(6)
Duplex Ultrasonography	150	(7)
Transcranial Doppler (TCD)	157	(5)
Other Conditions---Subclavian Steal	162	(2)
Invasive Tests and Therapeutic Intervention	164	(5)
Arteriography	164	(2)
Therapeutic Intervention---Medical Therapy	166	(1)
Therapeutic Intervention---Surgical Therapy	167	(2)
Part III Venous Evaluation	169	(46)
Gross Anatomy	169	(8)
Lower Extremity Veins	169	(4)
Upper Extremity Veins	173	(1)
Superficial Veins	174	(1)
Central Veins	174	(1)
Structural and Functional Anatomy of Veins	175	(2)
Venous Hemodynamics	177	(5)
Venous Resistance	177	(1)
Hydrostatic Pressure	177	(1)
Pressure/Volume Relationships	178	(1)
Effects of Edema	179	(1)
Effects of Muscle Pump Mechanism	179	(3)
Venous Testing	182	(28)
Patient History: Signs and Symptoms	182	(1)
Patient History: Risk Factors and Contributing Diseases	183	(1)
Mechanisms of Disease	184	(1)
Physical Examination	185	(1)
Impedance Plethysmography (IPG)	186	(6)
Strain Gauge Plethysmography (SPG)	192	(2)
Photoplethysmography (PPG)	194	(3)
Continuous Wave Doppler	197	(3)
Duplex and Color Flow Imaging	200	(10)
Invasive Tests and Therapeutic Intervention	210	(5)
Isotope Venography (I-Labeled Fibrinogen)	210	(1)
Contrast Venography	211	(1)
Lung Perfusion Scan	211	(1)
Therapeutic Intervention	212	(3)
Part IV Test Validation and Statistics	215	(8)
Statistical Profile	215	(2)
QA Statistics	215	(1)
Sensitivity	216	(1)
Specificity	216	(1)
Positive Predictive Value	216	(1)
Negative Predictive Value	216	(1)
Accuracy	216	(1)
Statistical Correlations	217	(6)
Comparing Noninvasive and Gold Standard Results	217	(3)
Example of Statistical Calculations	220	(3)
Appendix A Self-Assessment Test	223	(24)
Questions	223	(22)
Answers	245	(2)
Appendix B Case Studies	247	(26)
Arterial Case Studies	247	(5)
Cerebrovascular Case Studies	252	(4)
Venous Case Studies	256	(5)
Test Validation Case Studies	261	(2)
Answers	263	(10)
Appendix C Technical Aspects of Selected Tests	273	(16)
Arterial Evaluation	274	(7)
Cerebrovascular Evaluation	281	(3)
Venous Evaluation	284	(5)
Appendix D Application for CME Credit	289	(10)
Who May Apply	289	(1)
Objectives	290	(1)
How to Obtain Credit	290	(1)
Applicant Information	291	(1)
Evaluation---You Grade Us!	291	(2)
CME Quiz	293	(6)
Bibliography	299	(2)
Plates	301	(9)
Index	310