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Additional Description
Contributors
Cindy A. Owen, RT, RDMS, RVT
Donald P. Ridgway, RVT
D. E. Strandness, Jr., MD
Barton A. Bean, RVT*
John B. Bennett, III, PhD
Donna E. Cox, RN, RVT*
Colleen Douville, BA, RVT
Andrew Hayes, PA-C, RVT
Margaret Johnson, RVT
Ruth Kalmer-Holmes, RN, RVT
Keith Mauney, RN*
Robert S. McGrath, RN, BSN, RVT
Cynthia Ramirez, RVT
Lars Shaw, BS, RVT
*Editors emeritus.
Contents
Contributors
Preface to the 4th Edition
Coping with the Exam
PART I Anatomy, Physiology, and Hemodynamics 1
CEREBROVASCULAR SYSTEM 1
Aortic arch
Upper extremity
Cervical carotid
Vertebral
Intracranial (circle of Willis)
VENOUS SYSTEM 5
Upper extremity.
Lower extremity
Central veins
PERIPHERAL ARTERIAL SYSTEM 9
Aortic arch
Upper extremity
Abdominal aorta
Lower extremity
ABDOMINAL / VISCERAL VASCULAR SYSTEM 11
Arterial (celiac, mesenteric, renal, hepatic)
Venous (vena cava, renal, portal, mesenteric)
MICROSCOPIC ANATOMY 14
Arterial
Venous
PART II Cerebrovascular Disease 16
MECHANISMS OF CEREBROVASCULAR DISEASE 16
Risk factors
Atherosclerosis
Dissection
Thromboembolism
Subclavian steal
Carotid body tumor
Fibromuscular dysplasia
Neointimal hyperplasia
SIGNS AND SYMPTOMS OF CEREBROVASCULAR
DISEASE 19
Transient symptoms
Stroke
Physical examination
TESTING AND TREATMENT OF
CEREBROVASCULAR DISEASE 25
Noninvasive testing
Duplex imaging
Transcranial Doppler
Miscellaneous diagnostic tests
Arteriography
MR angiography
CT
Treatment and follow-up
PART III Venous Disease 41
MECHANISMS OF VENOUS DISEASE 41
Risk factors
Acute venous thrombosis
Chronic deep venous obstruction
Chronic venous valvular insufficiency
Varicose veins
Congenital venous disorders
Pulmonary embolism
SIGNS AND SYMPTOMS OF VENOUS DISEASE 44
Acute venous disease
Chronic venous disease
TESTING AND TREATMENT OF VENOUS DISEASE 49
Noninvasive testing
Acute venous thrombosis
Chronic venous thrombosis
Venography
Treatment
PART IV Peripheral Arterial Disease 59
MECHANISMS OF PERIPHERAL ARTERIAL DISEASE
59
Risk factors
Atherosclerosis
Embolism
Aneurysm
Nonatherosclerotic lesions
SIGNS AND SYMPTOMS OF PERIPHERAL ARTERIAL
DISEASE 62
Chronic peripheral arterial disease
Acute peripheral arterial occlusion
Vasospastic disorders
Physical examination
TESTING AND TREATMENT OF PERIPHERAL
ARTERIAL DISEASE 67
Noninvasive testing
Miscellaneous diagnostic tests
Arteriography
MR Angiography
CT
Treatment of peripheral arterial disease
Physical examination
PART V Abdominal & Visceral Vascular Disease 88
MECHANISMS OF ABDOMINAL AND VISCERAL
VASCULAR DISEASE 88
Risk factors
Renovascular hypertension
Mesenteric ischemia
Portal hypertension
SIGNS AND SYMPTOMS OF ABDOMINAL AND
VISCERAL VASCULAR DISEASE 90
TESTING AND TREATMENTS OF ABDOMINAL AND
VISCERAL VASCULAR DISEASE 91
Duplex imaging
Angiography
Treatment
PART VI Miscellaneous Conditions & Tests 94
Preoperative vein mapping
Pseudoaneurysms, arteriovenous fistulae
Dialysis access
Organ transplants
Impotence testing
Preoperative arterial mapping
Temporal arteritis
Thoracic outlet syndrome
Trauma
PART VII Quality Assurance 99
Statistics
Patient safety
PARTVIII Hall of Images 105
Duplex ultrasonography
Pressures & waveforms
Color flow imaging
Angiography
PART IX Answers, Explanations & References 132
Cerebrovascular disease
Venous disease
Peripheral arterial disease
Abdominal and visceral vascular disease
Miscellaneous conditions & tests
Quality assurance
Hall of images
PART X Application for CME Credit 240
Objectives of this activity
How To Obtain CME credit
Applicant Information
Evaluation-You Grade Us!
CME Quiz
PART XI Exam Outline 259
PART XII Bibliography 266
