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Focused Lower Extremity Venous Ultrasound

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1. Focused Lower Extremity Venous Ultrasound

Focused Lower Extremity Venous Ultrasound Focused Lower Extremity Venous Ultrasound Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 (...) Focused Lower Extremity Venous Ultrasound Focused Lower Extremity Venous Ultrasound Aka: Focused Lower Extremity Venous Ultrasound , Venous Doppler Ultrasound of Lower Extremity , DVT Ultrasound , Limited Assessment of Lower Extremity Venous System for Deep Vein Thrombosis , Lower Extremity Doppler , Compression Ultrasonography , Compression Ultrasound From Related Chapters II. Efficacy: DVT diagnosis by standard Compression Ultrasonography (by experienced Ultrasound tech) Symptomatic patient

2018 FP Notebook

2. Compression therapy after invasive treatment of superficial veins of the lower extremities

Compression therapy after invasive treatment of superficial veins of the lower extremities Compression therapy after invasive treatment of superficial veins of the lower extremities: Clinical practice guidelines of the American Venous Forum, Society for Vascular Surgery, American College of Phlebology, Society for Vascular Medicine, and International Union of Phlebology - Journal of Vascular Surgery: Venous and Lymphatic Disorders Email/Username: Password: Remember me Search JVS Journals Search (...) Terms Search within Search Access provided by Volume 7, Issue 1, Pages 17–28 Compression therapy after invasive treatment of superficial veins of the lower extremities: Clinical practice guidelines of the American Venous Forum, Society for Vascular Surgery, American College of Phlebology, Society for Vascular Medicine, and International Union of Phlebology x Fedor Lurie Affiliations Jobst Vascular Institute of Promedica, Toledo, Ohio University of Michigan, Ann Arbor, Mich Correspondence

2019 American Venous Forum

3. Noncontact low-frequency ultrasound using the MIST Therapy System (Celleration Inc.) for treatment of venous leg ulcers

, wounds not healing after 14 days, wounds requiring circulation stimulation, infected wounds, and for wounds with drainage. The focus of this report is on nonhealing venous leg ulcers. A companion Hayes Health Technology Brief focuses on lower extremity arterial wounds and diabetic foot ulcers. Clinical Alternatives Alternative debridement techniques include the use of saline-moistened dressings or hydrogels, surgical or sharp debridement, hydrosurgery, wet-to-dry dressings, enzymatic debridement (...) Noncontact low-frequency ultrasound using the MIST Therapy System (Celleration Inc.) for treatment of venous leg ulcers Noncontact low-frequency ultrasound using the MIST Therapy System (Celleration Inc.) for treatment of venous leg ulcers Noncontact low-frequency ultrasound using the MIST Therapy System (Celleration Inc.) for treatment of venous leg ulcers HAYES, Inc Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation

2018 Health Technology Assessment (HTA) Database.

4. 2016 AHA/ACC Guideline on the Management of Patients With Lower Extremity Peripheral Artery Disease

for the Management of Patients With Peripheral Arterial Disease” 9 and the “2011 ACCF/AHA Focused Update of the Guideline for the Management of Patients With Pe- ripheral Artery Disease?” 10 The scope of this guideline is limited to atherosclerotic disease of the lower extrem- ity arteries (PAD) and includes disease of the aortoiliac, femoropopliteal, and infrapopliteal arterial segments? It does not address nonatherosclerotic causes of lower ex- tremity arterial disease, such as vasculitis, fibromuscular (...) , patient discomfort, and allergic reactions. 123,124,126 This recommendation does not address assessment of lower extremity aneurysmal disease or nonatherosclerotic causes of arterial disease, which is beyond the scope of this document. Recommendations for Imaging for Anatomic Assessment (Continued) COR LOE Recommendations Recommendation for Abdominal Aortic Aneurysm COR LOE Recommendation IIa B-NR A screening duplex ultrasound for abdominal aortic aneurysm (AAA) is reasonable in patients

2017 American Heart Association

5. Radiologic Management of Lower Extremity Venous Insufficiency

. Kistner RL, Eklof B, Masuda EM. Diagnosis of chronic venous disease of the lower extremities: the "CEAP" classification. Mayo Clin Proc. 1996;71(4):338-345. ACR Appropriateness Criteria ® 7 Management of Lower-Extremity Venous Insufficiency 11. Khilnani NM, Min RJ. Duplex ultrasound for superficial venous insufficiency. Tech Vasc Interv Radiol. 2003;6(3):111-115. 12. Geier B, Mumme A, Hummel T, Marpe B, Stucker M, Asciutto G. Validity of duplex-ultrasound in identifying the cause of groin recurrence (...) Radiologic Management of Lower Extremity Venous Insufficiency Date of origin: 2009 Last review date: 2012 ACR Appropriateness Criteria ® 1 Management of Lower-Extremity Venous Insufficiency American College of Radiology ACR Appropriateness Criteria ® Clinical Condition: Radiologic Management of Lower-Extremity Venous Insufficiency Variant 1: Asymptomatic bilateral great saphenous venous insufficiency with visible varicose veins. Patient desires treatment for cosmesis. Treatment/Procedure Rating

2012 American College of Radiology

6. Non-thrombotic Abnormalities on Lower Extremity Venous Duplex Ultrasound Examinations Full Text available with Trip Pro

Non-thrombotic Abnormalities on Lower Extremity Venous Duplex Ultrasound Examinations Emergency physician-performed compression ultrasonography focuses primarily on the evaluation of the proximal veins of the lower extremity in patients with suspected deep venous thrombosis (DVT). A detailed sonographic evaluation of lower extremity is not performed. The objective of this study was to determine the prevalence of non-thrombotic findings on comprehensive lower extremity venous duplex ultrasound (...) (US) examinations performed on emergency department (ED) patients.We performed a retrospective six-year review of an academic ED's records of adult patients who underwent a comprehensive lower extremity duplex venous US examination for the evaluation of DVT. The entire US report was thoroughly reviewed for non-thrombotic findings.We detected non-thrombotic findings in 263 (11%, 95% CI [9.5-11.9%]) patients. Among the non-thrombotic findings, venous valvular incompetence (81, 30%) was the most

2015 Western Journal of Emergency Medicine

7. Near-Miss in Focused Lower-Extremity Ultrasound for Deep Venous Thrombosis. (Abstract)

Near-Miss in Focused Lower-Extremity Ultrasound for Deep Venous Thrombosis. Focused, proximal compression ultrasound (FPCUS) is a commonly used point-of-care study in the Emergency Department (ED). Pelvic vein deep venous thrombosis (DVT) is a rare presentation, and Emergency Physicians need to be aware of the limitations and pitfalls of FPCUS.A case of external iliac vein DVT diagnosed in the ED is presented, with a focus on subtle signs seen during FPCUS that led to the diagnosis (...) and additional ultrasound techniques to aid in appropriate point-of-care diagnosis.We describe a patient who presented with lower-extremity pain and was subsequently diagnosed with external iliac DVT. A FPCUS study by Emergency Physicians was performed and demonstrated subtle findings that led to further investigation and appropriate diagnosis.Emergency physicians using FPCUS in the evaluation of lower-extremity pain or swelling need to be aware of the pitfalls, limitations, and advanced techniques to avoid

2013 Journal of Emergency Medicine

8. Focused Lower Extremity Venous Ultrasound

Focused Lower Extremity Venous Ultrasound Focused Lower Extremity Venous Ultrasound Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 (...) Focused Lower Extremity Venous Ultrasound Focused Lower Extremity Venous Ultrasound Aka: Focused Lower Extremity Venous Ultrasound , Venous Doppler Ultrasound of Lower Extremity , DVT Ultrasound , Limited Assessment of Lower Extremity Venous System for Deep Vein Thrombosis , Lower Extremity Doppler , Compression Ultrasonography , Compression Ultrasound From Related Chapters II. Efficacy: DVT diagnosis by standard Compression Ultrasonography (by experienced Ultrasound tech) Symptomatic patient

2015 FP Notebook

9. Noncontact low-frequency ultrasound using the MIST Therapy System (Celleration Inc.) for treatment of venous leg ulcers

ulcers. A companion Hayes Health Technology Brief focuses on lower extremity arterial wounds and diabetic foot ulcers. Clinical Alternatives: Alternative debridement techniques include the use of saline-moistened dressings or hydrogels, surgical or sharp debridement, hydrosurgery, wet-to-dry dressings, enzymatic debridement, and maggot debridement therapy. Standard treatment for chronic wounds include sterile dressings, repositioning and pressure relief, topical antibiotics, and compression therapy (...) Noncontact low-frequency ultrasound using the MIST Therapy System (Celleration Inc.) for treatment of venous leg ulcers Noncontact low-frequency ultrasound using the MIST Therapy System (Celleration Inc.) for treatment of venous leg ulcers Noncontact low-frequency ultrasound using the MIST Therapy System (Celleration Inc.) for treatment of venous leg ulcers HAYES, Inc. Record Status This is a bibliographic record of a published health technology assessment. No evaluation of the quality

2016 Health Technology Assessment (HTA) Database.

10. Lower Extremity Peripheral Artery Disease: Guideline on the Management of Patients With

related to lower extremity PAD in the “ACC/AHA 2005 Guidelines for the ManagementofPatientsWithPeripheralArterialDisease” (9) and the “2011 ACCF/AHA Focused Update of the GuidelinefortheManagementofPatientsWithPeripheral ArteryDisease”(10).Thescopeofthis guidelineis limited to atherosclerotic disease of the lower extremity arteries (PAD) and includes disease of the aortoiliac, femo- ropopliteal, and infrapopliteal arterial segments. It does not address nonatherosclerotic causes of lower extremity (...) et al. MARCH 21, 2017:e71–126 2016 AHA/ACC Lower Extremity PAD Guideline e853.3. Imaging for Anatomic Assessment: Recommendations Recommendations for Imaging for Anatomic Assessment COR LOE RECOMMENDATIONS I B-NR Duplex ultrasound, computed tomography angiography (CTA), or magnetic resonance angiography (MRA) of the lower extremities is useful to diagnose anatomic location and severity of stenosis for patients with symptomatic PAD in whom revascularization is considered (118,120–122). See Online

2016 American College of Cardiology

11. Society for Vascular Surgery practice guidelines for atherosclerotic occlusive disease of the lower extremities: Management of asymptomatic disease and claudication

Society for Vascular Surgery practice guidelines for atherosclerotic occlusive disease of the lower extremities: Management of asymptomatic disease and claudication Society for Vascular Surgery practice guidelines for atherosclerotic occlusive disease of the lower extremities: Management of asymptomatic disease and claudication - Journal of Vascular Surgery Email/Username: Password: Remember me Search JVS Journals Search Terms Search within Search Access provided by Volume 61, Issue 3 (...) , Supplement, Pages 2S–41S.e1 Society for Vascular Surgery practice guidelines for atherosclerotic occlusive disease of the lower extremities: Management of asymptomatic disease and claudication Society for Vascular Surgery Lower Extremity Guidelines Writing Group , x Michael S. Conte Affiliations University of California, San Francisco, San Francisco, Calif Correspondence Reprint requests: Michael S. Conte, MD, 400 Parnassus Ave, San Francisco, CA 94143 , MD ((Co-Chair)) a , ∗ , x Michael S. Conte

2015 Society for Vascular Surgery

12. Optimal Care of Chronic, Non-Healing, Lower Extremity Wounds

the content of such sites. Use of third party sites is governed by the owners’ own terms and conditions. 2. What are the evidence-based guidelines regarding the multidisciplinary management of chronic, non-healing, non-pressure related lower extremity wounds? KEY FINDINGS Evidence from one uncontrolled non-randomized study suggests that specialist-lead advanced care for chronic, non-healing, non-pressure related wounds may result in positive outcomes such as healing and that mixed arterial and venous (...) (<1 year) wounds, and venous duplex measurements. Further details regarding the characteristics of the included NRS are available in Appendix 3, Table 2. Optimal Care of Chronic, Non-Healing, Lower Extremity Wounds 3 What are the evidence-based guidelines regarding the multidisciplinary management of chronic, non-healing, lower extremity wounds? The four evidence-based guidelines included in this review were developed in Canada, 9 the United States, 10 Scotland, 11 and Ireland. 12 Two were

2014 Canadian Agency for Drugs and Technologies in Health - Rapid Review

13. Emergency Physician Performed 2-point Bedside Compression Ultrasound for Deep Venous Thrombosis.

-point compression ultrasonography performed by emergency physicians for proximal lower extremity deep vein thrombosis. Emerg Med Aust 2013;25:588–96. Frazee BW, Snoey ER, Levitt A. Emergency Department compression ultrasound to diagnose proximal deep vein thrombosis. J Emerg Med 2001;20:107–12 (...) Emergency Physician Performed 2-point Bedside Compression Ultrasound for Deep Venous Thrombosis. BestBets: Emergency Physician Performed 2-point Bedside Compression Ultrasound for Deep Venous Thrombosis. Emergency Physician Performed 2-point Bedside Compression Ultrasound for Deep Venous Thrombosis. Report By: Fiona Hunter - ST6 Search checked by Kevin Thomson - Emergency Medicine Consultant Institution: Victoria Infirmary Glasgow, Scotland Date Submitted: 2nd July 2014 Date Completed: 5th

2015 BestBETS

14. Quality Improvement Guidelines for the Treatment of Lower-Extremity Deep Vein Thrombosis with Use of Endovascular Thrombus Removal

characterized by limb swelling, heaviness, fatigue, pain, venous claudication, and/or limb hyperpig- mentation,withaminorityofpatientsdevelopingseveremanifestations such as venous ulceration. To ensure that PTS is distinguished from Vedantham et al ’ JVIR 1318 ’ Quality Improvement Guidelines: Treatment of Lower-Extremity DVTresolving sequelae of acute DVT, PTS should not be diagnosed until at least 3 months after the DVT episode (6). While practicing physicians should strive to achieve perfect outcomes (eg (...) thrombosis: long-term effects on venous hemodynamics, clinical status, and quality of life. Ann Surg 2004; 239:118–126. 15. Mewissen MW, Seabrook GR, Meissner MH, Cynamon J, Labropoulos N, Haughton SH. Catheter-directed thrombolysis for lower extremity deep venous thrombosis: report of a national multicenter registry. Radiology 1999; 211:39–49. 16. Vedantham S, Millward SF, Cardella JF, et al. Society of Interventional Radiology Position Statement: Treatment of acute iliofemoral deep vein thrombosis

2014 Society of Interventional Radiology

15. Peripheral Arterial Disease (Lower Extremity, Renal, Mesenteric, and Abdominal Aortic): Guidelines For the Management of Patients With

: Recommendations 1557 2. Lower Extremity PAD: Recommendations 1557 2.1. Clinical Presentation 1557 2.1.1. Asymptomatic 1557 2.1.2. Claudication 1558 2.1.3. Critical Limb Ischemia 1558 2.1.4. Acute Limb Ischemia 1558 2.1.5. Prior Limb Arterial Revascularization 1558 2.2. Diagnostic Methods 1558 2.2.1. Ankle- and Toe-Brachial Indices, Segmental Pressure Examination 1558 2.2.2. Pulse Volume Recording 1559 2.2.3. Continuous-Wave Doppler Ultrasound 1559 2.2.4. Treadmill Exercise Testing With and Without ABI (...) 2005 Guidelines for the Management of Patients With Periph- eral Arterial Disease (Lower Extremity, Renal, Mesenteric, and Abdominal Aortic)”* and the “2011 ACCF/AHA Focused Update of the Guideline for the Management of Patients With Peripheral Artery Disease (Updating the 2005 Guideline)”. † Updated and new recommendations from 2011 are noted and outdated recommendations have been removed. No new evidence was reviewed, and no recommendations included herein are original to this doc- ument

2013 American College of Cardiology

16. 2017 Focused update on Dual Antiplatelet Therapy (DAPT)

-Eluting Stenting ITALIC Is There a Life for DES After Discontinuation of Clopidogrel IVUS XPL Impact of Intravascular Ultrasound Guidance on Outcomes of XIENCE PRIME Stents in Long Lesions LATE Late coronary Arterial Thrombotic Events LEAD Lower-extremities artery disease LEADERS-FREE Prospective randomized comparison of the BioFreedom biolimus A9 drug-coated stent versus the gazelle bare-metal stent in patients at high bleeding risk LVEF Left ventricular ejection fraction MACCE Major adverse cardiac (...) Cessation of all antiplatelet agents 242 7.4 Type of anticoagulants 242 7.5 Type of stent 242 8. Elective non-cardiac surgery in patients on dual antiplatelet therapy 242 9. Gender consideration and special populations 245 9.1 Gender specificities 245 9.2 Diabetes mellitus 245 9.3 Lower-extremities artery disease 245 9.4 Complex percutaneous coronary intervention 248 9.5 Dual antiplatelet therapy decision making in patients with stent thrombosis 248 9.6 Patients who develop bleeding while on treatment

2017 European Society of Cardiology

17. Special Topics in Venous Thromboembolism

not recommended *surveillance: serial compression Doppler ultrasound weekly for 2 weeks SFJ: saphenofemoral junction; SPJ: saphenopopliteal junction; SVT: superficial venous thrombosis 5 Michiga n Medici n e Special Topics in Veno us Thr o m boe mboli s m Guid eline 2/ 201 9 Figure 1. Management of Acute Proximal Lower Extremity DVT * For assessment of severity, use Villalta score. (See Table 9.) ** When phlegmasia (alba or cerulea dolens) or venous gangrene is present (rare): ? urgent vascular surgery (...) approaches are possible for patients with distal lower extremity (LE) DVT (Table 1): ? treat with anticoagulation therapy (for 3 months), or ? surveillance with serial compression Doppler ultrasound examinations (weekly for 2 weeks), withholding treatment unless these studies demonstrate extension of the thrombus (Table 1). [II-C] Severe obstructive proximal DVT Manage femoropopliteal DVTs with anticoagulation rather than thrombus removal. [II-C] Refer iliofemoral DVTs to vascular surgery

2020 University of Michigan Health System

18. Guidelines For Professional Ultrasound Practice

and their primary profession. When used as a ‘tool’, ultrasound aids and assists a healthcare practitioner with their wider examination and treatment, but in overall terms, ultrasound is only a small part of their work. It is important for safe and effective service delivery that all ultrasound examinations are undertaken by appropriately trained and competent personnel and that there is associated audit and continuing professional development in the use of ultrasound. i) CASE focused courses via http (...) ://www.case-uk.org/ and http://www.case-uk.org/course-directory/ ii) Royal College of Radiologists – ‘Ultrasound training recommendations for medical and surgical specialities’ https://www.rcr.ac.uk/publication/ultrasound-training-recommendations-medical-and-surgical-specialties- third-edition iii) Royal College of Radiologists- ‘Focused ultrasound training standards’ http://www.rcr.ac.uk/publications.aspx?PageID=310&PublicationID=386 1.5 SAFETY OF MEDICAL ULTRASOUNDUltrasound is now accepted as being

2019 British Medical Ultrasound Society

19. Multidisciplinary Quality Improvement Guidelines for the Treatment of Lower Extremity Superficial Venous Insufficiency with Ambulatory Phlebectomy From the Society of Interventional Radiology, Cardiovascular Interventional Radiological Society of Europe,

Multidisciplinary Quality Improvement Guidelines for the Treatment of Lower Extremity Superficial Venous Insufficiency with Ambulatory Phlebectomy From the Society of Interventional Radiology, Cardiovascular Interventional Radiological Society of Europe, Multi-disciplinary Quality Improvement Guidelines for the Treatment of Lower Extremity Superficial Venous Insufficiency with Ambulatory Phlebectomy from the Society of Interventional Radiology, Cardiovascular Interventional Radiological Society (...) the document is endorsed by the SIR Executive Council. The current guidelines are written to be used in quality improvement pro- grams to assess AP for lower extremity superficial venous insufficiency. The most important elements of care are (i) pretreatment evaluation and patient selection (ii), performance of the proce- dure, and (iii) postprocedure follow-up care. The outcome measures or indica- tors for these processes are indications, success rates, and complication rates. Although practicing

2010 Society of Interventional Radiology

20. Multisociety Consensus Quality Improvement Guidelines for the Treatment of Lower Extremity Superficial Venous Insufficiency With Endovenous Thermal Ablation From the Society of Interventional Radiology, Cardiovascular Interventional Radiological Society o

Multisociety Consensus Quality Improvement Guidelines for the Treatment of Lower Extremity Superficial Venous Insufficiency With Endovenous Thermal Ablation From the Society of Interventional Radiology, Cardiovascular Interventional Radiological Society o Multi-society Consensus Quality Improvement Guidelines for the Treatment of Lower- extremity Superficial Venous Insufficiency with Endovenous Thermal Ablation from the Society of Interventional Radiology, Cardiovascular Interventional (...) saphenous vein, SF-36 Short Form–36, SFJ saphenofemoral junction, SPJ saphenopopliteal junction, SVI superficial venous insufficiency, VCSS venous clinical sever- ity score, VSS venous severity score PREAMBLE LOWER-extremity chronic venous dis- order(CVD)isaheterogeneousmedical condition whose spectrum ranges from visually apparent abnormalities includ- ing varicose veins and spider telangiec- tasias with or without associated symp- toms to severe edema, skin ulceration, and subsequent major disability

2010 Society of Interventional Radiology

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