
Vascular Ultrasound
How, Why and When
- 4th Edition - March 25, 2021
- Imprint: Elsevier
- Editors: Abigail Thrush, Timothy Hartshorne, Colin Richard Deane
- Language: English
- Hardback ISBN:9 7 8 - 0 - 7 0 2 0 - 4 6 5 6 - 8
Now in its fourth edition, Vascular Ultrasound offers a compact yet comprehensive practical guide for anyone working in the field of vascular sonography. The book is written by ex… Read more

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Request a sales quoteNow in its fourth edition, Vascular Ultrasound offers a compact yet comprehensive practical guide for anyone working in the field of vascular sonography.
The book is written by expert practitioners as an easily accessible reference, providing key information suited to sonographers in their day-to-day practice. It covers essential vascular investigations undertaken by ultrasound departments and vascular laboratories in more detail than general ultrasound textbooks, but without overwhelming sonographers with highly complex information that may not be relevant to them.
Here you will find essential information including the principle of ultrasound physics to enable accurate assessment of the peripheral circulation and blood flow, the use of the main scanner functions and controls, the main disorders of the arterial and venous circulation system with appropriate treatment and management, and techniques for the diagnosis and grading of disease.
- Practical and focused, with clear explanations.
- Step-by-step guide to scanning and obtaining optimal images.
- Extensive diagrams and figures to demonstrate key information with practical examples.
- Appendices and quick reference tables.
- Small and compact – easy to carry to studies, teaching sessions and clinics.
- Cover image
- Title page
- Table of Contents
- Copyright
- 1. Introduction
- 2. Ultrasound and B-Mode Imaging
- Introduction
- Nature of Ultrasound
- Generation of Ultrasound Waves
- Interaction of Ultrasound With Tissue
- Loss of Ultrasound Energy in Tissue
- Producing an Ultrasound Image
- Amplification of Received Ultrasound Echoes
- Dynamic Range, Compression Curves, and Gray-Scale Maps
- Transducer Designs and Beam-Forming
- Focusing the Beam
- Image Resolution
- Tissue Harmonic Imaging
- Spatial Compound Imaging
- Adaptive Image Processing
- Contrast Agents and B-Mode Imaging
- B-Mode Imaging Artifacts
- 3. Doppler Ultrasound
- The Doppler Effect
- Doppler Effect Applied to Vascular Ultrasound
- Extracting the Doppler Signal
- Analysis of the Doppler Signal
- Duplex Ultrasound
- 4. Color Flow Imaging
- Introduction
- Basic Principles
- Methods of Estimating the Velocity of Blood
- Elements of a Color Flow Scanner
- Effect of Angle of Beam to Flow on the Color Flow Image
- Color Flow Imaging Controls, Their Function, and Use
- Spatial Resolution of Color Flow Imaging
- Power Doppler Imaging
- New Developments in Color Flow Imaging
- B-Flow Imaging
- Color Flow Imaging Artifacts
- 5. Blood Flow and Its Appearance on Color Flow Imaging
- Introduction
- Structure of Vessel Walls
- Why does blood flow?
- Resistance to Flow
- Flow Profiles in Normal Arteries
- Flow Through Stenoses
- Velocity Changes Within Stenoses
- Energy Changes Through A Stenosis—Effects On The Circulation
- Venous Flow
- 6. Factors That Influence the Doppler Spectrum
- Introduction
- Factors That Influence the Doppler Spectrum
- Velocity Measurements
- Measurement of Volume Flow
- Waveform Analysis
- Spectral Doppler Artifacts
- 7. Approach to Scanning, Operational Policies, and Safety
- Introduction
- The Patient
- Starting The Scan
- Scanner Controls
- Image Capture, Storage, and Reporting
- Infection Control and Prevention
- Repetitive Strain Injury and Occupational Hazards
- Scope of Practice and Audit
- Safety of Diagnostic Ultrasound
- Maintaining Equipment
- 8. Ultrasound Assessment of the Extracranial Cerebral Circulation
- Introduction
- Anatomy
- Symptoms of Carotid and Vertebral Artery Disease
- Scanning
- B-Mode Imaging
- Color Imaging
- Spectral Doppler Waveforms
- Selection of Treatment for Carotid Artery Disease
- Grading the Disease
- Combining B-Mode, Color Imaging, and Spectral Doppler Information
- Preforming CEA on the Basis of Duplex Ultrasound Alone
- Problems Encountered in Imaging Carotid Artery Flow
- Postoperative Carotid Artery Appearance on Ultrasound
- Post Carotid Artery Angioplasty and Stenting Appearance on Ultrasound
- Nonatheromatous Carotid Artery Diseases
- Normal and Abnormal Appearances of Vertebral Artery Flow
- Reporting Carotid Ultrasound Scans
- Ultrasound in Large-Vessel Vasculitis
- 9. Duplex Assessment of Lower-Limb Arterial Disease
- Introduction
- Anatomy of the Lower-Limb Arterial System
- Symptoms of Lower-Limb Arterial Disease
- Disease Patterns and Lower-Limb Waveform Shapes
- Ankle–Brachial Pressure Measurements and Exercise Testing
- Practical Considerations for Lower-Extremity Duplex Scanning
- Starting the Scan
- Scan Appearances
- Specialized Applications
- Assessment of Arterial Stents
- Assessment of Complications Following Catheter Access
- Asseesment of Trauma and Arterial Trauma
- Other Abnormalities and Syndromes
- Reporting
- 10. Duplex Assessment of Upper-Limb Arterial Disease
- Introduction
- Anatomy of the Upper-Extremity Arteries
- Symptoms and Treatment of Upper-Limb Arterial Disease
- Practical Considerations and Patient Positioning for Duplex Assessment of Upper-Extremity Arterial Disease
- Scanning Techniques
- Ultrasound Appearance
- Thoracic Outlet Syndrome
- Aneurysms
- Other Disorders of the Upper-Extremity Circulation
- Reporting
- 11. Duplex Assessment of Aneurysms and Endovascular Repair
- Introduction
- Anatomy of the Abdominal Aorta
- Pathology of AAA
- Aneurysm Shapes and Types
- Aortic Aneurysms: Growth, Symptoms, and Treatment
- Practical Considerations for Duplex Scanning of the Aorta and Aortic Aneurysms
- Scanning Technique
- Ultrasound Appearance
- Measurements
- Surveillance of Endovascular Aneurysm Repair
- Other True Aneurysms
- False Aneurysms
- 12. Vascular Ultrasound of Abdominal Aortic Branches
- Introduction
- Doppler Investigation of Native Kidneys
- Renal Vascular Anatomy, Hemodynamics, and Doppler Appearance
- Scanning the Renal Vasculature
- Abnormal Results
- Renal Transplants
- Celiac Axis and Mesenteric Arteries
- Visceral Artery Aneurysms
- Reporting
- 13. Anatomy of the Lower-Limb Venous System and Assessment of Venous Insufficiency
- Introduction
- Anatomy and Physiology
- Venous Disorders and Treatment
- Augmentation Maneuvers and Venous Reflux
- Grading of Superficial and Deep Venous Reflux
- Scanning Protocol for the Lower-Limb Venous System
- Investigation of Recurrent Varicose Veins
- Assessment of Patients With Skin Changes and Venous Ulceration
- Endovenous Ablation of Varicose Veins
- Foam Sclerotherapy and Other Techniques
- Other Disorders of the Venous System
- Reporting
- 14. Duplex Assessment of Deep Venous Thrombosis and Upper-Limb Venous Disorders
- Introduction
- Epidemiology and Pathology of DVT
- Practical Considerations for Duplex Assessment of DVT
- Deep-Vein Examination for Acute DVT
- Scan Appearances for the Assessment of Acute DVT
- Imaging of Venous Stents
- Accuracy of Duplex Scanning for the Detection of DVT
- Natural History of DVT
- Superficial Vein Thrombosis (Thrombophlebitis)
- Other Pathologic Conditions That Can Mimic DVT
- Upper-Limb Veins
- Technique for Assessing the Brachial, Axillary, and Subclavian Veins
- Reporting
- 15. Graft Surveillance and Preoperative Vein Mapping for Bypass Surgery
- Introduction
- Anatomy
- Purpose of Graft Surveillance
- Symptoms and Treatment of Graft Stenosis or Failure
- Practical Considerations for Scanning Bypass Grafts
- Scanning Techniques
- B-Mode Images
- Color Doppler Images
- Spectral Doppler Waveforms
- Graft Failure and Occlusion
- Commonly Encountered Problems
- True and False Aneurysms
- Entrapment of Grafts
- Arteriovenous Fistulas
- Seromas, Fluid Collections, and Graft Infections
- Reporting
- Superficial Vein Mapping for Arterial Bypass Surgery
- 16. Ultrasound of Hemodialysis Access
- Introduction
- Hemodialysis Access
- Permanent Access
- Reporting
- Surveillance
- 17. Transcranial Doppler Ultrasound
- Introduction
- Anatomy and Scanning Windows
- Intraoperative Monitoring During Carotid Endarterectomy
- Appendix A. Decibel Scale
- Appendix B. Sensitivity and Specificity
- Appendix C. Summary of Scanner Controls
- References
- Further Reading
- Index
- Edition: 4
- Published: March 25, 2021
- Imprint: Elsevier
- No. of pages: 350
- Language: English
- Hardback ISBN: 9780702046568
AT
Abigail Thrush
TH
Timothy Hartshorne
CD