Vascular Testing e-Learning Series

Major advances in diagnostic imaging, interventional cardiology and surgical approaches have resulted in more accurate diagnosis and appropriate selection of patients for therapeutic interventions in valvular heart disease.

This series will discuss vascular testing used in the assessment of valvular heart disease.

Original Release Date: February 2022
Review Date: February 2023; September 2024

Target Audience

Cardiologists, vascular surgeons, interventional radiologists, echocardiography and noninvasive vascular testing specialists, nurses, sonographers, pharmacists and respiratory technologists.

Learning Objectives

Explain the fundamental physics of contrast-enhanced ultrasound.
Apply proper use of contrast enhancement agents for EVAR.
Describe the pathophysiology of EVAR endoleaks.
Detect EVAR endoleaks on contrast-enhanced ultrasound.
Characterize enhancement of different types of EVAR endoleaks.
Describe atherosclerotic plaque on an ultrasound image.
Demonstrate spectral Doppler imaging criteria used in the classification of carotid artery stenosis.
Recognize limitations of duplex ultrasonography imaging.
Explain the need to correlate with other diagnostic modalities.
Describe the details of patient evaluation and selection for vascular access placement.
Explain the components of preoperative noninvasive diagnostic testing.
Recognize the criteria used to evaluate maturity of a vascular access to start the dialysis procedure.
Describe the postoperative diagnostic surveillance, complications and interventions to maintain maturity.
Recognize the prevalence of DVT and VTE in the United States.
Identify acquired and inherited risk factors and Virchow triad.
Define pre-sonography testing – Clinical examination, Wells Score and D-Dimer essay.
Optimize the use of duplex ultrasonography in the management of COVID-19 and DVT/VTE.
Explain why LE duplex ultrasonography may not be the best diagnostic modality in the diagnosis of PE and examine its limitations.
Recognize the appropriate management for calf vein thrombosis.
Define ilio-femoral and femoro-popliteal DVT and explain their medical disease management.
Explain oral anticoagulation vs. systemic heparin.
Apply the proper protocol for lower extremity duplex ultrasonography.
Describe compression sonography imaging.
Examine spectral Doppler imaging and recognize why groin (CFV) waveforms are important to accurately interpret.
Define critical testing values for lower extremity venous duplex ultrasonography.
Identify aging deep venous thrombosis: acute and subacute DVT vs. chronic venous fibrosis.
Describe lower extremity duplex ultrasonography, examine its possible use as a primary screening tool in the diagnosis of PE and recognize its limitations.
Identify interventional PE and DVT disease management: lysis and extraction.
Review the updated criteria for the use of lysis and extraction.

Course Summary

Course opens:

09/24/2024

Course expires:

08/31/2027

Howard E. Katzman, M.D.
Vascular Surgery and General Surgery
Miami Cardiac & Vascular Institute
Baptist Health South Florida

Howard E. Katzman, M.D., faculty for this educational activity, has no relevant financial relationship with ineligible companies* to disclose and he will not include off-label or unapproved product usage in his presentation or discussion.

Ignacio Rua, M.D, FACS, FSVS
Vascular Surgery and General Surgery
Miami Cardiac & Vascular Institute
Baptist Health South Florida

Ignacio Rua, M.D, FACS, FSVS, faculty for this educational activity, has no relevant financial relationship with ineligible companies* to disclose and he will not include off-label or unapproved product usage in his presentation or discussion.

Constantino S. Pena, M.D., FSIR, FAHA, FSCCT
Medical Director of Vascular Imaging
Interventional Radiologist
Miami Cardiac & Vascular Institute
Baptist Health South Florida
Clinical Assistant Professor of Radiology
Florida International University Herbert Wertheim College of Medicine
Collaborative Associate Professor of Radiology
University of South Florida College of Medicine

Constantino S. Peña, M.D., faculty of this educational activity, is a consultant for Penumbra, Philips Healthcare and Avanos, and a member of the speakers’ bureau for Cook, Cordis, Shockwave and BD, and has indicated that this presentation or discussion will not include off-label or unapproved product usage.

Planners/Conference Directors

Muhammad Hasan, MBBCh, RPVI, RVT, RDCS, RDMS
Cardiovascular Clinical Education and Credentialing
Miami Cardiac & Vascular Institute
Baptist Health South Florida

Muhammad Hasan, MBBCh, RPVI, has no relevant financial relationships with ineligible companies* to disclose, and has indicated that the presentation or discussion will not include off-label or unapproved product usage.

Elliott J. Elias, M.D., MPH, FACC, FASE
Cardiologist
Medical Director of Cardiac and Structural Imaging
Miami Cardiac & Vascular Institute
Baptist Health South Florida
Miami, Florida

Elliott J. Elias, M.D., disclosed that he is a member of the speakers’ bureau for Abbott Laboratories, and he will not include off-label or unapproved product usage in his presentation or discussion.

Brian J. Schiro, M.D., RPVI, FSIR
Medical Director, Noninvasive Lab, Baptist Hospital
Vascular and Interventional Radiologist, Miami Cardiac & Vascular Institute
Miami, Florida

Brian J. Schiro, M.D., disclosed that he receives grant/research support from Medtronic and that he is a member of the speakers’ bureau for Penumbra. Dr. Schiro has also disclosed that his lecture will include discussion of off-label or unapproved product usage.

All of the relevant financial relationships listed for these individuals have been mitigated

Non-faculty contributors and others involved in the planning, development and editing/review of the content have no relevant financial relationships to disclose with ineligible companies.*

*Ineligible companies – Companies whose primary business is producing, marketing, selling, re-selling or distributing healthcare products used by or on patients.

Baptist Health South Florida is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Baptist Health has been re-surveyed by the ACCME and awarded Commendation for 6 years as a provider of CME for physicians.

Baptist Health South Florida designates this enduring material for a maximum of 5.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

American Board of Surgery - Maintenance of Certification (MOC) - Accredited CME - Vascular Surgery

Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn credit toward the CME of the American Board of Surgery’s Continuous Certification program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABS credit.

Your participation information will be shared with specialty boards through the ACCME's PARS reporting system. Successful completion of a course examination is required. Submissions are recorded in approximately 48 hours. You will receive an email when your credits have been processed.

Contrast-Enhanced Ultrasound Surveillance Following Endovascular Aneurysm Repair	Baptist Health South Florida designates this enduring material for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Duplex Ultrasonography of the Carotid Bifurcation	Baptist Health South Florida designates this enduring material for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Hemodialysis Vascular Access Preoperative Vessel Mapping and Postoperative Surveillance	Baptist Health South Florida designates this enduring material for a maximum of 1.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Venous Thrombosis and Thromboembolism: Advanced Performance Protocols and Interpretation and Updates on Medical and Interventional Disease Management, Part 1	Baptist Health South Florida designates this enduring material for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Venous Thrombosis and Thromboembolism - Part 2	Baptist Health South Florida designates this enduring material for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

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Vascular Testing e-Learning Series