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Case: Occlusion in the Right Femoral Artery

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So this is, uh, another, uh, similar example, uh,

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where the patient had a right

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no flow in the right femoral artery.

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And I just want to show you what,

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what happens when there is an occlusion in our gel system.

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So this is in the femoral artery.

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So when we look more centrally, so above the level

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of the occlusion, then you have good strong,

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this is not really, uh, tri, this is a little bit phasic.

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There's a little bit too much flow in diastole,

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but still there's a strong systolic up stroke, right?

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When you look distal to either an occlusion

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or very significant stenosis,

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then you're gonna have this classic

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TARDIS progress waveform.

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And this is why I have this, um, this case here to show

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that there is lack of a sharp, normal systolic up stroke.

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It's too, um, the slope is too slow

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and there is a lot of diastolic flow

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because there is also very turbulent flow.

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Okay? So this tardis parvis waveform, you're gonna see

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more distal to either an occlusion

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or a severe stenosis.

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And you can apply this in the leg, you can apply

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that in the liver, in the kidney, uh, wherever.

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This is a very, very important TARDIS progress,

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abnormal waveform to, to register to keep in mind.

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So again, it's very important to avoid tunnel vision.

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Um, and you know, and just look around.

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I showed you abnormal lymph nodes, fluid collections,

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arterial abnormalities when you do a TBT study.

Report

Faculty

Sheila Sheth, MD

Professor of Radiology

NYU Grossman School of Medicine

Tags

Vascular Imaging

Vascular

Ultrasound

Peripheral arterial (upper and lower)