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Fellowship Certificate™ Programs
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Ultimate Learning Pass
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Continuing Medical Education (State CME)
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Dr. Resnick's MSK Conference
Learn directly from the MSK Master himself.
Lower Extremities MRI Conference
Musculoskeletal Imaging
PET Imaging
Pediatric Imaging
For Training Programs
Supplement your training program with case-based learning for residents, registrars, fellows, and more.
For Private Practices
Upskill in high growth, advanced imaging areas.
Compliance
NewTrack, fulfill, and report on all your radiologists' credentialing and licensing requirements.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
17 topics, 49 min.
Approach to Venous Ultrasounds
3 m.Case: Deep Vein Thrombosis Due to Enlarged Lymph Nodes
4 m.Case: Dampened Flow in Left External Iliac Vein
4 m.Case: Stenosis of the Left Innominate Vein
6 m.Case: Superior Vena Cava Occlusion
3 m.Case: Cystic Adventitial Disease of the Common Femoral Vein
3 m.Case: May Thurner Syndrome
6 m.Case: Occlusive Clot in the Left Popliteal Artery
3 m.Case: Occlusion in the Right Femoral Artery
2 m.Identifying Arterial Occlusion and Arterial Thrombosis
2 m.Case: Acute Embolic Occlusion
2 m.Case: Acute Dissection Post Renal Transplant
1 m.Case: Bruit and Elevated Velocity in Right Common Femoral Artery Consistent With Severe Stenosis
3 m.Case: High Peak Systolic Velocity Consistent With Severe Stenosis
2 m.Cases: Pseudoaneurysms and Mycotic Aneurysms
7 m.Case: Arterio-Venous Fistula
3 m.Cases: How Support Devices Affect Venous Ultrasound Findings
3 m.0:00
So this is, uh, another, uh, similar example, uh,
0:04
where the patient had a right
0:07
no flow in the right femoral artery.
0:09
And I just want to show you what,
0:12
what happens when there is an occlusion in our gel system.
0:16
So this is in the femoral artery.
0:19
So when we look more centrally, so above the level
0:23
of the occlusion, then you have good strong,
0:27
this is not really, uh, tri, this is a little bit phasic.
0:31
There's a little bit too much flow in diastole,
0:33
but still there's a strong systolic up stroke, right?
0:36
When you look distal to either an occlusion
0:40
or very significant stenosis,
0:42
then you're gonna have this classic
0:45
TARDIS progress waveform.
0:47
And this is why I have this, um, this case here to show
0:51
that there is lack of a sharp, normal systolic up stroke.
0:56
It's too, um, the slope is too slow
0:59
and there is a lot of diastolic flow
1:02
because there is also very turbulent flow.
1:04
Okay? So this tardis parvis waveform, you're gonna see
1:09
more distal to either an occlusion
1:13
or a severe stenosis.
1:15
And you can apply this in the leg, you can apply
1:18
that in the liver, in the kidney, uh, wherever.
1:22
This is a very, very important TARDIS progress,
1:26
abnormal waveform to, to register to keep in mind.
1:30
So again, it's very important to avoid tunnel vision.
1:34
Um, and you know, and just look around.
1:38
I showed you abnormal lymph nodes, fluid collections,
1:40
arterial abnormalities when you do a TBT study.
Interactive Transcript
0:00
So this is, uh, another, uh, similar example, uh,
0:04
where the patient had a right
0:07
no flow in the right femoral artery.
0:09
And I just want to show you what,
0:12
what happens when there is an occlusion in our gel system.
0:16
So this is in the femoral artery.
0:19
So when we look more centrally, so above the level
0:23
of the occlusion, then you have good strong,
0:27
this is not really, uh, tri, this is a little bit phasic.
0:31
There's a little bit too much flow in diastole,
0:33
but still there's a strong systolic up stroke, right?
0:36
When you look distal to either an occlusion
0:40
or very significant stenosis,
0:42
then you're gonna have this classic
0:45
TARDIS progress waveform.
0:47
And this is why I have this, um, this case here to show
0:51
that there is lack of a sharp, normal systolic up stroke.
0:56
It's too, um, the slope is too slow
0:59
and there is a lot of diastolic flow
1:02
because there is also very turbulent flow.
1:04
Okay? So this tardis parvis waveform, you're gonna see
1:09
more distal to either an occlusion
1:13
or a severe stenosis.
1:15
And you can apply this in the leg, you can apply
1:18
that in the liver, in the kidney, uh, wherever.
1:22
This is a very, very important TARDIS progress,
1:26
abnormal waveform to, to register to keep in mind.
1:30
So again, it's very important to avoid tunnel vision.
1:34
Um, and you know, and just look around.
1:38
I showed you abnormal lymph nodes, fluid collections,
1:40
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)
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