Of all the protocols for ultrasound of the body the carotid artery is the most complex. More errors in acquisition and interpretation are made with this study than any other in medicine, echocardiography included.
This course will virtually eliminate them. In addition to our focus on vessels of the neck we'll take an introductory look at transcranial Doppler by the transtemporal approach.
We began our work in this field with the first machine built specifically for carotid imaging in 1978 and we've taught this course continuously since 1982. You'll quickly learn to master the error-free protocol and document complete findings on any subject you'll ever meet. Every step, measurement, artifact, and pitfall will be carefully explained as you practice over and over in our scan lab. After hours the scan lab is open for your optional self-guided practice on technique and system controls on yourself or your peers from class.
You'll learn how to analyze the complex data, reconciling multiple planar views, cardiac output variations, and limited studies due to body habitus. And you'll be able to immediately relate your findings to the patient's neurological presentation: skills that separate you from many of your peers.
The majority of questions on the national certification exams deals with cerebrovascular testing (ARDMS, CCI, AANS, ACR). Every word of this class addresses their content.
From the smallest hospitals to Harvard Medical School
& St. Jude Children's, we've served them all.
In the industry from GE & Philips to Toshiba and Siemens;
solo practitioners to the entire Puerto Rico Cardiology Society.
Single-event or ongoing Resident training anywhere.
-Individuals or groups of any size, working within your practice hours
-Special programs for Resident training
HOURS: Thursday 9am-4pm . Adjourn by noon Friday. This class immediately follows our separate Hands-On Peripheral Vascular Imaging class.
LOCATION: Class held on site at the Hyatt House Suite Hotel, Irving, Texas. Discounted student rate guaranteed.
TUITION: $1500 (US funds) Class size strictly limited;
registration in accordance with our administrative policies.
International students click here to request letter of invitation.
SONOGRAPHERS who are beginning or extending their career skills into this area who will be working under the direct supervision of qualified and experienced staff.
NURSES already working in cardio- or neurovascular medicine who will be implementing ultrasound into their clinical service.
NEUROLOGISTS who wish to add ultrasound to the extra- and intracranial assessment of stroke risk.
RESIDENTS who will be entering their neurology or cardiology rotation or fellowship.
PRIMARY CARE PRACTITIONERS who will be working in colleague with cardiology constituents.
ENGINEERING and INDUSTRY PROFESSIONALS who want to understand completely the marriage of their instrument to the clinical science of its use.
Any professional, regardless of experience or specialty who is preparing to take the NATIONAL REGISTRY EXAMINATIONS for vascular ultrasound.
This course is conducted independent of any commercial or institutional grant, industry support or sponsorship. No faculty members have any commercial interests or participation that might influence its content. Upon completion of this activity, you should be able to:
- Perform a complete ultrasound exam of the extracranial carotid and vertebral artery system; make and present all measurements of image and Doppler data.
- Chart the vascular anatomy of the brain from the aorta to the Circle of Willis.
- Describe the pathogenesis of atherosclerosis and relate it to the ultrasonic-rendered findings of plaque morphology.
- Discuss the interrelationship of plaque morphology and diameter reduction in the potential induction of TIA and/or stroke.
- Identify and correct image and Doppler artifacts through both machine controls and operator technique.
- Set up image display controls on any monitor to maximize input dynamic range to output display capability, optimized to the human eye.
- Make full use of all post-processing controls to amplify soft tissue definition and relate subsequent findings to soft tissue composition.
- Discuss all pertinent rules of hemodynamics and cardiac function applicable to and encountered in the carotid duplex exam.
- Discuss the mythology surrounding the role of each of the following and optimize each for the complete cerebrovascular exam:
-angle of incidence
-beam incidence and input dynamic range
-biplane vs. triplanar imaging
-sample gate (volume) size
-color Doppler vs. achromatic Doppler sensitivity
-diagnosis of total vessel occlusion
-clot echogenicity vs chronological aging
- Demonstrate proficiency with a stethoscope to elucidate both carotid and orbital bruits and differentiate them from a cardiac source.
- Perform Doppler assessment of any vessel or valve using proper angle correction and display controls to maintain compliance with ICAVL Standards.
- Communicate all findings in a concise summary using standardized terminology; recognize urgent scenarios which require immediate physician attention.
- Acquire and identify Doppler signals from the MCA, ACA and PCA using transcranial Doppler and apply PI, RI, and Doppler timing measurements to each.
Physicians who attend this course will find these of special interest:
Complete protocol for assessment of all structures, and function using all modalities of imaging and Doppler. All standard ASE views and measurements for structure, function, and Doppler using all image and Doppler modalities.
Every element of the extracranial arteries; intro to TCD. Preparation for he RPVI credentialing exam.
These will be as if the Expert sat down with you in the Coffee Shop and took the time to tell you everything, in a way you could understand it, at a pace you liked. Your every question is going to get answered.
Continuing education for the echocardiographer: Digs deeper into the protocol and process of CV dynamics at rest and activity. Includes EKG assessment of STEMI , ischemia, and lethal cardiac arrhythmias.