Hands-On Carotid & Peripheral Vascular Ultrasound

 
 
 
Vascular Ultrasound Training

Vascular Ultrasound Training

Hands-on intensive training to learn all aspects of vascular ultrasound imaging, including carotid and vertebral arterial disease (including IMT), DVT, Baker's cyst, venous valvular incompetence, arterial obstruction, graft and stent assessment, renal vascular disease, and vascular access.

Scheduled Course Dates:

  • 2019 | NOV 16-19, DEC 14-17

  • 2020 | FEB 15-18, MAR 14-17, APR 19-22, MAY 11-14, JUN 17-20, AUG 15-18, OCT 18-22*

Scroll down for full course description.


Cost

$2500 Tuition

2019 | Four-Day Course, Monday-Thursday 9am-4pm 

2020 | Four-Day Course, Times are TBD.

*Five-Day Course

Scan Lab also open 24 hours for your independent practice.  Your tuition includes your complete learning experience, printed course materials and post-conference support in perpetuity.  Breakfast and light lunch provided.


Location

 
 
 

We conveniently hold our trainings at Homewood Suites by Hilton - Las Colinas. It’s the prime location between Dalls-Fort Worth International Airport (DFW) and Dallas-Lovefield Airport (DAL). It’s centrally located between major lodging, modern restaurants, and lots of entertainment for after class including the Toyota Music Factory. For more information about lodging, and our special student room rates at Homewood Suites click here.

Homewood Suites by Hilton

4300 Wingren Dr. Irving, TX 75039

(972) 556-0665


Continuing Medical Education

We designate this course a non-CME credit activity, meaning that the curriculum is not defined by the constraints of a fixed format.  This is to your strategic advantage.  Though the content meets and exceeds every academic guideline, we have over many years determined that flexibility in tailoring specific elements—and the delivery to each individual learner’s need and style—supersedes the restraints of a traditionally rigid, time-limited format.  It also permits us to openly, honestly and independently without bias discuss virtually every manufacturer's system features.  Too, the broad ranges of clinical professional specialist organizations have developed multiple exclusive brands of applicable CME.  We have chosen instead to focus on your lifelong bedside competence and strategic advantage. This decision has permitted us to make our classes microscopically small at the least tuition cost possible.  We will be delighted to direct you to the most appropriate free and low-cost traditional CME credit activities available online.


Who will benefit from this class

Allied Health Professionals

There are no prerequisites for this class.  If you'll be returning to an active clinical site you'll arrive back with a giant leap forward.  That mandatory year of clinical experience you need will be spent on the clock at your work and not in a schoolroom. 

Sonographers

If you're cross training into vascular with your peers at work, be aware that the failure rate for the CCI and ARDMS vascular exams is around 40%. Quickly master the complete protocols and all the elements of physics, blood flow and statistical analysis behind them, with free post-class support forever.  

Anesthesiologists

This course is the answer to confidently staffing the PACU.  Both you and the nursing staff will function at your highest level after this class.  The last thing you want to miss is acute arterial thrombosis or DVT.

Sonography Students

Students or graduates who trained in general ultrasound will find far more employment opportunities as patient management moves toward a whole-body approach.  Your resume will look much more attractive with your education in vascular sonography on it.

Research & Medical Device Professionals

As a research scientist, you'll be able to identify and measure precisely virtually any element of blood flow and microvascular perfusion.  If you're a medical device professional you'll be able to much better design, market and support your product with a competitive edge.


Topics

The class is strictly small so we can spend time on the topics we need to cover and all the ones you want to discuss:

  • Putting together the complete vascular protocols: from the heart to capillaries and back with nothing left behind.

  • The secret to quickly getting every very best vascular ultrasound image without having to think.

  • Techniques to overcome body habitus and fat: the things you were never told,

  • The one simple thing that will take three years off your learning curve and add a decade to your career.

  • Abdominal vascular ultrasound: AAA from the heart to the hips with stops in the mesentery and liver.

  • The fastest and most accurate approach to renal artery assessment and renal microvascular perfusion: how to save an hour in the exam and compromise nothing.

  • Who can kill the kidneys in 20 minutes and how to prevent it.

  • The secret to quickly getting every very best vascular ultrasound image without having to think.

  • Blood flow in all the vessels everywhere: what really matters and when it counts most.

  • Physiologic testing's complementary (and vital) role in vascular imaging of arterial AND venous disease.

  • DVT: the one criterion that counts and knowing when to quit

  • Do we go below the knee or not?  One leg or both?  And why aren't we looking at the abdominal and thoracic IVC?

  • The myth of using the ultrasound appearance of a clot to define its age and what to do about it.

  • The latest guidelines from the American College of Phlebology on venous valvular incompetence: getting ready for venous closure and beyond.

  • How to elicit a complete cardiovascular history without saying a word.

  • The 4-vessel protocol for carotid and vertebral artery disease that doesn't miss a thing.

  • How to deal with the diagnosis and management of the suspected occluded vessel.

  • Update on carotid IMT: what we know, where we're using it, and what the future holds for it.

  • Neurology for the vascular sonographer: a brief and memorable overview.

  • Introduction to transcranial Doppler and how to dramatically advance your skills on your own.

  • Statistics: how to think through Chi-Square Analysis on your own.

  • How to analyze and document every pathologic finding: taking the right steps, using the right words.

  • How to think your way through any Registry Exam question they could ever ask.

  • Next steps: How to maximize your first six months in this new field.


Objectives

Our approach is totally focused on the patient diagnosis.  No faculty members have any commercial interests or participation that might influence course content.  There is no formal test in this class.  Learners are evaluated continuously and positive feedback is offered throughout.  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

    • angle correction

    • 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 

    • collateral flow

    • cardiac function

  • 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 that 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.

  • Chart the vascular anatomy and discuss the physiology of the legs and arms from the aorta to the fingers and toes, through the microcirculation, and back to the heart.

  • Describe the effects of arterial narrowing on each component of the normal Doppler-recorded cardiac blood flow cycle.

  • Perform a complete ultrasound exam of the lower and upper extremity arterial system; make and present all measurements of image and Doppler data.

  • Perform and document a complete survey of the lower and upper extremity deep venous systems in cases of suspected DVT and/or venous valvular incompetence.

  • Map the greater and lesser saphenous veins of the leg, noting all principal branches communicating with the deep system.

  • Document the location(s) and classify the severity of deep and/or superficial venous valvular incompetence from thigh to ankle.

  • Chart the vascular anatomy and discuss the physiology of the legs and arms from the aorta to the fingers and toes, through the microcirculation, and back to the heart.

  • Perform a complete ultrasound exam of the lower and upper extremity arterial system; make and present all measurements of image and Doppler data.

  • Perform and document a complete survey of the lower and upper extremity deep venous systems in cases of suspected DVT and/or venous valvular incompetence

  • Map the greater and lesser saphenous veins of the leg, noting all principal branches communicating with the deep system.

  • Document the location(s) and classify the severity of deep and/or superficial venous valvular incompetence from thigh to ankle.

  • Identify and correct image and Doppler artifacts through both machine controls and operator technique.

  • Discuss and clarify the mythology surrounding the role of each of the following; optimize each for the complete peripheral vascular exam:

    • angle of incidence and velocity estimation error

    • angle correction function and its tolerance

    • sample gate (volume) size and its benefits/pitfalls

    • color Doppler vs. achromatic vs. power Doppler sensitivity and audio output thresholds

    • diagnosis of total vessel occlusion

    • thrombus echogenicity and estimated age 

    • angioneogenesis and collateral flow

    • cardiac function and distal limb perfusion

    • nutritive capillary flow and microcirculatory volume

  • Perform Doppler assessment of any vessel or valve using proper angle correction and display controls to maintain compliance with ICAVL Standards.

  • Quickly locate and affirm the subclavian artery/vein and carotid/IJV for proper vascular access.

  • Inspect the aorta from its root, through the arch, and along its abdominal/pelvic course for evidence of an aneurysm or dissection.

  • Perform a complete survey of the renal vasculature including the main renal artery and regional microcirculatory flow, documenting both RA/Ao and RI ratios.

  • Communicate all findings in a concise summary using standardized terminology; recognize urgent scenarios that require immediate physician attention.

  • Discuss freely your special interest topics and prepare to undertake the national certification exam.


Refund & Reschedule Policy

We understand that unforeseen circumstances may force you to reschedule or cancel. Due to administrative operations, and to maintain operational efficiency we must employ a strict policy for cancellations, rescheduling, and refunds. Please take the time to read our policy slowly, and carefully. If you have questions regarding our policy please ask.

  1. To request a course reschedule or refund you MUST fill out our Refund or Reschedule Request Form

  2. If there are 30 days or less remaining until your class starts we cannot refund any part of your purchase. However, we can reschedule you to attend the same course at a future date with no additional charges.

On very rare occasions we may find it necessary to substitute qualified instructors. In exceptional circumstances, such as death, fire, an act of war or terrorism, or a natural disaster, we may find it necessary to cancel a course. Although we will assist you in recovering any penalties you may incur due to airline or hotel policies, we cannot be responsible for charges or tangible/intangible losses incurred as a result.