503

Supplementary Information

References – 504

Subject Index – 537

© Springer International Publishing AG, part of Springer Nature 2018 W. Schäberle, Ultrasonography in Vascular Diagnosis, https://doi.org/10.1007/978-3-319-64997-9 504 References

References

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J Vasc Surg 27:1078–1108 537 A

Subject Index

–– abdominal aorta (AAA) 423–425, 463 (see also Anterior tibial artery 53–54, 59–60, 64–66, 83, A Aorta, aneurysm) 86, 88, 111 – carotid aneurysm 328, 350–351, 373 – anatomy 53–54 AAA see Aorta, aneurysm (AAA) – – – internal carotid artery 350, 373 – occlusion 66, 88 ABI see Ankle-brachial index – – – hemodialysis access 275, 284 – normal findings 64–65 Abdominal angina 402, 415, 417, 455, 457 – – – indication for surgery 89–90 – stenosis 83, 86, 111 Abdominal aorta see Aorta – – – inflammatory aneurysm 350, 399, 423, 434 – ultrasound examination 59–60 Abdominal aortic aneurysm (AAA) see Aorta, – – – leg veins 210–213, 249–251 Anticoagulation treatment 91–92, 107, 143, aneurysm (AAA) – – contrast-enhanced ultrasound 180–181, 189, 191–194, 200, 219, 259, 483 Abduction in external rotation test – (CEUS) 211, 212 – compression vs. thrombin injection of (90° AER) 120 – – fusiform venous aneurysm 210 pseudoaneurysm 91–92 Abscess 180, 253, 265 – –– saccular (spindle-shaped) venous –– isolated calf vein thrombosis 193 –– subfascial 253 aneurysm 210, 249, 251 – low-flow bypass 107, 143 Absorption 6 – – thrombus 250 – benefit of prolonged anticoagulation 107 Acceleration index 47, 65, 408 – – – treatment options 212, 213 Antiplatelet therapy 305, 337, 355 Acceleration time 47, 68–69, 129, 268, 397, – – mycotic aneurysm 350, 422, 434 Aorta 40–41, 53, 55, 64, 391–393, 395, 397, 406, 408, 496 – –– popliteal artery 89–90, 150, 151 399–401, 422–435, 451, 463, 465–468, 471, –– erectile dysfunction 496 –– poststenotic aneurysm 118 472, 475–481 –– pelvic artery stenosis 68–69 –– pseudoaneurysm (false aneurysm) 88–93, –– anatomy 53, 391 –– renal artery stenosis 397, 406, 408 103, 146–148, 152, 275 –– aneurysm (AAA) 392–393, 399–400, 423–432, –– workup of hemodialysis access problems 268 – complication of PTA 89, 103 434–435, 463, 465–467, 471, 479 Acidosis 401 – – femoral artery 146 – (color) duplex ultrasound 399–400, 423, 465 Acoustic enhancement 11–12 – – – hemodialysis access 275 – contained perforation 466 Acoustic shadowing 11, 26, 32, 55, 137 – – –– iatrogenic (arthroscopy) 93, 152 –– dissecting aneurysm 400, 426–427 –– calcification 55 – with multiple perforation 147 – endovascular repair (EVAR) 392–393, Acquired fistula 264, 266 – – –– pelvic/leg arteries 89, 152 427–432, 467 (see also Endovascular –– types 264 – suture aneurysm (see Suture aneurysm) aneurysm repair; Endoleak) See also Arteriovenous fistula – – to-and-fro flow 89, 91 – examination 392, 466 Acral perfusion 98 – – – ultrasound-guided treatment 89–92, 146–148 – inflammatory 423, 434–435 Acute deep vein thrombosis (DVT) 184–192 – – (see also Ultrasound-guided treatment) – measurement of AAA diameter 423–425 See also Thrombosis – – puncture aneurysm, hemodialysis access 265, – multiplanar reconstruction 424 Acute scrotum 495–498 – – 275, 284, 290 –– risk of rupture 400, 426 –– ultrasound examination 495–496 –– risk of embolism 88, 90 –– screening 426 –– findings 497–498 – shape 66, 89 – specific aspects of the ultrasound Acute intestinal ischemia 419–420 – – – thrombosis 88, 90–91 (see also Embolism) examination 423–425 See also Intestinal ischemia; Mesenteric ischemia – – indication for surgery 90 – suture aneurysm 427–428, 479 Adaptive regulation 41–42 – – – partial thrombosis, risk of embolism 88, 90 – ultrasound vs. CT 426, 471 Adductor canal 53, 58, 71, 136, 171–173 – – – partial thrombosis, pitfall for – arteritis 400 Adson test 120, 163 – – ­angiography 90 – atherosclerosis 400 Adventitial cystic disease 93–95, 153, 154, – – therapeutically induced 91 – bifurcation 55, 395 213–214, 255 – – –– true aneurysm 89–90, 152, 162, 210–213, 373 –– compliance (windkessel effect) 40–41, 64 –– popliteal artery 93, 94, 153 –– internal carotid artery 373 –– contrast-enhanced ultrasound –– ultrasound-guided aspiration of cyst – mural thrombus 89 (CEUS) 392–393, 433, 472 fluid 94–95, 154 – –– pelvic/leg arteries 89–90, 152 –– diameter measurement (aorta, –– popliteal vein 213–214, 255 – subclavian artery 162 ­aneurysm) 423–425 Aliasing 27–29, 45, 48, 56, 82, 136 – –– venous aneurysm 210–213 (see also –– dissection (see Dissection, abdominal aorta) –– color change 27, 29 Venous aneurysm) –– duplex ultrasound 399 –– aliasing vs. true flow reversal 29 –– visceral arteries 415, 422, 458 –– flow profile 451 –– Doppler waveform 27 Angiography 61–63, 75–77, 79–81, 112–114, –– normal findings 397, 451 –– identification of stenosis (jet) 45, 56, 82, 136 329, 353–354 –– occlusion 423 –– remedies 48 – carotid stenosis 329, 353–354 – perforation 478 A-mode (amplitude mode) 7 – – – stenosis grading 75–77, 79–81 – stenosis (role of ultrasound) 423 Anastomotic stenosis 104, 107, 111, 145, 268, 270, – – – peripheral arterial occlusive disease – thrombus 423, 480–481 271, 284, 285, 289, 290, 377, 402, 412, 413, 427 – – (PAOD) 61–63, 112–114 –– wall thickening 434 –– bypass graft surveillance 104, 107 –– treatment planning 61–63 Aortitis 423, 433–434 –– complication of open surgical aneurysm – role vs. ultrasound and other Apron grip test 223 repair 427 – ­modalities 112–114 Arm arteries 116–119 –– crural bypass 111 Angioplasty see Percutaneous transluminal –– anatomy 116–117 –– hemodialysis access 268, 270, 271, 284, angioplasty (PTA) – normal ultrasound findings 119 285, 289 – Angle see Doppler angle –– ultrasound examination 117–118 –– transplant kidney 402, 412, 413 Ankle-brachial index (ABI) 59, 61, 62, 68, 70, 78, – vascular compression syndromes 118–119 Aneurysm 88–93, 103, 118, 146–148, 150–152, – 112, 129 Arm swelling 223, 276–278 210–213, 265, 275, 284, 328, 349–351, 373, – GetABI trial 61 – hemodialysis access 276–278 399, 415, 422–425, 434, 458, 463 – – 538 Subject Index

Arm veins 221–223, 259 Beam steering 18, 31, 32 –– failing bypass 105–106, 108, 111, 143 –– anatomy 221 Bernoulli equation 39, 42–43, 70–71 –– function 105, 109 –– normal findings 222 –– simplified 70–71 –– high-flow 107 –– thrombosis 222, 223, 259 B-flow mode (brightness flow) 24–25, 315–316, –– imminent occlusion 105 –– axillary vein 259 331, 342, 381 –– infection 142 –– etiology 222 Blood flow –– long-term patency 106 –– pulmonary embolism 223 –– adaptive regulation 41–42 –– low-flow 107, 110, 143, 144 –– significance of duplex ultrasound 223 –– autoregulation 41–42 –– occlusion 104 Arterial stenosis see Stenosis –– cardiac pulsatility 172, 176, 222–223, 245, –– pedal target artery 85 Arteriovenous (AV) fistula 100, 145, 148, 241, 257, 259, 262, 437, 441, 443, 445, 447, 481 –– preoperative vein mapping 110 264–268, 271, 280, 351 –– loss/reduction 222–223, 260, –– predicting factors 106 –– acquired 264 441, 445, 447 –– prognosis 106 –– carotid territory 351 –– hemodynamic principles 37–40 –– revision 110–111 –– congenital 264, 265 –– measurement 17–20, 42–43, 269–270, 446 –– stenosis 105–107, 111 –– hemodialysis access 264–265, 267, 271 –– hemodialysis access 269–270 –– anastomotic 107, 111 (see also Hemodialysis fistula) –– stenosis grading 42–43 –– criteria 105–107 –– iatrogenic 280 –– veins, challenges 446 –– surgery 85, 104 –– in situ vein graft 145 –– patterns 40–41 –– identification of target artery 85 –– spontaneous 280 –– high-resistance flow 40–41 –– ultrasound follow-up 104 –– therapeutic 264–265 –– low-resistance flow 40–41 –– surveillance of lower extremity –– ultrasound examination 100, 266–268 –– mixed 41 bypass 104–111 –– perivascular tissue vibration 100 –– transitions 41 –– controversy about routine duplex Arthroscopy 95 –– pulsatility 40 surveillance 107–110 –– diagnostic/therapeutic 95 –– respiratory phasicity 172, 175, 187, –– factors causing occlusion 104 –– iatrogenic popliteal artery 195–197, 227 –– indications for duplex ultrasound 111 ­pseudoaneurysm 152 –– loss/reduction 172, 187, 196, 197, 227 –– recommended approach 111 Artifact 11–13, 26 –– volume calculation in hemodialysis –– stenosis criteria 105 See also Ultrasound, artifact ­fistula 270, 282 –– synthetic vs. autologous vein graft 108 Asymptomatic Carotid Atherosclerosis Study See also Augmented blood flow; Flow –– time-efficient strategy 106 (ACAS) 293, 304, 305, 307 Blood pressure effects 41–43, 77, 81, 272, 329, –– synthetic 104–105, 108, 110 Atheromatous plaque 305, 316, 366 358, 399 –– ultrasound appearance 104 Atlas loop 295, 299, 300, 382 Blooming effect 18, 21, 26, 31, 33, 80, 269 –– target segment below the knee 63, 83–85, Attenuation 5–6, 55, 58 B-mode (brightness) 7 110, 113, 115, 138, 139 –– coefficient 5 Borderzone infarction 306, 333 Augmented blood flow 42, 59, 184, 195, 196, Bowel gas 26, 55, 68, 171, 219, 395, 396, 407, 198–199, 202, 211–213, 218 438, 441, 460 –– diagnostic 198–199, 202, 211–213 Boyd’s vein 171, 177, 205, 207, 208 C –– induced, to improve vessel conspicuity 59, Brachial artery 117–120, 123, 162, 265, 268–270, Calcified plaque 26, 55, 63, 75, 80, 115, 137, 254, 184, 195, 196 274, 281, 282 286, 297, 312, 328, 334, 363 –– physiologic 42 –– hemodialysis access 265, 268–270, Calf arteries, ultrasound examination 83–85 –– recanalization 218 274, 281, 282 Calf vein thrombosis 184, 187, 189, 192, 230 See also Blood flow –– occlusion 162 –– compression ultrasound 187 Autocorrelation technique 22–23 –– poststenotic flow 123 –– diagnostic algorithms 189 Autologous venous bypass graft 104–105, 108, –– ultrasound examination 117 –– isolated 192 110, 144, 215 –– vascular compression syndrome 118–120 –– supplementary examinations 189 Autoregulation 41–42 Brachial plexus 116, 118 –– (duplex) ultrasound, uncertainty in calf Axial resolution 4, 8 –– vascular compression syndrome 118 veins 184, 189 Axillary arteries 116–117, 160 Brachial veins 221–222 Carotid aneurysm see Aneurysm –– anatomy 116–117 –– ultrasound examination 221–222 Carotid arteries –– stenosis 160 Brachiocephalic trunk 116, 119, 293–294, –– normal anatomy and variants 293–294 Axillary veins 221, 257, 259 370, 371 –– role of duplex ultrasound 302 –– anatomy 221 –– normal anatomy and variants 293–294 See also Common carotid artery; External –– thrombosis 259 –– occlusion 370 carotid artery; Internal carotid artery –– ultrasound examination 221 –– stenosis 371 Carotid artery stenting (CAS) 305, 315, 317, 337, –– normal findings 257 Brachiocephalic vein 221 339–343, 379–381 Brain death 302, 346 –– follow-up, early and late Brain stem infarction 344, 382 complications 339–340 Brescia-Cimino fistula 265, 267, 270, 273, 276, –– in-stent restenosis 337, 340–342, 379, 381 B 277, 281, 284, 286, 288 –– duplex ultrasound criteria 340 Baker’s cyst 93, 95, 150, 155, 180, 194–195, Budd-Chiari syndrome 440, 444, 448 –– grading 342 217–218, 252, 255 Buerger’s disease 98, 122 –– stent dislocation 342–343, 380 –– perforated 180 Bull’s eye sign 420, 457 –– therapeutic decision making 315, 317 –– ruptured 194, 218, 252 Bypass (graft) 63, 83–85, 104–111, 138–139, Carotid bifurcation 294–297, 299, 302, 322, 333, –– ultrasound-guided aspiration 252 142–145, 215 339, 349, 352, 358 –– vein compression 155, 255 –– autologous vein 104–105, 108, 110, 144, 215 –– sonoanatomy 358 Basilar artery 293, 344 –– AV fistula as a complication of in situ vein –– stenosis 299, 302 –– occlusion 344 graft 104–105, 109, 145 –– ultrasound technique 295–297 Beam focusing 9 –– complications 108, 142 Carotid body tumor 352, 387 –– multiple zone focusing 9 –– crural 105–106, 111 –– after embolization 387 539 A–C Subject Index

Carotid dissection 328, 346–348 Cleopatra’s eye 176, 254 –– involvement in deep vein Carotid endarterectomy (CEA) 293, 305, Cockett perforators 171, 175, 177, 205, 207, 246 thrombosis 178–179, 184 307–309, 314, 329, 334, 336–339, 353, 372, Coiling 294, 297–298, 304, 330, 353, 359 –– recurrent thrombosis 201 376, 377 Collateral 67, 78–79, 130, 132, 136, 140, 180, 229, –– sonoanatomy 172 –– complications 336–337, 339, 372 325, 341, 371, 438, 442–445 –– ultrasound examination technique 172 –– recurrent stenosis 336–337, 377 –– circulation 67, 130, 132, 180, 229, 325, 341, 371 –– venous adventitial disease 214 –– indication 307–309, 314, 329, 353 –– in common femoral artery occlusion 132 Common hepatic artery 391, 394, 415, 458 –– plaque morphology 307–309, 314 –– in iliac artery stenosis/occlusion 130 –– aneurysm 415, 458 –– role of ultrasound 307–309, 314, 329, 353 –– in internal carotid artery occlusion 325, –– sonoanatomy and variants 394 –– postoperative follow-up 334, 336–338, 376 341, 371 Common iliac artery 53, 55, 67, 69, 104, 109, –– techniques 336 –– in leg vein thrombosis 180 129–131, 465 Carotid stenosis 302, 304–305, 352–355 –– in pelvic artery occlusion 67 –– anatomy 53 –– role of duplex ultrasound 302, 304–305, –– in pelvic vein thrombosis 180, 229 –– aneurysm 131, 465 352–355 –– portal hypertension 438, 442–445 –– occlusion 67, 130 Carotid stenosis index 324, 326, 328–329 –– coronary vein (left gastric vein) 442–443 –– stenosis 69, 104, 109, 129, 130 Carotid territory 296–300, 322–333, 350–351 –– portal vein collaterals 438 –– pitfalls in stenosis grading 69 –– aneurysm 350–351 –– portocaval collaterals 445 –– ultrasound examination 55 –– occlusion 332 –– resistance 78–79 Common iliac vein 178 –– stenosis grading 322–333 Collateralization 44, 68, 70–71, 77–79, 82–83, Common penile artery 492 –– ultrasound examination 296–300 112–114, 129, 143 Compartment syndrome, chronic Carotidynia, idiopathic 351–352 –– hemodynamic effects to be considered in recurrent 100–101 CAS see Carotid artery stenting stenosis grading 44, 68, 70–71, 77–79 Compliance 38, 40–41, 64, 337, 399, 405 Catheter-based digital subtraction angiography Color duplex ultrasound (CDUS) 22–25 29, –– loss of arterial wall compliance after (DSA) 113 32–33, 35, 39, 45, 56, 70–71, 80, 84, 89, 100, stenting 337 Cavernosography 497 119, 136, 195, 198, 205, 406, 422 –– reduction 399, 405 Cavernosometry 497 –– aliasing 45 –– atherosclerosis 405 Cavernous transformation 443, 485 –– aneurysm 89 –– medial sclerosis 399, 405 Cavitation 36 –– arteriovenous fistula, perivascular tissue –– windkessel effect 38, 40, 41 CDUS see Color duplex ultrasound vibration 100 Compression-and-release test 174–177, 202, CEA see Carotid endarterectomy –– basic physics 22–25 206–208 Celiac trunk 391, 393, 394, 397–398, 402, –– color blooming 33, 80, 84 Compression syndrome see Vascular 414–417, 419, 452, 454 –– mosaic of colors, turbulent flow 39 ­compression syndrome –– anatomy 391 –– physical limitations 32 Compression treatment 90–92, 194 –– collateral pathways in occlusion 417 –– pitfalls 29 –– pseudoaneurysm, ultrasound-guided 90–92 –– duplex ultrasound 402 –– role 119, 422 –– pulmonary embolism 194 –– median arcuate ligament (MAL) –– in atherosclerosis of arm arteries 119 Compression ultrasound 171–174, 184–186, syndrome 402, 414–415, 454 –– in renal infarction 422 192–195, 221, 226 –– normal findings 397–398 –– stenosis 45, 56, 70–71, 82, 136 –– calf veins 173–174 –– occlusion 414, 419, 454 –– identification (stenosis jet) 45, 56, 82, 136 –– extent of examination in suspected –– sonoanatomy 394 –– grading 70–71 DVT 192–194 –– stenosis 402, 414, 416 –– ultrasound contrast agents 35 –– leg veins 171–174, 184–186, 194–195 –– ultrasound examination 393 Color spillover 32, 46, 80, 319, 377 –– two-point strategy 192–193 –– findings 417, 452 Color velocity imaging 23 –– pelvic veins 226 Central venous catheter 221–223, 258, 276, 351 Common carotid artery (CCA) 293–297, 301, 326, –– uncertainty in below-knee thrombosis 184 –– obstruction 276 332, 343, 346–351, 360, 367–370 –– upper extremity veins 221 –– thrombogenic effect 222 –– anatomy 293–294 Computed tomography (CT) angiography in Cephalic vein 221, 264, 265, 270–271, 286 –– AV fistula 351 carotid stenosis 354, 355 –– anatomy 221 –– dissection 346 Confetti sign 75, 324, 326, 328 –– hemodialysis access 221, 264, 265, 270–271, 286 –– externalization 326, 347, 367 Congestion index 446, 484 –– terminal stenosis 286 –– measurement of intima-media thickness Continuity equation 38–39, 42, 340–441 Cerebral infarction 293, 305–307, 346, 351 (IMT) 360 Continuous wave (CW) Doppler –– types 306 –– normal findings 301 ultrasound 15 Cervical rib syndrome 118–120, 122, 161, 223 –– occlusion 368, 369 Contrast-enhanced ultrasound (CEUS) 33–37, CEUS see Contrast-enhanced ultrasound –– stenosis 332, 343, 370 84–85, 116, 140, 211–212, 293, 318–319, 342, Child A cirrhosis 448, 482 –– grading in native/stented CCA 343 349, 354, 392–393, 409, 420–421, 428–429, CHIVA technique 208 –– ultrasound examination 295–297 431–433, 471, 472 Chronic intestinal ischemia 417 –– vasculitis 348–350 –– arteries below the knee 84–85, 116 See also Intestinal ischemia; Mesenteric Common femoral artery 53, 55–56, 63–65, 132 –– arteritis 349 ischemia –– anatomy 53 –– carotid plaque characterization 293, Chronic venous insufficiency 174, 178, 181, –– occlusion 132 318–319, 354 200–205, 219, 242 –– stenosis 63, 132 –– neovascularization 293, 354 –– development 205 –– ultrasound examination with waveform –– carotid stenosis 293, 342 –– duplex ultrasound criteria 200–204 analysis 55–56, 64–65 –– contrast agents (microbubbles) 33–34, –– pathophysiology 181, 205 –– documentation 64 36–37 –– role of ultrasound vs. other modalities 219 –– normal findings 65 –– administration 33 –– ultrasound examination 174 Common femoral vein 169–170, 172, 178–179, –– contraindications 34 Churg-Strauss syndrome 99, 348 184, 201, 214 –– mechanisms of action 34 Cigarette smoke sign 210–211 –– anatomy 169–170 –– contrast harmonic imaging (CHI) 35, 433 540 Subject Index

–– endoleak detection after endovascular –– guideline-based diagnostic algorithm in Doppler effect 13–14 aneurysm repair (EVAR) 392–393, 428–429, suspected deep vein thrombosis (DVT) 216 Doppler equation 13–14, 19 431–433, 471, 472 –– stepwise management of peripheral arterial Doppler shift 13–14 –– mechanical index (MI) 35, 84, 140 occlusive disease (PAOD) 59, 61–62 Doppler ultrasound, basic physics 13–15 –– mesenteric ischemia 420–421 –– suspected internal carotid artery (ICA) Doppler waveform 17, 19, 27, 31, 35, 38, 40, 41, –– neovascularization 349 stenosis 308 44–47, 64–68, 74–75, 78–80, 172, 175, 178, –– renal arteries 409 –– suspected renal artery stenosis (RAS) 412 187, 195–198, 227, 269, 319–320, 333, 345, –– safety 36–37 Diagnostic strategy 106–111, 192–194, 268 347, 378, 437, 441, 443, 445, 447, 481, 498 –– venous aneurysm 211–212 –– 3-point strategy for workup of hemodialysis –– aliasing 27 Convex array transducer 10, 55 access problems 268 –– arteriovenous fistula 269 Corkscrew channels 98–99, 120, 122, 249 –– time-efficient bypass graft surveillance –– cardiac pulsatility 172, 176, 222–223, 245, –– thromboangiitis obliterans 98–99, 122 strategy 106–111 257, 259, 262, 437, 441, 443, 445, 447, 481 Coronary vein 442–443 –– 2-point strategy in suspected deep vein –– loss/reduction 222–223, 260, 441, 445, 447 –– collateral in portal hypertension 442–443 thrombosis (DVT) 192–194 –– carotid dissection 347 Corpora cavernosa 492, 495, 502 Dialysis access see Hemodialysis fistula –– carotid stenosis/occlusion 333 –– venous insufficiency 495, 502 Dialysis access steal syndrome (DASS) 274, 278, 282 –– comprehensive hemodynamic information 79 Costoclavicular compression syndrome Diameter reduction 112, 331 –– effect of collateralization 67, 78–79 119, 120, 223, 260, 261 –– carotid stenosis 331 –– effect of plaque shape 80 Costoclavicular/hyperabduction test 120 –– peripheral stenosis 112 –– effect of stenosis 44–47 Crossectomy 208, 249 Diffraction 6 –– effect of systemic factors 77, 326, 358, 405 Cross-sectional area reduction 79–80, 112 Digital subtraction angiography (DSA) 72, 113 –– effect of ultrasound contrast agent 35 –– in arterial stenosis 112 Dissecting aneurysm 400, 426–427 –– externalization 326, 347, 367 Cruveilhier-Baumgarten syndrome 438, 440, Dissection, 100–101, 157, 299–300, 302, 346–348, –– grading of carotid stenosis 319–323 444, 446 374, 416, 426–428, 475, 477 –– internalization 299, 326, 334, 358, 371 Curved array transducer 10, 18 –– abdominal aorta 100, 346, 400, 416, 426–428, –– knocking waveform 79, 86, 89, 121, 127, 139, CW Doppler 15 475–477 165, 347, 371, 387, 498 –– De Bakey 400 –– normal/abnormal valve closure 175 –– dissection membrane, waveform 428 –– pelvic/leg arteries, normal findings 64 D –– Stanford type 346, 400 –– respiratory phasicity 172, 175, 187, 195–197, 227 d-dimer test 184, 189–192, 195, 200, 216 –– true and false lumen, waveforms 101, 428 –– loss/reduction 172, 187, 196, 197, 227 Damping factor 47 –– carotid arteries 346–348, 374 –– stenosis quantification 74 Dead-water zone 86, 210, 212, 315 –– causes 346 –– stented carotid artery 378 Deep crural fascia 59–60 –– dissection membrane 347 –– subclavian steal syndrome 345 Deep femoral vein 169–170, 172, 218, 230, 235 –– extension of aortic dissection 348, 374 –– thrombosis of leg/pelvic veins 178, 197, 198, 227 –– anatomy 169–170 –– intimal flap 347 –– waveform analysis 44, 56, 68, 83 –– compression ultrasound 172 –– true/false lumen 347 –– calf arteries 83 –– sonoanatomy 172 –– types 347 –– monophasic/triphasic 44 –– thrombosis 218, 230, 235 –– ultrasound findings 347–348 –– stenosis localization 56, 83 Deep penile artery 492, 500 –– iatrogenic 100–101 –– time-efficient examination in PAOD 68 Deep penile vein 492 –– peripheral arteries 100–101 Dorsalis pedis artery 53–54, 59, 66, 85, 113, 126, 141 Deep vein thrombosis (DVT) 171–174, 177–178, –– popliteal artery 157 DRIL see Distal revascularization and interval 183, 192–194, 216–219 –– sonographic diagnosis 100, 101 ligation –– controversy about ultrasound strategy in –– vertebral artery 299–300, 302 Dunbar’s syndrome 414 suspected DVT 192–194 Distal revascularization and interval ligation Duplex ultrasound 15–16, 20–26, 55–56, 61, –– diagnostic role of ultrasound 183, 216–219 (DRIL) 274–275 63–66, 71, 75–77, 102, 112–116, 265, 277, –– determination of extent of Documentation of findings 64, 119, 177, 222, 302, 352–355, 406 ­incompetence 183 270, 301, 399, 440, 495 –– basic physics 15–16 –– ultrasound examination 171–174, 177–178 –– arm arteries 119 –– color duplex ultrasound 20–25 –– documentation of findings 177–178 –– arm veins 222 –– indications 61, 66, 265, 302 –– technique and protocol 171–174 –– carotid territory 301 –– extracranial cerebral arteries 302 See also Thrombosis –– hemodialysis access 270 –– fistula/hemodialysis access 265 Detorsion 498 –– leg arteries 64 –– peripheral arteries 61, 66 Detumescence 493, 495, 500 –– leg veins 177 –– normal findings, pelvic/leg arteries 64–65 Diabetes mellitus 63, 71, 83–85, 88, 113, 135, 408 –– penile/scrotal vessels 495 –– pitfalls 26 –– acoustic shadowing 88, 113 –– renal arteries 399 –– protocol and technique, pelvic/leg –– diagnostic angiography 63 –– visceral arteries 399 ­arteries 55–60 –– macroangiopathy/microangiopathy 63 –– visceral/retroperitoneal veins 440 –– role 63, 71, 75–77, 102, 112–116, 277, 302, –– medial sclerosis 83–85, 88 Dodd perforators 171, 175, 177, 205–207, 247 352–355, 406 –– nephropathy 408 –– incompetence 247 –– carotid territory 302, 352–355 –– stenosis of profunda femoris origin 135 Doppler angle 13–15, 18–19, 31–32, 43, 45, 48, –– extremity arteries 112–116 Diagnostic algorithm 59, 61–62, 190–191, 216, 56, 256, 296–298, 320–321, 416 –– fistula/hemodialysis access 277 308, 338, 412, 428–429, 497 –– angle-corrected blood flow velocity 18, 256, –– follow-up after vascular repair 102 –– algorithms proposed for suspected deep vein 301, 320 –– renal artery stenosis (RAS) 406 thrombosis (DVT) 190–191 –– angle correction cursor 19 –– stenosis 71 –– erectile dysfunction 497 –– carotid territory 296–298, 320–321 –– stenosis evaluation compared with –– follow-up after carotid endarterectomy (CEA) 338 –– correction 32, 56–57, 296–298, 320–321, 416 angiography 75–77 –– follow-up after surgical and endovascular –– error in estimating Doppler angle 19 –– treatment planning in PAOD 63 aneurysm repair (EVAR) 428–429 –– superior mesenteric artery 416 –– vascular ultrasound, some useful rules 56 541 C–F Subject Index

Duplication of veins 110, 138, 170, 175, 179, 192, –– comparison of different velocity –– venous leakage 501 195, 218, 232, 233, 416, 435–436, 440 ­parameters 329 –– ultrasound 493, 496–497 –– frequency, superficial femoral and popliteal –– EDV at site of maximum stenosis 324, 326 –– criteria 493 veins 170 –– secondary criteria 326 –– diagnostic algorithm 497 –– problem for venography 195, 218, 232, 233 –– demand-adjusted blood flow in femoral –– examination 493 –– renal veins 436 bifurcation 127 –– findings in arterial/venous –– role in isolated superficial vein –– dependence on heart rate 326, 395 dysfunction 496 ­thrombosis 179, 192 –– effect of collateralization 133 –– role 495 –– selection of bypass graft 110, 138 –– fistula identification 280 Erection 493–494 –– ultrasound diagnosis of thrombosis 232 –– hemodynamic effect of peripheral –– Doppler waveform 493 –– valve function test in duplicated popliteal ­stenosis 63, 76 –– examination of erectile function 493–494 vein 175 –– change in EDV vs. PSV 63, 76 –– papaverine injection 494 –– vena cava 435–436, 440 See also Peak systolic velocity (PSV) Error in flow velocity measurement 297–298 DVT see Deep vein thrombosis; Thrombosis Endoleak 392–393, 427–433, 467, 468, 471, 472 European Carotid Surgery Trial (ECST) 305 Dynamic focusing 9 –– abdominal aortic aneurysm (AAA) 392–393, EVAR see Endovascular aneurysm repair 427–433, 467, 472 Eversion CEA 334 –– complications of endovascular aneurysm External carotid artery (ECA) 293–294, 296–302, repair (EVAR) 427–428 332–333, 358, 371 E –– follow-up after EVAR 392–393, 427–433, –– anatomy 293–294 Echogenicity 46, 89–90, 92–93, 98–99, 311, 318, 467, 472 –– collateral in ICA occlusion 299, 332–333 353–354, 363 –– contrast-enhanced ultrasound –– internalization 299, 326, 334, 358, 371 –– carotid plaque 46, 311, 314–318, 353–354, 363 (CEUS) 428–429, 431–433, 471, 472 –– normal findings 301 –– relationship to plaque makeup 316–318 –– color duplex ultrasound (CDUS) 428–429, –– sonographic differentiation of external/ –– prognostic criterion 317 432–433, 471, 472 internal carotid 299–300, 332–333, 358 –– scientific evidence 353–354 –– vs. CEUS and CTA 428–429, 432–433, –– criteria 299 –– standardized measurement 315, 317, 363 471, 472 –– in ICA occlusion 332–333 –– stenosis grading 46 –– diagnostic algorithm for follow-up after –– temporal tap 300, 358 –– hemangioma in the liver 318 EVAR 428–429, 472 –– stenosis 332 –– hypoechoic lesions in popliteal fossa 93 –– hemodynamic parameters 429–431, 468 –– ultrasound examination 296–300, 302, 332 –– inflammatory thickening of the –– risk of rupture 430 –– clinical role 302 vessel wall 99 –– to-and-fro flow 429–431, 468 External iliac artery 65, 67, 70, 101, 103, –– mural thrombi in aneurysm 89–90 –– paradoxical (exoleak) 429, 430 109, 130 –– needle in thrombin instillation 92 –– pulsation of residual aneurysm sac 432 –– dissection 101 –– occluded lumen 98–99 –– stepwise diagnostic workup 428–429, 472 –– normal findings 65 ECST criteria 305–307 –– treatment planning 429 –– occlusion 67, 109, 130 –– confusion about carotid stenosis grading –– types I-IV 428–431, 468–472 –– stenosis 70 (ECST vs. NASCET) 305–307 Endovascular aneurysm repair (EVAR) 392–393, –– in-stent restenosis 103 Ectasia 180, 210, 251, 284, 334, 373, 483 426–433, 467, 471, 472 Extrahepatic portocaval shunt 443 Edge effect 12 –– contrast-enhanced ultrasound (CEUS) Embolic occlusion 88–90, 118, 149, 277, 395, 428–429, 431–433, 471, 472 423, 456, 481 –– follow-up after EVAR 392–393, 427–433, Embolism 63–64, 88–90, 95, 98, 149–151, 293, 467, 472 F 306, 311–319, 466 –– complications 427–428 (see also Endoleak) False aneurysm see Aneurysm, –– abdominal aortic aneurysm 466 –– protocol for ultrasound follow-up 392–393, pseudoaneurysm –– aneurysm with mural thrombi 95 427–429, 472 False lumen 73, 93, 100–101, 157, 304, 344, –– arterial 88, 149 –– ultrasound vs. other modalities 432 346–348 –– arterioarterial 88, 98, 306 –– risk of rupture after EVAR 430 –– thrombosed 93, 157, 304, 344 –– causing territorial infarction 306 –– screening for abdominal aortic aneurysm See also Dissection –– deep vein thrombosis 150 (AAA) 426 Fast Fourier transform (FFT) 16 –– ischemic infarction 293 Energy, kinetic vs. static 39, 42–43 Femoral arteries –– risk 63–64, 89–90, 311–319 Enteritis 442, 456 –– anatomy 53–54 –– aneurysm features 89–90 Entrapment constellation 95, 156 –– occlusion 136 –– carotid plaque features 311–319 Entrapment syndrome 92–93, 95–98, 155, 156, See also Common femoral artery; Profunda –– plaque morphology, leg arteries 63–64 213, 256 femoris artery; Superficial femoral artery –– sources of arterioarterial embolism 88–90, –– complications 97 Femoral bifurcation 53, 58, 61–62, 71, 127 98, 151 –– functional test 97 –– anatomy 53, 58 –– cardiac 88 –– popliteal artery 95–98, 155, 156 –– normal blood flow 127 –– partially thrombosed aneurysm 88–90 –– classification according to Insua 95–96 –– occlusion 71 –– popliteal artery aneurysm 151 –– popliteal vein 213, 256 –– steno-occlusive disease 61–62 –– vessel wall infiltration by tumor 98 Epididymitis 495, 498 Femoral veins 169–170, 192–194, 219–220, See also Pulmonary embolism Epigastric veins 170, 171, 207, 229, 248, 445 230, 233 Endarterectomy 63, 102, 113, 337 Erectile bodies 492, 502 –– anatomy 169–170 –– semiclosed 337 –– venous insufficiency 502 –– blood flow measurement 219–220 See also Carotid endarterectomy­ (CEA) Erectile dysfunction 493, 495–497, 501, 502 –– duplicated 233 End-diastolic velocity (EDV) 18–21, 63, 76, 127, –– pathophysiology 495 –– isolated femoral vein thrombosis 192 133, 280, 324, 326, 329, 395 –– arterial insufficiency 501 –– neoplastic thrombus 194 –– criteria for grading carotid stenosis 324, 326, 329 –– venous insufficiency 502 –– duplex ultrasound parameters 219–220 542 Subject Index

–– proximal thrombus progression 192–193 Gastric artery 391 –– thrombin injection vs. compression treatment See also Common femoral vein; Deep femoral Gastrocnemius muscle 93, 95–97, 155, 156 of pseudoanyeursm 92, 147 vein; Superficial femoral vein –– entrapment constellation 95, 156 –– venous compression 213 Femorocrural bypass 109, 111, 115–116, 138, –– malformation 93, 155 Hemodialysis access see Hemodialysis fistula 143, 264 –– popliteal artery entrapment syndrome 95–97 Hemodialysis fistula Femoropopliteal arteries 53, 58, 62, 71, 75, 114–116 –– functional test 96–97 –– abnormal ultrasound findings 267, 277 –– hemodynamic vs. morphologic imaging –– therapeutic management 97 –– aneurysm 265, 271, 273, 275, 284, 290 modalities 114–116 –– types according to Insua 95–96 –– Brescia-Cimino fistula 265, 267, 270, 273, –– occlusion 53, 58, 71 Gastrocnemius veins 170–171, 177, 179–180, 276–277, 281, 284, 286, 288 –– stepwise diagnostic management in PAOD 62 189, 193, 236, 242, 250 –– cephalic vein 221, 264, 265, 270–271, 286 –– ultrasound 75 –– dilation 242, 250 –– color duplex ultrasound, indications 265, 266 –– vs. angiography 75 –– role in development of DVT thrombosis –– complications 265, 267, 271, 273–278, 282 –– direct/indirect stenosis criteria 75 179–180, 189, 193, 236 –– central venous obstruction 276 Femoropopliteal vein 170–171, 183, 206, 238 –– ascending thrombus 236 –– dialysis access steal syndrome (DASS) 274, –– anatomy 170–171 Gastroduodenal artery 391, 414, 415, 417, 278, 282 Fibromuscular dysplasia 67, 331, 347, 350, 399, 456, 457 –– high-output cardiac failure 275 402–403, 405–407, 414, 460 Gastropancreaticoduodenal artery 457 –– inadequate/excessive fistula flow 275–277 –– duplex ultrasound findings 350 Geometric distortion 13 –– peripheral ischemia 273–274 –– renal arteries 399, 402–403, 405–407 Giacomini anastomosis 171, 183, 206 –– puncture aneurysm 265, 273 –– indications for ultrasound 402 –– incomplete truncal varicosis 206 –– swelling of hand/arm 277 –– renal hypertension 402 Giant cell arteritis 99, 122, 348, 349, 400, 423, –– treatment 267, 274 –– stenosis (RAS) 399, 402, 405–407, 414, 460 434, 435 –– course of AV fistula 268 –– stenosis in other vascular territories 67, 331, –– contrast-enhanced ultrasound (CEUS) 349 –– creation 264–265 347, 350, 402 Glomerulonephritis 408, 413, 439, 441 –– distal revascularization and interval ligation Fibrous plaque 305, 309, 318, 353, 365 Gray-scale analysis 317–318 (DRIL) 274–275 Fibular artery 53–54, 58, 60 Gray-scale median (GSM) 315, 317, 353, 363 –– documentation for serial examinations 270 –– anatomy 53–54 Great saphenous vein 110, 144, 169–171, 176, –– flow 264, 267, 269, 270, 274–277 –– sonoanatomy 58 182–183, 204–205, 207–208, 237, 245, 248 –– adequate flow for hemodialysis 264, 275 –– ultrasound examination 60 –– autologous bypass graft 110, 144 –– inadequate/excessive 275–277 Fibular veins 170, 173, 178 –– anatomy 169–171 –– measurement 269, 270 Finger artery occlusion 98 –– thrombophlebitis 237 –– remedies to restore adequate Fistula see Arteriovenous (AV) fistula; –– ultrasound examination 171, 176 flow 267, 274 Hemodialysis fistula –– compression ultrasound in suspected –– flow volume calculation 269–270, 281–282 Fixed occlusion 122 thrombosis 171 –– comparison of different methods 269–270, Fixed stenosis 402, 414, 415, 441 –– valve function test in suspected chronic 281–282 Flow 37–40, 43 venous insufficiency 171, 176 –– high-flow fistula 282 –– continuous flow 37 –– varicosis 182–183, 204–205, 207–208, 245, 248 –– indication for treatment 267 –– hemodynamic principles 37 –– grades according to Hach 182, 205 –– infection 271, 275, 276 –– in vitro flow model measurement 43 –– proximal and distal points of insuffi- –– maturation 269 –– laminar flow 37 ciency 183, 204 –– patency rate 265 –– turbulent flow 38–40 –– treatment options 183, 207–208, 248 –– revision 265, 267 See also Blood flow –– truncal varicosis 182, 245 –– stenosis 265, 267–268, 271–273, 285 Flow profile of pelvic/leg arteries 65–66 –– access vein 265 Flow separation 39–40 –– anastomosis 265, 268, 273 Flow velocity 37, 176, 226, 272, 322 –– draining vein 267 –– carotid territory 322 H –– feeding artery 267, 273, 285 –– hemodialysis access 272 Hagen-Poiseuille law 37, 41, 299, 329 –– grading 268, 272 –– intra-abdominal pressure 176 Harmonic frequency 34 –– synthetic 264–265, 288, 290 –– respiratory modulation in veins 226 Helicine arteries 492 –– ultrasound examination 267–269 See also Peak systolic velocity (PSV); Hemangioendothelioma 213–214 –– surveillance 267 End-diastolic velocity (EDV) Hemangioma 93, 100, 119, 213, 264, 318 –– three-point strategy for workup of access Follow-up after vascular reconstruction 102 –– benign tumor of the vein wall 213 problems 268 4D ultrasound 26 –– differential diagnosis 93 –– waveform changes characteristic of AV Frame rate 30 –– incidental finding 119 fistula 269 Free-floating thrombus see Thrombus –– Servelle-Martorell syndrome 264 –– venous problems Frequency (sound wave) 4 Hematocrit 37–38 –– branch vein 269, 271, 276, 284, 287 Friction 37–38 Hematoma 39, 64, 89, 91–93, 103–104, 146, 147, –– dilatation 267, 272, 274–275, 284 –– internal/external 37 152, 194, 213, 252, 265, 268, 271, 276, 339, –– diversion of blood flow 269, 271 Functional tests 174–177 348, 409–410, 427, 478 –– outflow obstruction 270, 271, 275, 277 –– compression-and-release test 175–177 –– carotid dissection 348 –– thrombosis 268, 271, 275–277 –– Valsalva maneuver 174 –– complication 103–104, 265, 268, 271, 276, –– workup of hemodialysis access problems 268 –– valve function test 177 339, 427 Hemodynamic vs. morphologic imaging –– aneurysm repair 427 modalities 114–116 –– bypass graft 103–104 Hemodynamic principles 37–40 –– carotid endarterectomy (CEA) 339 Hemodynamic stenosis grading 42–46, 70, 272 G –– hemodialysis access 265, 268, 271, 276 Heparin treatment see Anticoagulation Gain 30–32, 48 –– PTA and stenting 103 treatment Gas-filled microbubbles see Contrast-enhanced –– differential diagnosis 89, 93, 146, 252, 478 Hepatic artery 391–395, 397, 402, 415, 416, 422, ultrasound (CEUS) –– renal hematoma 409–410 446, 452, 453, 458 543 F–I Subject Index

–– aneurysm 402, 415, 422, 458 –– normal findings 226 Interleave technique 23 –– liver cirrhosis 446, 452 –– thrombosis 227 Intermittent claudication 68, 93–96, 108 –– normal anatomy and variants 391–392, Iliofemoral thrombosis 178 Internal carotid artery (ICA) 293–302, 304–307, 394–395, 415, 416, 453 Image resolution 8 309–328, 330–337, 343, 346, 349–355, –– normal findings 397 Impedance 4–6 358–367, 371–375 –– ultrasound examination 393, 395, 453 Impedance mismatch 5, 12–13, 253 –– anatomy 293–294 Hepatic veins 444, 482 Inadequate dialysis flow 271, 276 –– aneurysm 350–351, 372, 373 –– liver cirrhosis 482 Index –– coiling 294, 297, 330 –– portal hypertension 444 –– acceleration index 47, 65, 408 –– diagnostic role of duplex ultrasound 302, Hepatoduodenal ligament 391, 393, 394, 415, –– ankle-brachial index (ABI) 59, 61, 62, 68, 70, 352–355 436, 438, 483 78, 112, 129 –– in comparison with other modalities Hepatorenal syndrome 406, 445 –– carotid stenosis index 324, 326, 328–329 353–355 High-pass filter (HPF) 23, 30, 48, 220 –– congestion index 446, 484 –– dissection 346, 374, 375 High-resistance flow 40–41 –– mechanical index (MI) 35, 84, 140, 211, 393 –– Doppler angle 297, 298, 319–321 Hodgkin lymphoma 258 –– Pourcelot index 19, 21, 302, 398–399, –– duplex ultrasound 324, 352–354 Horseshoe kidney 460, 475 405–406, 408, 418, 421–422, 455 –– fibromuscular dysplasia 350 Horton’s disease 160, 348–350 –– pulsatility index (PI) 21, 65, 68 –– follow-up after vascular reconstruction Hunter’s canal 53 –– resistive index (RI) 47, 302, 329, 395–397, 334–337 Hyperabduction syndrome 119 405–406, 409, 412–413, 421 –– idiopathic carotidynia 351 Hyperabduction test 120–121, 161, 163, Indication for carotid surgery 302, 304, 353 –– kinking 294, 304, 330, 336, 343, 359 222–223, 261 See also Carotid endarterectomy (CEA) –– normal findings 301 Hyperemia 55, 65, 98, 122, 301, 345, 395, 397, Inferior mesenteric artery 391, 395, 397–398, –– occlusion 332–334, 367, 371 473, 481, 498 402, 429, 434, 453, 468 –– peak systolic velocity (PSV) 322 –– exercise-induced 55 –– anatomy 391 –– plaque features 296, 309–318, 360, 363–366 –– induced hyperemia in sublcavian steal –– differential diagnosis of retroperitoneal (see also Plaque) syndrome 301, 345 processes 434 –– pseudo-occlusion 318, 328, 332, 334, 367 –– inflammatory 473 –– duplex ultrasound 402 –– recanalization 332, 334, 367 –– reperfusion hyperemia in Raynaud’s –– endoleak 429, 468 –– sonographic differentiation of internal/ disease 98, 122 –– normal findings 397–398, 453 external carotid artery 299, 300, –– visceral arteries 395, 397 –– ultrasound examination 395 332–333, 358 Hyperlipidemia 360 Inflammatory vascular disease 56, 99–100, –– in ICA occlusion 332–333 Hyperlipoproteinemia 307 122, 158, 159, 164, 239, 348–350, 375, –– temporal tap 300, 358 Hyperplasia, 102, 104, 107, 109, 271, 276, 336, 403 399–401, 423 –– stenosis 299, 302, 311–321, 330–331, –– intimal hyperplasia after PTA and stenting­ 102 –– aneurysm 350, 399, 423 336–337, 355, 361, 362 Hypersensitivity vasculitis 100, 348 –– carotid territory 348–350, 375 –– bifurcation 299, 302 Hypertension 34, 43, 294, 307 –– extremity arteries 56, 99–100, 122, 158, 159, 164 –– comparison of different ultrasound –– contraindication to ultrasound contrast –– wall thickening 56, 99–100, 239 parameters 330–331 agent 34 –– inflammatory vs. atherosclerotic 56 –– methodological considerations 319–321 –– effect on velocity thresholds for stenosis 43 –– reactive inflammatory wall thickening in –– at origin 361, 362 –– elongation of internal carotid artery 294 thrombosis 239 –– recurrent 336–337 –– plaque development 307 –– ultrasound appearance 99–100 –– risk of embolism, sonographic plaque See also Portal hypertension; Renovascular Inflow artery 107, 145, 266, 269–270, 277 features 311–319 hypertension Infraclavicular fossa 117, 121, 160, 163, 221, 223, –– role of duplex ultrasound 302, 330, 355 Hypogastric plexus 415 260, 276, 277 –– stenosis grading 305–307, 319–328 Hypoperfusion of hand, hemodialysis Innominate artery 116, 293 –– local (ECST) vs. distal (NASCET) access 273, 274 See also Brachiocephalic trunk method 305–307 Hypoplasia 53, 295, 302, 343–344, 382–384, 443 In situ bypass 110, 144, 145 –– pitfalls 324, 328, 371 –– arteries below the knee 53 Insonation angle see Doppler angle –– primary/secondary criteria 322–328 –– portal vein 443 In-stent restenosis 102–104, 338–343, 378–379, –– ultrasound technique and protocol 295–297 –– vertebral artery 295, 302, 343–344, 382–384 381, 409–411, 418–419 Internal iliac artery 53, 55, 67, 148 Hypotension 276, 421 –– carotid territory 338–343, 378, 379, 381 –– anatomy 53 Hypothenar (hammer) syndrome 119–120, 164 –– B-flow imaging 381 –– collateral function 67 –– criteria in stented vs. unstented –– pseudoaneurysm 148 carotid 338–339, 343 –– ultrasound examination 55 –– early/late (intimal hyperplasia/ Internal iliac vein 219 I atherosclerosis) 338–339 –– thrombus as source of embolism 219 Iatrogenic arteriovenous fistula 280 –– grading 379 Internal jugular vein 221, 294, 351, 352 Idiopathic carotidynia 351–352 –– neointimal proliferation 378 –– compression by tumor 352 Ileocolic artery 391, 420, 421, 455 –– stent ends 340 Internal pudendal artery 492 Iliac arteries 53, 55, 58, 131, 253 –– intimal hyperplasia vs. progression of Interosseous membrane 170 –– anatomy 53, 58 atherosclerosis 102 Intestinal ischemia 417, 419–421 –– aneurysm 131 –– PSV (ratio) in native/stented arteries 103–104, –– postprandial pain 417 –– challenges for ultrasound 55 409–411, 418–419 –– role of ultrasound 419–421 –– tumor in iliac bifurcation 253 –– renal arteries 409–411 See also Mesenteric ischemia See also Common iliac artery; External iliac Interdigital artery occlusion 119–120, 160, 165 Intimal flap see Dissection artery; Internal iliac artery Interference 6 Intimal hyperplasia, cause of restenosis after Iliac veins 169–170, 172, 180, 226, 227 –– constructive 6 PTA 102 –– anatomy 169–170 –– destructive 6 Intima-media complex 26, 296, 301 544 Subject Index

Intima-media thickness (IMT) 296, 298, 302, 307, –– normal findings 176–177 –– acute occlusion 401–402, 418–419, 455, 456 309, 311, 360 –– thrombosis 171–174, 177–178, 184–192, 194, –– acute/chronic occlusion 417, 456, 457 –– measurement 296, 298, 307, 311, 360 195, 197, 207, 216, 218–219 –– (color) duplex ultrasound 401–402, 416–419 Intra-abdominal pressure 176 –– color duplex ultrasound 195 –– preprandial/postprandial flow 397–398, 452 Intra-arterial digital subtraction angiography –– diagnostic algorithms 189–192 –– stenosis 417, 455 (DSA) 354 –– diagnostic algorithm, guideline-based 216 –– color duplex ultrasound 417 –– carotid stenosis 354 –– documentation of findings 177–178 –– ultrasound examination 393, 395 Intracranial occlusion 344 –– Doppler waveform criteria 197 See also Inferior mesenteric artery; Superior Intracranial pressure, effect on extracranial blood –– examination of the asymptomatic leg 194 mesenteric artery flow 302, 319, 346 –– perforating veins 207 Mesenteric ischemia 401–402, 417–419, 456 (IVUS) 25–26, 318 –– role of duplex ultrasound 178–181 –– acute 401–402, 456 –– virtual histology 318 –– ultrasound criteria 184–192 –– stages 401–402 Iodine fibrin test 178 –– ultrasound examination in suspected –– chronic 417, 456 Ischemia 273–274, 289, 401, 417 DVT 171–174 –– nonocclusive mesenteric ischemia –– mesenteric 401, 417 –– ultrasound follow-up 218–219 (NOMI) 401, 418–419 –– peripheral 273–274, 289 Leriche’s syndrome 401, 423 Mesenteric veins 422, 438, 442, 483 –– hemodialysis access complication Leukocytosis 99, 401, 442, 483 –– thrombosis 422, 438, 442, 483 273–274, 289 Line spacing 7 See also Superior mesenteric vein Isolated thrombosis 68, 178–179, 187, 193 Linear array 10 Microbubble contrast agent 33–36, 84–85 –– calf vein 178–179 Linear array transducer 18, 31, 32, 56 See also Contrast-enhanced ultrasound –– paired fibular vein 187 Lipedema (legs) 182, 214, 215, 254 Microscopic polyangiitis 99 –– pelvic 68 Liver 406, 436–437, 439, 443–446, 448, 452, 482 Microstreaming 36 –– superficial femoral vein 193 –– cirrhosis 406, 439, 444–446, 452, 482 Mirror artifact 26–27, 65, 161, 253, 301, 429, 469, –– biopsy 439 471, 478 –– duplex ultrasound 349, 445, 452 M-mode (motion mode) 7–8, 36 J –– portal hypertension 444–446 Modulation of venous flow 176, 226 –– cyst 443 –– cardiac 176, 226 Jet velocity 43 –– veins 436, 437, 448, 482 –– respiratory 176, 226 Jejunal artery 391, 420, 456 –– anatomy 436 MRA see Magnetic resonance angiography –– occlusion 420 –– flow variation during the cardiac cycle 448 Multigate pulsed Doppler 22 Jugular vein 221, 223, 257, 258 –– ultrasound examination 437 Multilevel obstruction 85, 106 –– anatomy 221 –– waveform flattening in cirrhosis 448, 482 Multilevel occlusive disease 61–63, 88 –– aneurysm 257 Longitudinal plane 56 Multiple reflection artifact 12 –– central venous catheter 223, 258 Low-flow bypass 107, 110, 143, 144 Multiple-vessel disease 304–306, 309, 328, 332 –– thrombosis 221, 258 Low-resistance flow 40–41 Mural thrombosis 89–90, 92, 162, 203, 218, Lumbar arteries 391, 393, 427–431 236, 250, 373, 400, 415, 465, 466 –– endoleak after endovascular aneurysm repair See also Embolism K (EVAR) 393, 427–431 Muscle pump 175, 177, 181, 203, 205, 239 Kaplan-Meier analysis 108 Lymphangiosclerosis 215 Muscle veins 170–171, 174, 178–180, 189, 193, Kawasaki’s disease 99, 348 Lymph node metastasis 254, 352 195, 216, 231, 236 Kinetic energy 3, 39, 40, 42 Lymphedema 182, 214, 215, 254 –– dilated 242 Kinking 90, 108, 267, 294, 297–298, 304, Lymphogenic edema 254 –– thrombosis 178–180, 189, 193, 195, 216, 330–331, 343, 359 Lymphoma 213, 217, 229, 254, 258, 387, 426, 231, 236 –– internal carotid artery 294, 297–298, 304, 434, 439, 440, 482 Mycotic aneurysm 350, 422, 434 330–331, 343, 359 Mycotic aortic perforation 478 –– popliteal artery 90 Myeloproliferative disease 439, 444 –– with stenosis 267, 330, 359 M –– venous bypass graft 108 Macaroni sign 99–100, 159, 304, 348, 350 Kirchhoff’s second law 299 Machine settings 47–49 N Klippel-Trenaunay syndrome 264 Magnetic resonance angiography (MRA) 61, Narrow costoclavicular space 222, 271 113–115, 355, 411–412, 434 NASCET criteria 305–307 –– carotid stenosis 354, 355 –– confusion about carotid stenosis grading L –– distal leg arteries 61, 113 (NASCET vs. ECST) 305–307 Laminar flow 15, 22, 31, 37–39 –– suspected renal artery stenosis (RAS) 412 Neointima 103, 104, 109, 110, 271, 337, 339, 371, Lateral resolution 4, 8 Major vein insufficiency, duplex 376–378, 381 Leading-edge-to-leading-edge method (vessel ultrasound 204–205 Neoreflux 206, 208 diameter measurement) 21, 270, 282, 298, Malrotation 438, 442 Neovascularization 33, 36, 206, 208, 249, 293, 424, 425 Manual fistula compression (hemodialysis access 308, 316, 319, 349, 354, 363 Leg arteries 53–54, 56, 58, 62, 64, 66, 126 evaluation) 268, 270, 274, 275, 282, 285, 289 Nephrectomy 439, 441 –– anatomy 53–54, 126 Marfan’s syndrome 346 Nephrotic syndrome 439, 441 –– duplex ultrasound 64, 66 May perforator 171, 177, 209 Nerve conduction velocity 120, 154 –– criteria 64 Mechanical index (MI) 35, 84, 140, 211, 393 –– adventitial cystic disease 154 –– indications 66 Medial sclerosis 63, 64 –– thoracic outlet syndrome 120 –– sonoanatomy 58 –– diabetes mellitus 63, 64 Newtonian fluid 37, 38 –– ultrasound examination 56, 62 –– effect on flow profile 64 Nonatherosclerotic vascular disease 57, 61, 67, –– stepwise diagnostic management 56, 62 Median arcuate ligament (MAL) syndrome 402, 71, 92, 97–98, 298, 346, 353, 467 Leg veins 169–174, 176–178, 184–192, 194, 195, 414, 415, 454 Nonocclusive mesenteric ischemia (NOMI) 401, 197, 207, 216, 218–219 Mesenteric arteries 393, 395, 397–398, 401–402, 418–419 –– anatomy 169–171 416–419, 452–457 See also Mesenteric ischemia 545 I–P Subject Index

North American Symptomatic Carotid Peak systolic velocity ratio (PSV ratio) 43–46, Persistent primitive hypoglossal artery Endarterectomy Trial (NASCET) 305 70, 76–78, 272–273, 326–329, 340–342, (PPHA) 328, 332–335, 369 Nutcracker syndrome 488, 496 344, 397, 407 Peyronie’s disease 495, 496 Nyquist limit 27–28 –– carotid territory 326–329, 340–342 Phased array (transducer) 10, 11 –– ICA/CCA PSV ratio (carotid stenosis –– annular 11 index) 326 Phlebectasia 210, 264 O –– intrastenotic to prestenotic/postste- Phlebitis 98 notic 326 Phlegmasia coerulea dolens 157 Obstructed venous drainage 175, 214, 228, 229, –– hemodialysis access 272–273 Piezoelectric crystal 4 269, 271, 275, 276 –– renal-aortic ratio (RAR) 397 Piezoelectric effect 4 Occlusion 85–86, 98, 149 –– vertebral artery, intrastenotic to postste- Planimetric stenosis grading 32, 46, 80, –– arterial (diagnosis) 85–86 notic 344 319, 322 –– embolic 149 Peak velocity ratio (PVR) 81, 105 Plaque 131, 137, 293, 304–305, 308–320, 328, –– finger arteries 98 Pectoralis minor syndrome 120, 122, 163 331, 353–354, 360, 363, 365, 366 Occlusive disease, atherosclerotic 61–62, 65–67 Pelvic arteries 53, 55–56, 61, 63–64, 67–68, 126, 129 –– calcified plaque with acoustic shadowing 137 –– indication for diagnostic workup 65–67 –– anatomy 53, 126 –– carotid plaque echogenicity 311, 314–318, –– localization of occlusive disease 66 –– collateralization 61, 63, 67–68, 129 353–354, 363 –– stepwise diagnostic workup 61–62, 66 –– obstruction with good collateralization 61 –– gray-scale median 315, 317, 363 Occlusive thrombosis 172, 196, 199, 201, 202, –– duplex ultrasound 56, 61, 64 –– prognostic criterion 317 241, 242 –– isolated stenosis 68 –– relationship to plaque makeup 316–318 Ohm’s law 37 –– ultrasound examination 55 –– scientific evidence 353–354 Ophthalmic artery 294, 332, 349, 367 Pelvic kidney 453, 461 –– concentric 311–312, 331 Orchitis 498 Pelvic veins 169, 171, 226–229, 235 –– contrast-enhanced ultrasound (CEUS) 293, Ormond’s disease 335, 374, 400, 434 –– anatomy 169 318–319, 363 Outflow obstruction 106, 143, 144, 157, 213, –– compression 229 –– carotid plaque characterization 293, 215, 217, 221–223, 229, 270, 271, 277, 278, –– thrombosis 171, 227–229, 235 318–319, 363 285, 288, 498 –– ultrasound examination 171, 226, 227 –– neovascularization 293, 319, 363 Ovarian vein 488 –– normal findings 226 –– eccentric 312–313, 320, 328, 331 –– varicosis in nutcracker syndrome 488 Penetration depth 4–8 –– embolizing 131, 137 Overmodulation 26, 30, 31, 48, 286 Penile circumflex veins 492 –– fibrous 305, 309, 318, 353, 365 Penile vessels 492, 494 –– floating 131 –– anatomy 492 –– intima-media thickness 360 P –– normal findings 494 –– neovascularization 319 Pacemaker implantation 221, 223, 262 Percutaneous transluminal angioplasty –– risk 305, 314, 353 Palmar arch 117–118, 164, 165, 269, 274, 288 (PTA) 102–103, 337, 405, 461 –– embolism 314, 353 Pampiniform plexus 493–496, 498, 502 –– stenting 103 –– rupture 314 Panangiitis 98 –– carotid artery stenting (CAS) 337 –– stroke 305 Pancreatic pseudocyst 394, 453 (see also Carotid artery stenting) –– sonomorphologic types 312–313 Pancreaticoduodenal artery 391, 402, 417, –– follow-up 102–103 –– stable vs. unstable 316 456, 457 –– in-stent restenosis 103 –– thickness 314 Pancreatitis 415, 439, 443, 445, 453, 483 –– renal artery stenosis 405, 461 –– ulceration 304–305, 308–310, 314–316, 366 PAOD see Peripheral arterial occlusive disease Perforated aneurysm 147, 474 –– virtual histology 318 Papaverine 494 Perforated Baker’s cyst 180 –– vulnerability 308–309, 316–319, 353, 366 Paraneoplasia 194, 222, 223, 401, 443 Perforating veins 105, 108–110, 169–171, 177, Plaque configuration 79–80, 112, 306, 328, 331 Paraneoplastic disturbance of acral 181, 183, 205–207, 209, 221, 239, 246, 247 –– hemodynamic stenosis severity 112, 331 perfusion 98 –– anatomy 169–171, 177 –– role in stenosis grading 79–80, 112, 306, Paraneoplastic syndrome 442 –– incompetence 177, 181, 183, 205–207, 209, 328, 331 Paraneoplastic thrombophlebitis 209 221, 239, 246, 247 Plaque development 40, 307–309 Paraneoplastic thrombosis 178, 222 –– valve function test 177 –– stages 309 Paresthesia 95 Perfusion regulation 40, 42 Platelet aggregation inhibitors 336 Parkes Weber syndrome 264 Perfusion disturbance, paraneoplastic 98 Plethysmography 178, 216 Patch angioplasty 336, 337, 372, 376, 427 Peripheral arterial occlusive disease (PAOD) Plug flow 38–39, 42 Patent foramen ovale 150 61–62, 71, 92–93 Polyarteritis nodosa 99–100, 158, 159, 348 Patent umbilical vein 444, 446 –– differential diagnosis 71, 92–93 Polyneuropathy 154 Peak systolic velocity (PSV) 70, 77, 319–323, 329, –– stepwise diagnostic management 61–62 Polytetrafluoroethylene (PTFE) graft 104, 340–343, 397 Peripheral dilatation 46, 155, 157, 165, 418 106, 265 –– carotid stenosis 319–323, 329, 340–343 Peripheral ischemia 71, 78, 165, 265, 273–274, Popliteal artery 53–54, 84, 89–90, 92–97, 136, –– factors affecting intrastenotic PSV 322 278, 282, 286–289, 433 149–151, 153–155, 157 –– focal increase, intrastenotic/prestenotic 77 Peripheral lymphatic obstruction 215 –– adventitial cystic disease 93–94, 153–155 –– identification of PSV cutoffs for stenosis Peripheral resistance 37, 40–41 –– anatomy 53–54 (see Receiver-operating curve (ROC) analysis) Peritonitis 401, 421, 483 –– aneurysm 89–90, 150, 151 –– ratio of intrastenotic to prestenotic PSV (PSV Perivascular pathology 64, 89, 195, 213, 434 –– dissection 157 ratio) 70, 77, 397 –– abscess 64 –– entrapment syndrome 95–97, 155 –– absolute PSV vs. PSV ratio 77 –– Baker’s cyst 195 –– functional test 96–97 –– absolute PSV vs. renal-aortic ratio –– hematoma 64, 89, 213 –– therapeutic management 97 (RAR) 397 –– retroperitoneal 434 –– types according to Insua 95–96 –– ratio of intrastenotic to poststenotic PSV, –– tumor 195, 213 –– occlusion 84, 92–93, 149, 155 vertebral arteries 344 Perivascular tissue vibration, identification of IV –– isolated 92, 155 See also End-diastolic velocity (EDV) fistula 100, 104, 266, 269, 280, 351, 414 –– stenosis 136 546 Subject Index

Popliteal fossa 93, 95, 152, 156, 157 Prehepatic obstruction 444 –– profunda femoris artery 82 –– blunt trauma 157 Pressure drop across stenosis 42–43, 70–71 –– renal artery stenosis 406 –– iatrogenic vascular damage 152 Profunda femoris artery 53–54, 58, 63, 65, 70, 77, Recirculation pathways 181–184, 205, 208, 221 –– tumor 93 81–83, 133, 135 Recirculation zone 40 –– ultrasound findings 93, 95, 156 –– anatomy 53–54, 135 Recurrent stenosis 336–337, 405 –– entrapment constellation 95, 156 –– sonoanatomy 58 –– carotid territory 336–337 Popliteal vein 169–170, 173, 210–211, 213–214, –– stenosis 63, 70, 77, 81–83, 133 –– renal artery 405 249–251 –– at origin 82, 133 See also In-stent restenosis; Restenosis –– adventitial cystic disease 213–214 –– role of collateralization 77 Recurrent thrombosis 178, 182, 191–192, –– anatomy 169–170 –– ultrasound examination 58 198–200, 217, 219–220, 231, 259 –– aneurysm 210–211, 249–251 –– normal findings 65 Recurrent varicosis 183, 207–209, 249 –– entrapment syndrome 213 Profundaplasty 102, 133 Reflection 4 –– ultrasound examination 173 Proper hepatic artery 391, 393, 415, 436, 458 Reflex vasoconstriction 441 Porta hepatis 436 Prostaglandin injection 494, 500 Reflux 38, 40, 73, 171, 174–175, 203, 205 Portal hypertension 438, 443–447, 484 –– diagnosis of erectile dysfunction 494, 500 –– duration, normal vs. abnormal 205 –– collateral pathways 443–446 Provocative tests (vascular compression –– high peripheral resistance 38, 40, 73 –– ultrasound findings 438, 445 syndromes) 98, 120–121, 156 –– patterns 203 Portal vein 436, 438–440, 443–446, 448, 482–485 Pseudoaneurysm see Aneurysm –– postthrombotic valve damage 203 –– anatomy 436 Pseudocyst 394, 402, 415, 422, 443, 453 –– reflux velocity as semiquantitative –– aneurysm 484 –– of the pancreas 394, 402, 415, 443, 453 measure 203 –– cavernous transformation 443, 485 Pseudo-occlusion 35, 318, 328, 332, 334, 367 –– incomplete postthrombotic valve –– Doppler waveform 448, 482 PSV see Peak systolic velocity closure 175 –– flow velocity 439–440 PTA see Percutaneous transluminal angioplasty –– physiologic 40, 73 –– hepatofugal flow 447, 448 Pulmonary embolism 178–180, 192, 194–195, –– valve function test 171, 174–175 –– hypoplasia 443 201, 208–210, 212, 216, 218–219, 223, 228, Refraction 4–5 –– thrombosis 443, 483, 485 247, 250, 251, 436, 441 Region of interest (ROI) 22, 25 –– tumor compression 485 –– deep vein thrombosis of the legs 178–180 Renal-aortic ratio (RAR) 397, 403–404, –– ultrasound 438–440, 482 See also Embolism 407–409 –– normal findings 439–440, 482 Pulsatility 37, 41, 44, 65, 75–76, 346, 378, 387 Renal arteries 392, 395–399, 402–403, 405–413, –– portal hypertension 438, 443–446, 484 Pulsatility index (PI) 21, 65, 68 459–463 Portocaval collateral circulation 445–446 –– peripheral arterial occlusive disease –– anatomy 392, 459, 460 Posterior fibular vein 173 (PAOD) 65, 68 –– sonoanatomy 459, 460 Posterior tibial artery 53–54, 56–60, 66, 83, 85, Pulsating neck mass 350 –– atherosclerotic stenosis 403 99, 113, 139, 143, 152 Pulse-echo technique 6 –– concentric stenosis 407 –– anatomy and variants 53–54 Pulsed wave (PW) Doppler ultrasound 15–16 –– contrast-enhanced ultrasound (CEUS) –– aneurysm 152 Pulseless disease 348 409–410 –– occlusion 99, 139 Pulse repetition frequency (PRF) 16, 26–27 –– course of renal arteries 459 –– ultrasound examination 56–60, 66, 83, 113 Puncture aneurysm 265, 275, 284, 290 –– diagnosis of stenosis 396 –– comparison with other methods 113 PW Doppler 15–16 –– eccentric stenosis 407 –– search for stenosis 83 Pyelonephritis 408, 413 –– fibromuscular stenosis 403, 407 –– segmental examination of the leg 66 –– indications for ultrasound examination 402 Posterior tibial vein 173, 230 –– normal findings 398–399, 460 –– examination technique 173 –– occlusion 412 –– thrombosis 230 R –– parenchymal damage 405 Postocclusive flow 66, 67, 79, 84, 86, 88, 108, Radial artery 117, 165 –– role of duplex ultrasound 403, 406–409 128, 130, 133, 157, 267, 322, 333, 335, 368, –– anatomy 117 –– compared with other imaging modali- 384, 387, 412, 417, 423, 453, 462, 475, –– occlusion 165 ties 403 496, 501 Radiofrequency ablation 207, 248 –– stenosis (RAS) 397, 402–403, 405–413, Postocclusive perfusion pressure 78 RAS see Renal arteries, stenosis 461–463 Poststenotic arterial aneurysm 118 Raynaud’s disease 98, 119, 122, 165 –– accuracy of ultrasound criteria 406 Postthrombophlebitic veins 110 Recanalization 98–99, 120, 122, 149, 181, 184, –– criteria (direct/indirect) 397, 406–408, Postthrombotic residues 191, 243 186, 195–200, 218–219, 221, 223, 249, 462, 463 Postthrombotic syndrome 178–181, 200–203, 328, 334 –– criteria (stented/unstented) 409–411 219–220, 240–241, 243 –– carotid occlusion 328, 334 –– diabetes mellitus 463 –– recanalization 241 –– corkscrew 98–99, 120, 122, 249 –– diagnostic algorithm 411–412 –– residual lesions 200, 202, 243 –– heparin-induced 149, 195, 218 –– digital subtraction angiography –– role of ultrasound vs. other modalities –– incomplete 149, 184 (DSA) 403, 413 219–220 –– spontaneous 149, 195, 218 –– duplex ultrasound vs. other imaging –– ultrasound criteria 202 –– thrombosis 181, 195–200, 218–219, 221, 223 modalities 403 –– Valsalva test 200–202, 240 –– upper extremity 221, 223 –– fibromuscular dysplasiavs. atherosclero- –– valve incompetence 203 Receive gain 30–31 sis 403 –– venous reflux 203, 240 Receiver-operating curve (ROC) analysis 70, 77, –– indication for treatment 402, 408 Pourcelot index 19, 21, 302, 398–399, 405–406, 82, 103, 330, 379, 406 –– percutaneous transluminal angioplasty 408, 418, 421–422, 455 –– identification of velocity cutoffs for stenosis (PTA) 461 –– mesenteric artery occlusion 455 grading 70, 77, 82, 330, 379, 406 –– renovascular hypertension 402–403, 405, Power Doppler (angio) mode 23 –– carotid stenosis 330, 379 408–409, 413 Power spectrum 17–18 –– in-stent restenosis 379 –– resistive index (RI) 405 PPHA see Persistent primitive hypoglossal artery –– peripheral stenosis 70, 77 –– therapy-oriented grading 408–409 547 P–S Subject Index

–– ultrasound examination 395–397, Spontaneous dissection 100 409–411, 459 S Spontaneous pseudoaneurysm 148 –– follow-up after stenting 409–411 Saccular aneurysm 210–213, 249, 372, 373, 400, Spontaneous recanalization 149, 195, 262 –– transplant kidney 397, 402, 405, 412–413 423, 434, 466 Spontaneous resolution of adventitial cyst 95 –– transplant renal artery stenosis Sample volume 15–16, 22, 32 Spontaneous thrombolysis 179 (TRAS) 412–413 Saphenous eye 176, 254 Spontaneous thrombosis 180, 299 Renal veins 413, 436–439, 441–442, 460, 462, Saphenous vein bypass graft 110, 144 Statin therapy 296 482, 487, 496 Sarcoma 253, 440, 464 Steal phenomenon 264, 269, 274, 345, 385, 402 –– anatomy 436, 439, 460, 462, 482, 496 Scalene triangle 116, 118–120, 221 Steal syndrome 264, 274, 345, 385 –– retroaortic renal vein 436, 439, 460, 462, Scalenus anterior syndrome 119–120, 122 –– arterial steal (syndrome) 264 482, 496 Scalenus minimus syndrome 120 –– dialysis access steal syndrome (DASS) 274 –– role of duplex ultrasound 439 Scanning depth 23, 25, 28, 55, 266, 392 –– subclavian steal syndrome 345, 385 –– ultrasound examination 437–438 Scattering 5–6, 26 Steam engine sound 92, 146, 351, 427 –– abnormal findings 441–442 Schistosomiasis 439, 444 Steno-occlusive disease 43, 53, 61–63, 67–71, 75, –– normal findings 439, 482 Schoenlein-Henoch pupura 99 77–79, 82, 85, 100, 102, 122, 278, 299, 350, –– thrombosis 413, 441, 487 Schwannoma 253 397, 398, 408, 418, 421 –– transplant kidney 413 Scintigraphy 216, 247 Stenosing arterial disease, nonatherosclerotic 92 –– tumor thrombus 441, 487 Scleroderma 98 Stenosis 43–47, 56, 63–64, 66, 68–72, 75, 79–81, –– venous tumor extension 441 184, 207–208 85, 102–103, 105, 106, 112, 114, 116, 130, Renin-angiotensin system 408 Scrotal vessels 493, 494 305–307, 319–329, 331–332, 336–339, 343, Renovascular hypertension 402–403, 405, Seagull’s cry 75 383, 402, 414, 416, 461, 481 408–409, 413 Secretin 398 –– accuracy of ultrasound, scientific data 72 Residual aneurysm (sac) 393, 429–432, 470, Sector scanner 10, 11 –– celiac trunk 402, 414, 416 471, 473 25 –– fixed (inspiration expiration) 402 –– endoleak 393, 432 Semiclosed endarterectomy 337 –– types and underlying pathologies 414 –– pulsation 432 Separation zone 39–40 –– concentric 43, 71, 112 Residual flow 88–89 Sepsis 195, 422, 439, 441–443 –– criteria, pelvic/leg arteries 68–69, 75 Residual patent lumen 46, 64 Sequential stenosis 66, 85, 114 –– direct 68–69, 75 Residual stenosis 66, 102–103, 336, 461, 481 Sequential steno-occlusive lesions 114 –– (color) duplex 75 Residual thrombus burden 196, 198–200 Seroma 89, 91, 93, 104, 146 –– indirect 68–69, 75 Resistance, peripheral 37, 40–41 – diagnostic evaluation 47, 56, 116 –– aortofemoral bypass anastomosis 146 – Resistive index (RI) 47, 302, 329, 395–397, Servelle-Martorell syndrome 264 –– sonographic techniques 56, 116 405–406, 409, 412–413, 421 Shear stress 38–40, 89–90, 210, 271, 302, 306, –– poststenotic parameters 47 –– carotid arteries 302 311–314, 321, 331, 341, 363 –– eccentric 71, 112 –– dependence on heart rate 395 Sherman vein 171, 177 –– grading 43–46, 56, 63–64, 70, 79–80, 105–106, –– renal artery stenosis 396–397, 405–406, 409, Side lobe artifact 11–13 305–307, 319–329, 331–332, 337–339 412–413 Signal-to-noise ratio 23 –– bypass graft 105–106 –– transplant (TRAS) 412–413 Situs inversus 293, 481 –– carotid territory 305–307, 319–328 Resolution 4, 8 Small saphenous vein 110, 138, 169–170, 176, –– carotid territory, angiography vs. ultra- –– axial 4, 8 183, 204, 206–207, 238, 246 sound 331–332 – lateral 4, 8 – carotid territory, distal vs. local (NASCET/ – –– anatomy 169–170 – Respiratory phasicity, loss 223, 228 ECST) 305–307 –– autologous vein graft 110 Restenosis 102, 338–339 – carotid territory, pitfalls 324, 328 –– assessment of suitability by ultrasound 138 – – after carotid endarterectomy 338–339 – Doppler angle 319–320 – –– incompetence 204, 207 – – early/late (intimal hyperplasia/­ – duplex ultrasound 45 – –– duplex ultrasound 207 – atherosclerosis) 338–339 – effect of systemic factors 329 –– extent 183, 204 – – extremity arteries 102 – effect of plaque configuration 79–80 – –– valve function test 176 – – complication of PTA 102 – hemodynamic 63–64 – –– pretherapeutic ultrasound 207 – – intimal hyperplasia vs. progression of – scientific data 337–339 – –– thrombophlebitis 238 – atherosclerosis 102 – peak systolic velocity (PSV) (see Receiver-­ –– varicosis 182, 206, 246 – – ultrasound follow-up after surgical/ operating curve (ROC) analysis) – –– (incomplete) truncal 206, 246 interventional treatment 102 Soleus vein 170, 173, 180, 187 –– residual 66, 102–103, 336, 461, 481 Retroaortic renal vein 436, 439, 460, 462, – sequential stenosis 66, 85, 114 –– isolated thrombosis 187 – 482, 496 Sonomorphology of carotid plaque 312 –– tandem 328 Retroperitoneal fibrosis 400, 426, 433–435, 473, Sound velocity 3 –– underestimation 78–81, 85, 114, 130, 324, 416 474, 478 Sound wave 3 –– vertebral artery origin 343, 383 Retroperitoneal lymphoma 434, 439 Spermatic vein 496, 498 See also Anastomotic stenosis; In-stent-restenosis Retroperitoneal veins 435 Splenic artery 391, 393–394, 398, 402, 415, 458 Stenosis signal 156, 213, 256, 261 Reverberation artifact 12–13 Stent complications 342–343, 380, 400, 428, –– aneurysm 402, 415, 458 Reverse rotation effect 27 433, 467 –– normal findings 398 Reynolds number 39, 40, 43, 326 – dislocation 342–343, 380 –– ultrasound examination 393 – Rheumatoid arthritis 99, 434 Splenic infarction 422 –– fracture 428, 433 Riolan anastomosis 402, 417, 455 Splenic vein 436, 443 –– migration 400, 433, 467 Rise time 47 See also Endoleak, In-stent restenosis –– anatomy 436 ROC see Receiver-operating curve (ROC) Stent follow-up 400, 427–429 –– thrombosis 443 analysis Spontaneous arteriovenous (AV) fistula 100, Stepwise diagnostic management of PAOD 62 Rotating wheel transducer 11 264, 280 Sternocleidomastoid muscle 295, 296, 315, 363 Round trip time 4, 7, 9, 15, 23, 28–29 Spontaneous contrast 146, 210 Stimulated acoustic emission imaging 35 548 Subject Index

Streptokinase 181, 239, 259, 260 Swept gain 7 Thrombosed aneurysm 88–90, 118, 120, 131, 146 String-of-beads sign 350 Synechia 198, 204, 243 –– partially thrombosed aneurysm as source of Stroke risk 303, 305, 313–314, 317, 319, 322, 337, 353 Synthetic bypass graft 104, 108, 110 embolism 88 –– role of plaque morphology in risk –– routine duplex surveillance 104, 108, 110 –– therapeutically induced thrombosis 146 ­stratification 317, 319, 353 –– ultrasound appearance 104 Thrombosis Subclavian artery 116–118, 159, 161–162, 164, Synthetic hemodialysis access 264–265, 288, 290 –– age determination 195–196, 198–200, 229, 230 221, 262, 293, 301–302, 309, 345, 385, 386 Synthetic patch (angioplasty) 336–337, 372, 376 –– acute vs. older thrombosis 196 –– anatomy 116–117, 293 Syphilis 350, 399 –– presence of collateral pathways 195 –– aneurysm 162 Systolic rise time 47, 138 –– ascending 178–180, 189, 192, 217 –– compression by cervical rib 161 Systolic velocity 64–65 –– asymptomatic 178–180, 234 –– narrow space 118 Systolic velocity ratio (SVR) 43 –– descending 179 –– occlusion 164, 302, 309, 345 –– diagnostic algorithms 190–191, 216 –– stenosis 117–118, 159 –– diagnosis 171–172, 178, 216–218, 221 –– steal syndrome 118, 301, 309, 345, 385, 386 –– arm veins 221 –– vertebrovertebral crossover 301, 345 T –– leg veins 178 –– ultrasound examination 117 Tachycardia 21, 319, 421 –– leg veins, examination technique 172 Subclavian vein 221, 262 Takayasu’s arteritis 99, 122, 159, 164, 302, –– leg veins, patient positioning 171 –– anatomy 221 348–349, 375 –– role of ultrasound (vs. other methods) –– thrombosis 262 –– subclavian artery occlusion 164 216–218 –– ultrasound examination 221 Tandem stenosis 328 –– differential diagnosis 180, 182, 195, 252 Subfascial abscess 253 Target vessel for bypass procedure 57, 59, 63, 84, –– extent of ultrasound examination 192–194 Subintimal intraplaque hemorrhage 316 85, 110, 138 –– false lumen in dissection 93, 100, 157, 344, Superficial dorsal penile vein 493 –– below knee 63, 83, 85 346–347, 374, 476, 477 Superficial epigastric veins 170, 207 –– crural artery 57, 59, 84 –– guideline-based diagnostic algorithm in Superficial femoral artery 29, 53, 63, 65, 87 –– pedal artery 84, 85 suspected DVT 216 –– anatomy 53 –– role of ultrasound in bypass planning 110, –– mural 89–90, 92, 162, 203, 218, 236, 250, 373, –– normal findings 65 138 400, 415, 465, 466 –– occlusion 87 Temporal arteritis 348, 350, 375 –– muscle veins 174, 178–180, 195 –– pitfalls of color duplex ultrasound 29 Temporal artery 294, 296, 299–300, 348–350 –– older 187, 195, 198, 229, 230 –– stenosis 63 –– Horton’s disease 349–450 –– organization 180–181 Superficial femoral vein 169, 172–173 –– temporal (artery) tap (maneuver) 296, –– paraneoplastic 178 –– anatomy 169 299–300 –– recanalization 181 –– examination technique 172–173, 178–179 Testicular artery 493 –– recurrent 178, 182, 191–192, 196, 198–200, –– thrombosis 178–179 Testicular torsion 495–498 217, 219–220, 231, 259 Superficial venous drainage system 169, 171 –– complete/incomplete 496–498 –– vs. residual thrombus burden 196, 198–200 Superior mesenteric artery 391–393, 397, –– ultrasound findings 495–496 –– thrombogenic effect of intravenous 401–402, 416–418, 452, 455, 456 Testicular vein 493 devices 222–223, 258, 262 –– anatomy 391–392 Thermal effects of diagnostic ultrasound 36 See Deep vein thrombosis (DVT); Isolated –– duplex ultrasound 402, 417 Thermography 178, 216 thrombosis –– hemodynamics 416 Thoracic aorta 400 Thrombus 179–181, 194–196, 198–201, 214, –– ischemia 402, 417 Thoracic outlet obstruction 257 217–220, 229, 233, 234, 439, 441–442, 487 –– normal findings 397, 452 Thoracic outlet syndrome 118–122, 163 –– age 198–200, 218–219, 229 –– occlusion 401–402, 417, 455, 456 3D ultrasound 26 –– criteria for estimating thrombus age 200, 229 –– preprandial/postprandial flow 397 –– vascular anatomy 381 –– appositional growth 179, 181, 218, 220 –– PSV ratio 417, 418 Threshold velocity (hemodynamically relevant –– extension 179 –– stenosis 416, 455 stenosis) 43, 45, 70, 81, 105–106, 110, 272, –– free-floating 194–196, 200–201, 214, 217, 233 –– ultrasound examination 393 329–330, 337–339, 398, 405–406, 416, 418 –– organization 180–181 Superior mesenteric vein 436, 438, 442, 483 Thrombectomy 142, 181, 195, 218–219, 264, –– residual thrombus burden 196, 198–200 –– abnormal findings 442 277, 413 –– tumor thrombus 439, 441–442, 487 –– anatomy 436, 438 Thrombin injection see Ultrasound-guided –– valve pocket 234 –– thrombosis 438, 442, 483 treatment Thump pattern 75, 79, 86, 138, 151, 332, 347, Superior thyroid artery 294–295, 297, 300, 332, 368 Thromboangiitis obliterans 98–99, 122, 249 421, 455, 456, 483 Suprarenal aortic aneurysm 463 Thromboembolic complications 92, 131, 189, Thyrocervical trunk 116, 295, 300, 345, 382, 383 –– with renal artery stenosis 463 192–194, 210, 212, 218, 439 Tibial arteries 53–54, 139 Supratrochlear artery 294, 325, 328, 332, 333, 367 Thromboembolic disease 118 –– anatomy and variants 53–54 Surveillance programs for patients with Thromboembolic obstruction 157 –– occlusion 139 hemodialysis access 278 Thromboembolic occlusion 149, 277, 332 See also Anterior tibial artery; Posterior tibial Suture aneurysm 89, 104, 105, 146, 147, 275, Thromboembolism 189, 191, 192, 194, 210, 247 artery 284, 336–337, 339, 351, 372, 427, 428, 479 Thromboendarterectomy (TEA) 63, 102, 113 Tibiofibular trunk 53, 58–61, 83, 90, 94, 109, –– abdominal aorta 427, 428, 479 See also Carotid endarterectomy 113, 155 –– complication of carotid endarterectomy Thrombogenic effect of intravenous Time-domain technique 23 (CEA) 336–337, 339, 351, 372 devices 222–223, 258, 262 Time gain compensation 6–7 –– differential diagnosis 104 Thrombolytic treatment 92, 102, 181, 198, Time-intensity curve (TIC) 430, 433 –– flow pattern 337 218–219, 223, 239, 259, 481 Time-motion (TM) mode 7, 8 –– hemodialysis access 275, 284 Thrombophlebitic veins 110, 138, 237, 247 TIPSS see Transjugular intrahepatic portosys- –– peripheral bypass 146 Thrombophlebitis 122, 174, 183–184, 192, 195, temic stent shunt –– steam engine sound 351 208–209, 218, 221, 223, 234, 237–239, 247, Tissue vibration, perivascular 100, 104, 266, –– thrombin injection 147 248, 254, 262 269, 280, 351, 414 549 S–V Subject Index

To-and-fro flow 67, 75, 79, 89, 143, 146–147, 152, –– transducer positioning 55, 58, 60, 172–173, 240, 242, 245, 268, 275, 277, 285, 289, 332, U 295, 297, 424–425 339, 345–348, 385, 410, 427, 429–432, 438, Ulcerated plaque 305, 309, 316 –– adductor canal 172 443, 445 Ultrasound –– abdominal aortic aneurysm (AAA) – arterial steal, hemodialysis access 285 424–425 – –– artifact 11–13, 26–27, 32, 55, 65, 104, 137, –– dissection 347–348 146, 148, 159, 161, 253, 266–269, 272, 301, –– calf arteries 60 –– endoleak 429–432 412, 429, 469, 471, 478 –– calf veins 173 – iatrogenic renal injury 410 – carotid territory 295, 297 – –– acoustic enhancement 11–12 – – occlusion 332 – leg arteries 58 – –– acoustic shadowing 11, 26, 32, 55, 137 – – outflow obstruction in bypass graft 143 – pelvic arteries 55 – –– edge effect 12 – – portal hypertension 438, 443, 445 – vascular ultrasound, some useful rules 56 – –– geometric distortion 13 – – pseudoaneurysm 89, 146–147, 275, 277, Ultrasound-guided aspiration 142, 213–215, 253 – –– mirror artifact 26–27, 65, 161, 253, 301, 339, 427 429, 469, 471, 478 Ultrasound-guided biopsy 180, 213–214, 427, – suture aneurysm 339, 427 464, 473, 482 – –– multiple reflection artifact 12 – subclavian steal syndrome 345, 385 Ultrasound-guided puncture 217 – –– reverberation artifact 12–13 Torn muscle 252 Ultrasound-guided treatment 90–95, 146–148, –– side lobe artifact 11–13 Tortuosity 98–99, 299–330, 359 154, 275, 284, 410 –– vibration artifact 104, 146, 148, 159, 161, Transcranial ultrasonography 354 266–269, 272, 412 –– aspiration of cyst fluid 93–95, 154, 252 Transesophageal echocardiography – adventitial cystic disease 93–95, 154 –– reverberation artifact 12–13 – (TEE) 401, 427 – Baker’s cyst 252 –– contrast agents 33–35, 84, 140, 433 – Transient ischemic attack (TIA) 302–304, 309, 336 – hemodialysis access, thrombin –– administration 33 – Transjugular intrahepatic portosystemic stent ­injection 275, 284 –– contrast harmonic imaging (CHI) 35, 433 shunt (TIPSS) 447 – iatrogenic renal injury 410 –– contraindications 34 – Transmission 4–5 – pseudoaneurysm 90–92, 146–148 –– mechanical index (MI) 35, 84, 140 – Transmit frequency 4–5, 8–9, 14, 25, 28–29 – compression treatment 90–91 –– mechanisms of action 34 – Transplant kidney 397, 405, 412–414, 464, 465 – thrombin injection 91–92, 146, 148 –– microbubbles 33–34 – – AV fistula 413–414, 465 – compression treatment vs. thrombin – –– ultrasound techniques using contrast – –– color duplex ultrasound 405 agents 35 injection 91–92, 147 – graft failure 412 Umbrella, vena cava 489 – –– landmarks 59–60, 88, 173, 189, 202, 223, 231, –– normal findings 464 262, 392, 395, 436, 438, 442 Ureteral compression 434 – rejection 413 Urinary tract obstruction 408 – –– aorta 436, 438 – resistive index (RI) 413 – –– accompanying artery 202, 223, 262 – transplant renal artery stenosis (TRAS) 412–413 – –– accompanying artery below the knee 173, –– transplant renal vein thrombosis 413 189, 231 V –– ultrasound examination 397 –– accompanying vein 88 Valsalva maneuver 172, 174, 176–177, 196, 198, Transverse plane 56, 57 –– deep crural fascia 59–60 202, 234, 239 TRAS see Transplant kidney –– interosseous membrane 59, 173 Valve function test 174–177 Traumatic aneurysm 152 –– mesenteric artery 442 Valve incompetence 138, 174–175, 181–184, Traumatic intimal dissection 93, 302 –– renal vein 395 195, 202–208, 219, 238, 240, 242, 244, 245, Trendelenburg private circulation 184, 203, 205 –– tibia and fibula 59 247, 251, 496 Tricolor sign 122 –– vena cava 392 Varicocele 496, 498, 502 Tricuspid insufficiency 245, 441 –– machine settings 47–49 –– sonographic examination 498 Triphasic waveform 55, 70 –– modes 7–8, 20, 23–25, 36, 315–316, 331, –– ultrasound criteria 498 –– stenosis grading 55, 70 342, 381 –– ultrasound findings 502 See also Doppler waveform –– A-mode (amplitude mode) 7 Varicophlebitis 208–209 Triplex ultrasound 22–23, 48 –– B-mode (brightness) 7 Varicosis 174, 182–184, 204–208, 221, True lumen 101, 346–348, 374, 375, 428, –– B-flow mode (brightness flow) 24–25, 246–249, 488 475–477, see also Dissection 315–316, 331, 342, 381 –– diagnositic evaluation 184 Truncal varicosis 174, 182–184, 205–206, –– M-mode (motion mode) 7–8, 36 –– components of a complete duplex 245–247 –– power Doppler (angio) mode 23 examination 184 –– complete 183 –– time-motion (TM) mode 7, 8 –– duplex ultrasound 183, 204–205, –– evaluation of extent 183 –– velocity mode 20 207–208, 221 –– great saphenous vein 174, 182–183, 205, 206, –– safety and risks 36–37 –– diagnostic criteria 204–205 245–247 –– signs 75, 99–100, 122, 159, 210–211, 304, 324, –– extent 183 –– grades according to Hach 182 326, 328, 348, 350, 420, 457 –– role in diagnostic management before and –– incomplete 183–184, 206, 246, 247 –– bull’s eye sign 420, 457 after treatment 207–208, 221 –– small saphenous vein 206, 246 –– cigarette smoke sign 210, 211 –– grades according to Hach 182 See also Varicosis –– confetti sign 75, 324, 326, 328 –– incomplete 183, 206, 246 Tuberculosis 350 –– macaroni sign 99–100, 159, 304, 348, 350 –– lateral branch type 183, 206 Tumescent anesthesia 207, 248 –– string-of-beads sign 350 –– ovarian vein, nutcracker syndrome 488 Tumor compression 93, 98, 222, 352, 415, 440, 485 –– tricolor sign 122 –– perforator type 206, 207, 247 Tumor thrombus 439, 441–442, 487 –– transducer types 9–11, 18, 31–32, 55–56 –– primary 182 Tunica albuginea 492–494, 496, 497 –– convex array transducer 10, 55 –– recurrent 207–208, 249 Turbulent flow 38–40, 42–45, 103–104, 135, 179, –– curved array transducer 10, 18 –– secondary 182–183 210, 212, 265, 266, 269, 272, 280, 282, 302, –– linear array transducer 18, 31, 32, 56 –– superficial veins 174, 205 308, 319–320, 326, 328, 330, 334, 336, 343, –– phased array transducer (annular) 10, 11 –– treatment (options) 183, 207–208, 248 355, 361, 377, 400, 409, 410, 423, 475 –– rotating wheel transducer 11 See also Truncal varicosis 550 Subject Index

Vascular compression syndrome 97–98, –– deep vein thrombosis (DVT) 187–189, 194, –– adventitial cysts 93 118–120, 223, 260, 261 195, 216–218, 231 –– tumor 464 –– arm arteries 118–119 –– fibular vein thrombosis 180, 195, 232 Vessel cross section 57 –– costoclavicular 223, 260, 261 Venous aneurysm 210–213, 249–251 Vessel wall tumor 92, 213 –– popliteal entrapment 97 –– risk of embolism 212 Vibration artifact 104, 146, 148, 159, 161, –– provocative tests 120 –– fusiform (spindle-shaped)/saccular 210, 211 266–269, 272, 412 Vascular disease 65, 92–101, 119–122 –– management 213 Visceral arteries 391–395, 402, 415–416, 453 –– arm arteries 119–122 –– pathophysiology 210 –– anatomy 391–392, 394, 453 –– atherosclerotic 119 –– prevalence 210, 212 –– variants 391–392, 394, 453 –– compression 120–122 –– ultrasound examination 210–212 –– aneurysm 402, 415 –– inflammatory 122 –– role of contrast-enhanced ultrasound –– duplex ultrasound 402 –– atherosclerotic 65 (CEUS) 211–212 –– dissection 416 –– nonatherosclerotic disease of leg Venous bypass graft 104, 107–110, 143 –– ultrasound examination 393, 395 arteries 92–101 –– duplex bypass graft surveillance 104, Visceral veins 440 Vascular mapping prior to AV fistula 107–110 –– ultrasound evaluation 440 ­creation 270–271 –– low-flow bypass 143 Viscosity 37–40 Vascular reconstruction 102 –– stenosis 110 VNUS method 207, 248 –– follow-up 102 Venous ectasia 251 Volume flow rate 18, 37, 269–270, 281–282 Vasculitis 99–100, 122, 158, 160, 311, 348–350, Venous leakage underlying erectile dysfunction –– calculation in hemodialysis access 269–270, 434, 435 496, 497, 501 281–282 Vasculogenic erectile dysfunction 495 Venous system 169–170 –– pitfalls of ultrasound 18 Vasoactive substances 398 –– deep (subfascial) 169–170 Vasoconstriction 42, 406, 441 –– superficial (epifascial) 169–170 –– liver cirrhosis 406 –– perforating (transfascial) 169–170 –– reflex 441 Venous reflux 174–175, 177, 182, 202, 204, W Vasodilation 42 238–240, 242 Wagon-wheel effect 27 Vasospasm 98, 122, 165, 352 See also Reflux Wall elasticity 40, 42, 43, 64, 77, 81 –– Raynaud’s disease 98, 122, 165 Venous wall tumor 213, 256 Wall filter 30, 48 –– carotid territory 352 Vertebral arteries 295, 299–302, 309, 343–345, Wall sclerosis, postthrombotic 243 Vein Graft Surveillance Randomised Trial 382–385 Wall thickening 56, 99–100, 239 (VGST) 108 –– anatomy 295, 382 Warren shunt 447 Vein stripping 206, 208, 209, 220, 234, 249 –– variants 295, 382 Waveform see Doppler waveform Velocity mode 20 –– dissection 299–300, 344 Wavelength 4 Velocity vectors 14 –– Doppler waveforms 344 Wegener’s granulomatosis 99, 348 Vena cava 435–437, 439–441, 481, 486, 489 –– hypoplasia (unilateral) 295, 300, 302, Whipping sound 56, 68, 268 –– anatomy 435 343–344, 382 Wilson’s disease 439, 444 –– variants/anomalies 435–437, 440, 481 –– intrastenotic-to-poststenotic PSV ratio 344 Windkessel effect 38, 40, 41 –– blood flow velocity 481 –– normal findings 302 See also Compliance –– compression 440 –– occlusion 344, 384 Wobbler transducer 11 –– membranous obstruction/stenosis 441 –– stenosis 343, 344, 383, 384 Wrap around 27–28, 55 –– thrombosis 440, 486 –– grading 344, 383 –– ultrasound examination 436–437, 439–441 –– at origin 343, 383 –– abnormal findings 440–441 –– subclavian steal 301, 345, 385 –– normal findings 439 –– to-and-fro flow 345, 385 X –– umbrella 489 –– waveform changes 345 X-ray densitometry 81, 406, 407, 411, 461 Venacavography 441 –– ultrasound examination 299–300, 309, 382 Venography 180, 182, 187–189, 194, 195, Vertebrobasilar insufficiency 309 216–218, 223, 231, 232 Vertebrovertebral crossover 301, 345, 386 –– arm vein thrombosis 223 Vessel compression by perivascular Z –– calf vein thrombosis 180, 231 ­structures 93, 464 Zero flow velocity line 17