Strandnesss
Duplex Scanning in
Vascular Disorders
Strandnesss
Duplex Scanning in
Vascular Disorders
Fifth Edition
Editors
R. Eugene Zierler , MD
Professor of Surgery, University of Washington School of Medicine
Medical Director, D. E. Strandness Jr Vascular Laboratory
University of Washington Medical Center and Harborview Medical Center
Seattle, Washington
David L. Dawson , MD
Professor, Department of Surgery
University of California, Davis
UC Davis Medical Center
Sacramento, California
Acquisitions Editor: Keith Donnellan
Product Developmental Editor: Brendan Huffman
Production Project Manager: Marian Bellus
Design Coordinator: Teresa Mallon
Senior Manufacturing Manager: Beth Welsh
Marketing Manager: Dan Dressler
Prepress Vendor: SPi Global
5th Edition
Copyright 2016 Wolters Kluwer
4th Edition Copyright 2010 Lippincott Williams & Wilkins, a Wolters Kluwer business
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Library of Congress Cataloging-in-Publication Data
Strandnesss duplex scanning in vascular disorders / editors, R. Eugene Zierler, David L. Dawson. Fifth edition.
p. ; cm.
Duplex scanning in vascular disorders
Includes bibliographical references and index.
ISBN 978-1-4511-8691-8 (hardback)
I. Zierler, R. Eugene, editor.II. Dawson, David L., editor.III. Title: Duplex scanning in vascular disorders.
[DNLM:1. Vascular Diseasesultrasonography.2. Ultrasonography, Doppler, Duplex. WG 500]
RC691.6.D87
616.1'307543dc23
2014019552
This work is provided as is, and the publisher disclaims any and all warranties, express or implied, including any warranties as to accuracy, comprehensiveness, or currency of the content of this work.
This work is no substitute for individual patient assessment based upon healthcare professionals examination of each patient and consideration of, among other things, age, weight, gender, current or prior medical conditions, medication history, laboratory data and other factors unique to the patient. The publisher does not provide medical advice or guidance and this work is merely a reference tool. Healthcare professionals, and not the publisher, are solely responsible for the use of this work including all medical judgments and for any resulting diagnosis and treatments.
Given continuous, rapid advances in medical science and health information, independent professional verification of medical diagnoses, indications, appropriate pharmaceutical selections and dosages, and treatment options should be made and healthcare professionals should consult a variety of sources. When prescribing medication, healthcare professionals are advised to consult the product information sheet (the manufacturers package insert) accompanying each drug to verify, among other things, conditions of use, warnings and side effects and identify any changes in dosage schedule or contradictions, particularly if the medication to be administered is new, infrequently used or has a narrow therapeutic range. To the maximum extent permitted under applicable law, no responsibility is assumed by the publisher for any injury and/or damage to persons or property, as a matter of products liability, negligence law or otherwise, or from any reference to or use by any person of this work.
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DEDICATION
This fifth edition of Strandnesss Duplex Scanning in Vascular Disorders is dedicated as Dr. Strandness would have wishedto the vascular technologists who serve our patients and to the students, residents, and fellows who are the next generation of vascular laboratory physicians.
It is also dedicated to our families who have provided love and encouragement throughout our careers and especially to Brenda Zierler and Susie Dawson whose support has been essential and profoundly appreciated.
R. Eugene Zierler
David L. Dawson
CONTRIBUTING AUTHORS
Aaron C. Baker, MD, MS
Clinical Fellow
Vascular and Endovascular Surgery
Mayo Clinic
Rochester, Minnesota
Dennis F. Bandyk, MD, FACS
Professor of Surgery
Chief, Vascular and Endovascular Surgery
Sulpizio Cardiovascular Center
University of California San Diego School of Medicine
San Diego, California
Kirk W. Beach, PhD, MD
Research Professor Emeritus
University of Washington
Seattle, Washington
Kari A. Campbell, BS, RVT
Registered Vascular Technologist
D. E. Strandness Jr Vascular Laboratory
University of Washington Medical Center
Seattle, Washington
Kim Cantwell-Gab, MN, ARNP, ACNP-BC, ANP-BC, CVN, RVT, RDMS
Acute Care and Adult ARNP
Vascular Surgery and Vascular Medicine
Peace Health Thoracic and Vascular Surgery
Vancouver, Washington
Michael T. Caps, MD, MPH
Vascular Surgeon, Hawaii Permanente Medical Group
Moanalua Medical Center
Honolulu, Hawaii
Thais Coutinho, MD
Assistant Professor of Medicine
University of Ottawa
Staff Cardiologist
University of Ottawa Heart Institute
Ottawa, Ontario
David L. Dawson, MD, RVT, RPVI
Professor, Department of Surgery
University of California, Davis
UC Davis Vascular Center
Sacramento, California
David Del Pizzo, MHA, RVT
Chief Administrative Officer, Department of Radiology
University of California Davis Health System
Sacramento, California
Aaron Ebert, BS, RVT
Technical Director
Lake Washington Vascular Laboratories
Lake Washington Vascular Surgeons
Bellevue and Kirkland, Washington
Neal Futran, MD, DMD
Allison T. Wanamaker Professor and Chairman
OtolaryngologyHead and Neck Surgery
University of Washington School of Medicine
Seattle, Washington
Kathleen D. Gibson, MD
Lake Washington Vascular Surgeons
Bellevue and Kirkland, Washington
Holly M. Gray, BS, RVT
Senior Technologist, Vascular Laboratory
University of California Davis Health System
Sacramento, California
Jean Hadlock, BA, RVT (deceased)
Registered Vascular Technologist
D. E. Strandness Jr Vascular Laboratory
University of Washington Medical Center
Seattle, Washington
Ulrike M. Hamper, MD, MBA, FACR
Professor of Radiology, Urology and Pathology
Director, Division of Ultrasound
Russell H. Morgan Department of Radiology and Radiological Science
The Johns Hopkins University, School of Medicine
Baltimore, Maryland
Nasim Hedayati, MD, RPVI
Assistant Professor, Department of Surgery
University of California, Davis
UC Davis Vascular Center