Cleveland Clinic Specialty Review

This head-to-toe review of vascular laboratory diagnostics covers wide-ranging topics, including ultrasound and physiological testing. Pass your exam — guaranteed!

Learn from Recognized Experts

Presented by members of the Cleveland Clinic Non-Invasive Vascular Laboratory, along with guest faculty nationally recognized for their vascular laboratory teaching expertise, this online CME course covers a large spectrum of diagnostics, including ultrasound and physiological testing. Intensive Vascular Ultrasound Interpretation Review and Registry Preparation will also:

• • Provide valuable insight through presentations on vascular studies, vascular physics and technology
  • Enhance interpretation skills for diagnosis of arterial and venous disease, internal carotid artery stenosis, acute venous thrombosis, and more

Physics, Physiology, and Instrumentation I

• Ultrasound Basics (Ultrasound Principles, B-mode, Spectral (CW/PW)/Color/Power Doppler, and Doppler Principle) – Fredrick Kremkau, PhD

Extracranial Cerebrovascular Testing

• Basics of the Carotid Duplex Examination and Criteria for Diagnosis of Internal Carotid Artery Stenosis – Heather Gornik, MD, RVT, RPVI

• Evaluation Following Stents and Endarterectomy, Interpretive Pitfalls – Steven A. Leers, MD, RVT, RPVI, FSVU

• Aortic Arch Vessel and Vertebral Artery Findings, Subclavian Steal – Jeffrey Olin, DO, RVT

• Interactive Case Review: Carotid, Vertebral, and Subclavian Arteries – Deborah Hornacek, MD, RPVI

• Question and Answer Session – Faculty Panel

Peripheral Arterial Testing

• Lower Extremity Arterial Physiological Testing – Heather Gornik, MD, RVT, RPVI

• Lower Extremity Arterial Duplex (Native Arteries, Bypass Grafts, and Stents) – Heather Gornik, MD, RVT, RPVI

• Upper Extremity Testing (Arterial Duplex and Physiologic Testing) – Natalie Evans, MD, RPVI

• Interactive Case Review: Physiologic Testing + Duplex of Native Arteries – Anne Marie Kupinski, PhD, RDMS, RVT

• Interactive Case Review: Duplex Assessment of Arterial Bypass Grafts and Stents – Steven Leers, MD, RVT, RPVI, FSVU

• Question and Answer Session – Faculty Panel

Abdominal Duplex I

• Renal (Native and Transplant) Duplex Ultrasound, Renal Stents – Jeffrey Olin, DO, RVT

• Mesenteric Artery Duplex Ultrasound, Mesenteric Stents – Heather Gornik, MD, RVT, RPVI

• Assessment of the Aorta and Aortic Endografts – Steven Leers, MD, RVT, RPVI, FSVU

Abdominal Duplex II

• Hepatoportal Duplex and Hepatic Transplant Assessment – Myra Feldman, MD

• Interactive Interpretive Case Review: Renal and Mesenteric Ultrasound, AAA, and Endoleaks – Jeffrey Olin, DO, RVT

• Question and Answer Session – Faculty Panel

• Mock RPVI Examination Questions: Session I – Natalie S. Evans, MD, RPVI, & Deborah Hornacek, MD, RPVI

Physics, Physiology, and Instrumentation II

• Essential Physical Principles for the Registry Examination (Doppler Equation Redux, Poiseuille’s Law) – Fredrick Kremkau, PhD

Venous Duplex and Physiological Testing

• Venous Duplex for Diagnosis of Deep Venous Thrombosis (Upper and Lower Extremity) – Natalie S. Evans, MD, RPVI

• Venous Duplex for Assessment of Venous Valvular Incompetency, Mapping for EVLT RF Ablation, Assessing for EHIT – Ann Marie Kupinski, PhD, RDMS, RVT

• Key Non-Vascular Incidental Findings Every Reader Should Know – Myra Feldman, MD

• Interactive Interpretive Case Review: Venous Testing (Thrombosis, Incompetency, and Other) – Natalie S. Evans, MD, RPVI

• Question and Answer Session – Faculty Panel

Physics, Physiology, and Instrumentation III

• Transducer Selection, Image Optimization, Spectral and Color Doppler and B-Mode Artifacts – Anne Marie Kupinski, PhD, RDMS, RVT

• Interactive Review: Essentials of Accreditation, Quality Improvement, Safety/Bioeffects, and Test Validation – Heather Gornik, MD, RVT, RPVI

• Physics, Technology, and Instrumentation Mock Examination Boot Camp – Susan Whitelaw, RDMS, RVT & Sandra Yesenko, DHSc, RVT, RDMS

• Question and Answer Session – Faculty Panel

Advanced and Specialized Scanning Protocols

• Arterial Access Complications (Pseudoaneurysm, Arteriovenous Fistula, Dissection, Closure Device Issues) – Natalia Fendrikova-Mahlay, MD, RPVI

• Dialysis Access Mapping and Post Procedure Scanning – Just the Essentials – Lisa Smith, RVT

• Transcranial Doppler – Just the Essentials – Larry Raber, RDMS, RVT

• Interactive Case Review: TCD, Access Complications, and Dialysis Access – Natalia Fendrikova-Mahlay, MD, RPVI, Lisa Smith, RVT & Larry Raber, RDMS, RVT

• Mock RPVI Examination Questions: Session II – Heather Gornik, MD, RVT, RPVI

Learning Objectives

At the conclusion of this activity, the participant should be able to:

• Demonstrate understanding of basic ultrasound physics concepts and their application to vascular ultrasound
• Recognize common imaging and Doppler artifacts and incidental findings encountered in the vascular laboratory
• Utilize spectral Doppler waveforms to assist in the evaluation of arterial and venous disease
• Demonstrate interpretation skills for diagnosis of internal carotid artery stenosis using duplex ultrasound
• Demonstrate interpretation skills for diagnosis of acute venous thrombosis and venous valvular incompetency using duplex ultrasound
• Utilize duplex ultrasound and physiological testing to localize and assess severity of lower extremity peripheral artery disease
• Apply diagnostic criteria to diagnose renal and mesenteric artery stenosis using duplex ultrasound
• Recognize clinical applications of transcranial Doppler for assessment of cerebrovascular disease
• Identify areas of knowledge deficit to improve preparation for the Registered Physician in Vascular Interpretations (PVI) Examination

Intended Audience

This educational activity was designed for Allied Health Professional/Social Workers, Nurses, Physician Assistants, Students, Vascular Technologists, Vascular Sonographers, Radiologic Technologists, Cardiac Sonographers and Ultrasonographers.

Date of Original Release: June 30, 2018
Date Credits Expiration: June 30, 2021