Abdominal vascular sonography is an application in evolution, one made possible by advances in imaging and Doppler technology and by the pioneering clinical work of several groups, including the teams directed by Marsha Neumyer and Brian Thiele at Penn State and the late Gene Strandness at the University of Washington. Technically, abdominal vascular sonography is the most challenging of the vascular applications. The vessels are deeper than those of the neck and extremities and, except for the aorta, rather small. They often travel at awkward angles to the transducer, making it difficult to place a sample volume and obtain reasonably accurate velocity measurements. These and other factors make abdominal vascular sonography highly operator- and volume-dependent and therefore more successful in some hands than others, as reflected in the literature. Here for the first time the acknowledged expertise and long experience of the Vascular Studies Section at Penn State’s Milton S. Hershey Medical Center is distilled in a presentation that covers the following:

The visceral vascular anatomy.

The ultrasonographic appearance of the vascular arteries and
     veins.

The hemodynamics of the visceral vasculature, including the
     hepatoportal, mesenteric, and renal circulatory systems.

The pitfalls of abdominal vascular sonography.

The solutions to diagnostic dilemmas.

The information obtained by abdominal vascular sonography can play a major role in the diagnostic algorithms for a number of presenting complaints and conditions. This video is an important contribution to the training and continuing education of the vascular technologists and sonographers who obtain this information and the physicians who direct and interpret these studies.

The single best ultrasound DVD we have seen. Since Steve Talbot’s first successful application of real-time ultrasonography to the venous system in 1981, the techniques of venous imaging have been refined and validated by numerous studies. For the first time these techniques are presented by Talbot himself in a brilliant 75-minute exposition of technique and interpretation in the upper and lower extremities.

What are the protocols for imaging the veins of the extremities?

How do you overcome both common and unusual problems to
     optimize the image and ensure valid, unequivocal results?

Exactly what roles are played by venous compression and venous
     Doppler in the ultrasonographic venous examination?

How do you identify and characterize thrombus?

How is venous thrombosis differentiated from conditions that
     mimic it?

What does color flow imaging add to the evaluation and how should
     it be used?

Why is the transverse scan with probe compression an essential
     component of the venous exam?

How and why do you map the saphenous and other veins?

These and other questions are answered in this hands-on demonstration of scanning anatomy, technique, and interpretation of normal, abnormal, common, and uncommon findings. Perfect for training, reference, and interpretation tutorials. A great companion to Ridgway’s Introduction to Vascular Scanning.