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Volume 46, Issue 1 - March 2022

OVERVIEW
This issue contains information on using the veno-arterial index in detecting renal transplant rejection, the oral abstracts presented at the Society for Vascular Ultrasound annual conference, a case where liquified thrombus mimicked an endo leak, the role in utilizing duplex ultrasound and hand acceleration time in managing and diagnosing shock, and microvascular flow imaging in a patient with portal vein thrombosis.

LEARNING OBJECTIVES
After reading and studying the papers used for CME in the March 2022 Issue of the Journal for Vascular Ultrasound, participants will be able to:
1. Explain how to calculate the veno-arterial index
2. Explain why the velocities in the veins were elevated after transplantation
3. State the normal resistive index value
4. List the sonographic features of giant cell arteritis
5. Describe Ebstein’s anomaly
6. State the imaging modalities used to assess nutcracker phenomenon-syndrome
7. Describe the ultrasound characteristics of the liquified thrombus seen in the aneurysmal sac
8. State the imaging modality that has the highest sensitivity for detecting endoleaks
9. Describe the characteristics of the pulsed Doppler waveform seen in the internal cavity within the graft
10. List the symptoms of shock
11. Describe the usefulness of the hand acceleration time
12. State the normal acceleration time in the palmer arch
13. Describe the ultrasound characteristics of liver cirrhosis
14. State a technique used to minimize motion respiratory artifact during an ultrasound examination
15. List the characteristics of portal vein thrombosis seen on computed tomography

TARGET AUDIENCE
Physician, Vascular Technologists and Sonographer members of SVU should find participating in this educational activity valuable

ACCREDITATION STATEMENT
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the University of Cincinnati and the Society for Vascular Ultrasound.

The University of Cincinnati is accredited by the ACCME to provide continuing medical education for physicians.

The University of Cincinnati designates this Enduring Material activity for a maximum of 1 AMA PRA Category 1 Credit ™ per article. Physicians should claim only the credits commensurate with the extent of their participation in the activity.

SVU 2021 Oral Presentations

The University of Cincinnati designates this Enduring Material activity for a maximum of .5 AMA PRA Category 1 Credit ™ per article. Physicians should claim only the credits commensurate with the extent of their participation in the activity.

Microvascular Flow Imaging in a Case of Portal Vein Thrombosis
Liquefied Thrombus Mimicking an Endoleak on Duplex Ultrasound
A Possible Role for Arterial Duplex and Hand Acceleration Time in Diagnosing and Managing Shock
Veno-Arterial Index (VAI): A Promising Tool for Renal Transplant Rejection

CREDIT AVAILABILITY
Activity release date: March 1, 2022
Expiration date: February 28, 2025

METHOD OF PARTICIPATION
This Enduring Material activity is available online at www.svu.org. To receive credit, participants must read the CME articles, including the learning objectives and disclosure statements, as well as the full content of each of these articles, and then complete the post test and evaluation form. Upon successful completion of the post test (80% correct) and evaluation form, a CME certificate of participation will be awarded automatically. The certificate may be printed directly from the website.

In accordance with the ACCME Standards for Commercial Support, the authors for this journal have been asked to disclose to participants the existence of any financial interest and/or relationship(s) (e.g., paid speaker, employee, paid consultant on a board and/or committee for a commercial company) that would potentially affect the objectivity of his/her article or whose products or services may be mentioned during their article. The following disclosures were made:

David Dawson, MD, RVT, RPVI – No Relationships
Professor
Baylor Scott & White Health (Temple)
Temple, TX

R Eugene Zierler, MD RPVI
Editor-in-Chief, JVU
University of Washington School of Medicine
Seattle, WA

Sandra Yesenko, MHS, DHSc, RVT, RDMS, FSVU
Associate Editor for Education, JVU
Cleveland Clinic
Westlake, OH

Sandra Katanick, FSVU
Managing Editor, JVU
Hollywood, FL

Bruce Gebhardt, MD – No Relationships/Compliance
University of Cincinnati College of Medicine
Family Medicine

Barbara Forney – No Relationships/Compliance
University of Cincinnati College of Medicine
0ffice of Continuing Medical Education

AUTHOR CONFLICT OF INTEREST DISCLOSURE

Brunetti Arturo – No Relationships                   Sergio Salles Cunha – No Relationships
Federico Badillo – No Relationships                           Diana Santos – No Relationships
Ryan Beebe, MD – No Relationships                           David Ferrar – No Relationships
Vergara Emilia – No Relationships                          Abharika Sapru -- No Relationships
Evelyn Hadechni – No Relationships          Denise Smith, MD PhD – No Relationships
Joseph Hughes – No Relationships                           Watson smith – No Relationships
Riyad Karmy-Jones – No Relationships                   Jill Sommerset – No Relationships
Rumolo Mariateresa – No Relationships          Juan Carlos Suarez – No Relationships
Santarsiere Marika – No Relationships             Desarom Teso, MD – No Relationships
Martin Necas – No Relationships                                  Miguel Vera – No Relationships
Manuela Parada – No relationships                          Erick Villarreal – No Relationships
Gisonni Peitro – No relationships                   Douglas Wooster, MD – No relationships

AUTHOR CONFLICT OF INTEREST DISCLOSURE
Brian Sapp – Relationships:
Philips Healthcare
Teach Advance Vein Treatment Class