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Volume 46, Issue 2 - June 2022

OVERVIEW
This issue contains information on the assessment of the radial artery access sites, the role of the vascular laboratory in supporting home-based vascular rehabilitation programs, a case of Hidradenitis Suppurativa, a case of an infant with a renal artery spasm, a patient with floating pedunculated thrombus within a popliteal artery aneurysm, and an ultrasound image which illustrates hypertrophic vasa nervorum.

LEARNING OBJECTIVES
After reading and studying the papers used for CME in the June 2022 Issue of the Journal for Vascular Ultrasound, participants will be able to:
1. List the risk factors associated with radial artery access sites
2. Compare the duplex findings after arterial line placement and left heart catheterization
3. Compare the normal and abnormal duplex findings after arterial line placement
4. Describe the clinical diagnosis of intermittent claudication
5. Compare the barriers of home-based exercise programs and supervised programs
6. State the complications associated with critical limb threatening ischemia
7. List the sonographic features of Hidradenitis suppurativa
8. State the various locations where skin lesions of Hidradenitis suppurativa can occur
9. Explain the Hurley staging system for Hidradenitis suppurativa
10. Describe infantile teratoma
11. Explain the importance of ordering a stat renal ultrasound to assess renal arterial spasm
12. List the different pathologies associated with elevated velocities in the renal artery at the mid to distal segments
13. List the common symptoms associated with popliteal artery aneurysm
14. State the imaging modality used to assess a popliteal artery aneurysm for routine surveillance
15. State the normal anterior posterior diameter range for a popliteal artery
16. Describe vasa nervorum
17. Describe the location of the femoral nerve in relation to the femoral artery with diagnostic ultrasound
18. State the transducer frequency used to interrogate the femoral and sciatic nerves

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 .5 AMA PRA Category 1 Credit ™ per article. Physicians should claim only the credits commensurate with the extent of their participation in the activity.

Duplex Ultrasound Assessment of Radial Artery Access Site: Complications and Clinical Outcomes
Is There a Role for the Vascular Lab in Supporting Home-Based Vascular Rehabilitation Programs? A Case Series
Color Doppler and Microvascular Flow Imaging to Evaluate the Degree of Inflammation in a Case of Hidradenitis Suppurativa
Renal Artery Spasm: A Cause of Acute Kidney Injury Subsequent to Abdominal Surgery for Primary Mature Renal Teratoma
Pedunculated Thrombus in a Left Popliteal Artery Aneurysm Which Resolved on Anticoagulation Therapy
Incidental Visualization of Hypertrophic Vasa Nervorum in a Patient With Peripheral Vascular Disease

CREDIT AVAILABILITY
Activity release date: June 1, 2022
Expiration date: May 31, 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

Sayed Aly, PhD FRCS – No Relationships      Rumolo Mariateresa – No Relationships
Brunetti Arturo – No Relationships           Biagio Francesco Menna – No Relationships
Kimmy Bais – No Relationships                                  Rocco Minelli – No Relationships
Douglas Clem, PhD EdS – No Relationships        Doragh Moneley -- No Relationships
Carolyn Collins, PhD BSc AVS – No Relationships     Peter Naughton, MD FRCS – No                                                                                              Relationships
Ghaleb Darwazeh, MD – No Relationships        Steven Porter, MD – No Relationships
Ramy Elkady – No Relationships            Christopher Robards, MD – No Relationships
Young Erben, MD – No Relationships                Marika Santarsiere – No Relationships
Patricia Fitzgerald, MD MBA RPVI – No Relationships        Abharika Sapru – No                                                                                                                 Relationships
Michael Franco, MD – No Relationships               Bhagwan Satiani – No Relationships
Pietro Gisonni – No Relationships                            Jill Sommerset – No Relationships
Cian Harrington – No Relationships                         Jean Starr, MD – No Relationships
R. Karmy Jones – No Relationships                         Emilia Vergara – No Relationships
Besnike Kashtanjeva – No Relationships       Elrasheid Kheirelseid – No Relationships

AUTHOR CONFLICT OF INTEREST DISCLOSURE
Christopher Skelly, MD – Relationships:
Inside Ultrasound
Royalties

OFF-LABEL DISCLOSURE STATEMENT
Authors are required to inform the audience when they are discussing off-label, unapproved uses of devices and drugs. Physicians should consult full prescribing information before using any product mentioned during this educational activity.

LEARNER ASSURANCE STATEMENT
The University of Cincinnati is committed to resolving all conflicts of interest issues that could arise as a result of prospective author significant relationships with drug or device manufacturer(s). The University of Cincinnati is committed to retaining only those authors with financial interests that can be reconciled with the goals and educational integrity of the CME activity.

DISCLAIMER STATEMENT
The opinions expressed in this journal are those of the author and do not necessarily represent the views of the University of Cincinnati. The information is presented for the purpose of advancing the readers’ professional development.