Vascular Ultrasound Statement from the Department of Cardiovascular Imaging of the
            Brazilian Society of Cardiology - 2019

Santos, Simone N.; Alcantara, Mônica Luiza de; Freire, Cláudia Maria Vilas; Cantisano, Armando Luis; Teodoro, José Aldo Ribeiro; Porto, Carmen Lucia Lascasas; Amaral, Salomon Israel do; Veloso, Orlando; Albricker, Ana Cristina Lopes; Petisco, Ana Cláudia Gomes Pereira; Barros, Fanilda Souto; Barros, Márcio Vinícius Lins; Saleh, Mohamed Hassan; Vieira, Marcelo Luiz Campos

doi:10.5935/abc.20190106

Cited by 10 publications

(9 citation statements)

References 121 publications

(123 reference statements)

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“…The obtained percentiles were compared with data from other works, and the fixed cut-off values recommended to identify arterial stenosis > 50% (Figures 7-12) are as follows : (i) CCA PSV < 150 or < 182 cm/s (Freire et al, 2015), (ii) ICA PSV < 125 or < 140 cm/s (Oates et al, 2009;Freire et al, 2015), (iii) ICA EDV < 40 cm/s (Freire et al, 2015), (iv) ECA PSV < 150 cm/s (Freire et al, 2015), (v) VA PSV < 85 cm/s (Santos et al, 2019), (vi) VA EDV < 27 cm/s (Santos et al, 2019), PSVR < 2.0 (Oates et al, 2009), SMR < 8.0 (Oates et al, 2009), and CFA PI > 4 (Hodgkiss-Harlow and Bandyk, 2013).…”

Section: Discussionmentioning

confidence: 99%

“…Classically US-derived BFV indexes have been used in adults in whom the presence of an arterial alteration is suspected. In this context, single fixed cut-off points (without discriminating by age, hemibody, and/or sex) have been considered, mainly aiming at defining the significance (degree) of a stenosis (e.g., ICA PSV ≥125 cm/s or ICA PSV/CCA PSV ≥2 indicate arterial stenosis <50%) (Oates et al, 2009;Hodgkiss-Harlow and Bandyk, 2013;Freire et al, 2015;Santos et al, 2019). However, changes in BFV indexes could be found long before cut-off values (e.g., indicating significant stenosis) are reached.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Sex- and Age-Related Physiological Profiles for Brachial, Vertebral, Carotid, and Femoral Arteries Blood Flow Velocity Parameters During Growth and Aging (4–76 Years): Comparison With Clinical Cut-Off Levels

Zócalo¹,

Bia²

2021

Front. Physiol.

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Ultrasound-derived blood flow velocity (BFV) levels [e.g., peak systolic velocity (PSV)], intrabeat indexes (e.g., resistive), and intersegment ratios [e.g., internal/common carotid artery (ICA/CCA) PSV ratio] are assessed to describe cardiovascular physiology and health status (e.g., disease severity evaluation and/or risk stratification). In this respect, fixed cut-off values (disregard of age or sex) have been proposed to define “significant” vascular disease from BFV-derived data (parameters). However, the use of single fixed cut-off values has limitations. Accurate use of BFV-derived parameters requires knowing their physiological age-related profiles and the expected values for a specific subject. To our knowledge, there are no studies that have characterized BFV profiles in large populations taking into account: (i) data from different age-stages (as a continuous) and transitions (childhood–adolescence–adulthood), (ii) complementary parameters, (iii) data from different arteries, and (iv) potential sex- and hemibody-related differences. Furthermore, (v) there is little information regarding normative data [reference intervals (RIs)] for BFV indexes.Aims: The aims of this study are the following: (a) to determine the need for age-, body side-, and sex-specific profiles for BFV levels and derived parameters (intrabeat indexes and intersegment ratios), and (b) to define RIs for BFV levels and parameters, obtained from CCA, ICA, external carotid, vertebral, femoral, and brachial arteries records.Methods: A total of 3,619 subjects (3–90 years) were included; 1,152 were healthy (without cardiovascular disease and atheroma plaques) and non-exposed to cardiovascular risk factors. BFV data were acquired. The agreement between left and right data was analyzed (Concordance correlation, Bland–Altman). Mean and SD equations and age-related profiles were obtained for BFV levels and parameters (regression methods; fractional polynomials).Results: Left and right body-side derived data were not always equivalent. The need for sex-specific RIs was dependent on the parameter and/or age considered. RIs were defined for each studied artery and parameter. Percentile curves were compared with recommended fixed cut-off points. The equations for sex, body-side, and age-specific BFV physiological profiles obtained in the large population (of children, adolescents, and adults) studied were included (spreadsheet formats), enabling to determine for a particular subject, the expected values and potential data deviations.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Sex- and Age-Related Physiological Profiles for Brachial, Vertebral, Carotid, and Femoral Arteries Blood Flow Velocity Parameters During Growth and Aging (4–76 Years): Comparison With Clinical Cut-Off Levels

Zócalo¹,

Bia²

2021

Front. Physiol.

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“…We paid full attention to the waveform and correct technique during the Doppler examination, to reduce that risk of bias. 23…”

Section: Discussionmentioning

confidence: 99%

Clinical accuracy of reverse Barbeau test in the diagnosis of radial artery occlusion after transradial catheterization

Silva¹,

Britto²,

Joaquim³

et al. 2021

J Transcat Intervent

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Background Radial artery occlusion is an infrequent complication of transradial catheterization. Assessment of radial artery occlusion is a critical aspect of clinical care, and it should be done with an additional test, commonly by a plethysmographic test (reverse Barbeau test) or ultrasound (Doppler), the last is the gold standard. The objective of this study was to evaluate the accuracy of the reverse Barbeau test in detecting radial artery occlusion after transradial catheterization. Methods A study carried out in two centers encompassing patients submitted to procedures by radial access. All patients received at least 5,000IU of heparin. Sheaths were immediately removed after the procedure, using a patent hemostasis protocol. Patency of the radial artery was verified by reverse Barbeau test and duplex Doppler evaluation within the first 24 hours. Results A total of 350 patients were enrolled, with a mean age of 61.7 (±9.7) years. Radial artery occlusion was verified after the procedure in 19 (5.4%) patients, using duplex Doppler scan. Application of reverse Barbeau test had the following results: 64.0% type A curve, 15.7% type B, 8.3% type C, and 12.0% type D (the last suggesting occlusion). With reverse Barbeau test, patients with confirmed occlusion by ultrasound evaluation, 21.1% would be missed by a false-negative test, and in the ones, without radial artery occlusion, 8.2% would be misdiagnosed as having it (sensibility 78.9%; specificity 91.8%). Conclusion Reverse Barbeau test has good accuracy to detect radial artery occlusion, and it is a good option for clinical day use, although using reverse Barbeau test results in the overestimation of radial artery occlusion.

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“…Algorithms with predefined transducer positions have been published for almost all US applications, in particular for abdominal US 30 31 32 33 34 , thoracic US 35 36 , joint US 37 , thyroid US 38 39 , echocardiography 40 , vascular US 41 42 43 44 , and US-guided interventions 45 46 . If standard examination algorithms have not been published for a particular US application, the US practitioner should follow an institutional or at least an individual standardized examination scheme to ensure that it is retrospectively clear what was examined and how.…”

Section: Structured Medical Ultrasound Examinationmentioning

confidence: 99%

“…Algorithms with predefined transducer positions have been published for almost all US applications, in particular for abdominal US [30][31][32][33][34], thoracic US [35,36], joint US [37], thyroid US [38,39], echocardiography [40], vascular US [41][42][43][44], and US-guided ▶ Fig. 4 Clinical ultrasound room for ambulatory and bedridden patients with two patient changing rooms and two desks, suitable for complex interventions such as drainage procedures: approximately 45 m 2 (e. g. 7.5 × 6 m) are required for an examination couch, an additional patient bed, the ultrasound machine, one desk space for the person to write the report divided from the rest of the room at least by an office shelf, a second desk space for the assistant person with an open view of the patient, two patient changing rooms, two separate hand washing spaces for personnel and patients, a combined bench and cupboard for intervention preparation and material storage and additional space for sterile setup (including sterile instrument table ).…”

Section: Structured Medical Ultrasound Examinationmentioning

confidence: 99%

Professional Standards in Medical Ultrasound – EFSUMB Position Paper (Long Version) – General Aspects

et al. 2022

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This first position paper of the European Federation of Societies for Ultrasound in Medicine and Biology (EFSUMB) on professional standards presents a common position across the different medical professions within EFSUMB regarding optimal standards for the performing and reporting of ultrasound examinations by any professional ultrasound operator. It describes general aspects of professionality that ensure procedure quality, effectiveness, efficiency, and sustainability in virtually all application fields of medical ultrasound. Recommendations are given related to safety and indication of ultrasound examinations, requirements for examination rooms, structured examination, systematic reporting of results, and management, communication and archiving of ultrasound data. The print version of this article is a short version. The long version is published online.

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Vascular Ultrasound Statement from the Department of Cardiovascular Imaging of the Brazilian Society of Cardiology - 2019

Cited by 10 publications

References 121 publications

Sex- and Age-Related Physiological Profiles for Brachial, Vertebral, Carotid, and Femoral Arteries Blood Flow Velocity Parameters During Growth and Aging (4–76 Years): Comparison With Clinical Cut-Off Levels

Sex- and Age-Related Physiological Profiles for Brachial, Vertebral, Carotid, and Femoral Arteries Blood Flow Velocity Parameters During Growth and Aging (4–76 Years): Comparison With Clinical Cut-Off Levels

Clinical accuracy of reverse Barbeau test in the diagnosis of radial artery occlusion after transradial catheterization

Professional Standards in Medical Ultrasound – EFSUMB Position Paper (Long Version) – General Aspects

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