How To Lower Extremity Arterial Duplex Exam

[@raveeshroy]

1:04 SAPHENOEMORAL JUNCTION 3:36 PULSE DOPPLER 5:21 BIFURCATION OF COMMON FEMORAL ARTERY 5:47 DOPPLER SIGNAL FROM PRFUNDA FDEMORIS ARTERY 11:57 DOPPLER SIGNAL FROM SUPERFICIAL FEMORAL ARTERY 13:21 POPLITEAL VESSELS 14:12 ANTERIOR TIBIAL ARTERY 15:08 DOPPLER SIGNAL FROM POPLITEAL ARTERY 15:52 PROBE TRANSVERSELY ORIENTED 16:03 ONCE YOU SEE THE ANTERIOR TIBIAL BRANCH OFF NOW WE ARE WHERE AT IS THE TIBIOPERONEAL TRUNK 16:25 TIBIOPERONEAL TRUNK SPLITS 17:04 TIBIOPERONEAL TRUNK SPLITS INTO POSTERIOR TIBIAL AND PERONEAL ARTERY (ALSO KNOWN AS FIBULAR) 21:45 POSTERIOR TIBIAL ARTERY BEHIND THE MEDIAL MALLEOLUS 22:09 DOPPLER SIGNAL FROM POSTERIOR TIBIAL ARTERY

[@Iam_makebalynn]

The best video yet on LE Arteries. You simplified this amazingly!!

[@katrinagallivan3072]

Wonderful and super helpful presentation- thank you!

[@simranrandhawa6502]

Best ever video on arterial doppler

[@RadiologyVideo]

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[@izzygee2216]

Great and exceptional presentation!! Thank you so much ma’am! 🙏🏽

[@rossycruz464]

Love the presentation, very helpful! Thank you so much!

[@RadiologyVideo]

You are so welcome!

[@sarakhandaker5156]

Excellent demonstration..thank you so much

[@kr-ql3fz]

Thank you.. amazing practical presentaion

[@zbigniewbrzezinski8869]

Perfect presentation, thank you so much !

[@mercylopez8171]

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[@rufaikoko]

Doppler simplified. Thanks a bunch Ma'am.

[@vivianvasquez2432]

Great Video!! Very Helpful! Thank You So Much For Sharing

[@bacsidon]

This is very useful video. Thank you!

[@jacquelingentil4642]

Thank you very much best video ever.

[@jacquelingentil4642]

Thank you very much best study. Only my sister she is vascular ultrasound for 22 years. The first time she took the registry she 620 since then each time she went back the the maker fell she deserves it. She very sad. She is a very good .

[@RadiologyVideo]

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[@ОльгаТимошенко-ч5п]

it is very professional. Thank you

[@tehreemfatimaaltaf414]

You have a very good grip Amazing thanku

[@RadiologyVideo]

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[@youcefachirayaakoub1420]

Very useful presentation ;thank you very much

[@dayananddani6524]

Thanks for the good information🌹

[@kiranpatil865]

too good!!!!!!amazing presentation ma'am!!

[@RadiologyVideo]

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[@nesrinslewa4815]

Very well done! Thank you

[@serendy_trix9265]

Nicely done tutorial.. thank you ma'am.

[@RadiologyVideo]

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[@vincentlim5158]

Thank you so much! May God Bless you more.

[@RadiologyVideo]

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[@akshayjoshi548]

Nice simple and informative video mam thank you so much

[@RadiologyVideo]

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[@kanishapatel5399]

Very nice detailed explanation!! Very helpful, thanks so much!!🌈🌈🌈

[@majidjavaheri174]

it is a wonderful explanation. thanks

[@RadiologyVideo]

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[@jorgevallefilho]

Espetacular! Thanks!

[@erijordan8428]

great video. thank you!

[@chancesc6415]

I mean i can manipulate my box so i can get red flow. at 9:13 your vessel is angled to the right but what if you had angled it to the left? would your colorbox still be the same way? I know you want your color box to point in the same dirrection as your vessel angle as you have done in you video at 9:13. but how do i know that angling the vessel that way was right? why would it have not been angled to the left? i just cant see the way color is flowing. if im correct the color scale on the left says the red is going away from the transducer. am i correct? please help. If i can figure this out out all these questions i can eliminate failing another protocol.

[@ododhouda2578]

the red means that blood is going towards the transducer

[@courtneyn4157]

@RadiologyVideo for lower extremity arterial ultrasound scanning the patient's left leg, which way should the indicator marker be pointing in the transverse view and long axis view?

[@small-timegarden]

Is there a standard gain used for arterial duplex?

[@gloryapeter3764]

Great work thanks so much

[@RadiologyVideo]

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[@0230Raveena]

Used her book in Ultrasound school and it was great.

[@RadiologyVideo]

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[@senpai336]

Could you please tell me the book's name?

[@0230Raveena]

@senpai336 . Hi. Yes. The text is called "The Vascular System: Second Edition". To be honest, it's a tough read but the images are great. If you are preparing for the Vascular registry, I recommend that you use it along with 'ultrasound registry review' to have a better understanding because they provide great summary and explanations.

[@imamomwifedaughter]

That was very interesting, thank you!

[@shamoonashoaib9687]

Simply amazing video

[@RadiologyVideo]

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[@maggielicon8848]

Whis was very helpful!

[@gauravjain7653]

Thanks a lot for this ❤❤

[@RadiologyVideo]

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[@SS-cu3wk]

Superb, Thank you

[@darkdranzer21]

great video.. Thank you mam!

[@DANIGAMER-pq4gc]

Grazieeee

[@rose-yf3jb]

Thanks soo helpful 🌷

[@tapaskumarsahu4530]

Awesome.... thanks mam

[@bridieroche-sonographer]

At 26 and 29 mins this vessel is deep to the interosseous membrane and therefore is no longer the ATA - this is falling on to the peroneal artery which is very easy to do in a normal thin patient. At times the Dorsalis and distal ATA are fed from a healthy Peroneal artery. Transverse B mode would have been helpful to identify a vessel in the anterior upper left that is superficial to the interosseous membrane. The probe needs to rock onto the tibial end of the footprint to keep the IOM horizontal - light pressure and shallow depth is key.

[@RadiologyVideo]

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[@gloriaelena6194]

Excellent!

[@RadiologyVideo]

Many thanks!

[@tacticmedic1430]

Wonderful video

[@RadiologyVideo]

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[@bachasalima6024]

Thanks doctor

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[@sueparks-ld4ru]

i just had an ultrasound i have had two veins sealed of with cather very painful now i have one in my lower thigh, but I'm going the 24th to see if i have blockage because my hips hurt when i walk I'm hoping its just arthritis,i will be having a bilateral lower ext arterial u/s to check for blockage

[@RadiologyVideo]

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[@MrPhishman79]

What would you say is a reasonable amount of time for an exam like this to be completed, bilaterally? I work for a lab that schedules bilateral arterial duplex and ABI (sometimes to include TBI) in 45 minutes, and I personally don't think that's enough time for a quality study.

[@RadiologyVideo]

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[@gigily1266]

Is there one on upper extremity arterial duplex?

[@RadiologyVideo]

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[@ngopgangtchonang5843]

Thank you very much

[@RadiologyVideo]

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[@annie6253]

hi! i was training with a tech and was able to witness this exam in person, but they did an ABI afterwards, and I was wondering if LEA exams always include that ?

[@davidcarter3066]

do you always get the bifurcation in sfv Prox?

[@ododhouda2578]

excellent

[@habentsehaye9478]

Great

[@RadiologyVideo]

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[@chancesc6415]

my issue is recognizing the direction from which blood is flowing in. i have issues with turning my color box the wrong way. please give me clues. I dont get much lab time between the limited ant of teachers to the massive amount of students. so some question go with out be answered to full understanding.

[@talk2me249]

Have you tried adding pressure to distinguish a vein and artery? Also look at your steering of your color box and the invert function on your ultrasound machine.

[@ameliasekonyela1464]

Talk2Me same here, I just don’t get it.

[@سالممحمد-ذ4ه]

thanks

[@bridieroche-sonographer]

30min 50 sec the probe is placed too far over the fibula - if the artery is tucked behind deep to the fibula it’s not the ATA

[@peachberry2846]

Does this see all blockages in the legs?

[@RadiologyVideo]

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[@deepapradhan5023]

Nice

[@RadiologyVideo]

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[@saeedasaeedee7712]

Thanks

[@ghazighazi8489]

Ok

[@simranrandhawa6502]

👍🏻

[@RadiologyVideo]

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[@bridieroche-sonographer]

30min 30 sec this is way too deep to be ATA - this is peroneal A- if you look immediately deep to tib Ant you actually see a ATA briefly superficial to where the colour box is. This highlights the importance of Bmode a atomic recognition which at 30min 30sec should have taken place in the transverse plane not longitudinal.

[@RadiologyVideo]

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[@drabdulajiz5297]

​@@RadiologyVideo❤❤❤

[@bridieroche-sonographer]

32 mins - this is already deep to the interosseous membrane and on the TPT - we clearly see a tiny vessel coming up vertically at this point and that’s the ATA origin which would have been half the size of the one being examined. A straight box would have helped show the ATA origin better. Sorry this video is very misleading if you are new and wanting to learn leg arts. Classic error that we have all done at some point in our career.

[@RadiologyVideo]

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[@friendsofthepatientslayyah6363]

Excellent

[@drhabibullah8080]

Friends of the patients LAYYAH great mam

[@kelechiokelue6332]

Explicit 👍

[@ap09bl7015]

😂 lol

[@zbigniewbrzezinski8869]

I only wonder why you don’t use a curvilinear probe for anterior tibial vessel ? It would have been much easier to find it ! Besides, popliteal artery could have been examined more conveniently in prone position !

[@nasirabubakar7147]

Why do you want to turn the patient prone when you can examine him supine?

[@lola.foramin]

I can’t watch her scan with no glove on, touching his skin barehanded, and the patient isn’t covered. And the cord wrapped around her hand 🤮 #doitright

[@RadiologyVideo]

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[@izzy80]

Where are you gloves lady??!!!!

[@James2213-]

izzy80 so right To much gel to use without gloves 🧤

[@michellemariaapp]

She will wash her hands afterwards 🤷🏾‍♀️

[@sparkle571]

Subject? Seriously 😒

[@lola.foramin]

Lower extremity arterial ultrasound duplex exam

[@RadiologyVideo]

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