Lower Extremity Arterial Ultrasound Protocol Manual

Date of Original Release: 7/7/2017
This edition valid for credit through: 7/7/2020

Product Code: PM-VAS-A2

2.00 AMA PRA Category 1 Credit(s)™

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This lower extremity arterial ultrasound protocol manual will walk you step-by-step through the protocol for a lower extremity arterial ultrasound examination. The manual includes text and images relating to the anatomy and physiology of the artery, ultrasound images, lab values, exam indications, technique and other important diagnostic criteria relating to the examination. Protocols provided are for duplex/color flow imaging, segmental pressures, and PVR examinations. An online, live demonstration video of the examination is also included with the protocol manual. The video will show the instructor preforming the examination on a live patient featuring picture in picture viewing of the proper probe placement and the corresponding ultrasound images. A great way to establish protocols within your lab/department or just use as a quick a reference!
Target Audience
Sonographers, physicians, PAs and other medical professionals involved with performing and interpreting lower extremity arterial ultrasound examinations. Practice specialties may include (but are not limited to) those whose specialty include radiology, internal medicine, cardiology, general/vascular surgery, and primary care.
Topics & Objectives


  • Lower extremity arterial exam purpose
  • Lower extremity arterial exam indications and applications
  • Patient assessment and preparations
  • Doppler waveforms
  • Pulse volume recording
  • Segmental pressures
  • Exercise stress testing
  • Duplex/Color Flow Imaging: Aorto-iliac segment to the tibial –peroneal vessels


Upon completion of this activity the learner should be able to:

  1. List the indications and applications for performing lower extremity arterial examinations.
  2. Cite a routine protocol for performing lower extremity arterial duplex/color and physiologic testing methods.
  3. Apply standard measurements and diagnostic criteria for duplex/color evaluation of the lower extremity.
  4. State diagnostic criteria for indirect evaluation of lower extremity arterial disease.
Course Instructors

Rob Daigle


Ultrasound Consultant. Commercial Relationships to Disclose. President & Owner - Summer Publishing. Consultant for Biosound Esaote. Littleton, CO.
No relevant financial relationships to disclose.

Faculty & Content Disclosures...
Faculty Disclosure
Gulfcoast Ultrasound Institute, Inc. adheres to ACCME Essential Areas, Standards, and Policies regarding industry support of CME. Speakers will disclose any relevant commercial relationships prior to the start of the educational activity.

Content Validation
All presentations for this CME activity were reviewed and approved by members of the GUI CME Review Committee to determine content validity and to ensure that no conflicts of interest exist prior to the activity commencement or material compilation.

Disclosure of Individuals in Control of Content
In addition to the faculty listed the following individuals are recognized by GUI as being in control of content of this program:

James Mateer, MD, RDMS (Medical Director-planner, QI Task Force)
Medical Director, Gulfcoast Ultrasound Institute
No relevant financial relationships to disclose.

Andreas Dewitz, MD, RDMS(Member of Advisory Board, QI Task Force Subcommittee)
Associate Professor of Emergency Medicine
Vice Chair of Ultrasound Education
Boston Medical Center
Boston, MA
No relevant financial relationships to disclose

Lori Green, BA, RT, RDMS, RDCS, RVT (Program Director/planner and reviewer, QI Task Force)
President, Gulfcoast Ultrasound Institute, Inc.
No relevant financial relationships to disclose

Brian Schenker, MBA, RDMS, RVT (Program Coordinator/planner and reviewer, QI Task Force)
Program Coordinator, Gulfcoast Ultrasound Institute, Inc.
No relevant financial relationships to disclose

Disclosure of Commercial Support
There was no commercial support involved in the planning, development/implementation of this activity.

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Continuing Education Credits
The Gulfcoast Ultrasound Institute is accredited by the Accreditation Council for Continuing Medical Education(ACCME) to provide continuing medical education for physicians.

The Gulfcoast Ultrasound Institute designates this live activity for a maximum of 2.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This course also meets CME/CEU requirements for ARDMS. Note: While offering the CME credit hours noted above, activities are not intended to provide extensive training or certification for exam performance or interpretation.
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