Lower Extremity Arterial Mapping: Duplex Ultrasound as an Alternative to Arteriography Prior to Femoral and Popliteal Reconstruction

  • Enrico Ascher
  • Anil P. Hingorani
  • Natalie Marks
  • Sergio X. Salles-Cunha


The clinical experience with periprocedural duplex ultrasound detailed in this chapter is based on over 2,000 lower extremity open and endovascular arterial revascularization procedures. The topics discussed include goals of testing, detailed protocols of duplex ultrasound arterial mapping (DUAM), rationale of preoperative DUAM for revascularization decision making, and comparison of DUAM with other imaging modalities such as contrast arteriography (XRA), magnetic resonance angiography (MRA), and computed tomography arteriography (CTA). The limitations and pitfalls of duplex arterial testing are discussed as well as the learning curve for this diagnostic technique including necessary components to be followed during the training phase for replacing other imaging modalities with DUAM.


Preoperative arterial duplex ultrasound Arterial mapping Duplex arteriogram Lower extremity revascularization 


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Copyright information

© Springer-Verlag London 2013

Authors and Affiliations

  • Enrico Ascher
    • 1
    • 2
  • Anil P. Hingorani
    • 3
    • 4
  • Natalie Marks
    • 5
  • Sergio X. Salles-Cunha
    • 6
  1. 1.Division of Vascular and Endovascular SurgeryLutheran Medical CenterBrooklynUSA
  2. 2.Department of SurgeryMount Sinai School of MedicineBrooklynUSA
  3. 3.Attending SurgeonLutheran Medical CenterBrooklynUSA
  4. 4.Department of SurgeryMount Sinai School of MedicineBrooklynUSA
  5. 5.Vascular LaboratoryTotal Vascular Care, IncBrooklyn, New YorkUSA
  6. 6.Department of ImagenologyVascular Ultrasound ConsultantSão PauloBrazil

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