Vascular Lab: Reading in the Endovascular Era

  • Renee C. Minjarez
  • Gregory L. Moneta


Accompanying the recent rapid expansion of endovascular therapies is an increased need to utilize the noninvasive vascular laboratory to provide quantitative, diagnostic, and surveillance data for vascular patients treated with endovascular therapies. The general indications for noninvasive vascular laboratory testing remain irrespective of whether an open or an endovascular therapy is being entertained. These indications include the diagnosis or exclusion of peripheral arterial disease, the patterns and extent of disease, and the behavior over time of treated vessels. When considering endovascular techniques, the vascular lab can also help to minimize the use of contrast and radiation by localizing and characterizing discrete lesions prior to a potential or planned intervention. Given the apparent overall shorter durability of endovascular peripheral treatments, the vascular lab can also be utilized to identify asymptomatic problems to allow preventative intervention.


Renal Artery Superior Mesenteric Artery Abdominal Aortic Aneurysm Stent Graft Carotid Endarterectomy 
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  1. 1.
    Lal BK, et al. Carotid artery stenting: is there a need to revise ultrasound velocity criteria? J Vasc Surg. 2004;39(1):58–66.PubMedCrossRefGoogle Scholar
  2. 2.
    Vernhet H, et al. Wall mechanics of the stented extracranial carotid artery. Stroke. 2003;34(11):e222–4.PubMedCrossRefGoogle Scholar
  3. 3.
    Mitchell EL, et al. Duplex criteria for native superior mesenteric artery stenosis overestimate stenosis in stented superior mesenteric arteries. J Vasc Surg. 2009;50(2):335–40.PubMedCrossRefGoogle Scholar
  4. 4.
    Chahwan S, et al. Carotid artery velocity characteristics after carotid artery angioplasty and stenting. J Vasc Surg. 2007;45(3):523–6.PubMedCrossRefGoogle Scholar
  5. 5.
    Peterson BG, et al. Duplex ultrasound remains a reliable test even after carotid stenting. Ann Vasc Surg. 2005;19(6):793–7.PubMedCrossRefGoogle Scholar
  6. 6.
    Lal BK, et al. Duplex ultrasound velocity criteria for the stented carotid artery. J Vasc Surg. 2008;47(1):63–73.PubMedCrossRefGoogle Scholar
  7. 7.
    Setacci C, et al. Grading carotid intrastent restenosis: a 6-year follow-up study. Stroke. 2008;39(4):1189–96.PubMedCrossRefGoogle Scholar
  8. 8.
    Cumbie T, et al. Utility and accuracy of duplex ultrasonography in evaluating in-stent restenosis after carotid stenting. Am J Surg. 2008;196(5):623–8.PubMedCrossRefGoogle Scholar
  9. 9.
    Armstrong PA, et al. Duplex scan surveillance after carotid angioplasty and stenting: a rational definition of stent stenosis. J Vasc Surg. 2007;46(3):460–5. discussion 465–6.PubMedCrossRefGoogle Scholar
  10. 10.
    Zhou W, et al. Ultrasound criteria for severe in-stent restenosis following carotid artery stenting. J Vasc Surg. 2008;47(1):74–80.PubMedCrossRefGoogle Scholar
  11. 11.
    Chi YW, et al. Ultrasound velocity criteria for carotid in-stent restenosis. Catheter Cardiovasc Interv. 2007;69(3):349–54.PubMedCrossRefGoogle Scholar
  12. 12.
    Rocha-Singh K, Jaff MR, Lynne Kelley E. Renal artery stenting with noninvasive duplex ultrasound follow-up: 3-year results from the RENAISSANCE renal stent trial. Catheter Cardiovasc Interv. 2008;72(6):853–62.PubMedCrossRefGoogle Scholar
  13. 13.
    Foley MI, et al. Revascularization of the superior mesenteric artery alone for treatment of intestinal ischemia. J Vasc Surg. 2000;32(1):37–47.PubMedCrossRefGoogle Scholar
  14. 14.
    Peck MA, et al. Intermediate-term outcomes of endovascular treatment for symptomatic chronic mesenteric ischemia. J Vasc Surg. 2010;51(1):140–7. e1-2.PubMedCrossRefGoogle Scholar
  15. 15.
    Morvay Z, et al. Sonographic follow-up after visceral artery stenting. J Ultrasound Med. 2004;23(8):1057–64.PubMedGoogle Scholar
  16. 16.
    Armstrong PA. Visceral duplex scanning: evaluation before and after artery intervention for chronic mesenteric ischemia. Perspect Vasc Surg Endovasc Ther. 2007;19:386–92.PubMedCrossRefGoogle Scholar
  17. 17.
    Baril DT, et al. Duplex criteria for determination of in-stent stenosis after angioplasty and stenting of the superficial femoral artery. J Vasc Surg. 2009;49(1):133–8. discussion 139.PubMedCrossRefGoogle Scholar
  18. 18.
    Collins JT, Boros MJ, Combs K. Ultrasound surveillance of endovascular aneurysm repair: a safe modality versus computed tomography. Ann Vasc Surg. 2007;21(6):671–5.PubMedCrossRefGoogle Scholar
  19. 19.
    Beeman BR, et al. Duplex ultrasound imaging alone is sufficient for midterm endovascular aneurysm repair surveillance: a cost analysis study and prospective comparison with computed tomography scan. J Vasc Surg. 2009;50(5):1019–24.PubMedCrossRefGoogle Scholar
  20. 20.
    Schmieder GC, et al. Endoleak after endovascular aneurysm repair: duplex ultrasound imaging is better than computed tomography at determining the need for intervention. J Vasc Surg. 2009;50(5):1012–7. discussion 1017–8.PubMedCrossRefGoogle Scholar
  21. 21.
    Chaikof EL, et al. The care of patients with an abdominal aortic aneurysm: the society for vascular surgery practice guidelines. J Vasc Surg. 2009;50(4 Suppl):S2–49.PubMedCrossRefGoogle Scholar
  22. 22.
    Bendick PJ, Bove PG, Long GW, Zelenock GB, Brown WO, Shanley CJ. Efficacy of ultrasound contrast agents in the noninvasive follow-up of aortic stent grafts. J Vasc Surg. 2003;37:381–5.PubMedCrossRefGoogle Scholar
  23. 23.
    Ringelstein EB, et al. Consensus on microembolus detection by TCD. International Consensus Group on Microembolus Detection. Stroke. 1998;29(3):725–9.PubMedCrossRefGoogle Scholar
  24. 24.
    Mullenix PS, et al. Intraoperative duplex ultrasonography as an adjunct to technical excellence in 100 consecutive carotid endarterectomies. Am J Surg. 2003;185(5):445–9.PubMedCrossRefGoogle Scholar
  25. 25.
    Aidinian G, et al. Intravascular ultrasound-guided inferior vena cava filter placement in the military multitrauma patients: a single-center experience. Vasc Endovascular Surg. 2009;43(5):497–501.PubMedCrossRefGoogle Scholar
  26. 26.
    von Segesser LK, et al. Routine use of intravascular ultrasound for endovascular aneurysm repair: angiography is not necessary. Eur J Vasc Endovasc Surg. 2002;23(6):537–42.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  1. 1.Oregon Health Sciences UniversityPortlandUSA
  2. 2.Division of Vascular SurgeryOregon Health Sciences UniversityPortlandUSA

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