Lower Extremity Arterial Ultrasound Protocol Manual

Lower Extremity Arterial Ultrasound Protocol Manual


Lower Extremity Arterial Ultrasound Protocol Manual


Lower Extremity Arterial Ultrasound Protocol Manual


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 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!

Date of Original Release: 6/8/2020

This edition valid for credit through: 6/8/2023

Length: 36 Pages

Spiral Bound Protocol Manual

ISBN: 978-1-950973-58-3

Digital Protocol Manual

Product Code: VAS-A3


  • 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


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


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.


GulfCoast Ultrasound Institute

Rob Daigle  BA, RVT, FSVU, FSDMS

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
Milwaukee, WI
No relevant financial relationships to disclose

Charlotte Derr, MD, RDMS, FACEP (Co-Medical Director-planner & QI Task Force)
Assistant Professor of Emergency Medicine &
Fellowship Director of Emergency Medicine
Ultrasound Fellowship Program
University of South Florida Medical School
Tampa, FL
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, Content Reviewer, QI Task Force)
President, Gulfcoast Ultrasound Institute, Inc.
St. Petersburg, FL
No relevant financial relationships to disclose

Trisha Reo, AAS, RDMS, RVT (Program Coordinator-planner, Content Reviewer, QI Task Force)
Gulfcoast Ultrasound Institute, Inc.
St. Petersburg, FL
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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Credits (Optional with additional purchase)

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 enduring material 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.


General Sonography Physics

Gulfcoast Ultrasound Institute presents 3 free tips to help you study for the Sonography Principles and Instrumentation Exam.

Click to see video

Challenges Sonographers Face

Gulfcoast Ultrasound Institute’s Program Director Theresa Jorgensen uses humor to take a look at the some of the typical challenges sonographers face while trying to take an accurate patient history.

Click to see video


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