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Standardizing practice patterns for venous insufficiency ultrasound.

Donna Kelly1, Sherry Scovell1

  • 1Division of Vascular and Endovascular Surgery, Department of Surgery, Massachusetts General Brigham, Boston, MA, USA.

Phlebology
|September 6, 2024
PubMed
Summary

Duplex ultrasound (DUS) for venous insufficiency shows practice variations in patient positioning and augmentation methods. This lack of standardization may impact diagnostic results between different sonographers and institutions.

Keywords:
Venous insufficiency ultrasoundmethod of augmentationpatient positionstandardizationsuperficial venous insufficiency

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Area of Science:

  • Vascular Ultrasound
  • Medical Imaging
  • Diagnostic Sonography

Background:

  • Variability in practice patterns for duplex ultrasound (DUS) in venous insufficiency.
  • Need to evaluate inconsistencies in DUS performance.

Purpose of the Study:

  • To assess variability in patient positioning during DUS for venous insufficiency.
  • To evaluate differences in augmentation methods used in DUS.
  • To investigate the impact of ergonomic equipment availability on DUS practices.

Main Methods:

  • Survey distributed to sonographers regarding DUS procedures.
  • Inquiry into patient positioning (supine vs. standing).
  • Assessment of augmentation techniques and equipment used.

Main Results:

  • DUS performed in supine (RT) position by 41% vs. standing by 40%.
  • 18% repeated studies in standing position if supine showed no reflux.
  • Automated cuff inflation devices used in only 22% of practices.

Conclusions:

  • Lack of standardization in patient position and augmentation methods for venous duplex ultrasound (VDU).
  • Potential for significant variation in VDU results across sonographers and institutions.
  • Highlights the need for standardized protocols in venous insufficiency assessment.