top of page

BackTable / VI / Podcast / Episode #229

Ultrasound Series: First Line Imaging for CLTI

with Dr. Mary Constantino

In this episode, guest host and vascular technologist Jill Sommerset interviews interventional radiologist Dr. Mary Costantino about the use of advanced arterial ultrasound in the setting of chronic limb-threatening ischemia (CLTI), especially in pre-procedural mapping.

Sponsored by:

Boston Scientific Eluvia Drug-Eluting Stent

Be part of the conversation. Put your sponsored messaging on this episode. Learn how.

Ultrasound Series: First Line Imaging for CLTI with Dr. Mary Constantino on the BackTable VI Podcast)
Ep 229 Ultrasound Series: First Line Imaging for CLTI with Dr. Mary Constantino
00:00 / 01:04

BackTable, LLC (Producer). (2022, July 29). Ep. 229 – Ultrasound Series: First Line Imaging for CLTI [Audio podcast]. Retrieved from https://www.backtable.com

Stay Up To Date

Follow:

Subscribe:

Sign Up:

Podcast Contributors

Dr. Mary Costantino discusses Ultrasound Series: First Line Imaging for CLTI on the BackTable 229 Podcast

Dr. Mary Costantino

Dr. Mary Costantino is a practicing interventional radiologist with Advanced Vascular Centers in Portland, OR.

Jill Sommerset, RVT, FSVU discusses Ultrasound Series: First Line Imaging for CLTI on the BackTable 229 Podcast

Jill Sommerset, RVT, FSVU

Jill Sommerset, RVT, FSVU performs outpatient and intraoperative Advanced Vascular Ultrasound at Advanced Vascular Centers in Portland, OR.

Synopsis

Jill and Dr. Costantino describe the workflow at their practice and discuss how ultrasound findings can be translated to drawings that help with interventional planning. Dr. Costantino says that ultrasound is traditionally seen as a mundane part of radiology training, but it can be extremely useful if it is operated and interpreted by a skilled technologist. In fact, Dr. Costantino often relies solely on ultrasound to map CLTI patients, instead of diagnostic angiograms. She believes that ultrasound can provide more information about blood flow characteristics and cap morphology. Dr. Costantino also favors ultrasound over TBI and ABI measurements, since the latter values are usually inaccurate in diabetic patients.

We look at examples of successful cases where ultrasound results affected access points, how the cath lab setup, and the overall efficiency of the procedures.

Jill highlights the use of ultrasound in the immediate post-procedural period. This often shows immediate improvement in pedal acceleration time (PAT). Patients are also followed up after two weeks to ensure that the PAT is sustainable.

To end the episode, Jill discusses the current state of complex arterial duplex education. She recognizes the need for more technologists to be trained in this modality. Additionally, Jill describes how ultrasound findings can be used in the context of multidisciplinary limb salvage meetings in which interventional radiologists, interventional cardiologists, vascular surgeons, and podiatrists engage in cases together. Jill believes that the first step to integrating advanced ultrasound is to invest in training for vascular technologists.

Resources

Advanced Vascular Centers:
https://advancedvascularcenters.com/

Society for Vascular Ultrasound (SVU):
https://www.svu.org/

HENDOLAT:
https://www.hendolat.com/

Disclaimer: The Materials available on BackTable.com are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.

backtable-plus-vi-cta.jpg
Become a BackTable Sponsor

Up Next

Transitioning from Academia to Private OBL Practice with Dr. Jafar Golzarian on the BackTable VI Podcast)
The 'Woundosome' Concept with Dr. Lorenzo Patrone on the BackTable VI Podcast)
Percutaneous Transmural Arterial Bypass: Updates on Technique & Data with Dr. Peter Soukas on the BackTable VI Podcast)
Below the Ankle Expertise: Distal Pedal Access with Dr. Marta Lobato on the BackTable VI Podcast)
The Multidisciplinary Approach to Combatting CLI Globally with Dr. Jos van den Berg on the BackTable VI Podcast)
Iliofemoral Stenting: Decision-Making & Best Practices Explored with Dr. Kush Desai and Dr. Steven Abramowitz on the BackTable VI Podcast)

Articles

Topics

Critical Limb Ischemia (CLI) Condition Overview

Get in touch!

We want to hear from you. Let us know if you’re interested in partnering with BackTable as a Podcast guest, a sponsor, or as a member of the BackTable Team.

Select which show(s) you would like to subscribe to:

Thanks! Message sent.

bottom of page