ACCF/ACR/AIUM/ASE/IAC/SCAI/SCVS/SIR/SVM/SVS/SVU 2013 Appropriate Use Criteria for Peripheral Vascular Ultrasound and Physiological Testing Part II

Testing for Venous Disease and Evaluation of Hemodialysis Access

Heather L. Gornik, MD, FACC, FAHA, FSVM; Marie D. Gerhard-Herman, MD, FACC; Sanjay Misra, MD, FSIR, FAHAz; Emile R. Mohler III, MD, FACC; R. Eugene Zierler, MD, FACS; Reza Fazel, MD, MS; Laura Findeiss, MD, FSIR; Richard Fuchs, MD, FACC, FAHA; John Gillespie, MD; John Gocke, MD, MPH, RVT, RPVI; Michael H. Heggeness, MD, PHD; Joseph P. Hughes, RVT, RCS, FSVU; Michael P. Lilly, MD; Colleen Moore, MD; John S. Pellerito, MD, FACR, FSRU, FAIUM; Michelle L. Robbin, MD, FACR, FSRU, FAIUM; Thom W. Rooke, MD; Melvin Rosenblatt, MD; Fred A. Weaver, MD, MMM, FACS; Christopher J. White, MD; Michael J. Wolk, MD, MACC; Steven R. Bailey, MD, FACC, FSCAI, FAHA; John U. Doherty, MD, FACC, FAHA; Pamela S. Douglas, MD, MACC, FAHA, FASE Z; Jenissa Haidari, MPH; Robert C. Hendel, MD, FACC, FAHA, FASNC; Christopher M. Kramer, MD, FACC, FAHA; James K. Min, MD, FACC; Manesh R. Patel, MD, FACC; Leslee Shaw, PHD, FACC, FASNC; Raymond F. Stainback, MD, FACC, FASE; Joseph M. Allen, MA; Heather L. Gornik, MD, FACC, FAHA; Michael J. Wolk, MD, MACC


J Am Coll Cardiol. 2013;62(7):649-665. 

In This Article


The American College of Cardiology Foundation (ACCF), in partnership with key specialty and subspecialty societies, conducted a review of common clinical scenarios where noninvasive vascular testing (venous ultrasound and physiological testing) is frequently considered. The indications (clinical scenarios) were derived from common applications or anticipated uses, as well as from current clinical practice guidelines and results of studies examining the implementation of the original appropriate use criteria (AUC). The 116 indications in this document were developed by a diverse writing group and scored by a separate independent technical panel on a scale of 1 to 9, to designate appropriate use (A) (median 7 to 9), maybe appropriate use (M) (median 4 to 6), and rarely appropriate use (R) (median 1 to 3).