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

4 Definitions

  1. Physiological testing:
    Evaluation of the peripheral venous circulation based on measurement of limb blood flow using plethysmographic sensors (e.g., air, strain gauge, or photoplethysmography) with physiological maneuvers (e.g., limb positioning, limb exercise, tourniquet application), or other parameters, without utilizing data from direct imaging of the blood vessels.

  2. Screening examination:
    Testing conducted to determine the presence or absence of disease in an asymptomatic patient.

  3. Surveillance examination:
    Testing conducted to monitor disease progression based solely on the passage of time since initial diagnosis or revascularization (e.g., calf vein thrombosis with contraindication to anticoagulation). It is assumed that baseline testing has already been conducted.