1. Jason Roberts DHSc, RVT #SVUAC14

2. Objectives 1.To present an overview of vascular ultrasound in the interventional suite (a single center experience, but growing). 2.To present various cases where ultrasound not only assisted but, excelled in lesion crossings. 3.To present a fresh new direction outside of the harmful effects of radiation, possibly reducing operator/patient exposure, and crossing lesions with ultrasound 4.Discuss the future of vascular ultrasound during interventional procedures, including accesses, lesion crossing, anatomical determinations, and utilizing best practice.

3. #SVUAC14

10. Questions/Discussion Is this the new direction of the vascular technologist? Should there be a credential (Vascular Practitioner, Non-Invasive Interventional Specialist..etc?) RESEARCH: all of the angioplasty/stenting protocols are ultrasound based Is there a future for a formal training program? What about Vein Procedures, are they inclusive? The future of cardiovascular medicine is minimally invasive (Stenting, Angioplasty, TAVR etc..), cost saving, and safe. There is a strong push by the interventional vascular communities to move these types of technologies forward. What about rural health, can we utilize this technology in areas where procedure suites are limited. What about renal or poor surgical candidates..etc?

11. Conclusion and Thoughts More procedures are becoming office/out patient based which require some type of imaging, why not ultrasound? Do vascular sonographers need an additional scope of practice/credentialing for any office based procedure, or first assist (think venous ablation). Are the outlined examples simply imaging, or something more? Does the vascular community support this type of progression?

12. Questions?