Standard


Posted: 11/13/07

R State Standard         £  Institutionally Developed          College: N/A

VAS 202 – Advanced Cerebrovascular

 

Course Description

This course provides a thorough understanding of the cerebrovascular anatomy, physiology, and pathology. The clinical assessment of patients for cerebrovascular disease is discussed, including normal and abnormal anatomy. Patient factors and patient histories are described. Topics include: cerebrovascular anatomy, invasive cerebrovascular tests, physical examination, noninvasive cerebrovascular exams, cerebral artery disease, TCDs, and carotid artery studies.


 

Competency Areas

Hours

Cerebrovascular Anatomy

Class

2

Invasive Cerebrovascular Tests

D. Lab

0

Physical Examination

P. Lab/O.B.I.

3

Noninvasive Cerebrovascular Exams

Credit

3

Cerebral Artery Disease

 

 

TCDs

 

 

Carotid Artery Studies

 

 


 

Prerequisite:

VAS 141

Corequisite:

VAS 144

 

Course Guide

 

Competency

After completing this section, the student will be able to:

Hours

Class

D.Lab

P.Lab/

O.B.I.


Cerebrovascular Anatomy

2

0

10

 

Review the Cerebrovascular anatomy including:

a.    Aortic Arch

b.    Extracranial carotid and vertebral

c.    Intracranial (circle of Willis)

 

 

 

Invasive Cerebrovascular Tests

1

0

0

 

Review Carotid Arteriography including:

a.    Methods

b.    Interpretation

c.    Limitations

 

 

 

Physical Examination

1

0

0

 

Provide Physical assessment of :

a.      Neurological

                  i. Transient symptoms

1. TIA

2. RIND

ii. Stroke

 1. Embolic

 2. Hemorrhagic

            b.   Pulses

            c.   Bruits

            d.   Bilateral Brachial Pressures

 

 

 

Noninvasive Cerebrovascular Exams

4

0

0

 

Investigate and compare other noninvasive imaging techniques of the Cerebrovascular system including:

a.         CT

b.         MRI

 

 

 

Cerebral Artery Disease

2

0

0

 

Refine the evaluation of the following cerebral artery diseases:

a.    Embolism

b.    Thrombosis

c.    Subclavian steal

d.    Dissection

e.    Carotid body

f.      Fibromuscular dysplasia

 

 

 

TCDs

5

0

15

 

Complete a TCD examination by the following methods:

a.    Transcranial

b.    Transorbital

c.    Basilar approach

d.    Sighted & Blind

 

 

 

Carotid Artery Studies

5

0

5

 

Refine their abilities to complete the components of a Extra-cranial Cerebrovascular examination including:

a.    Carotid Duplex examination

     i.   B-Mode

     ii.  Spectral Doppler

     iii. Color Doppler

b.    Evaluation of velocities

     i.  Peak Systolic Velocity

     ii.  End Diastolic Velocity

                  iii. Velocity Ratios

c.    Vessel Identification

     i.  CCA

     ii.  ICA

                  iii. ECA

 

 

 

 

Suggested Resources

 

Daigle, R (2002). Techniques in Noninvasive Vascular Diagnosis. (2007) Summer Publishing: ISBN:  0-9720653-0-X

Mosby’s Pocket Dictionary of Medicine, Nursing & Health Professions. (5th ed.) Elsevier. ISBN-13: 978-0-323-03943-7

Ridgeway, D. (1998). Introduction to Vascular Scanning. (3rd ed.) Pasadena: Davies Publishing. ISBN: 0-9410-2239-0

Scissons, R. (2003). Physiologic Testing: Techniques and Interpretation. North Kingstown.: Unetixs Corporation

Strandness, E. (2002). Duplex Scanning in Vascular Disorders. (3rd ed.) Philadelphia: Lippincott Publishing.
ISBN:  0-7817-2631-X

Taber’s Cyclopedic Dictionary. (20th ed) F. A. Davis. ISBN-13: 978-0-8036-1207-5

Thrush, A. (2005). Peripheral Vascular Ultrasound. (2nd Ed.) Elsevier: Churchill Livingstone. ISBN-13: 978-0-443-07283-3

Zweibel, W., Pellerito, J. (2005), Introduction to Vascular Ultrasonography. (4th ed.) Elsevier: ISBN: 0-7216-6949-2