VASCULAR | CLTI: Saving feet/saving lives
Tracks
216
| Saturday, June 14, 2025 |
| 11:00 AM - 12:30 PM |
| 216 | Lecture Rm |
Speaker
Mr Nathan Gallagher
Vascular Sonographer
The Cardiovascular Centre
Arterial pathophysiology - what's important
11:00 AM - 11:20 AMAbstract
A fundamental understanding of atherosclerosis pathophysiology is useful for sonographers performing vascular ultrasound examinations to have, however, the depth of information available in scientific journal articles can make understanding this topic difficult.
This talk will focus on the pathogenesis of atherosclerosis development, and detail the contributions of smoking and diabetes to its formation and consequent vessel disease in the lower limb arteries.
By understanding atherosclerosis pathophysiology, and the major contributors associated with its development, sonographers can better understand the development, distribution and recurrence of lower limb atherosclerosis.
This talk will focus on the pathogenesis of atherosclerosis development, and detail the contributions of smoking and diabetes to its formation and consequent vessel disease in the lower limb arteries.
By understanding atherosclerosis pathophysiology, and the major contributors associated with its development, sonographers can better understand the development, distribution and recurrence of lower limb atherosclerosis.
Biography
Mr Nathan Gallagher |
The Cardiovascular Centre
Nathan is a Senior Vascular Sonographer at The Cardiovascular Centre in Newcastle, NSW. He is passionate about scan method harmonisation within the industry and seeing the quality and reliability of vascular ultrasound continue to improve.
Dr Peta Tehan
Senior Lecturer / Podiatrist
Monash University
High risk foot and wound care
11:20 AM - 11:40 AMBiography
Dr Peta Tehan |
Monash University Senior Lecturer / Podiatrist
Dr Peta Tehan is a clinical high-risk podiatrist, researcher and educator.
Dr Tehan is an experienced educator with >15 years of experience teaching in tertiary education. Dr Tehan's educational experience ranges from undergraduate to postgraduate and includes higher degree by research supervision.
Dr Tehan leads a clinical wound care research program at Monash University with a focus on diabetes-related foot ulceration, empathy and patient centred care. Dr Tehan's leadership in research, education and governance is recognised with prestigious appointments with the AHPRA podiatry accreditation committee, as a member of the NSW podiatry council, and as trustee of the Australian Podiatry Education Research Fund.
Dr Tehan regularly acts as scientific chair for conferences for Wounds Australia and the Australian Podiatry Association in recognition of her standing in these professions. Dr Tehan is an executive board member of Wounds Australia, a fellow of Wounds Australia and a fellow of the Royal College of Physicians and Surgeons (Podiatric Medicine) Glasgow.
Ms Jill Sommerset
Director of Ultrasound
Advanced Vascular Centers
Pedal artery ultrasound
11:40 AM - 12:00 PMBiography
Ms Jill Sommerset |
Advanced Vascular Centers
Jill Sommerset, RVT, FSVU, is a vascular technologist with 25 years of experience in advanced vascular ultrasound and limb preservation. Currently she is the director of ultrasound at Advanced Vascular Centers and HOPE Vascular & Podiatry. She is also the director of Clinical Education and Training at Aveera Medical. She is known for developing Pedal Acceleration Time (PAT), a technique that revolutionized lower limb perfusion assessment. Jill is also an international speaker recognized for her contributions to vascular ultrasound and improving patient outcomes.
Mr Daniel Rae
Head Sonographer
Sunshine Coast Vascular
Ultrasound assessment of lower-limb bypass grafts: Are we looking at the whole picture?
12:00 PM - 12:20 PMAbstract
In recent years, although development of angioplasty treatment of arterial occlusion continues to evolve, infrainguinal bypass continues to be an integral part of vascular management of arterial disease.
This presentation will cover:
• Why infrainguinal bypasses are necessary
• Types of bypass grafts and understanding of the surgical procedure
• Surveillance program
• How pathology develops
• Assessment of graft patency and inflow / outflow vessels.
• Case studies of pathology
• How to report sonographic findings
By the end of the presentation, you should have a greater understanding of bypass grafts. How to approach and execute scanning of this region, avoid common pitfalls, and effectively report your findings.
This presentation will cover:
• Why infrainguinal bypasses are necessary
• Types of bypass grafts and understanding of the surgical procedure
• Surveillance program
• How pathology develops
• Assessment of graft patency and inflow / outflow vessels.
• Case studies of pathology
• How to report sonographic findings
By the end of the presentation, you should have a greater understanding of bypass grafts. How to approach and execute scanning of this region, avoid common pitfalls, and effectively report your findings.
Biography
Mr Daniel Rae FASA |
Sunshine Coast Vascular
Daniel is head sonographer at Sunshine Coast Vascular and a senior sonographer with X-ray and Imaging. He has a passion for teaching vascular ultrasound and lecturing regularly on the local, national, and international stage. He is a Fellow of the ASA and consults as an Adjunct Fellow at Western Sydney University.
Dr. Danemar Kristine Calise
Radiologist Graduate
West Visayas State University Medical Center
Correlation between ankle-brachial index and pedal acceleration time in detecting lower extremity peripheral artery disease among adult patients with diabetes mellitus in a tertiary hospital
12:20 PM - 12:30 PMAbstract
Introduction: Peripheral artery disease, especially in those with type 2 diabetes mellitus (DM), contributes to higher morbidity and mortality. Although studies have established that the ankle-brachial index is the initial screening tool to diagnose PAD, it is unreliable in calcified and noncompressible arteries. Recent studies have found that measuring of pedal acceleration time (PAT) by ultrasound may be an alternative to diagnosing PAD. This study aimed to evaluate the relationship between ABI and PAT in detecting lower extremity PAD among diabetic patients.
Methods and Materials: This is a prospective cross-sectional study. A total of 42 DM adult patients were enrolled from March 2022 to November 2022, each of them with ABI and PAT measured, and their association were determined.
Results: More than 50% of the subjects had asymptomatic PAD while the rest experienced claudication, rest pain, or ulcers/gangrene. None had noncompressible arteries by ABI and none showed severe PAD by PAT. ABI of the right lower limb and PAT of the left lower limb showed significant differences amongst the stages of PAD. There was a weak negative correlation between ABI and PAT. Significant correlation was only observed between PAT of either lower limbs and the stage of PAD.
Conclusion: PAT measurement can be good alternative to detecting PAD even in patients with compressible arteries.
Take home message: PAT can be a valuable alternative to the ABI for detecting peripheral artery disease in diabetic patients, especially when ABI results are unreliable due to arterial calcification.
Methods and Materials: This is a prospective cross-sectional study. A total of 42 DM adult patients were enrolled from March 2022 to November 2022, each of them with ABI and PAT measured, and their association were determined.
Results: More than 50% of the subjects had asymptomatic PAD while the rest experienced claudication, rest pain, or ulcers/gangrene. None had noncompressible arteries by ABI and none showed severe PAD by PAT. ABI of the right lower limb and PAT of the left lower limb showed significant differences amongst the stages of PAD. There was a weak negative correlation between ABI and PAT. Significant correlation was only observed between PAT of either lower limbs and the stage of PAD.
Conclusion: PAT measurement can be good alternative to detecting PAD even in patients with compressible arteries.
Take home message: PAT can be a valuable alternative to the ABI for detecting peripheral artery disease in diabetic patients, especially when ABI results are unreliable due to arterial calcification.
Biography
Dr Danemar Kristine Calise |
West Visayas State University Medical Center
Recently board certified radiologist in the Philippines. Completed 4 years radiology residency training in West Visayas State University Medical Center - Philippines.
