Lower Extremity Venous Protocol
Scan through and verify patent venous system before augmenting
Structure
Iliac
Common Femoral &
Greater Saphenous
Vein Junction
Scan Plane
Transverse
Dual Screen
Sagittal
Transverse
Dual Screen
Sagittal
Transverse
Dual Screen
Label
Identify RT or LT
ILIAC
W/COMP
ILIAC
ILIAC W/AUG
CFV/GSV
W/COMP
CFV/GSV
CFV W/AUG
GSV W/AUG
FV MID
W/COMP
FV MID
FV MID W/AUG
FV PERIPH
W/COMP
FV PERIPH
FV PERIPH W/AUG
Gray Scale- without compression
Gray Scale-with compression
Color Doppler
Color & Spectral Doppler with augmentation
Gray Scale CFV & GSV- without compression
Gray Scale CFV & GSV-with compression
Color Doppler CFV & GSV
CFV-Color & Spectral Doppler with augmentation
GSV-Color & Spectral Doppler with
augmentation
Gray Scale FV Central & Profunda- without
compression
Gray Scale FV Central & Profunda-with
compression
Color Doppler FV Central & Profunda
FV Central-Color & Spectral Doppler with
augmentation
Profunda-Color & Spectral Doppler with
augmentation
Gray Scale- without compression
Gray Scale-with compression
Color Doppler
Color & Spectral Doppler with augmentation
Gray Scale- without compression
Gray Scale-with compression
Color Doppler
Color & Spectral Doppler with augmentation
POP V
W/COMP
POP V
POP V W/AUG
PTV
W/COMP
PTV
PTV W/AUG
PERONEAL
W/COMP
PERONEAL
PERONEAL W/AUG
Gray Scale- without compression
Gray Scale-with compression
Color Doppler
Color & Spectral Doppler with augmentation
Gray Scale- without compression
Gray Scale-with compression
Color Doppler
Color & Spectral Doppler with augmentation
Gray Scale- without compression
Gray Scale-with compression
Color Doppler
Color & Spectral Doppler with augmentation
FV CENTRAL/PROFUNDA
W/COMP
Femoral Vein Central
& Profunda
Sagittal
(central means closer
to the heart)
FV CENTRAL/PROFUNDA
FV W/AUG
PROFUNDA W/AUG
Femoral Vein Mid
Femoral Vein
Peripheral
*Hunters Canal
(Peripheral means
farther from the
heart)
Popliteal
Posterior Tibial Veins
Peroneal Veins
Transverse
Dual Screen
Sagittal
Transverse
Dual Screen
Sagittal
Transverse
Dual Screen
Sagittal
Transverse
Dual Screen
Sagittal
Transverse
Dual Screen
Sagittal
Images Stored
Cw/backup/protocol/lower extremity venous protocol 13
Lower Extremity Venous Protocol
Anatomy/Image Correlation
Artery
Vein
Artery
Vein with
Compression
Vein with Doppler
Tips

You should scan the leg from the iliac to the femoral vein peripheral in transverse with
compression then store appropriate images. Next scan the lower leg with compression then
store appropriate images.
 Only compress veins in the transverse view
Spectral Doppler



No angle correct is used
Gate should be placed in center of vessel
Utilize large gate (SV length)
Thrombus Present (Blood Clot)
 Do not augment peripheral to the location of the thrombus
 Document thrombus with Color & Spectral Doppler
 Document exact location of thrombus
Duplicated Veins





Labs
•
May be seen anywhere along the venous system
If above knee always document both in gray scale, Color & Spectral Doppler
If below knee document both in transverse and one best visualized in sagittal
Note if thrombus is evident in one or both veins complete documentation is required
If no evidence of thrombus document only one with augmentation
D-dimer – if increased may indicate thrombus formation
Cw/backup/protocol/lower extremity venous protocol 13