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April 2000

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Subject:
From:
"McAninch, Bridget" <[log in to unmask]>
Reply To:
UVM Flownet <[log in to unmask]>
Date:
Fri, 14 Apr 2000 12:20:16 -0500
Content-Type:
text/plain
Parts/Attachments:
text/plain (107 lines)
I recently just looked at the GE.  Was impressed.

        -----Original Message-----
        From:   Bonnie Johnson [SMTP:[log in to unmask]]
        Sent:   Friday, April 14, 2000 1:17 PM
        To:     [log in to unmask]
        Subject:        Re: Endografts

        Let me say upfront that I do not sell ultrasound equipment, I have
no
        financial interest in ultrasound equipment, and I do not work
commercially.
        I encourage all to evaluate the equipment for yourselves because I
have not
        looked at every piece of ultrasound equipment out there - at least
not
        currently. I can only comment on what I am using or have looked at
very
        recently for AAAstent assessment and have found that the
Acuson/Sequoia and
        ATL/HD5000 have demonstrated what I need to see and the XP's do not.
I hope
        the rest of you will lets us know what is working and what is not.
bj

        Bonnie L. Johnson RDMS, RVT, FSVT
        Stanford Medical Center
        Director, Vascular Laboratory Services
        Division of Vascular Surgery
        Stanford, CA


        -----Original Message-----
        From: UVM Flownet [mailto:[log in to unmask]]On Behalf Of
Richard
        A. Wyrens
        Sent: Friday, April 14, 2000 7:06 AM
        To: [log in to unmask]
        Subject: Re: Endografts


        Bonnie,    You speak specifically of "your" imager being more then
adequate
        to
        image deep abdominals for endo stent follow ups. Tell me a secret,
what
        imager
        are you using at Stanford to follow these up. We are doing multiples
here
        ie.
        4-6 per month and have no follow up capabilities at this time.
Currently
        using
        ATL's 3000's, 3500's, and HP5500. What do you consider an adequate
machine
        set
        up correctly to see what "we" need to see???   Thanks,    Ric

        Bonnie Johnson wrote:

        > M. Boyd,
        >
        > "currently", and I use the word loosely, we are doing CT
immediately after
        > graft placement and ultrasound at 1 month and 6 month followups,
CT at one
        > year and alternate u/s and CT every six months after. These may
vary
        > somewhat among physicians or according to the findings on the
        examinations.
        > Also, the requirements vary if involved in a research trial of a
product
        pre
        > FDA approval.
        >
        > I would not recommend using ultrasound as a primary diagnostic
tool until
        > you can prove your accuracy by CTangio correlation.  It is not a
straight
        > forward examination and your imager has to be able to deliver very
        sensitive
        > color Doppler deep in the abdomen or you will miss most small
areas of
        > extrastent flow secondary to backbleeding from lumbars,IMA, or
around poor
        > graft fixation sites.  We learned this lesson "painfully" using
older
        > equipment.  bj
        >
        > Bonnie L. Johnson RDMS, RVT, FSVT
        > Stanford Medical Center
        > Director, Vascular Laboratory Services
        > Division of Vascular Surgery
        > Stanford, CA
        >
        > -----Original Message-----
        > From: UVM Flownet [mailto:[log in to unmask]]On Behalf Of
Richard
        > M. Boyd
        > Sent: Tuesday, March 07, 2000 12:58 PM
        > To: [log in to unmask]
        > Subject: Endografts
        >
        > Can anyone share with me their protocol on how often you follow
aortic
        > endografts.

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