(I should have finished before sending my previous reply.)

There are no criteria for calf/brachial index or low-thigh/brachial index—just high-thigh and ankle. That's one thing.

And a lower pressure and index proximal to a higher ABI is a technical problem somewhere, not a diagnostic finding. You can't get energy back once having lost it.


Don Ridgway






  ----- Original Message ----- 
  From: Kristy Peeler 
  To: [log in to unmask] 
  Sent: Monday, April 07, 2008 12:53 PM
  Subject: Re: lower arterial evaluations....


  I have reading MDs who want multilevel pressures recorded even when the ABIs are WNL and they will read indices at every segmental level.  (Segmental waveforms and PVR is already included in the exam). 

  This is new to me.  I'm thinking the slightly lower indices proximal to the normal ABIs are more likely due to cuff size artifact rather than a disease process. In the case of a normal ABI patient with hypertension, I would rather not inflate a high thigh cuff, if I even could. Does this extra information make the interpretation less reliable?

   

  Can I get some feedback from other labs and their policies on this?

   

  Thanks,

  Kristy 

  To unsubscribe or search other topics on UVM Flownet link to: http://list.uvm.edu/archives/uvmflownet.html 

To unsubscribe or search other topics on UVM Flownet link to:
http://list.uvm.edu/archives/uvmflownet.html


To unsubscribe or search other topics on UVM Flownet link to:
http://list.uvm.edu/archives/uvmflownet.html


To unsubscribe or search other topics on UVM Flownet link to:
http://list.uvm.edu/archives/uvmflownet.html