Jeff, et. al., We use this technique as well. Although we often use the duplex scanner to determine ankle pressure and that experience leads me to the conclusion that sometimes when using a CW Doppler, I am likely to assume an artery when sometimes I am in fact insonating a branch artery. Nonetheless, I am intrigued by this discussion and believe there may be some merit however, I wish to play the clinical card. In what circumstances would you feel this is clinically useful or changes the clinical course of the patient?

Bill

William B Schroedter, BS, RVT, RPhS, FSVU
4120 Woodmere Park Blvd
Suite 8B
Venice, Florida 34293
www.qualityvascular.com
www.virtualveincenter.com



-----Original Message-----
From: UVM Flownet [mailto:[log in to unmask]] On Behalf Of Christina Lewis
Sent: Tuesday, November 21, 2017 12:11 PM
To: [log in to unmask]
Subject: Re: Peroneal ABIs

Hi, Jeff! I would think that any pressure taken in the proximal calf would use the same criteria you use for a segmental exam. I use the peroneal artery for ABIs not uncommonly, but I take it at the ankle, so I use ABI criteria.

You didn't ask for this information, but others have mentioned that it may be difficult to access the peroneal artery for ABIs and I use techniques that I believe make it quite easy. I've found that having the patient scooch their foot barely off the table allows me to lay the pencil probe right into the posterior lateral malleolus and, using the table as support, it doesn't slip off when inflating the cuff. Alternatively, I will also have a patient bend their knee up and plant their foot on the bed and access the area from there. This also stabilizes the area and makes it less likely for me to lose my spot when inflating.

I hope all is well with you!

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