Sid;

Our dilema is a quick post-op follow up on distal bypass procedures. We 
routinely obtain an ankle PVR and ABI simply to compare with the 
pre-op baseline. So it is not only incompressible vessels but wounds, 
staples, dressings etc. Other than intra-op duplex, would you assess the 
patient again with duplex or a physiologic test (ABI, Doppler or 
PVR) prior to discharge?


Terry Case
University of Vermont

On Mon, 27 Jan 1997 [log in to unmask] wrote:

> Terry,
> An alternative to evaluation of noncompressible vessels is to go directly to
> doppler/imaging--that is, go directly to the artery in question and measure
> how stenotic it is.
> This "direct" approach works in our lab as we "scan" all LE arteries from top
> to bottom, including entire lengths of the tibioperoneal system.
> 
> When we want to know if it is raining outside, we don't listen for drops on
> the roof, etc. but rather go outside and "see" if it's raining.
> 
> Sid Holec
> Bon Secours Venice Hospital VasLab
>