We do completion intraop (and, on occasion, intraop pre-arteriotomy) color
doppler imaging on all extremity vascular procedures to assure optimal
Our next testing is usually at 3 month intervals for the first year.
If at any time in the in-hospital postop period we are concerned about the
bypass or repair, we just re-scan in the lab. Dressings, wounds, etc. are no
obstacle for us. If the wounds are sealed (dry, >24 hours postop, etc.) we
just gel and scan right over them. If there are open wounds, etc, then we
would use a sterile sheath as we do with our intraop protocol.
Our philosophy is: If it can be brought to the lab or we can bring the
machine to it, we can scan it!
I might add that I have such a strong bias toward the information obtainable
from color doppler imaging, that if I suspect something is not "right"
postop, I go right to cdi.
Sid Holec, Medical Director
Bon Secours Venice Hospital Vas Lab