Print

Print


My viewpoint same as yours, Dianne, for lower extremities.  If the
question is "Are these symptoms caused by arterial occlusive disease
affecting the lower extremity?" then a 'simple' ABI w/wo exercise will
provide the answer.  The recovery time of the post-exercise ABI to
resting level will indicate whether the PAOD is single or multi-level. 

Measurements of systolic rise time/acceleration rate from a CFA duplex
waveform are routine in our testing protocol and are not billed
separately. They can indicate presence of significant PAOD proximal to
the CFA - and are more sensitive for detecting iliofemoral disease than
an abnormal high thigh pressure.  

A duplex of the whole lower extremity may be indicated only if the
results above are abnormal.

For a new patient with symptoms of intermittent claudication:
physiological test(s) first, duplex second. 

Terry N.

 
Terry Needham
Heart & Vascular
Erlanger Health System
423-778-5839
PLEASE  NOTE MY NEW EMAIL ADDRESS
[log in to unmask]
 

-----Original Message-----
From: UVM Flownet [mailto:[log in to unmask]] On Behalf Of Dianne
Gruber
Sent: Tuesday, October 18, 2005 9:49 AM
To: [log in to unmask]
Subject: Re: ABI questions from curious student

Back to poking sticks  (doing imaging as the primary test, and ABI's "if

needed"). Having just had a dialogue with a radiologist on this subject,
I 
would be interested to hear it addressed (ok, again). My position was 
physiologic first, imaging if needed for clarification (this is the 
protocol we observe here). His was imaging first, abi's if imaging shows

disease. Viewpoints?

Dianne Gruber RVT RDMS
Maryville, TN

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


The information or documents contained in this electronic mail message is intended to be privileged and confidential information only for the use of UVM Flownet or entity named herein or above.  If you are not UVM Flownet or the intended recipient, you are hereby notified that any dissemination, distribution or copy of this message or document is strictly prohibited.  If you have received this electronic mail transmission in error, notify [log in to unmask] by e-mail and delete all copies from your system.  Erlanger Health System is not responsible for errors in this electronic mail message.  Any personal comments made do not necessarily reflect the views of  Erlanger Health System.

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