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What would your response be to an 80 - 99% that was 250/80?  This is  
real too.

On Jan 26, 2009, at 8:06 PM, Denise Levy <[log in to unmask]> wrote:

> Don, I have a GE and from now on.. ICA stenoses are measured
>
> 1. with color and angle correction to the wall.
> 2. B-flow with angle correction to the wall
> 3. Steer the color and B-flow box to bring out the highest flow..
> 4. 60 degrees of less...
>
> I walk threw the entire stenosis and look at the jet in color and b- 
> flow
> I record a cini loop of the stenosis w B-flow
>
> I take the higher of the 2.
>
> you can always make something to lower than higher. Also with heavy  
> breathing you
> know as well as I the sample gate in moving in and out of the center  
> of the jet...
> Up and down,,, up and down.. got to get it in sync with the common  
> carotid velocity
> for ratio. If you take too long to get the ICA flow, go back and do  
> the CCA within a few mins.
> of both velocities.
>
> What category do you use for 80-99% stenosis..???
>
> 350/140 minimum  with a 3.5 to 5 ratio?
>
> Thanks Don, and keep swinging that transducer..
>
> Denise Levy, RVT, RDMS, RDCS
> Vascular Lead
> Regional Medical Center, of San Jose,
>
>
>
> On Mon, Jan 26, 2009 at 2:25 PM, Don Ridgway <[log in to unmask]>  
> wrote:
> We must be humble.
>
> Don
>
>
>
>
> -----Original Message-----
> From: UVM Flownet on behalf of Lisa Mekenas
> Sent: Mon 1/26/2009 1:54 PM
> To: [log in to unmask]
> Subject: Re: angles/Don
>
> The box angled had a 54 angle corrections only (not that different)
> The box straight had an angle of 60 degrees, vessel was at a 60 also.
> same jet area in both samplings.
> What a difference yeh?--
> Lisa
>
> -----Original Message-----
> From: UVM Flownet [mailto:[log in to unmask]] On Behalf Of Don
> Ridgway
> Sent: Monday, January 26, 2009 1:45 PM
> To: [log in to unmask]
> Subject: Re: angles/Don
>
> You're saying that the spectral-Doppler angle was the same as the  
> first
> reading, just the color-box angle changed?
>
> Don
>
>
>
>
> -----Original Message-----
> From: UVM Flownet on behalf of Lisa Mekenas
> Sent: Mon 1/26/2009 11:51 AM
> To: [log in to unmask]
> Subject: Re: angles/Don
>
> Don,
> Here's something interesting-- I just did a patient with a 80-90%
> He was large, breathing movements, ect.
> Diving vessel. There was no way I was going to get a 60 on this guy--
> So I got the "correct " velocity and then just for grins and giggles
> Turned the color box straight up and down and got a velocity at 60--
> Guess what-- my 404/110 went to 286/80!
>  I think it is the color box with the 60 angle.
> Oh by the way-- the true angle of the flow was 54 degrees for the
> stenosis
> With the color box angled.
> Just thought that was interesting as I just had the patient on the  
> table
> after reading a few comments.
> Lisa
>
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>
>
> -- 
> Denise Levy
>
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