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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 > > 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 > > 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 > > > > -- > Denise Levy > > 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