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agreed but internal valadation (OR) agrees.  Poor at  best

On Tue, Jan 27, 2009 at 10:46 AM, Denise Levy <[log in to unmask]> wrote:

> What would your response be to an 80 - 99% that was 250/80?  This is real
> too.
> Response
> According to the criteria of Strandnesss any diastole less than 100 or 140
> which ever
> criteria  you use is less than 80-99%
> Denise Levy
>
> On Tue, Jan 27, 2009 at 5:42 AM, Terry Zwakenberg <[log in to unmask]>wrote:
>
>> check cardiac function.
>>
>>
>> ...TJ
>>
>>
>> To handle yourself, use your head. To handle others, use your heart.
>>
>>
>>   On Mon, Jan 26, 2009 at 8:12 PM, Paul Hrdlick <[log in to unmask]>wrote:
>>
>>>  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:
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>>>>
>>>>
>>>> To unsubscribe or search other topics on UVM Flownet link to:
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>>>>
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>>>
>>>
>>>
>>> --
>>> Denise Levy
>>>
>>> To unsubscribe or search other topics on UVM Flownet link to:
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>>>
>>>  To unsubscribe or search other topics on UVM Flownet link to:
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>>
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>
>
>
> --
> Denise Levy
>
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