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good question, answer for me is, one our lab performs and ABI on every
patient who has a duplex, unless there is a specific reason not to. Two,
the duplex is not as quantitative on a patient with stenosis  ( I can't
spell, or type well, ignore my spelling). that said I feel it is great
alternative if a given patient has loss of pulse secondary to swelling,
but still has great Dopplers. 
   Greg 

	-----Original Message-----
	From: UVM Flownet [mailto:[log in to unmask]] On Behalf Of
Randy Troyer
	Sent: Friday, May 07, 2010 10:35 AM
	To: [log in to unmask]
	Subject: Re: TO ABI OR NOT TO ABI...
	
	

	Why not do a arterial duplex and avoid the issue?

	 

	From: UVM Flownet [mailto:[log in to unmask]] On Behalf Of
Ruhland, Greg F.
	Sent: Friday, May 07, 2010 9:52 AM
	To: [log in to unmask]
	Subject: TO ABI OR NOT TO ABI...

	 

	Hey everyone, 
	   I always read the flow but I don't always participate, I feel
the interested in what we might have to say about this subject.

	   My lab has co-medical directors, interventionalist and
vascular surgeon. The question was brought up... do you perform an ABI
on a patient positive for DVT. A fairly heated discussion followed from
3 surgeons and 1 interventionalist very firmly divided on the subject.
For all the obvious reasons. Possible to cause P.E., the need to know of
arterial complications. Would an ankle pressure really be enough to
cause P.E., Blah blah, blah. We all know there are good arguments for
both schools of thought. 

	  What do you think, and does your lab have a set protocol? ( I
think it should be different depending on each particular case, extent
of DVT, other complications...ect. 

	  Just wondering if it will spark the same intensity of debate
for one side or the other. 
	     Greg Ruhland RVT 
	   

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