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Our vascular surgeons read all of our arterial studies also, but this
question was brought up at our monthly conference, at least one of the
interventional radiologists' show up, and it does make for good
discussion and a more well rounded viewpoint, instead of just thinking
what any given vascular surgeon says is gold. I enjoy the discussion and
the points of view. 
  Greg

-----Original Message-----
From: UVM Flownet [mailto:[log in to unmask]] On Behalf Of Willis,
Chris
Sent: Friday, May 07, 2010 10:08 AM
To: [log in to unmask]
Subject: Re: TO ABI OR NOT TO ABI...


Greg, our vascular surgeons order ankle pvrs and pressures on patients
with known dvt frequently.  I also have co-medical directors.  One is an
interventional radiologist and the other is a vascular internist. We do
not have this debate because our radiologists have nothing to do with
our pvrs/abi's. They are all read by the vascular docs.
 
Chris Willis RVT
Coordinator
Vascular Laboratory
Eastern Maine Medical Center
Bangor, Maine 04401
Phone:  (207) 973-7471
Fax:  (207) 973-7450

________________________________

From: UVM Flownet on behalf of Ruhland, Greg F.
Sent: Fri 5/7/2010 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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