Several years ago I had a very special stethoscope designed for EMT use so they could hear blood pressure and heart sounds through clothing. It was quite sensitive and I could hear the blood pressure on the posterior tibial artery for SOME patients (not all). If you could do this, I think it might give you close to accurate Resting Ankle/Brachial Indices, but you would be missing the all important waveforms. To use an automatic blood pressure machine would not work, in my opinion, because you would not be able to test specific ankle vessels (and you would not have waveforms. So, no to those two methods.

 

NormaV-

 

-----Original Message-----
From: UVM Flownet [mailto:[log in to unmask]] On Behalf Of Duane Williams
Sent: Thursday, December 02, 2010 2:15 PM
To: [log in to unmask]
Subject: Re: ABI's in remote locations

 

You have to have hard copies of the doppler signals, not just the video.  If you print a picture each time,  I suppose it would be ok.  The blood pressure method is very shaky but if you wanted to take an hour to do it I suppose you could do that as well.  I would never,  but I have had admin people ask me crazier things.
 

Duane Williams R.V.S.
Technical Director
Vascular Lab
North Dallas Surgical Specialists
972-487-6400 wk
972-800-3407 mobile
[log in to unmask]

 

Above all, we must realize that no arsenal, or no weapon in the arsenals
of the world, is so formidable as the will and moral courage of free men
and women. It is a weapon our adversaries in today's world do not have.
Ronald Reagan

 

 

From: Nancy Williams <[log in to unmask]>
To: [log in to unmask]
Sent: Thu, December 2, 2010 2:58:27 PM
Subject: Re: ABI's in remote locations

Thanks for the info but does anyone have an answer to my original
question and that was can you obtain manual brachial and ankle pressures
(with a stethoscope or automatic BP). Obtain and record Doppler
velocities and images with the u/s machine at the ankle and code it
93922(Single level ABI)?
Before you all go crazy ~ please let me state for the record WE DO NOT
DO THIS HERE. We are an ICAVL accredited lab, all of my technologists
are RVT's and we follow the ICAVL standards to the letter. I did not
think this was acceptable but she pointed out to me that there was no
specific language stating you couldn't do this. Thankfully we have the
proper equipment here so we don't have to do this but I said I would ask
- so I'm asking. Does it sound kosher?
Oh, and you can add my 2 cents I think all labs should be ICAVL and the
techs should be RVT's to be reimbursed for Vascular studies. I think it
absolutely makes a difference in the standard of care the patients
receive. But that's just my personal opinion.

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