Now that several labs probably have stats on rad/ulnar and brachial pressures and waveforms for the radial artery testing, it would be interesting to compile the data.

So much work has been done with the lower extremities, someone out there can take reins and put it all together for a conference in the future.the 2D imaging

should be there for you to use also as a way of confirming the calcific walls, ect.

(Years ago I put ours together just to see how many rad dominant arteries we had)

 I like to note ATA, unfortunately the flowlab has the DP annotation (I haven’t changed it yet since my upgrade)but my MD reads it as ATA. Glad to hear someone else

 notices that.

I still do the brachial with the brachial, find it easier for me to hold the arm,et al and I am old school. Still insist that my patients lie SUPINE for arterials, not with the head raised for

most patients.

 

Holiday Wishes

 

Kelly,

I typically take brachial pressures while listening to the radial artery at the wrist as it’s easier to reach and the cuff isn’t in your way.  No references without looking into it, but you are correct in that the pressure you’re taking is from the artery under the cuff (that’s why I’ve never understood why we annotate a DPA pressure, when it’s actually the ATA under the cuff).

 

 

 

Over the years and in many labs, I have seen things done many different ways. This question relates to observations and not habits, but I want to hear from others experiences and I would really appreciate REFERENCES.

 

When obtaining a pressure measurement of an artery, I was taught that the level of the cuff is what is being monitored, so when taking a high thigh pressure, even though the placement of the Doppler is at the level of the ankle, the measurement is where the cuff is located. My question relates to BRACHIAL pressures. When obtaining a brachial pressure, is it typical to obtain the pressure from a wrist artery and not the actual brachial artery? Why or why not? References please.

 

Thanks!

Kelly