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Rajani, You want the vein to be at it's largest, so reverse trendelburg,
standing or sitting.
5 mm in 3 places in the thigh or groin to knee.

Denise Levy

cell 408-391-0837
Saratoga, CA
Ultrasound Professional Credentials
RDMS, RVT
Transcranial Doppler
MISS Group, San Jose, CA
408-391-0837
Skype denisevascular1



On Thu, Feb 10, 2011 at 10:24 PM, Rajani Motamarri <[log in to unmask]>wrote:

>
> Do we measure the vein diameters in rev trendelenberg or just supine? would
> it make a difference?
>
> Taj
>
> --- On *Mon, 2/7/11, Denise Levy <[log in to unmask]>* wrote:
>
>
> From: Denise Levy <[log in to unmask]>
>
> Subject: Re: Venous Reflux and ICAVL requirements
> To: [log in to unmask]
> Date: Monday, February 7, 2011, 11:30 AM
>
>  Hi, Mandated
> DVT exam first,, I do it supine w head raised, double screen compressed
> groin to ankle.
> Reverse trendelenberg steep, CFV, femoral, pop, calf, gsv and ssv.
> Compress gsv and ssv.
> Valsalva CFV,, rest of the vns dst aug.
> Upper thigh, measure gsv has to be 5 mm or gretaer in 3 places and have 3
> sec of reflux.
> Check for BK reflux all vessels and look for thigh and calf perforators..
> Stand the patient that are borderline size and reflux.
> If they are 5 mm with severe reflux why stand them????
> That is what I do at 2 private offices and 2 hosp. That I worked at
> submitted and are ICVAL approv ed
> Denise Levy
> 408 391 0837
> RVT, RDMS
> TCD
> [log in to unmask]<http:[log in to unmask]>
>  On Feb 7, 2011 9:47 AM, "Case, Susan" <[log in to unmask]<http:[log in to unmask]>>
> wrote:
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