Hi Sarah,

 

I have done the same as you describe.  In addition, if there is a particular movement that produces pain, we’ll make the patient do that too.  I have also done ultrasound of the popliteal artery too.  In terms of the ABI, we consider a drop of  greater than 0.15 to be significant.  However, historically in some patients the noninvasive evaluation of popliteal entrapment can be difficult.  Depending on the symptoms, physicians have gone onto other imaging if the vascular lab results are inconclusive.

 

Ann Marie Kupinski

 

 

From: UVM Flownet [mailto:[log in to unmask]] On Behalf Of Sarah Sarlo
Sent: Wednesday, April 19, 2017 1:10 PM
To: [log in to unmask]
Subject: Popliteal Entrapment testing

 

Good Afternoon,

 

I was wondering if anyone would be willing to share their lab's protocol for popliteal entrapment testing with a NIVA machine.

 

We currently perform a resting NIVA (PVRs and segmental pressures) and repeat ABI's with dorsi flexion and plantar flexion of the foot. The test is considered positive if a pressure drop is noted during one of the maneuvers.

 

Is this in line with what other labs are doing?

 

Thank you,

Sarah Sarlo

To unsubscribe or search other topics on UVM Flownet link to: http://list.uvm.edu/archives/uvmflownet.html

To unsubscribe or search other topics on UVM Flownet link to: http://list.uvm.edu/archives/uvmflownet.html