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Steve:
Got it. I went through the back door.  Thnx.
Andy

On Fri, May 25, 2018 at 2:22 PM, Andrew Bebry <[log in to unmask]> wrote:

> Can't get into Zwolak.  Password protected.  But I got the first article,
> TY.
> Andy
>
> On Fri, May 25, 2018 at 1:42 PM, Knight, Steve <[log in to unmask]>
> wrote:
>
>> I can share these because they are now open access, ergo no fear of
>> copyright infringement:
>>
>> Duplex velocity criteria for native celiac/superior mesenteric artery
>> stenosis vs in-stent stenosis
>> <https://www.sciencedirect.com/science/article/pii/S0741521411024712?via%3Dihub>
>> (AbuRahma *et al*, 2011)
>>
>> Mesenteric and celiac duplex scanning: a validation study
>> <https://www-sciencedirect-com.ezp-prod1.hul.harvard.edu/science/article/pii/S0741521498600100>
>> (Zwolak *et al*, 1998)
>>
>>
>>
>>
>>
>> *Steve Knight | Assistant Technical Director*
>>
>> *Vascular Ultrasound Core Lab **|** VasCore Training and Education
>> Center*
>>
>> *Massachusetts General Hospital*
>>
>> 1 Bowdoin Square, 10th Floor
>> <https://maps.google.com/?q=1+Bowdoin+Square,+10th+Floor+%7C+Boston+%7C+MA+%7C+02114+%0D%0A+Office:+1&entry=gmail&source=g>
>>  *|
>> <https://maps.google.com/?q=1+Bowdoin+Square,+10th+Floor+%7C+Boston+%7C+MA+%7C+02114+%0D%0A+Office:+1&entry=gmail&source=g> *
>> Boston
>> <https://maps.google.com/?q=1+Bowdoin+Square,+10th+Floor+%7C+Boston+%7C+MA+%7C+02114+%0D%0A+Office:+1&entry=gmail&source=g>* |
>> <https://maps.google.com/?q=1+Bowdoin+Square,+10th+Floor+%7C+Boston+%7C+MA+%7C+02114+%0D%0A+Office:+1&entry=gmail&source=g>*
>>  MA
>> <https://maps.google.com/?q=1+Bowdoin+Square,+10th+Floor+%7C+Boston+%7C+MA+%7C+02114+%0D%0A+Office:+1&entry=gmail&source=g>
>>  *|
>> <https://maps.google.com/?q=1+Bowdoin+Square,+10th+Floor+%7C+Boston+%7C+MA+%7C+02114+%0D%0A+Office:+1&entry=gmail&source=g> *
>> 02114
>> <https://maps.google.com/?q=1+Bowdoin+Square,+10th+Floor+%7C+Boston+%7C+MA+%7C+02114+%0D%0A+Office:+1&entry=gmail&source=g>
>>
>> Office:
>> <https://maps.google.com/?q=1+Bowdoin+Square,+10th+Floor+%7C+Boston+%7C+MA+%7C+02114+%0D%0A+Office:+1&entry=gmail&source=g>
>>  +1
>> <https://maps.google.com/?q=1+Bowdoin+Square,+10th+Floor+%7C+Boston+%7C+MA+%7C+02114+%0D%0A+Office:+1&entry=gmail&source=g>
>> -617-726-8859* | *Fax: +1- <617-726-5552>617-726-1977
>>
>> Mobile: +1-802-238-6512
>>
>> [log in to unmask]   http://vascore.org <http://vascore.org/>
>>
>>
>>
>> Find us on LinkedIn
>>
>> https://www.linkedin.com/company/vascore-training-and-educat
>> ion-center-vtec-
>>
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>>
>> *From: *UVM Flownet <[log in to unmask]> on behalf of Andrew Bebry <
>> [log in to unmask]>
>> *Reply-To: *UVM Flownet <[log in to unmask]>
>> *Date: *Friday, May 25, 2018 at 1:12 PM
>> *To: *"[log in to unmask]" <[log in to unmask]>
>> *Subject: *Re: Mesenteric Template
>>
>>
>>
>> *        External Email - Use Caution        *
>>
>> Steve:
>>
>> Thanks so much.  That retro hepatic reference would be great.
>>
>> Andy Bebry
>>
>>
>>
>> On Fri, May 25, 2018 at 12:25 PM, Knight, Steve <[log in to unmask]>
>> wrote:
>>
>> Andy I would include data fields for repeating the PSVs of celiac trunk
>> with the patient upright if MALC is indicated by supine results. You should
>> see a normalization of the velocities in the upright position. If so, it
>> rules out a fixed stenosis. Perhaps a check box to indicate abnormal (fish
>> hook) geometry of the celiac. It’s highly controversial but some feel that
>> compression of the nerve plexus may have as much or more to do with
>> symptoms as the artery. Giving somebody a heads up about the atypical bend
>> may give somebody an “aha” moment about symptoms. The MALC patients are
>> often at wits end by the time they get kicked around as far as a vascular
>> lab.
>>
>> Noting direction of flow of the hepatic may be useful. Retrograde hepatic
>> artery flow correlates highly with CA occlusion or tight stenosis (I can
>> give you a reference).
>>
>> Include one of the central veins (recommend SMV at least) so that you can
>> optimize your billing codes. As long as you do your complete documented
>> mesenteric exam protocol you should be good to bill 93975.
>>
>>
>>
>> *Steve Knight | Assistant Technical Director*
>>
>> *Vascular Ultrasound Core Lab **|** VasCore Training and Education
>> Center*
>>
>> *Massachusetts General Hospital*
>>
>> 1 Bowdoin Square, 10th Floor
>> <https://maps.google.com/?q=1+Bowdoin+Square,+10th+Floor+%7C+Boston+%7C+MA+%7C+02114+%0D%0A+Office:+1&entry=gmail&source=g>
>>  *|
>> <https://maps.google.com/?q=1+Bowdoin+Square,+10th+Floor+%7C+Boston+%7C+MA+%7C+02114+%0D%0A+Office:+1&entry=gmail&source=g> *
>> Boston
>> <https://maps.google.com/?q=1+Bowdoin+Square,+10th+Floor+%7C+Boston+%7C+MA+%7C+02114+%0D%0A+Office:+1&entry=gmail&source=g>* |
>> <https://maps.google.com/?q=1+Bowdoin+Square,+10th+Floor+%7C+Boston+%7C+MA+%7C+02114+%0D%0A+Office:+1&entry=gmail&source=g>*
>>  MA
>> <https://maps.google.com/?q=1+Bowdoin+Square,+10th+Floor+%7C+Boston+%7C+MA+%7C+02114+%0D%0A+Office:+1&entry=gmail&source=g>
>>  *|
>> <https://maps.google.com/?q=1+Bowdoin+Square,+10th+Floor+%7C+Boston+%7C+MA+%7C+02114+%0D%0A+Office:+1&entry=gmail&source=g> *
>> 02114
>> <https://maps.google.com/?q=1+Bowdoin+Square,+10th+Floor+%7C+Boston+%7C+MA+%7C+02114+%0D%0A+Office:+1&entry=gmail&source=g>
>>
>> Office:
>> <https://maps.google.com/?q=1+Bowdoin+Square,+10th+Floor+%7C+Boston+%7C+MA+%7C+02114+%0D%0A+Office:+1&entry=gmail&source=g>
>>  +1
>> <https://maps.google.com/?q=1+Bowdoin+Square,+10th+Floor+%7C+Boston+%7C+MA+%7C+02114+%0D%0A+Office:+1&entry=gmail&source=g>
>> -617-726-8859* |
>> <https://maps.google.com/?q=1+Bowdoin+Square,+10th%0D%0A+Floor+%7C+Boston+%7C+MA+%7C+02114+%0D%0A+Office:+1&entry=gmail&source=g> *
>> Fax: +1- <617-726-5552>617-726-1977
>>
>> Mobile: +1-802-238-6512
>>
>> [log in to unmask]   http://vascore.org <http://vascore.org/>
>>
>>
>>
>> Find us on LinkedIn
>>
>> https://www.linkedin.com/company/vascore-training-and-educat
>> ion-center-vtec-
>>
>> CONFIDENTIALITY NOTICE: This email contains information from the sender
>> that may be confidential, legally privileged, proprietary or otherwise
>> protected from disclosure. This email is intended for use only by the
>> person or entity to whom it is addressed. If you are not the intended
>> recipient, any use, disclosure, copying, distribution, printing, or any
>> action taken in reliance on the contents of this email, is strictly
>> prohibited. If you received this email in error, please contact the sending
>> party by replying in an email to the sender, delete the email from your
>> computer system and destroy any paper copies of the printed email.
>>
>>
>>
>>
>>
>>
>>
>>
>>
>> *From: *UVM Flownet <[log in to unmask]> on behalf of Andrew Bebry <
>> [log in to unmask]>
>> *Reply-To: *UVM Flownet <[log in to unmask]>
>> *Date: *Friday, May 25, 2018 at 9:10 AM
>> *To: *"[log in to unmask]" <[log in to unmask]>
>> *Subject: *Mesenteric Template
>>
>>
>>
>> *        External Email - Use Caution        *
>>
>> Good morning Flownetters:
>>
>> I would like to 'update' our Mesenteric template where we enter our
>> findings after doing one of these studies.  Would you please share your
>> protocol/template for this study.  It typically includes velocity data for
>> aortic velocity near the SMA/renal, SMA
>> <https://maps.google.com/?q=1+Bowdoin+Square,+10th%0D%0A+Floor+%7C+Boston+%7C+MA+%7C+02114+%0D%0A+Office:+1&entry=gmail&source=g>,
>> IMA, celiac axis, splenic, and common hepatic.  Also inhal/exhalation for
>> arcuate ligament compression if indicated.  What else do we need?
>>
>> Thanks.
>>
>> Andy Bebry, RVT
>>
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>
>

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