Joe. I do not perform pressures over stents, grafts or atherectomies....
due to the unlikely event of damage to the procedure and subsequent
stenosis/thrombosis.  This happened to one of my predecessors.  Even though
one doc said I can put pressure post-op, but not periop, I don't do it,
unless ORDERED. I've been at this 36 yrs and don't plan on sending anyone
to the ER.  My mentors and the luminaries I know agree with me.  Andy
Bebry,RVT

On Sun, Nov 4, 2018, 4:30 PM Schneider, Joseph MD <[log in to unmask]
wrote:

> Hello
>
> We do not do PVRs in our lab (this seems to be a favorite in the
> Northeast, probably the lingering influence of John Mannick and Jeff
> Raines, we are Midwestern and likely are still influenced by Jimmy Yao and
> Eugene Strandness) so I would like to ask how labs approach the problem of
> pressure cuffs in subjects with previous interventions, especially with
> stents. We would not do full segmental pressures in such patients and would
> limit pressure measurements to the ankle (ABI) to avoid possible
> compression of the treated/stented arteries. I am wondering if those of you
> who use PVR (where the base pressure of 65 mmHg is much less than would be
> required in segmental pressure measurements) limit your PVR measurements to
> the ankle and foot to avoid any compression of the stents?
>
> Thanks
>
> Joe
>
>
>
>
>
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