Which non-invasive test do you rely on (in your office or hospital) for PAD diagnosis?

image description image description


Dr. Gary Dockssays: September 22, 2012 at 11:25 pm

Relying on an ABI index to diagnose PAD will cause you to miss or misdiagnose many patients. Better to use skin perfusion, PVRs, or TcPO2 if available. If not, then use your own ears and listen to the pulse volume with a good Doppler. You can readily discern between a monophasic, biphasic, or triphasic pulse wave. While practicing, I referred at least 150 patients to interventional cardiology and vascular surgeons for revascularization that previously had been totally misdiagnosed and untreated. Any decent Doppler that produces a good waveform coupled with a good ear can easily save many legs.

Reply to this comment »

Post new comment

  • Web page addresses and e-mail addresses turn into links automatically.
  • Lines and paragraphs break automatically.

More information about formatting options

Image CAPTCHA
Enter the characters shown in the image.