The Vascular Laboratory in Practice: a National Survey in The Netherlands
| Autor: | Hermanus F Veen, P.T. den Hoed, R. U. Boelhouwer, W. Dolman, Sandra Spronk |
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| Přispěvatelé: | Epidemiology |
| Jazyk: | angličtina |
| Předmět: |
medicine.medical_specialty
Severity of Illness Index Percutaneous angioplasty Diagnostic angiography Outcome Assessment Health Care medicine Humans Internal carotid artery stenosis Vascular Diseases Practice Patterns Physicians' Netherlands Response rate (survey) Medicine(all) Ultrasonography Doppler Duplex business.industry Angiography Hemodynamics Vascular laboratory Vascular diagnostic criteria Duplex ultrasound medicine.disease Stenosis Health Care Surveys Surgery Radiology Cardiology and Cardiovascular Medicine business Laboratories |
| Zdroj: | European Journal of Vascular and Endovascular Surgery, 24, 300-303. W.B. Saunders |
| ISSN: | 1078-5884 |
| DOI: | 10.1053/ejvs.2002.1733 |
| Popis: | Objectives : to overview Dutch vascular laboratory practice and specifically the variation in duplex criteria. Methods : a questionnaire was sent to all vascular laboratories in The Netherlands ( n =140). Results : the response rate of the inquiry was 64% ( n =89). There is no consensus on interpretation of outcome. In 22% of the clinics ( n =20) a diagnostic angiography will be omitted when a percutaneous angioplasty is advised on account of duplex ultrasound. Only 5% ( n =4) relies upon duplex ultrasound for operation without diagnostic angiography. In 44% ( n =39) a PSV (peak systolic velocity) of 125 cm/s is used to identify a>70% or internal carotid artery stenosis. In 44% ( n =39) a PSV of 210 cm/s and 10% ( n =9) a PSV≥150 cm/s is used. For grading a relevant stenosis in the femoro-politeal arteries a PSV ratio≥2.5 is chosen in 75% ( n =67). Criteria used for graft surveillance shows also a wide variation. Conclusions : a commission for the accreditation of vascular laboratories should be established with the goal of creating standards and performing quality control. |
| Databáze: | OpenAIRE |
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