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Evolution of the vascular laboratory
M. Mansour, R. Zwolak (2009)
Office-based vascular lab: is it worth the effort?Perspectives in vascular surgery and endovascular therapy, 21 1
Vicki Mauk (2002)
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A. Allen, Jocelyn Megargell, Daniel Brown, F. Lynch, H. Singh, Yuvraj Singh, P. Waybill (2000)
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IntroductionWe evaluated laboratory use in a 600–bed community hospital and a private practice lab. The study spanned from 1996 to 2007.MethodThe hospital laboratory used 5 duplex scanners and 2 physiologic plethysmography units and was staffed by 7 technologists. The private laboratory expanded over time, growing from 4 technologists with 4 duplex scanners and 1 physiologic machine to 7 technologists, 7 duplex scanners, and 3 physiologic units in 2007.ResultsA total of 43.5% of tests performed in the hospital were venous tests in 1999 and 55.5% in 2007. Cerebrovascular scans decreased (32.8% to 23.1%). Lower-extremity arterial tests also decreased. Other tests were uncommon (394 tests, or 5.1%). In the private lab cerebrovascular duplex scans decreased from 36.9% to 24.4%. Lower-extremity physiologic studies remained stable. Aortic scans became more common. Lower-extremity venous scans accounted for 14.2% of studies in 1996 and 11.8% in 2007 but with twice the number of tests.ConclusionThe hospital laboratory is predominantly involved in the diagnosis of venous thrombosis and cerebrovascular events. The less-used and uncommon studies such as upper-extremity arterial studies and dialysis access studies remain uncommon but are performed in greater volume in the private lab than the hospital.
Journal for Vascular Ultrasound – SAGE
Published: Mar 1, 2010
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