Ordering Vascular Lab Tests for Venous and Kidney Disease
Washington, DC - A new report issued by the American College of Cardiology (ACC) and developed in collaboration with 10 other leading professional societies provides detailed criteria to help clinicians optimize the appropriate use of certain noninvasive vascular tests when caring for patients with known or suspected disorders of the venous system. Also included are first-time recommendations for when and how to use these tests to plan for or evaluate dialysis access placement.
“Vascular lab testing is central to the care of patients with most peripheral vascular disorders, but appropriate use criteria for these [technologies] have lagged behind those for cardiac testing,” said Heather Gornik, MD, FACC, cardiologist and vascular medicine specialist at the Cleveland Clinic and chair of the writing committee. “With this report, we now have multidisciplinary criteria upon which we can start maximizing the quality and appropriateness of what we do in the vascular lab every day.”
The new report offers comprehensive, at-a-glance guidance on when – and when not – to refer patients for vascular laboratory testing (for example, duplex ultrasound and physiological testing using blood flow sensors) to help detect such problems as venous insufficiency, varicose veins, blood clots in the veins the leg, arm or abdomen, and pulmonary embolism. These criteria are a follow-up to the group’s previously issued guidance evaluating the use of the vascular laboratory for diagnosing and monitoring the arterial side of the circulatory system. Continue>
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