PAD is currently under diagnosed and under treated because there has not been a testing device that is easy to use, or reproduces quality results every time. By combining segmental blood pressure measurements, bilateral PVR waveforms at multiple levels and venous refill time, PADnet+ supplies a more comprehensive test result than other physiologic test devices. In addition, connecting primary care physicians and vascular specialists via the PADnet+ web interface is better than existing methods, as it facilitates diagnosis and care coordination more effectively and efficiently.
The Easiest Method to Test for Peripheral Arterial Disease and Chronic Venous Insufficiency
The PADnet+ eliminates the use of Doppler Ultrasound to obtain segmental blood pressures, the basis for the ABI (ankle brachial index) and TBI (toe brachial index) values. Many clinical experts believe the ABI is the single best screening test for cardiovascular disease, and the TBI is a replacement for the ABI for those patients whose ankle vessels are non-compressible.
PADnet+ also includes a pulse volume recorder (plethysmograph), technology which produces pulse volume recordings (PVR waveforms), an indication of the functional status of the limb. Combining segmental pressures and PVR waveforms, physicians can quickly assess both the quality and quantity of blood flow.
PADnet+ now also includes post-exercise PAD testing and venous refill (CVI) testing. For some patients with PAD, symptoms can be masked. At rest studies may be equivocal or the patient may report symptoms of claudication which are not supported by the findings. By having patients perform toe-ups or moderate exercise on a treadmill to induce symptoms, blood flow increases 3-5 times, making it easier to detect arterial stenosis, an abnormal narrowing in blood vessels. Arterial stenosis is masked at a resting state when ankle-brachial values exceed 1.00. Beyond initial diagnosis, post-exercise testing helps track changes in patients symptoms over time.
The PADnet+ venous refill test is for primary diagnosis of insufficiencies and incompetence (damaged valves that no longer close properly) of the superficial venous system. By measuring venous refill time, it can identify only the presence or absence of disease. It is not intended to find the severity, location or source of reflux (the backward flow of blood). And it is not a method of detecting Deep Vein Thrombosis (DVT).
Diagnosis
Primary Care Physicians and Podiatrists who use PADnet+ can provide their patients immediate referrals of study findings to specialists without those patients having to see a specialist. Test results are referred to vascular specialists of their choice via our secure web-based server, which allows providers to maintain HIPAA compliance
Diagnosis and recommendations are sent back usually within 48 hours. Patients who really need follow up care can be referred on for higher level assessment and treatment. Specialists who participate as Hubs in PADnet+ networks receive new patients this way — patients who they can truly help.
Comprehensive Training Ensures Quality
A complete training and certification program is supplied for each person who will be performing PADnet+ tests. It includes a 3-part training manual covering the basics of vascular disease, diagnostic testing methods, and basics of test interpretation. All test site personnel will be required to read the manuals and complete progress checks satisfactorily to earn certification to perform PADnet+ tests. In addition, they will have their first 10 tests reviewed for accuracy and completeness. The certification itself is provided by the American College of Foot & Ankle Orthopedics & Medicine (http://www.acfaom.org/), a CME provider since 1949.
Good for Practices and Patients
Before PADnet+, Primary Care Physicians had difficulties meeting coverage and payment requirements for noninvasive vascular testing. There were also logistical problems transferring test results between care providers.
In most cases, when approved study indications are selected, PADnet+ studies will meet the technical and professional components of the following complete, bilateral studies:
Non Invasive Lower Extremity Arterial Study (CPT® Code 93922-TC, 26)
Non Invasive Lower Extremity Arterial Study (CPT Codes 93923-TC, 26)
Non Invasive Lower Extremity Arterial Study at rest and following exercise (CPT Code 93924-TC, 26)
Non Invasive Study of Extremity Veins (CPT Code 93965-TC, 26)
The technical component is the actual performance of the test. The professional component involves interpreting the results and producing a diagnosis.
For an analysis of PADnet+ in your practice, call us at 877-854-0014.
Or drop us a note at www.info@biomedix.com.
Visit our website: http://www.biomedix.com/education/pdms.aspx
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Peripheral Arterial Diseaseby TheDoctorsChannel10,484 views
'Dr. Giuliani is probably good and part of FOOT CARE ASSOCIATES, but his staff is arrogant and marginally competent at best (speaking specifically of the front desk staff) I'd go somewhere else
serafinichess 1 month ago