In the third installment of the Life of Flow podcast Rant series, hosts Lucas Ferrer and Miguel Montero Baker are joined by special guest Jill Sommeret for an engaging discussion centered on the optimization of arterial flow through meticulous preoperative imaging. Delving deep into the complexities of vascular procedures, the trio navigates through the nuances of ultrasound mapping, emphasizing its pivotal role in identifying suitable candidates for arterialization, especially in cases of chronic limb-threatening ischemia (CLTI). Jill Sommeret sheds light on the importance of evaluating venous system integrity, from assessing compressibility to detecting post-thrombotic disease, underscoring the necessity for thorough preoperative assessments to ensure optimal patient outcomes.

As the conversation unfolds, the hosts and guest explore the intricacies of obtaining approval for additional imaging studies and advocate for empowering technologists to conduct such assessments when needed. They delve into technical aspects of ultrasound mapping, including the evaluation of venous loops and structures, while also discussing the assessment of volume flow and pedal acceleration time (PAT) in vessels to predict post-procedure outcomes. Through their insightful dialogue, Ferrer, Montero-Baker, and Sommeret underscore the critical importance of comprehensive perioperative imaging in guiding surgical planning and enhancing patient care in the realm of contemporary vascular care.

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