Question

Before applying anti embolism stockings, what test should you perform and why?

Answer 1

Ankle-brachial index test is the test that should be done before prescribing Anti emobolic stockings

We usually use anti embolic stocking for the

Anti-embolic [AE] stockings reduce the risk of by exerting graduated circumferential pressure, which increases blood flow velocity and promotes venous return. In preventing venous distension, stockings are thought to reduce subendothelial tears and inhibit the activation of clotting factors

The ankle-brachial index test is done to check for Peripheral arterial disease(PAD) - narrowed arteries that reduce blood flow, usually in your legs.

nkle-brachial index It is a ratio composed of the blood pressure in the brachial artery and the pressures in the foot arteries (dorsalis pedis and the posterior tibial artery

INTERPRETATION

• No blockage (1.0 to 1.4). An ankle-brachial index number in this range suggests that you probably don't have PAD. But if you have symptoms of PAD, your doctor might perform an exercise ankle-brachial index test.
• Borderline blockage (0.91 to 0.99). An ankle-brachial index number is this range indicates that you have borderline PAD. Your doctor might recommend an exercise ankle-brachial index test.
• PAD (less than 0.90). An ankle-brachial index number in this range is considered abnormal and indicates a diagnosis of PAD. Your doctor may recommend additional testing, such as ultrasound or angiography, to view the arteries in your legs.

So, if the Anke brachial pressure index is below 1.0, it is of high risk of developing peripheral artery occlusion.

Only use the anti embolic stocking for venous thromboembolsm ,if the ABPI is greater than 1 .