TITLE

Diagnostic Performance of Segmental Plethysmography and Doppler Ultrasound in Obliterating Vascular Diseases in the Lower Limbs

AUTHOR(S)
Clement, Denis L.; Claeys, Roland
PUB. DATE
April 1980
SOURCE
Angiology;Apr1980, Vol. 31 Issue 4, p272
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
The diagnostic value of three noninvasive techniques was evaluated in a group of 100 "normal" and 100 "abnormal" limbs. The choice of segmental plethysmography, systolic pressure determination, and Doppler velocity curve was based on the fact that these methods are noninvasive, inexpensive, and atraumatic; they can easily be performed by paramedical personnel. There was a statistically significant difference between the ankle-to-arm systolic blood pressure ratio of normals and abnormals as measured by Doppler ultrasound with 0.96 as the dividing line, no false positives and only 11% false negatives were found. However, there was a large overlap for many parameters calculated from the velocity curve. The general morphological aspect of the velocity curve shows a better diagnostic performance than the calculated parameters of this curve: a monophasis curve had an 85% chance of being normal. The ankle segmental plethysmogram yielded only 5% false negatives, but 20% false positives; moreover, a biphasic curve has a 90% chance of being normal. Thus large-scale screening in clinical practice or in epidemiologic studies can best be done by Doppler pressure measurements; the velocity curve performs less satisfactorily. Segmental plethysmography is more sensitive, but it yields more false positive results.
ACCESSION #
16391529

 

Related Articles

  • BLOOD PRESSURE MEASUREMENTS OF THE LOWER LIMB. Siggaard-Andersen, J.; Ulrich, J.; Engell, H. C.; Petersen, F. Bonde // Angiology;Jun1972, Vol. 23 Issue 6, p350 

    Investigates the application of blood pressure measurement for arterial insufficiency diagnosis of the lower limbs. Procedure for the utilization of the approach in the lower leg; Determination of the blood pressure measurement proximal and distal to the site of occlusion; Significance of the...

  • THE INFLUENCE OF VENOUS COLLECTING PRESSURE ON MEASUREMENTS OF CALF BLOOD FLOW BY VENOUS OCCLUSION PLETHYSMOGRAPHY. Lorentsen, Einar; Hansteen, Viggo; Sivertssen, Egil // Angiology;Nov1970, Vol. 21 Issue 10, p661 

    The influence of different venous collecting pressures on blood flow measurements by venous occlusion phethysmography in the human calf at rest and during post-ischemic reactive hyperemia, has been studied in 7 normal subjects and 32 patients with different degrees and locations of...

  • Blood Flow in the Calf During and After Exercise: Measurements with Doppler Ultrasound and Venous Occlusion Plethysmography in Healthy Subjects and in Patients with Arterial Occlusive Disease. Bernink, P. J. L. M.; Lubbers, J.; Barendsen, G. J.; van den Berg, J. // Angiology;Mar1982, Vol. 33 Issue 3, p146 

    The article cites a study on the flow of blood in the calf muscles during and after exercise. Furthermore, it sheds lights on measurements with Doppler ultrasound and venous occlusion plethysmography in healthy subjects and in patients with arterial occlusive disease. Exercise of the calf...

  • On visual determination of full inspiration on CT images. Vikgren, J.; Johansson, Å.; Gustavsson, S.; Moonen, M.; Bake, B.; Tylén, U. // European Radiology;Jun2003, Vol. 13 Issue 6, p1235 

    The aim of this study was to evaluate the ability of experienced thoracic radiologists to assess full inspiration based on two CT slices, one above and one below the carina, in normal subjects. Ten healthy volunteers were studied. Total lung capacity (TLC) was measured with a body...

  • Changes in venous function after foam sclerotherapy of varicose veins. Brunken, A.; Rabe, E.; Pannier, F. // Phlebology;Aug2009, Vol. 24 Issue 4, p145 

    Objectives: Foam sclerotherapy of varicose veins has recently proven to be an effective, economic and safe treatment modality. The present study attempts to evaluate the haemodynamic changes after sclerotherapy in addition to the clinical results. Methods: In a prospective observation trial, 67...

  • FUNCTIONAL SEGMENTAL PLETHYSMOGRAPHY. Sakaguchi, Shukichi; Tomita, Tohji; Endo, Iwao; Ishitori, Kozo // Angiology;Dec1970, Vol. 21 Issue 11, p714 

    The clinical results from the application of functional segmental plethysmography with air cuff, deviced by us, were described. 1. From the results obtained in examined 53 normal limbs, normal values of each venous function of the lower extremities were determined and physiological volume...

  • The PREPARE pilot RCT of home-based progressive resistance exercises for venous leg ulcers. Jull, A.; Parag, V.; Walker, N.; Maddison, R.; Kerse, N.; Johns, T. // Journal of Wound Care;Dec2009, Vol. 18 Issue 12, p497 

    Objective: To establish the feasibility of conducting a home-based progressive resistance exercise programme to improve calf muscle pump function in community-based patients with venous leg ulcers. Method: Participants were randomised to receive a 12-week progressive resistance exercise...

  • CLINICAL PLETHYSMOGRAPHY. Winsor, Travis // Angiology;Apr1953, Vol. 4 Issue 2, p134 

    A simple, direct-writing, electronic pneumoplethysmograph employing an electro-mechanical transducer is described. The instrument is of high sensitivity, portable, compact, may be standardized accurately and may be adapted to such already existing galvanometers as standard electrocardiographic...

  • Venous Plethysmography: Measuring Techniques and Normal Values. Pointel, J. P.; Gin, H.; Drouin, P.; Vernhes, G.; Debry, G. // Angiology;Mar1981, Vol. 32 Issue 3, p145 

    A fixed procedure of strain gauge plethysmography in a control population aged between 20-30 years allows normal values for venous parameters (venous distensibility, emptying, and resistance) and capillary filtration coefficient, to be determined. High speed recording reveals two phases in...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics