A Simplified Method for Evaluating Peripheral Arterial Occlusive Disease in a Clinical Vascular Laboratory

Matesanz, Juan M.; Patwardhan, Nilima; Herrmann, John B.
November 1978
Angiology;Nov1978, Vol. 29 Issue 11, p791
Academic Journal
A relatively simple, inexpensive, and accurate procedure for the vascular laboratory evaluation of patients with suspected peripheral arterial occlusive disease is described. This method was evaluated in a series of 110 limbs in 58 patients seen in the Vascular Laboratory at the Worcester City Hospital. All patients were evaluated clinically and angiographically as well, to provide additional standards for evaluation. The method described was 100% accurate in predicting the presence or absence of significant occlusive disease, and over 90% accurate in defining the location of the major occlusive process. The method utilizes a combination of two well-established measurements-ankle systolic pressure and ankle pulse wave amplitude-as a screening method for determining the presence or absence of significant occlusive disease. Only patients with abnormal findings are tested further, resulting in a considerable savings in time and expense in the clinical vascular laboratory. The method may also prove valuable for following patients with known vascular disease for evidence of progression and for evaluating the effectiveness of various reconstructive procedures. Other methods and instruments may be adapted utilizing the same general principles.


Related Articles

  • CHARACTERISTICS OF REACTIVE HYPEREMIA IN OLD AND YOUNG DOGS. Geber, William F.; Schwinghamer, James M. // Angiology;Oct1965, Vol. 16 Issue 10, p600 

    The reactive hyperemic response pattern has been compared in young dogs (3 to 6 months) and old dogs (11 to 17 years). The general characteristic pattern in the young animal was one of maximal flow height and flow pulse immediately following release of the arterial occlusion. There was minimal...

  • Computed tomographic angiography findings in 103 patients following vascular events in the posterior circulation; potential and clinical relevance. Graf, Julia; Skutta, Bernd; Kuhn, Fritz-Peter; Ferbert, Andreas // Journal of Neurology;Oct2000, Vol. 247 Issue 10, p760 

    We studied the diagnostic value of computed tomographic angiography (CTA) in the posterior circulation as a noninvasive substitute for intra-arterial digital subtraction angiography (DSA). We prospectively investigated 103 patients with acute stroke in the posterior circulation. All patients...

  • Sequential occlusion of the branch retinal artery and branch retinal vein in a patient with hypertension: an interventional case report. Norio Okamoto; Chota Matsumoto; Yoshikazu Shimomura // Clinical Ophthalmology;2014, Vol. 8, p2121 

    Background: There are some cases that reported central retinal vein occlusion accompanied by ciliary artery occlusion, however, combined branch retinal artery and vein occlusion is a rare condition that has been infrequently reported. We describe in this report one case of retinal vein occlusion...

  • The Exercise Pressor Reflex and Changes in Radial Arterial Pressure and Heart Rate During Walking in Patients with Arteriosclerosis Obliterans. Baccelli, Giorgio; Reggiani, Paolo; Mattioli, Alessandro; Corbellini, Ezio; Garducci, Stefano; Catalano, Michele // Angiology;May1999, Vol. 50 Issue 5, p361 

    Little is known about the time course and extent of the changes in radial arterial pressure and heart rate taking place in patients with arteriosclerosis obliterans during walking, as well their subtending mechanisms. For this reason the authors measured these variables in 23 patients with...

  • Telemedicine in Vascular Surgery: Does it Work? Endean, Eric D.; Mallon, Lawrence I.; Minion, David J.; Kwolek, Christopher J.; Schwarcz, Thomas H. // American Surgeon;Apr2001, Vol. 67 Issue 4, p334 

    Telemedicine (TM) using closed-circuit television systems allows specialists to evaluate patients at remote sites. Because an integral part of the vascular examination involves palpation of peripheral pulses the applicability of TM for the evaluation of vascular surgery patients is open to...

  • Endovaskularna okluzija intrakranijalnih aneurizmi - alternativa hirurÅ¡kom lečenju. Tasć, G. M.; Rakć, M. U.; Jovanović, V. T.; Djurović, B. M.; Nikolić, I. M.; Jokić, M. B.; Radulovć, D. V.; Bogosavljević, V. M. // Acta Chirurgica Iugoslavica;2008, Vol. 55 Issue 2, p97 

    Aneurysms on cerebral blood vessels due to their localization, size, relationship with neurovascular structures, even today, represent besides the constant progress of the diagnostic techniques and instruments in the operating theaters, a great therapeutic challenge. Gigantic aneurysms,...

  • Laser Atherectomy for Lower Extremity Revascularization: An Adjunctive Endovascular Treatment Option. Wei Zhou; Bush, Ruth L.; Lin, Peter H.; Peden, Eric K.; Lumsden, Alan B. // Vascular & Endovascular Surgery;Aug/Sep2006, Vol. 40 Issue 4, p268 

    Excimer laser atherectomy (LA) employs precision laser energy control (shallow tissue penetration) and safer wavelengths (ultraviolet as opposed to the infrared spectra in older laser technology), which decreases perforation and thermal injury to the treated vessels. Though extensively used by...

  • Massive Right Atrial Thrombus. Dobrilovic, Nick; Wright, Creighton B. // New England Journal of Medicine;10/3/2002, Vol. 347 Issue 14, pe4 

    The article presents the case study of an 80-year-old woman who was presented to the emergency department of a hospital soon after the onset of shortness of breath. The computed tomographic analysis of her chest showed a pulmonary embolism and an apparent atrial mass. Subsequent transesophageal...

  • INJURY AND REPAIR IN ARTERIAL TISSUE. Bj�rkerud, S. // Angiology;Nov1974, Vol. 25 Issue 10, p636 

    Studies the effect of injury on arterial tissue. Concepts concerning the etiology of arterial disease; Proliferation occurred before degenerative changes; Examination of injury and repair of arterial tissue.


Read the Article


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

Try another library?
Sign out of this library

Other Topics