Skip to main content
SpringerLink
Log in

Segmental Doppler Pressures and Doppler Waveform Analysis in Peripheral Vascular Disease of the Lower Extremities

  • Chapter
Noninvasive Peripheral Arterial Diagnosis

Abstract

The credit for first developing Doppler flow detectors belongs to Satomura, whose clinical report appeared in 1959.1 However, until Strandness et al. 2 popularized the use of transcutaneous flow detection to study peripheral vascular occlusive disease, the diagnosis or objective assessment of limb ischemia was dependent upon clinical examination, arteriography, or plethysmography. The development of the continuous-wave or pulsed Doppler techniques opened a new field for the diagnosis of peripheral vascular occlusive disease.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Satomura S. Study of flow patterns in peripheral arteries by ultrasonics. J Acoust Soc Jpn 1959;15:151–153.

    Google Scholar 

  2. Strandness DE Jr, McCutcheon EP, Rushmer RF. Application of transcutaneous Doppler flow meter in evaluation of occlusive arterial disease. Surg Gynecol Obstet 1966;122: 1039–1045.

    PubMed  Google Scholar 

  3. Kirkendall WM, Burton AC, Epstein FH, et al. Recommendation for human blood pressure determinations by sphygmomanometers: Report of sub-committee of the postgraduate education committee, American Heart Association. Circulation 1967;36:980–988.

    Google Scholar 

  4. Barnes RW. Noninvasive diagnostic techniques and peripheral vascular disease. Am Heart J 1979;97:241– 258.

    Article  CAS  PubMed  Google Scholar 

  5. Holland T. Utilizing the ankle brachial index in clinical practice. Ostomy Wound Manage 2002;48:38–40.

    PubMed  Google Scholar 

  6. Adam DJ, Naik J, Hartshorne T, Bello M, London NJ. The diagnosis and management of 689 chronic leg ulcers in a single-visit assessment clinic. Eur J Vasc Endovasc Surg 2003;25:462–468.

    Article  CAS  PubMed  Google Scholar 

  7. Carser DG. Do we need to reappraise our method of interpreting the ankle brachial pressure index? J Wound Care 2001;10:59–62.

    CAS  PubMed  Google Scholar 

  8. Yao JST, Bergan JJ. Predictability of vascular reactivity to sympathetic ablation. Arch Surg 1973;106:676–680.

    Google Scholar 

  9. AbuRahma AF, Robinson PA. Clinical parameters for predicting response to lumbar sympathectomy with severe lower limb ischemia. J Cardiovasc Surg 1990;31: 101–106.

    CAS  Google Scholar 

  10. Barnes RW, Shanik GD, Slaymaker EE. An index of healing of below knee amputation: Leg blood pressure by Doppler ultrasound. Surgery 1976;79:13–20.

    CAS  PubMed  Google Scholar 

  11. Sumner DS, Strandness DE Jr. An abnormal finger pulse associated with cold sensitivity. Ann Surg 1972;175:294–298.

    Article  CAS  PubMed  Google Scholar 

  12. Barnes RW. Noninvasive assessment of arteriovenous fistula. Angiology 1978;29:691–704.

    Article  CAS  PubMed  Google Scholar 

  13. Johnson KW, Maruzzo BC, Kassam M, et al. Methods for obtaining processing and quantifying Doppler blood flow\ velocity waveforms. In:Yao JST, Nicolaides AN (eds). Basic Investigation in Vascular Disease. London: Churchill Livingstone, Inc., 1981.

    Google Scholar 

  14. Toursarkissian B, Mejia A, Smilanich RP, Schoolfield J, Shireman PK, Sykes MT. Noninvasive localization of infrainguinal arterial occlusive disease in diabetics. Ann Vasc Surg 2001;15:73–78.

    Article  CAS  PubMed  Google Scholar 

  15. Sawka AM, Carter SA. The effect of temperature on digital systolic pressures in the lower limb in arterial disease. Circulation 1992;85:1097–1101.

    CAS  PubMed  Google Scholar 

  16. Carter SA, Tate RB. The effect of body heating and cooling on the ankle and toe systolic pressures in arterial disease. J Vasc Surg 1992;16:148–153.

    Article  CAS  PubMed  Google Scholar 

  17. AbuRahma AF, Diethrich EB, Reiling M. Doppler testing in peripheral vascular occlusive disease. Surg Gynecol Obstet 1980;150:26–28.

    CAS  PubMed  Google Scholar 

  18. AbuRahma AF, Diethrich EB. Doppler ultrasound in evaluating the localization and severity of peripheral vascular occlusive disease. South Med J 1979;72:1425– 1428.

    CAS  PubMed  Google Scholar 

  19. Hatsukami TS, Primozich JF, Zierler RE. Color Doppler imaging of infrainguinal arterial occlusive disease. J Vasc Surg 1992;16:527–533.

    Article  CAS  PubMed  Google Scholar 

  20. Moneta GL, Yeager RA, Lee RW. Noninvasive localization of arterial occlusive disease: A comparison of segmental Doppler pressures and arterial duplex mapping. J Vasc Surg 1993;17:578–582.

    Article  CAS  PubMed  Google Scholar 

  21. Collier P, Wilcox G, Brooks D. Improved patient selection for angioplasty utilizing color Doppler imaging. Am J Surg 1990;160:171–173.

    Article  CAS  PubMed  Google Scholar 

  22. Cossman DV, Ellison JE, Wagner WH, et al. Comparison of contrast arteriography to arterial mapping with color-flow duplex imaging in the lower extremities. J Vasc Surg 1989;10:522–529.

    Article  CAS  PubMed  Google Scholar 

  23. AbuRahma AF, Khan S, Robinson PA. Selective use of segmental Doppler pressures and color duplex imaging in the localization of arterial occlusive disease of the lower extremity. Surgery 1995;118:496–503.

    Article  CAS  PubMed  Google Scholar 

  24. Feigelson HS, Criqui MH, Fronek A. Screening for peripheral arterial disease: The sensitivity, specificity, and predictive value of noninvasive tests in a defined population. Am J Epidemiol 1994;140:526–534.

    CAS  PubMed  Google Scholar 

  25. Gosling RG, King DH. Continuous wave ultrasound as an alternative and compliment to x-rays in vascular examination. In: Rebeman RS (ed). Cardiovascular Applications of Ultrasound. Amsterdam: North Holland Publishers, 1974.

    Google Scholar 

  26. Harris PL, Taylor LA, Cave FD, et al. The relationship between Doppler ultrasound assessment and angiography in occlusive arterial disease of the lower limbs. Surg Gynecol Obstet 1974;138:911–914.

    CAS  PubMed  Google Scholar 

  27. Johnson KW, Cobbold RSC, Kassam M, et al. Real time frequency analysis of peripheral arterial Doppler signals. In: Diethrich EB (ed). Noninvasive Cardiovascular Diagnosis. Littleton, MA: PSG Publishing, 1980.

    Google Scholar 

  28. Gale SS, Scissons RP, Salles-Cunha SX, et al. Lower extremity arterial evaluation: Are segmental arterial blood pressures worthwhile? J Vasc Surg 1998;27:831–839.

    Article  CAS  PubMed  Google Scholar 

  29. AbuRahma AF. Correlation of the resting and exercise Doppler ankle arm index to the symptomatology and to the angiographic findings. In: Diethrich EB (eds). Noninvasive Assessment of the Cardiovascular System, pp. 287–290. Littleton, MA: John Wright-PSG, Inc., 1982,

    Google Scholar 

  30. Strandness DE Jr, Bell JW. An evaluation of the hemodynamic response of the claudicating extremity to exercise. Surg Gynecol Obstet 1964;119:1237–1242.

    PubMed  Google Scholar 

  31. Quriel K, McDowell AE, Metz CE, et al. Critical evaluation of stress testing in the diagnosis of peripheral vascular disease. Surgery 1982;91:686–693.

    Google Scholar 

  32. Carroll RM, Rose HB, Vyden J, et al. Cardiac arrhythmias associated with treadmill claudication testing. Surgery 1978;83:284–287.

    CAS  PubMed  Google Scholar 

  33. Baker JD, Daix D. Variability of Doppler ankle pressures with arterial occlusive disease:An evaluation of ankle index and brachial ankle gradient. Surgery 1981;89:134–137.

    CAS  PubMed  Google Scholar 

  34. Halperin JI. Evaluation of patients with peripheral vascular disease. Thromb Res 2002;106:V303–311.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Surgery, Robert C. Byrd Health Sciences Center, West Virginia University, Charleston, WV, USA

    Ali F. AbuRahma MD, FACS, FRCS, RVT, RPVI (Professor, Chief, Vascular/Endovascular Surgery, Medical Director, Vascular Laboratory, Co-Director, Vascular Center of Excellence)

  2. Charleston Area Medical Center, Charleston, WV, USA

    Ali F. AbuRahma MD, FACS, FRCS, RVT, RPVI (Professor, Chief, Vascular/Endovascular Surgery, Medical Director, Vascular Laboratory, Co-Director, Vascular Center of Excellence)

  3. Department of Surgery, Charleston Area Medical Center, Robert C. Byrd Health Sciences Center of West Virginia University, Charleston, WV, USA

    Kimberly S. Jarrett RVT (Technical Director, Vascular Laboratory)

Authors
  1. Ali F. AbuRahma MD, FACS, FRCS, RVT, RPVI
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Kimberly S. Jarrett RVT
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Department of Surgery, Robert C. Byrd Health Sciences Center, West Virginia University, Charleston, WV, USA

    Ali F. AbuRahma MD, FACS, FRCS, RVT, RPVI (Professor, Chief, Vascular/Endovascular Surgery, Medical Director, Vascular Laboratory, Co-Director, Vascular Center of Excellence) (Professor, Chief, Vascular/Endovascular Surgery, Medical Director, Vascular Laboratory, Co-Director, Vascular Center of Excellence)

  2. Charleston Area Medical Center, Charleston, WV, USA

    Ali F. AbuRahma MD, FACS, FRCS, RVT, RPVI (Professor, Chief, Vascular/Endovascular Surgery, Medical Director, Vascular Laboratory, Co-Director, Vascular Center of Excellence) (Professor, Chief, Vascular/Endovascular Surgery, Medical Director, Vascular Laboratory, Co-Director, Vascular Center of Excellence)

  3. UCSD School of Medicine, La Jolla, CA, USA

    John J. Bergan MD, FACS, Hon FRCS

Rights and permissions

Reprints and permissions

Copyright information

© 2010 Springer-Verlag London Limited

About this chapter

Cite this chapter

AbuRahma, A.F., Jarrett, K.S. (2010). Segmental Doppler Pressures and Doppler Waveform Analysis in Peripheral Vascular Disease of the Lower Extremities. In: AbuRahma, A.F., Bergan, J.J. (eds) Noninvasive Peripheral Arterial Diagnosis. Springer, London. https://doi.org/10.1007/978-1-84882-955-8_3

Download citation

  • DOI: https://doi.org/10.1007/978-1-84882-955-8_3

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-84882-954-1

  • Online ISBN: 978-1-84882-955-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation