Advertisement

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

  • Ali F. AbuRahma
  • Kimberly S. Jarrett
Chapter

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.

Keywords

Occlusive Disease Popliteal Artery Pulsatility Index Doppler Signal Common Femoral Artery 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Satomura S. Study of flow patterns in peripheral arteries by ultrasonics. J Acoust Soc Jpn 1959;15:151–153.Google Scholar
  2. 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.PubMedGoogle Scholar
  3. 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. 4.
    Barnes RW. Noninvasive diagnostic techniques and peripheral vascular disease. Am Heart J 1979;97:241– 258.CrossRefPubMedGoogle Scholar
  5. 5.
    Holland T. Utilizing the ankle brachial index in clinical practice. Ostomy Wound Manage 2002;48:38–40.PubMedGoogle Scholar
  6. 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.CrossRefPubMedGoogle Scholar
  7. 7.
    Carser DG. Do we need to reappraise our method of interpreting the ankle brachial pressure index? J Wound Care 2001;10:59–62.PubMedGoogle Scholar
  8. 8.
    Yao JST, Bergan JJ. Predictability of vascular reactivity to sympathetic ablation. Arch Surg 1973;106:676–680.Google Scholar
  9. 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.Google Scholar
  10. 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.PubMedGoogle Scholar
  11. 11.
    Sumner DS, Strandness DE Jr. An abnormal finger pulse associated with cold sensitivity. Ann Surg 1972;175:294–298.CrossRefPubMedGoogle Scholar
  12. 12.
    Barnes RW. Noninvasive assessment of arteriovenous fistula. Angiology 1978;29:691–704.CrossRefPubMedGoogle Scholar
  13. 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. 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.CrossRefPubMedGoogle Scholar
  15. 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.PubMedGoogle Scholar
  16. 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.CrossRefPubMedGoogle Scholar
  17. 17.
    AbuRahma AF, Diethrich EB, Reiling M. Doppler testing in peripheral vascular occlusive disease. Surg Gynecol Obstet 1980;150:26–28.PubMedGoogle Scholar
  18. 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.PubMedGoogle Scholar
  19. 19.
    Hatsukami TS, Primozich JF, Zierler RE. Color Doppler imaging of infrainguinal arterial occlusive disease. J Vasc Surg 1992;16:527–533.CrossRefPubMedGoogle Scholar
  20. 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.CrossRefPubMedGoogle Scholar
  21. 21.
    Collier P, Wilcox G, Brooks D. Improved patient selection for angioplasty utilizing color Doppler imaging. Am J Surg 1990;160:171–173.CrossRefPubMedGoogle Scholar
  22. 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.CrossRefPubMedGoogle Scholar
  23. 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.CrossRefPubMedGoogle Scholar
  24. 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.PubMedGoogle Scholar
  25. 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. 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.PubMedGoogle Scholar
  27. 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. 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.CrossRefPubMedGoogle Scholar
  29. 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. 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.PubMedGoogle Scholar
  31. 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. 32.
    Carroll RM, Rose HB, Vyden J, et al. Cardiac arrhythmias associated with treadmill claudication testing. Surgery 1978;83:284–287.PubMedGoogle Scholar
  33. 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.PubMedGoogle Scholar
  34. 34.
    Halperin JI. Evaluation of patients with peripheral vascular disease. Thromb Res 2002;106:V303–311.CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag London Limited 2010

Authors and Affiliations

  • Ali F. AbuRahma
    • 1
    • 2
  • Kimberly S. Jarrett
    • 3
  1. 1.Department of SurgeryRobert C. Byrd Health Sciences Center, West Virginia UniversityCharlestonUSA
  2. 2.Charleston Area Medical CenterCharlestonUSA
  3. 3.Department of SurgeryCharleston Area Medical Center, Robert C. Byrd Health Sciences Center of West Virginia UniversityCharlestonUSA

Personalised recommendations