Pulse Volume Recording in the Diagnosis of Peripheral Vascular Disease

  • Jeffrey K. Raines
  • Jose I. Almeida


The pulse volume recorder (PVR) was introduced by Raines almost 35 years ago in a thesis based on graduate work conducted at the Massachusetts Institute of Technology (MIT), Harvard Medical School and Massachusetts General Hospital.1 The work was sponsored by the National Institutes of Health. The work built on earlier pioneering efforts by investigators such as T.Winsor2 and E. Strandness.3 The research took advantage of major recent advances in electronics, specifically in the area of pressure transducer design. However, the driving force was the increasing ability of the vascular surgeon to reconstruct peripheral arteries and the associated need to perform accurate diagnostic studies preoperatively and in follow-up.


Deep Venous Thrombosis Peripheral Vascular Disease Thoracic Outlet Syndrome Ankle Pressure Vascular Laboratory 
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  1. 1.
    Raines JK. Diagnosis and analysis of arteriosclerosis in the lower limbs from the arterial pressure pulse. Ph.D. thesis, Massachusetts Institute of Technology, Cambridge, 1972.Google Scholar
  2. 2.
    Winsor T, Hyman C. A Primer of Peripheral Vascular Disease. Philadelphia: Lea & Febiger, 1965.Google Scholar
  3. 3.
    Strandness DE Jr. Peripheral Arterial Disease. Boston: Little Brown, 1969.Google Scholar
  4. 4.
    Darling RC, Raines JK, Brener BJ, Austen WG. Quantitative segmental pulse volume recorder: A clinical tool. Surgery 1972;72:873–887.PubMedGoogle Scholar
  5. 5.
    Raines JR, Darling RC, Buth J, Brewster DC, Austen WG. Vascular laboratory criteria for the management of peripheral vascular disease of the lower extremities. Surgery 1976;79:21–29.PubMedGoogle Scholar
  6. 6.
    Rutherford RB, Lowenstein DH, Klein MF. Combining segmental systolic pressures and plethysmography to diagnose arterial occlusive disease of the legs. Am J Sur 1979;138: 211–218.CrossRefGoogle Scholar
  7. 7.
    Raines J, Larsen PB. Practical guidelines for establishing a clinical vascular laboratory. Cardiovasc Dis Bull Texas Heart Inst 1979;6:93–123.Google Scholar
  8. 8.
    Barringer M, Poole GV, Shircliffe AC, Meredith JW, Hightower F, Plonk GW. The diagnosis of aortoiliac disease. Ann Surg 1983;197:204–209.CrossRefPubMedGoogle Scholar
  9. 9.
    Sufian S. Noninvasive vascular laboratory diagnosis of deep venous thrombosis. Am Surg 1981;47:254–258.PubMedGoogle Scholar
  10. 10.
    van Rijn ABB, Heller I, Van Zijl J. Segmental air plethysmography in the diagnosis of deep vein thrombosis. Surgery 1987;165:488–490.Google Scholar
  11. 11.
    Naidich JB, Feinberg AW, Karp-Harman H, Karmel MI, Tyma CG, Stein HL. Contrast venography: Reassessment of its role. Radiology 1988;168:97–100.PubMedGoogle Scholar
  12. 12.
    Raines J, Schlaen H, Brewster DC, Abbott WM, Darling RC. Experience with a non-invasive evaluation for cerebral vascular disease. Angiology 1979;30:600–609.CrossRefPubMedGoogle Scholar
  13. 13.
    Kempczinski RF. A combined approach to the non-invasive diagnosis of carotid artery occlusive disease. Surgery 1979;85:689–694.PubMedGoogle Scholar
  14. 14.
    Berkowitz HD. Diagnostic accuracy of ocular pneumoplethysmography attachment for pulse volume recorder. Arch Surg 1980;115:190–193.PubMedGoogle Scholar
  15. 15.
    Hashway T, Raines JK. Real-time ultrasonic imaging of the peripheral arteries:Technique, normal anatomy and pathology. Cardiovasc Dis 1980;7:257–264.PubMedGoogle Scholar
  16. 16.
    United States Population Projections. Bureau of the Census 1993;23–178.Google Scholar
  17. 17.
    Yao ST, Hobbs JT, Irvine WT. Ankle systolic pressure measurements in arterial disease affecting the extremities. Br J Surg 1969;56:677.CrossRefGoogle Scholar
  18. 18.
    Raines JK. Application of the pulse volume recorder for non-invasive diagnosis of deep venous thrombosis [monograph]. Life Sciences, 1975.Google Scholar
  19. 19.
    Abramowitz HB, Queral LA, Finn WR, et al. The use of photoplethysmography in the assessment of venous insufficiency: A comparison to venous pressure measurements. Surgery 1979;86:434.PubMedGoogle Scholar

Copyright information

© Springer-Verlag London Limited 2010

Authors and Affiliations

  • Jeffrey K. Raines
    • 1
    • 2
  • Jose I. Almeida
    • 1
    • 2
  1. 1.Miami Vein CenterMiamiUSA
  2. 2.School of MedicineUniversity of Miami MillerMiamiUSA

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