Abstract
The noninvasive assessment of arterial stenosis or occlusion has been the subject of intensive study over the past three decades. A broad review of this work has been assembled by Bernstein.1 In this review, the role of pressure measurements in vascular disease has been extensively surveyed by Carter,2 who states, “Studies in humans indicate that systolic pressure … is a far more sensitive index of the occlusive or stenotic process than a measurement of blood flow.” Winsor7 was one of the pioneers in the documentation of the significance of the systolic pressure index, relating central systolic pressure to the most distal systolic pressure in an extremity. We have applied this concept to the supreme extremity, the head. Unique to this extremity is a triad arterial supply (carotids, basilar) with triad communications in the circle of Willis (anterior and two posterior communicating arteries).
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References
Bernststein, E.F. (ed.) Noninvasive Diagnostic Techniques in Vascular Disease. C. V. Mosby, St. Louis, 1978.
Carter, S.A. Role of pressure measurements in vascular disease. In Bernststein, E.F. (ed.) Non-invasive Diagnostic Techniques in Vascular Disease. C. V. Mosby, St. Louis, 1978, pp. 261–287.
Gee, W., Miller, A.L., Madden, A.E., Stephens, H.W., Whitehouse, G.E. Ocular pneumoplethysmography in the evaluation of patients with brain ischemia. Submitted for publication.
McDonald, K.M., Gee, W., Kaupp, H.A., 1979. Screening for significant carotid stenosis by ocular pneumoplethysmography. Am J Surg 137: 244–249.
McDonald, P.T., Rich, N.M., Collins, G.J., Anderson, C.A., Kozloff, L., 1978. Doppler cerebrovascular examination, oculoplethysmography, and ocular pneumoplethysmography. Use in detection of carotid disease: A prospective clinical study. Arch Surg 113: 1341–1349.
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Winsor, T., 1950. Influence of arterial disease on the systolic blood pressure gradients of the extremity. Am J Med Sci 220: 117–126.
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© 1980 Springer-Verlag New York Inc.
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Gee, W., Miller, A.L., Madden, A.E., Stephens, H.W., Whitehouse, G.E. (1980). Ocular Pneumoplethysmography in Carotid Occlusive Disease. In: Peerless, S.J., McCormick, C.W. (eds) Microsurgery for Cerebral Ischemia. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-6090-5_18
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DOI: https://doi.org/10.1007/978-1-4612-6090-5_18
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