Document Detail

Segmental volume plethysmography in the diagnosis of lower extremity arterial occlusive disease.
MedLine Citation:
PMID:  7085729     Owner:  NLM     Status:  MEDLINE    
Over a 24 month period, segmental limb systolic pressures (SLP), pulse volume recordings (PVR) and bi-planar arteriograms were obtained for 202 lower extremities. The SLPs proved unsatisfactory for the localization of arterial disease and are presently employed only to assess the extent of limb ischemia. Bases on simple, qualitative criteria, the thigh PVR was graded as "normal" or "abnormal" and correctly predicted the presence or absence of hemodynamically significant aortoiliac disease in 95% of limbs. It there was a greater than 25% increase in the amplitude of the calf PVR relative to he thigh, patency of the superficial femoral artery was correctly identified in 97% of lower extremities. The limited accuracy of SLP alone in differentiating iliac and femoral artery occlusive disease, especially when present in combination, emphasizes the necessity of including some type of waveform analysis in the routine evaluation of patients with lower extremity arterial insufficiency.
R F Kempczinski
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of cardiovascular surgery     Volume:  23     ISSN:  0021-9509     ISO Abbreviation:  J Cardiovasc Surg (Torino)     Publication Date:    1982 Mar-Apr
Date Detail:
Created Date:  1982-08-14     Completed Date:  1982-08-14     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0066127     Medline TA:  J Cardiovasc Surg (Torino)     Country:  ITALY    
Other Details:
Languages:  eng     Pagination:  125-9     Citation Subset:  IM    
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MeSH Terms
Arterial Occlusive Diseases / diagnosis*
Blood Pressure
Femoral Artery
Iliac Artery
Plethysmography / methods*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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