Document Detail


The hydrostatic measurement of systolic toe blood pressure: a preliminary validation of the method.
MedLine Citation:
PMID:  9859743     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The hydrostatic method of measuring systolic toe blood pressure has not been validated. A comparison with established non-invasive methods is presented.
PATIENTS AND METHODS: Conventional sphygmomanometry was applied to assess systolic arterial pressure at the ankle and brachial level; systolic arterial toe pressure was assessed by the hydrostatic method. An 8 MHz Doppler probe was used to demonstrate arterial pulsation in brachial, ankle, and toe arteries, respectively. 50 legs of patients with peripheral arterial occlusive disease were studied before and after successful arterial revascularisation.
RESULTS: In all legs, ankle pressure and ankle/brachial pressure index (ABPI) increased postoperatively. Hydrostatic toe blood pressure (HSTBP) increased in 96% of cases, in 58% of cases above the upper detection limit of 70 mmHg. HSTBP and sphygmomanometric ankle pressures were significantly correlated (r = 0.754, p < 0.05).
CONCLUSION: Successful arterial revascularisation in legs with peripheral arterial occlusive disease was associated with an increase in systolic ankle pressure and ABPI, assessed with sphygmomanometry. Similar changes were observed in systolic toe arterial pressure, assessed with the hydrostatic method. The correlation of the results obtained with both methods can be taken as a preliminary indication of the accuracy of the hydrostatic method, which may be particularly useful in cases of medial arterial calcification.
Authors:
B Hiller
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  VASA. Zeitschrift für Gefässkrankheiten     Volume:  27     ISSN:  0301-1526     ISO Abbreviation:  VASA     Publication Date:  1998 Nov 
Date Detail:
Created Date:  1999-03-03     Completed Date:  1999-03-03     Revised Date:  2012-10-19    
Medline Journal Info:
Nlm Unique ID:  0317051     Medline TA:  Vasa     Country:  SWITZERLAND    
Other Details:
Languages:  eng     Pagination:  229-32     Citation Subset:  IM    
Affiliation:
Medizinische Klinik für Stoffwechselkrankheiten und Ernährung, Heinrich-Heine-Universität Düsseldorf, Germany.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Arterial Occlusive Diseases / diagnosis*,  physiopathology,  surgery
Female
Humans
Hydrostatic Pressure
Male
Middle Aged
Postoperative Complications / diagnosis,  physiopathology
Sphygmomanometers*
Toes / blood supply*
Treatment Outcome
Ultrasonography, Doppler*

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


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