Document Detail


The use of velocity wave form analysis in the diagnosis of carotid artery occlusive disease.
MedLine Citation:
PMID:  918858     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Velocity wave form analysis (VWFA) was carried out on 75 velocity tracings recorded from the common carotid artery with a continuous wave Doppler. Grouped according to clinical status, there were 20 young "normals" (I), 18 old "normals" (II), 15 stenoses of less than 50% diameter (III), 13 stenoses of greater than 50% (IV), and nine complete occlusions (V). Five of the nine dimesnions analyzed were found to be more discriminating than the others. Using these dimensions in an equation derived by discriminant analysis, the "score" of each tracing placed it into the appropriate clinical category with 95% accuracy. The accuracy rate of separating normal, stenosed, and occluded carotids was 100%. The accuracy of VWFA was limited (82%) only in discriminating between greater than and less less than 50% stenosis by diameter. Twenty-one of the 37 patients identified by VWFA as having carotid artery occlusive disease (CAOD) had normal supraorbital artery Doppler tests. Highly significant improvements in the velocity wave form of 10 carotid arteries were produced by endarterectomy.
Authors:
R B Rutherford; W R Hiatt; E W Kreutzer
Related Documents :
7847648 - Noninvasive carotid artery testing. a meta-analytic review.
6385038 - Continuous sutures for microarterial end-to-side anastomoses.
18455648 - Intrathoracic carotid bifurcation in klippel-feil syndrome.
20979438 - Temporary bilateral external carotid artery clamping to reduce blood loss during remova...
2012718 - Events associated with rupture of intra-aortic balloon counterpulsation devices.
9495908 - Simple right atrial procedure for chronic atrial fibrillation with atrial septal defect...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Surgery     Volume:  82     ISSN:  0039-6060     ISO Abbreviation:  Surgery     Publication Date:  1977 Nov 
Date Detail:
Created Date:  1977-12-29     Completed Date:  1977-12-29     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0417347     Medline TA:  Surgery     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  695-702     Citation Subset:  AIM; IM    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Arterial Occlusive Diseases / diagnosis*,  surgery
Carotid Artery Diseases / diagnosis*,  surgery
Endarterectomy
Humans
Middle Aged
Ultrasonography*

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


Previous Document:  Surgical management of the totally occluded carotid artery.
Next Document:  The role of fibrinogen degradation products in the pathogenesis of the respiratory distress syndrome...