Combination of pressure and velocity parameters in the non-invasive diagnosis of aorto-iliac disease
Three different femoral artery flow velocity parameters in combination with segmental pressure measurements were evaluated for their respective diagnostic value in identifying the presence or absence of hemodynamically significant aorto-iliac disease. A total of 60 patients (119 legs) were examined...
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| Veröffentlicht in: | Vascular medicine (London) 1999-05, Vol.4 (2), p.77-81 |
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| container_title | Vascular medicine (London) |
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| creator | Fronek, Arnost Oglevie, Steve Curran, Barbara Fronek, Kitty |
| description | Three different femoral artery flow velocity parameters in combination with segmental pressure measurements were evaluated for their respective diagnostic value in identifying the presence or absence of hemodynamically significant aorto-iliac disease.
A total of 60 patients (119 legs) were examined both non-invasively and with arteriography. Doppler flow velocities were recorded using a 5-MHz CW Doppler velocity metering system. Of the three parameters used (peak velocity, decay time and deceleration), a decay time of 220 ms yielded the most practical discriminant value. The accuracy increases when in addition the upper thigh/arm pressure ratio values are considered.
The results indicate that the combination of femoral artery decay time with the upper thigh/arm pressure index provides a simple and accurate non-invasive screening method to confirm or rule out aorto-iliac disease. This helps to determine whether the patient is a candidate for arteriography and for potential surgical intervention. |
| doi_str_mv | 10.1177/1358836X9900400204 |
| format | Article |
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A total of 60 patients (119 legs) were examined both non-invasively and with arteriography. Doppler flow velocities were recorded using a 5-MHz CW Doppler velocity metering system. Of the three parameters used (peak velocity, decay time and deceleration), a decay time of 220 ms yielded the most practical discriminant value. The accuracy increases when in addition the upper thigh/arm pressure ratio values are considered.
The results indicate that the combination of femoral artery decay time with the upper thigh/arm pressure index provides a simple and accurate non-invasive screening method to confirm or rule out aorto-iliac disease. This helps to determine whether the patient is a candidate for arteriography and for potential surgical intervention.</description><identifier>ISSN: 1358-836X</identifier><identifier>ISSN: 1358-863X</identifier><identifier>EISSN: 1477-0377</identifier><identifier>DOI: 10.1177/1358836X9900400204</identifier><identifier>PMID: 10406453</identifier><language>eng</language><publisher>Thousand Oaks, CA: Sage Publications</publisher><subject>Aorta - physiopathology ; Aortic Diseases - diagnostic imaging ; Biological and medical sciences ; Blood and lymphatic vessels ; Blood Flow Velocity ; Blood Pressure ; Cardiology. Vascular system ; Diseases of the aorta ; Femoral Artery - physiopathology ; Humans ; Iliac Artery - physiopathology ; Leg - blood supply ; Medical sciences ; Predictive Value of Tests ; Sensitivity and Specificity ; Ultrasonography, Doppler</subject><ispartof>Vascular medicine (London), 1999-05, Vol.4 (2), p.77-81</ispartof><rights>1999 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c412t-4fd15f16242a368459e2e14e77864cf75cd17927795eb5380cd68c32ea94f26e3</citedby><cites>FETCH-LOGICAL-c412t-4fd15f16242a368459e2e14e77864cf75cd17927795eb5380cd68c32ea94f26e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/1358836X9900400204$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/1358836X9900400204$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>309,310,314,780,784,789,790,21819,23930,23931,25140,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1834366$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10406453$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fronek, Arnost</creatorcontrib><creatorcontrib>Oglevie, Steve</creatorcontrib><creatorcontrib>Curran, Barbara</creatorcontrib><creatorcontrib>Fronek, Kitty</creatorcontrib><title>Combination of pressure and velocity parameters in the non-invasive diagnosis of aorto-iliac disease</title><title>Vascular medicine (London)</title><addtitle>Vasc Med</addtitle><description>Three different femoral artery flow velocity parameters in combination with segmental pressure measurements were evaluated for their respective diagnostic value in identifying the presence or absence of hemodynamically significant aorto-iliac disease.
A total of 60 patients (119 legs) were examined both non-invasively and with arteriography. Doppler flow velocities were recorded using a 5-MHz CW Doppler velocity metering system. Of the three parameters used (peak velocity, decay time and deceleration), a decay time of 220 ms yielded the most practical discriminant value. The accuracy increases when in addition the upper thigh/arm pressure ratio values are considered.
The results indicate that the combination of femoral artery decay time with the upper thigh/arm pressure index provides a simple and accurate non-invasive screening method to confirm or rule out aorto-iliac disease. This helps to determine whether the patient is a candidate for arteriography and for potential surgical intervention.</description><subject>Aorta - physiopathology</subject><subject>Aortic Diseases - diagnostic imaging</subject><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Blood Flow Velocity</subject><subject>Blood Pressure</subject><subject>Cardiology. Vascular system</subject><subject>Diseases of the aorta</subject><subject>Femoral Artery - physiopathology</subject><subject>Humans</subject><subject>Iliac Artery - physiopathology</subject><subject>Leg - blood supply</subject><subject>Medical sciences</subject><subject>Predictive Value of Tests</subject><subject>Sensitivity and Specificity</subject><subject>Ultrasonography, Doppler</subject><issn>1358-836X</issn><issn>1358-863X</issn><issn>1477-0377</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp90E1r3DAQBmBRGpqP9g_0UHQoubnRlyXrWJakKQR6aaE3MyuPUwVb2mrshfz7aNmFFgo9aUDPvAMvY--l-CSlczdSt12n7U_vhTBCKGFesQtpnGuEdu51nStoDuKcXRI9CSGc9fINO5fVW9PqCzZs8ryNCZaYE88j3xUkWgtySAPf45RDXJ75DgrMuGAhHhNffiFPOTUx7YHiHvkQ4TFlinRIgFyW3MQpQqgfhED4lp2NMBG-O71X7Mfd7ffNffPw7cvXzeeHJhiplsaMg2xHaZVRoG1nWo8KpUHnOmvC6NowSOeVc77Fbas7EQbbBa0QvBmVRX3Fro-5u5J_r0hLP0cKOE2QMK_UW995obWvUB1hKJmo4NjvSpyhPPdS9Idu-3-7rUsfTunrdsbhr5VjmRV8PAGgANNYIIVIf1ynjba2spsjI3jE_imvJdVS_nf5BW6OjyM</recordid><startdate>19990501</startdate><enddate>19990501</enddate><creator>Fronek, Arnost</creator><creator>Oglevie, Steve</creator><creator>Curran, Barbara</creator><creator>Fronek, Kitty</creator><general>Sage Publications</general><general>Arnold</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19990501</creationdate><title>Combination of pressure and velocity parameters in the non-invasive diagnosis of aorto-iliac disease</title><author>Fronek, Arnost ; Oglevie, Steve ; Curran, Barbara ; Fronek, Kitty</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c412t-4fd15f16242a368459e2e14e77864cf75cd17927795eb5380cd68c32ea94f26e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Aorta - physiopathology</topic><topic>Aortic Diseases - diagnostic imaging</topic><topic>Biological and medical sciences</topic><topic>Blood and lymphatic vessels</topic><topic>Blood Flow Velocity</topic><topic>Blood Pressure</topic><topic>Cardiology. Vascular system</topic><topic>Diseases of the aorta</topic><topic>Femoral Artery - physiopathology</topic><topic>Humans</topic><topic>Iliac Artery - physiopathology</topic><topic>Leg - blood supply</topic><topic>Medical sciences</topic><topic>Predictive Value of Tests</topic><topic>Sensitivity and Specificity</topic><topic>Ultrasonography, Doppler</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fronek, Arnost</creatorcontrib><creatorcontrib>Oglevie, Steve</creatorcontrib><creatorcontrib>Curran, Barbara</creatorcontrib><creatorcontrib>Fronek, Kitty</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Vascular medicine (London)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fronek, Arnost</au><au>Oglevie, Steve</au><au>Curran, Barbara</au><au>Fronek, Kitty</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Combination of pressure and velocity parameters in the non-invasive diagnosis of aorto-iliac disease</atitle><jtitle>Vascular medicine (London)</jtitle><addtitle>Vasc Med</addtitle><date>1999-05-01</date><risdate>1999</risdate><volume>4</volume><issue>2</issue><spage>77</spage><epage>81</epage><pages>77-81</pages><issn>1358-836X</issn><issn>1358-863X</issn><eissn>1477-0377</eissn><abstract>Three different femoral artery flow velocity parameters in combination with segmental pressure measurements were evaluated for their respective diagnostic value in identifying the presence or absence of hemodynamically significant aorto-iliac disease.
A total of 60 patients (119 legs) were examined both non-invasively and with arteriography. Doppler flow velocities were recorded using a 5-MHz CW Doppler velocity metering system. Of the three parameters used (peak velocity, decay time and deceleration), a decay time of 220 ms yielded the most practical discriminant value. The accuracy increases when in addition the upper thigh/arm pressure ratio values are considered.
The results indicate that the combination of femoral artery decay time with the upper thigh/arm pressure index provides a simple and accurate non-invasive screening method to confirm or rule out aorto-iliac disease. This helps to determine whether the patient is a candidate for arteriography and for potential surgical intervention.</abstract><cop>Thousand Oaks, CA</cop><pub>Sage Publications</pub><pmid>10406453</pmid><doi>10.1177/1358836X9900400204</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Vascular medicine (London), 1999-05, Vol.4 (2), p.77-81 |
| issn | 1358-836X 1358-863X 1477-0377 |
| language | eng |
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| source | Access via SAGE; MEDLINE; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Aorta - physiopathology Aortic Diseases - diagnostic imaging Biological and medical sciences Blood and lymphatic vessels Blood Flow Velocity Blood Pressure Cardiology. Vascular system Diseases of the aorta Femoral Artery - physiopathology Humans Iliac Artery - physiopathology Leg - blood supply Medical sciences Predictive Value of Tests Sensitivity and Specificity Ultrasonography, Doppler |
| title | Combination of pressure and velocity parameters in the non-invasive diagnosis of aorto-iliac disease |
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