Open AccessPatient and Operation Selectivity The Peripheral Vascular Laboratory
Author(s) -
Van de Water Jm,
Laska Ed,
Ciniero Wv
Publication year - 1979
Publication title -
annals of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.153
H-Index - 309
eISSN - 1528-1140
pISSN - 0003-4932
DOI - 10.1097/00000658-197902000-00003
Subject(s) - medicine , plethysmograph , cuff , pulsatile flow , arterial disease , peripheral , peripheral resistance , popliteal artery , radiology , cardiology , surgery , vascular disease , biomedical engineering , hemodynamics , cardiac output
Careful use of the data from the vascular laboratory has resulted in better patient and operation selectivity in peripheral arterial disease of the lower extremities. Using the combination of segmental pressure measured with an ultrasonic Doppler and flow as approximated by the measurement of the rate of pulsatile volume change with a calibrated plethysmograph, objective criteria were established for arterial insufficiency. Using a two cuff technique, resistance indices were established to distinguish femoropopliteal from aortoiliac disease. The ratio of angiograms to femoropopliteal and aortoiliac operations has been reduced from an earlier value of almost 3/1 to the present value of approximately 1/1.