This systems approach to the diagnosis of venous vascular obstruction and venous insufficiency relies on use of the segmental pneumoplethysmograph. The method is a useful diagnostic tool when evaluating these diseases. The drainage test indicates deep, large venous thrombosis. The dependency test indicates either thrombosis or venous insufficiency. And the tourniquet test differentiates the presence of deep from superficial vein insufficiency.
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References
1.
Winsor, T., Hyman, C.: Objective venous studies. J. Cardiovas C. Surg., 2: 146-152, 1961.
2.
Winsor. T.Hyman. C.: A Primer of Peripheral Vascular Diseases. Philadelphia , Lea & Febiger, 1965, pp. 283-296.
3.
Mullick, S.C. , Wheeler, H.B., Songster , C.P.: Diagnosis of deep venous thrombosis by measurement of electrical impedance. Am. J. Surg., 119: 417-419, 1970.
4.
Kappert, A., Winsor, T.: Diagnosis of Peripheral Vascular Diseases. Philadelphia , F. A. Davis Company, 1972, pp. 76-80.
5.
Cranley, J.J. , Gay, A.Y., Grass, A.M., et al.: A plethysmographic technique for the diagnosis of deep venous thrombosis of the lower extremities. Surg. Gynecol. Obstet.136: 385-389, 1973.
6.
Hull, R., Van Aken, S.G., Hirsh, J., et al.: Impedance plethysmography using the occlusive cuff technique in the diagnosis of venous thrombosis. Circulation, 53: 696-700, 1976.
7.
Winsor, T.: The segmental plethysmograph. Angiology, 1: 87-101, 1957.
8.
Winsor, T.: Detection of arteriosclerosis. Heart Bull., 17: 45-56, 1968.
9.
Winsor, T., Sibley, A.E., Fisher, E.K., et al.: Peripheral pulse contours in occlusive disease. Vasc. Disease., 5: 2-8, 1968.
10.
Myers, K.A. : The investigation of peripheral arterial disease by strain gauge plethysmography. Angiology, 15: 293-295, 1964.
11.
Kerslake, D. : The effect of the application of an arterial occlusion cuff to the wrist on the blood flow in the human arm. J. Physiol., 108: 598-606. 1949.
12.
Hyman, C., Winsor, T.: History of plethysmography. J. Cardiovasc. Surg., 2: 506-514, 1961
13.
Hyman, C., Greeson, T., Clem, M. et al.: Capacitance plethysmographic method for separating blood flow in muscle and skin in the human forearm. Am. Heart J., 68: 508-514, 1964.
14.
Wheeler, H.B. , Patwardhan, N.A.: Evaluation of venous thrombosis by impedance plethysmography. In Venous Thromboembolism: Prevention and Treatment. Edited by J. Madden, M. Hume.New York, Appleton-Century-Crofts, 1976, pp. 33-50.
15.
Cranley, J.J. , Canos, A.J., Sull , W.J., et al.: Phleborheographic technique for diagnosing deep venous thrombosis of the lower extremities. Surg. Gynecol. Obstet., 141: 331-333, 1975.
16.
Simeone, F.A. , Cranley, J.J., Grass , A.M., et al.: An oscillographic plethysmograph using a new type of transducer. Science, 116: 355-359, 1972.