The authors calculated 442 values of resting ankle-arm indices in 222 pa tients, of whom 114 reported exercise pain of the lower extremities (51.3%) and 34 reported rest pain (15.3%). Tissue necrosis was diagnosed in 55 patients (24.8%) and other disorders in 19 (8.6%). Obliterating atherosclerosis was found in 186 patients (83.8%), Buerger's disease in 16 (7.2%), and other vascu lar diseases in 20 patients (9%). The studied index value in 262 examined lower extremities was 1.3-1.0 in 54, 0.9-0.8 in 29, 0.7-0.6 in 66, 0.5-0.4 in 55, and 0.3- 0.0 in 58 lower extremities. Respective values for contralateral lower extremi ties (180) were the following: 69, 54, 33, 14, and 10.
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References
1.
Aukland A., Hurlow RA: Spectral analysis of Doppler ultrasound: Its clinical application in lower limb ischaemia. Br J Surg69:539, 1982.
2.
Barnes RW: Noninvasive evaluation of peripheral arterial disease. Angiology28:631-640, 1978.
3.
Dolginow BJ, Griffey SP, Persson AV: Use of directional Doppler flow meter in noninvasive evaluation of aortoiliac segment. Surg Clin North Am65:405, 1985.
4.
Giulini SM, et al: Value of Doppler multi-level segmental pressure index in the diagnosis and hemodynamic characterization of totally occlusive aorto-iliac-femoropopliteal lesions. Angology35:633, 1984.
5.
Lennihan R., Mackereth MA: Ankle blood pressures as a practical aid in vascular practice. Angiology26:211-224, 1975.
6.
Schwarz H., Wos S., Bochenek A.: Diagnostic value of ultrasonic methods used in peripheral vascular diseases . Pol Przegl Chir54:817, 1982.
7.
Ward AS, Martin TP: Some aspects of ultrasound in the diagnosis and assessment of aortoiliac disease . Am J Surg140:260, 1980.
8.
Yao ST, Hobbs JT, Irvine WT: Ankle systolic pressure measurements in arterial disease affecting the lower extremities. Br J Surg56: 676, 1969.
