Systolic blood pressures are well correlated with limb ischemia. The simplicity of Doppler ultrasound technique makes it ideally suited for office use by the interested physician. Topics presented include the use of properly chosen equipment, the clinical indications, and establishment of specific pressure measurements consistent with limb ischemia, rest pain, and healing prognosis.
Get full access to this article
View all access options for this article.
References
1.
. CarterS.A.: Role of pressure measurements in vascular disease. InNoninvasive Diagnostic Techniques in Vascular Disease.BernsteinE.F. (ed.), St. Louis, Mo., C.V. Mosby, 1978
2.
. LassenN.A.TvedegaardE.JeppesenF.I.NielsenP.E.BellG.GundersenJ.: Distal blood pressure measurements in occlusive arterial disease, strain gauge compared to xenon-133. Angiology23:211, 1972
3.
. YaoJ.S.T.HobbsJ.T.IrvineW.T.: Ankle systolic pressure measurements in arterial disease affecting the lower extremities. Br. J. Surg.56:676, 1969
4.
. YaoJ.S.T.NeedhamT.N.GourmosCIrvineW.T.: A comparative study of strain-gauge plethysmography and Doppler ultrasound in the assessment of occlusive arterial disease of the lower extremities. Surgery71:4, 1972
5.
. KorotkoffN.S.: On the subject of methods of measuring blood pressure. Bull. Imperial Military Med. Acad.11:365, 1905
6.
. YaoJ.S.T.TakakiH.S.: Techniques of measuring lower limb arterial pressures. InNoninvasive Diagnostic Techniques in Vascular Disease.BernsteinE.F. (ed.) St. Louis, Mo., C.V. Mosby, 1978, p. 53
7.
. LezackJ.D.CarterS.A.: Systolic pressures in the extremities of man with special reference to the toes. Can. J. Physiol. Pharmacol.48:469, 1970
8.
. GeddesL.A.: The direct and indirect measurement of blood pressure.Chicago: Year Book Medical Publishers, 1970
9.
. GundersenJ.: Segmental measurements of systolic blood pressure in the extremities including the thumb and the great toe. Acta Chir. Scand. (Suppl.)426:1, 1972
10.
. RainesJ.K.DarlingR.C.ButhJ: Vascular laboratory criteria for the management of peripheral vascular disease of the lower extremities. Surgery79:21, 1976
11.
. CarterS.A.: Indirect systolic pressures and pulse waves in arterial occlusive disease of the lower extremities. Circulation37:624, 1968
12.
. CarterS.A.LezackJ.D.: Digital systolic pressures in the lower limb in arterial disease. Circulation43:905, 1971
13.
. LezackJ.D.CarterS.A.: The relationship of distal systolic pressures to the clinical and angiographic findings in limbs with arterial occlusive disease. Scand. J. Clin. Lab. Invest. (Suppl. 128)31:97, 1973
14.
. GasparM.R.FergusonA.T.JoergensonE.J.: Selection of patients for peripheral arterial operations. Arch. Surg.90:606, 1965
15.
. StrandnessD.E.Jr.BellJ.W.: Peripheral vascular disease: Diagnosis and objective evaluation using a mercury strain gauge. Ann. Surg.(Suppl. 4: 161:1, 1965
16.
. YaoJ.S.T.McNamaraM.F.TakakiH.S.: Surgical use of pressure studies in peripheral arterial disease. InNoninvasive Diagnostic Techniques in Vascular Disease.BernsteinE.F. (ed.), St. Louis, Mo., C.V. Mosby, 1978
17.
. LassenN.A.HolsteinP.: Use of radioisotopes in assessment of distal blood flow and distal blood pressure in arterial insufficiency. Surg. Clin. North Am.54:39, 1974
18.
. WagnerF.W.Jr.: The diabetic food and amputations of the foot. InDuVries' Surgery of the Foot.MannR.A. (ed), St. Louis, Mo., C.V. Mosby, 1978