Peripheral Vascular Diagnostic Methods

Lovelace, Todd D.; Moneta, Gregory L.

doi:10.1007/978-3-642-56225-9_27

Cited by 5 publications

(3 citation statements)

References 61 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…ABI was measured according to the method described by Lovelace and Moneta. 19 It was performed by two examiners with an experience of Ͼ3000 ABI measurements who were blinded to all clinical baseline parameters assessed. ABI values were then calculated applying two different methods (Fig 1):…”

Section: Methodsmentioning

confidence: 99%

A modified calculation of ankle-brachial pressure index is far more sensitive in the detection of peripheral arterial disease

Schröder

Diehm

Kareem

et al. 2006

Journal of Vascular Surgery

153

103

View full text Add to dashboard Cite

show abstract

Section: Methodsmentioning

confidence: 99%

A modified calculation of ankle-brachial pressure index is far more sensitive in the detection of peripheral arterial disease

Schröder

Diehm

Kareem

et al. 2006

Journal of Vascular Surgery

153

103

View full text Add to dashboard Cite

show abstract

“…Measurement of ABI by means of Doppler probe method (ABI_dop) was performed according to the standard protocol 9 with a calibrated sphygmomanometer and 8 MHz Doppler probes (Dopplex SD2, Huntleigh Healthcare Ltd, Cardiff, UK). ABI_dop was calculated as the ratio of the highest systolic blood pressure (SBP) obtained from both tibial and dorsalis pedis arteries at one ankle to the highest SBP of both brachial arteries.…”

Section: Methodsmentioning

confidence: 99%

“…ABI obtained by Doppler method is usually regarded as the gold standard, 9 where the operator detects the return of blood flow with Doppler probe during the deflation of a proximal cuff. But there are some drawbacks of this Doppler method: it requires an experienced operator, is time-consuming, 10 – 13 and does not allow measurement of transient state such as after a strandness test during which it is important to measure ABI just after walking.…”

Section: Introductionmentioning

confidence: 99%

Detection of peripheral arterial disease with an improved automated device: comparison of a new oscillometric device and the standard Doppler method

Špan

Geršak

Millasseau³

et al. 2016

VHRM

View full text Add to dashboard Cite

In occidental countries, peripheral arterial disease (PAD) is an important health issue; however, most subjects are asymptomatic (~50%) and therefore undiagnosed and untreated. Current guidelines recommend screening for PAD in primary care setting using ankle brachial index (ABI) in all patients with cardiovascular risks. This is, however, not performed strictly because the standard Doppler method is cumbersome and time-consuming. Here, we evaluate the accuracy and reproducibility of ABI measurements obtained by an improved automated oscillometric device, the MESI ABPI MD® device, and the standard Doppler method. ABI was measured in random order in a general practice with Doppler probes by two operators separately (ABI_dop) and twice with the MESI ABPI MD device (ABI_mesi). ABI_dop was calculated dividing the highest systolic blood pressure from both tibial and dorsalis pedis arteries by the highest systolic blood pressure of both brachial arteries. ABI_mesi was obtained automatically with simultaneous measurements on three extremities. According to ABI_dop, PAD was present in 10% of the 136 screened subjects (68.2±7.4 years). Interoperator coefficient of variation was 5.5% for ABI_dop, while the intrasubject coefficient of variation for ABI_mesi was 3.0%. ABI_mesi was correlated with ABI_dop (R=0.61, P<0.0001). The difference between the two techniques was 0.06±0.14 with ABI_mesi providing slightly higher values (P<0.0001) and negligible bias across the range (R=0.19, P<0.0001). Therefore, ABI_mesi ≤1 had a sensitivity of 85% and specificity of 96% to detect ABI_dop ≤0.9 and hence PAD. Doppler measurements took seven times longer than MESI ABPI MD measurements to be performed. In conclusion, MESI improved automated oscillometric method and offered a faster and repeatable measurement of ABI with only a small, clinically irrelevant overestimation of ABI value. The tested MESI ABPI MD-improved oscillometric system can be used as a screening tool for patients in general practice and would enable family doctors to comply with current guidelines for PAD.

show abstract

Does calculation of ankle brachial pressure index need revision?

Diehm

Kareem

Diehm³

et al. 2005

Vasa

View full text Add to dashboard Cite

Peripheral arterial disease (PAD) is a commonly encountered but a commonly under-diagnosed condition in clinical practice. Ankle brachial pressure index (ABI) is a widely used procedure in its detection. It is also a very good prognostic marker not only of PAD but also of mortality. According to the current guidelines ABI of a side i.e. either the left or the right, is the quotient of the higher of the systolic blood pressures (SBP) of the two ankle arteries of that limb (either the anterior tibial artery or the posterior tibial artery) and the higher of the two brachial SBP of upper limbs. With the currently existing method of ABI calculation, considering only the higher of the SBP of the two ankle arteries, a distal stenosis of the ankle arterial system with the lower SBP, may be missed. We suggest a modification to the currently existing of calculating ABI. The method has been termed by us as the low ankle pressure method. In this method the lowest ankle pressure between the two ankle arteries of a particular side is to be the numerator and the denominator could be the same as before. A study or a series of studies comparing our proposed method with the current one are needed to test its clinical utility.

show abstract

Peripheral Vascular Diagnostic Methods

Cited by 5 publications

References 61 publications

A modified calculation of ankle-brachial pressure index is far more sensitive in the detection of peripheral arterial disease

A modified calculation of ankle-brachial pressure index is far more sensitive in the detection of peripheral arterial disease

Detection of peripheral arterial disease with an improved automated device: comparison of a new oscillometric device and the standard Doppler method

Does calculation of ankle brachial pressure index need revision?

Contact Info

Product

Resources

About