Noninvasive Diagnosis of Vascular Disease - 1st Edition - ISBN: 9780407003750, 9781483192017

Noninvasive Diagnosis of Vascular Disease

1st Edition

Editors: Falls B. Hershey Robert W. Barnes David S. Sumner
eBook ISBN: 9781483192017
Imprint: Butterworth-Heinemann
Published Date: 18th July 1984
Page Count: 394
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Description

Noninvasive Diagnosis of Vascular Disease explains the anatomy, hemodynamics, pathophysiology, and pathology of the arterial, venous, and cerebrovascular systems. This book begins with a basic background of the noninvasive diagnosis of the arterial occlusive disease, followed by discussions on clinical techniques, diagnostic pitfalls, special problems of interpretation, diagnostic criteria, relative accuracy, and importance of the clinical situation. A brief outline and detailed account of Doppler physics is discussed in Chapters 16 and 21, while the physical phenomena associated with the clinical application of Doppler technology, such as propagation velocity, axial resolution, and lateral resolution are described in Chapter 23. This text concludes with a practical look into the future of Doppler instrumentation and applications of microcomputer technology in the laboratory. This publication is written for surgeons, physicians, technologists, and nurses involved in running a vascular laboratory.

Table of Contents


Board of Advisory Editors

List of Contributors

Preface

Acknowledgments

Part I Noninvasive Diagnosis of Arterial Occlusive Disease

1 Pathophysiology of Arterial Occlusive Disease

Basic Hemodynamics

Effect of Arterial Stenosis

Effect of Exercise

Therapy

2 Segmental Limb Pressures, Doppler Waveforms, and Stress Testing

The Doppler Waveform

Techniques

Interpretation

3 Digital Plethysmography and Pressure Measurements

Effect of Temperature and Sympathetic Activity on Digital Pulse and Volume

Ischemic-Syndromes of the Upper Extremity

Ischemic Syndromes of the Lower Extremity

4 Postoperative Noninvasive Evaluation of FemorotibialBypass Grafts

Methods and Results

Treatment

Arteriography

Noninvasive Laboratory Findings

Case Reports

5 New Techniques to Assess Aortoiliac Stenosis

Proximal Thigh Pressure Measurement

Femoral Arterial Doppler Waveform

Volume Pulse Recordings

Femoral Arterial Pressure Measurement

6 Segmental Volume Pulse Recorder: Improved Anatomic Discrimination by Refinement in Technique

Patients and Methods

Results

Discussion

Conclusions

7 Intravenous Digital Angiography in the Assessment of Arterial Disease

Technology

Discussion

Conclusions

8 Observations on Vasculogenic Impotence

Physiology

Laboratory Diagnosis of Impotence

Surgery and Impotence

Part II Noninvasive Diagnosis of Venous Disease

9 Venous Anatomy and Pathophysiology

Anatomy

Physiology

10 The Diagnosis and Assessment of Venous Disorders in the Office and Laboratory

Diagnosing Venous Insufficiency

Diagnosing Deep Venous Thrombosis

11 Doppler Diagnosis of Deep Venous Thrombosis

Technique

Results

12 Phleborheography in the Diagnosis of Deep Venous Thrombosis

Physiologic Principles

Indications

Technique

Results

Discussion

13 Venous Plethysmography

Venous Outflow Plethysmography

Venous Volume Plethysmography

Venous Reflux Plethysmography

14 Photoplethysmography in the Evaluation of Chronic Venous Insufficiency

Instrumentation

Technique

Calculating the Refilling Time

Interpretation

Part III Noninvasive Diagnosis of Carotid Occlusive Disease

15 The Anatomy and Pathophysiology of Extracranial Atherosclerotic Cerebrovascular Disease

Anatomy of the Cerebrovascular Circulation

Collateral Circulation

Arterial Pathology

Clinical Syndromes of Cerebrovascular Insufficiency

16 Comprehensive Noninvasive Evaluation of Extracranial Cerebrovascular Disease

Indirect Tests

Direct Tests

Duplex Scanner

17 K/M Oculoplethysmography and Carotid Phonoangiography

Technique

Interpretation

Indications

Common Problems, Concerns, and Questions about OPG

Common Problems, Concerns, and Questions about CPA

Pneumatic versus Fluid OPG

18 Periorbital Diagnostic Techniques

The Cerebrovascular Doppler Examination

Supraorbital Photoplethysmography

Ocular Pneumoplethysmography

Results

19 Direct Doppler Auscultation of the Carotid Arteries

Technique

Results

20 Early Detection of Stroke-Related Lesions by Real-Time Doppler Spectral Analysis

Instrumentation

Technique

Diagnostic Criteria and Results

21 Three-Dimensional Ultrasonic Arteriography

Background

Doppler Physics

The Examination

22 Pulsed-Doppler Ultrasonic Arteriography

Instrumentation

Technique

Interpretation

Limitations

Accuracy

23 Real-Time B-Mode Ultrasonic Carotid Imaging with Gated Doppler

Basic Concepts of Ultrasonic Imaging and Doppler

Clinical Experience

Selecting Equipment

Testing

The Relative Role ofUCI in the Noninvasive Cerebrovascular Laboratory

24 The Predictive Value of Cerebrovascular Studies

Analyzing Early Data

Analyzing Later Data

Using the Bayes Theorem

25 Preoperative Screening for Asymptomatic Carotid Obstruction

Patients and Methods

Results

Part IV Associated Technological Considerations

26 Progress in Doppler Instrumentation

Basic Principles

Present Systems

Future Developments

27 Microcomputer Applications in the Blood Flow Laboratory

Practical Applications and Limitations

Components

Software and Back-Up Procedures

Appendix Self-Assessment Posttest

Index

Details

No. of pages:
394
Language:
English
Copyright:
© Butterworth-Heinemann 1984
Published:
Imprint:
Butterworth-Heinemann
eBook ISBN:
9781483192017

About the Editor

Falls B. Hershey

Robert W. Barnes

David S. Sumner

Ratings and Reviews