This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal

David C. Brewster, MD; Horacio H. Schlaen, MD; Jeffrey K. Raines, PhD; William M. Abbott, MD; R. Clement Darling, MD

Arch Surg. 1978;113(8):927-930.

Abstract
• A noninvasive cerebrovascular evaluation has been devised that combines three separate but complimentary procedures: ocular pneumoplethysmography (OPPG), carotid audiofrequency analysis (CAA), and cerebral Doppler analysis. This evaluation has proven particularly useful in examination of the asymptomatic carotid bruit, and the management of such patients is aided by noninvasive testing. Patients with a poorly compensated stenosis (reduced OPPG) are all considered candidates for angiography and surgery. For patients with a well-compensated (normal OPPG) but surgically important stenosis (abnormal CAA or Doppler), angiography and surgery are recommended in selected patients. Angiography and/or surgery are believed safely withheld in all remaining patients. The reliability and effectiveness of this approach is evaluated in a series of 100 consecutive patients with an asymptomatic carotid bruit. There were no false-positive results and only one known false-negative interpretation.

(Arch Surg 113:927-930, 1978)

Author Affiliations
From the General Surgical Services and Vascular Laboratory, Massachusetts General Hospital, and the Department of Surgery, Harvard Medical School, Boston.

Footnotes
Accepted for publication March 13, 1978.

Read before the New England Society for Vascular Surgery, Wentworth-by-the-Sea, Portsmouth, NH, Sept 30, 1977.

Reprint requests to 3 Hawthorne P1, Boston, MA 02114 (Dr Brewster).

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

A predictive model for screening cerebrovascular disease in patient undergoing coronary artery bypass grafting
Aboyans et al.
ICVTS 2005;4:90-95.
ABSTRACT | FULL TEXT  

The Underlying Problems Resulting in Controversies in the Clinical Management of Transient Ischemic Attacks: An Overview
Slade et al.
ANGIOLOGY 1983;34:639-645.
ABSTRACT  

Oculopneumoplethysmography: Its Relationship to Intraoperative Cerebrovascular Hemodynamics
O'Hara et al.
Arch Surg 1980;115:1156-1158.
ABSTRACT  

Limitations of Noninvasive Evaluation of Carotid Occlusive Disease
Herrmann et al.
Arch Surg 1979;114:1049-1051.
ABSTRACT