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  • Citing articles on Web of Science (19)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Thomas G. Lynch, MD; Robert W. Hobson, II, MD; Creighton B. Wright, MD; Giovanni Garcia, MD; Richard Lind, MD; Sharon Heintz; Lawrence Hart

Arch Surg. 1984;119(4):465-467.

Abstract
• Measurement of Doppler segmental arterial pressures in the lower extremity using narrow pneumatic cuffs has become a standard noninvasive diagnostic technique. Correlation between arteriographic and noninvasive studies was available for 345 aortoiliac segments and 326 femoropopliteal segments. If stenoses of 50% or greater and occlusions were considered hemodynamically significant, the sensitivity to aortoiliac disease was 97%, but only 67% to femoropopliteal disease. The specificity for hemodynamically insignificant disease was 50% and 68%, respectively. Accuracy was influenced by the presence of associated aortoiliac or femoropopliteal disease. The sensitivity to hemodynamically significant femoropopliteal disease was 55% if there was associated aortoiliac disease, and 89% in its absence. In the presence of significant femoropopliteal disease, specificity for the absence of aortoiliac disease decreased from 70% to 41%.

(Arch Surg 1984;119:465-467)

Author Affiliations
From the Section of Vascular Surgery, Department of Surgery, University of Medicine and Dentistry of New Jersey—New Jersey Medical School, Newark (Drs Lynch, Hobson, and Garcia); the Veterans Administration Medical Center, East Orange, NJ (Drs Lynch, Hobson, and Garcia, and Mr Hart); the Division of Thoracic and Cardiovascular Surgery, University of Iowa Hospitals and Clinics, Iowa City (Drs Wright and Lind and Ms Heintz).

Footnotes
Accepted for publication Nov 9, 1983.

Read before the Seventh Annual Meeting of the Association of Veterans Administration Surgeons, Airlie, Va, May 28, 1983.

Reprint requests to Surgical Service, VA Medical Center, East Orange, NJ 07019 (Dr Lynch).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Peripheral arterial disease symptom subtype and walking impairment
Collins et al.
Vasc Med 2005;10:177-183.
ABSTRACT  

Ethnicity and Peripheral Arterial Disease
Collins et al.
Mayo Clin Proc. 2005;80:48-54.
ABSTRACT  

Evaluating Aortoiliac Disease: An Overview
Barnes
PERSPECT VASC SURG ENDOVASC THER 1996;9:1-14.
 

Patent Femoro-Popliteal Bypass Graft with Inflow Occlusion: Report of Three Cases
Peterson and Smith
VASC ENDOVASCULAR SURG 1985;19:264-269.
ABSTRACT  

Postoperative Surveillance: An Effective Means of Detecting Correctable Lesions That Threaten Graft Patency
Turnipseed and Acher
Arch Surg 1985;120:324-328.
ABSTRACT  

Noninvasive Techniques in the Assessment of Lower-Extremity Arterial Occlusive Disease: The Advantages of Proximal and Distal Thigh Cuffs
Francfort et al.
Arch Surg 1984;119:1145-1148.
ABSTRACT