RADIONUCLIDE LIMB BLOOD-FLOW IN PERIPHERAL VASCULAR-DISEASE - A REVIEW OF 1100 MEASUREMENTS

被引:14
作者
PARKIN, A
ROBINSON, PJ
MARTINEZ, D
WILKINSON, D
KESTER, RC
机构
[1] Department of Medical Physics, St James's University Hospital, Leeds, Beckett Street
[2] Departinent of Radiology, St James's University Hospital, Leeds, Beckett Street
[3] Department of Vascular Surgery, St James's University Hospital, Leeds, Beckett Street
关键词
D O I
10.1097/00006231-199110000-00003
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Radionuclide limb blood flow measurements using Tc-99m-labelled human serum albumin and a gamma camera have been performed on normal volunteers and on patients with suspected or confirmed peripheral arterial disease. The normal range of flow was found to be 10.0-22.3 ml per 100 ml tissue per min. Flow in the symptomatic legs of patients with arterial disease varied from 9.0 ml per 100 ml tissue per min in mild claudication to less than 1.0 ml per 100 ml tissue per min in rest pain. The technique has been used as an initial screening procedure, to resolve diagnostic problems, to measure objectively the treatment response and to assess patients with critical ischaemia. The results of 1100 measurements are reported and the clinical utility in routine vascular surgical practice is discussed.
引用
收藏
页码:835 / 851
页数:17
相关论文
共 20 条
[1]  
Yao S.T., Hobbs J.T., Irvine W.T., Ankle systolic pressure measurements in arterial disease affecting the lower extremities, Br J Surg, 56, pp. 676-679, (1969)
[2]  
Ouriel K., Zarins C.K., Doppler ankle pressure. An evaluation of three methods of expression, Arch Surg, 117, pp. 1297-1300, (1982)
[3]  
Baker J.D., Deette Dix P., Variability of Doppler ankle pressures with arterial occlusive disease. An evaluation of ankle index and brachial-ankle pressure gradient, Surgery, 89, pp. 134-137, (1980)
[4]  
Walker W.F., Spence V.A., McCollum P.T., Systolic pressure measurements in the ischaemic lower limb, Hospital Update, 12, pp. 343-359, (1986)
[5]  
Kannel W.B., Skinner J.J., Schwartz M.J., Et al., Intermittent claudication: Incidence in the Framingham study, Circulation, 41, pp. 875-880, (1970)
[6]  
Carroll R.M., Rose H.B., Vyden J., Et al., Cardiac arrhythmias associated with treadmill claudication testing, Surgery, 83, pp. 284-287, (1978)
[7]  
Gosling R.G., Hill D.W., Watson B.W., Extraction of Physiological Information from Spectrum-Analysed Doppler-Shifted Continuous Wave Ultrasound Signals Obtained Non- Invasively from the Arterial System, pp. 73-125, (1976)
[8]  
Whitney R.J., The measurement of volume changes in the human limb, J Physiol, 121, pp. 1-27, (1953)
[9]  
Kester R.C., Leveson S.H., Wiggins P.A., Et al., The validation and clinical application of gravimetric plethysmography, Non-Invasive Methods of Cardiovascular Haemodynamics, pp. 661-671, (1981)
[10]  
Figar S., Some basic deficiencies of the plethysmographic method and possibilities of avoiding them, Angiology, 10, pp. 120-125, (1959)