[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.145.220.120. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Article
September 1985

Assessment of Aortoiliac Disease Using Hemodynamic Measures

Author Affiliations

From the Department of Surgery, St Annadal Hospital, University of Limburg, Maastricht, the Netherlands.

Arch Surg. 1985;120(9):1050-1052. doi:10.1001/archsurg.1985.01390330060012
Abstract

• To study the role of accurate hemodynamic assessment of aortoiliac disease, intra-arterial pressure measurements of 100 aortoiliac segments were compared with Doppler velocity waveform analysis and contrast arteriography. By applying the statistic κ, we assessed the degree of agreement among the three methods corrected for chance. The agreement between pressure measurements and contrast arteriography provided a κ of 0.41, as did the agreement between pressure measurements and velocity waveform analysis. Our results indicate that contrast arteriography and Doppler studies underestimate hemodynamically significant aortoiliac disease. Since the correlation is so poor, it is essential to use intra-arterial pressure measurements in every patient who is a candidate for surgery.

(Arch Surg 1985;120:1050-1052)

×