[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.161.249.135. Please contact the publisher to request reinstatement.
Sign In
Individual Sign In
Create an Account
Institutional Sign In
OpenAthens Shibboleth
[Skip to Content Landing]
Article
October 1983

Ultrasonic Imaging and Oculoplethysmography in Diagnosis of Carotid Occlusive Disease

Author Affiliations

From the Veterans Administration Medical Center, East Orange, and the Division of Vascular Surgery, University of Medicine and Dentistry of New Jersey/New Jersey Medical School, Newark.

Arch Surg. 1983;118(10):1161-1163. doi:10.1001/archsurg.1983.01390100035009
Abstract

• Pulsed Doppler ultrasonic imaging (UI) of the cervical carotid artery provides flow-dependent anatomic detail of the carotid bifurcation, while oculoplethysmography (Kartchner) (OPG-K) and ocular pneumoplethysmography (Gee) (OPG-G) reflect changes in flow and pressure resulting from hemodynamically significant lesions. We examined 66 patients prospectively with UI, OPG-K, and OPG-G to compare the relative accuracy of these techniques with contrast arteriography. Both UI and OPG-G were significantly more accurate than OPG-K. While the accuracies of UI and OPG-G were not significantly different, their combined use resulted in a significant increase in sensitivity compared with that of Doppler imaging alone. In addition, UI correctly identified 22(85%) of 26 occlusions of the internal carotid artery. The use of UI and OPG-G together provided accurate anatomic and hemodynamic information useful in the evaluation of carotid occlusive disease.

(Arch Surg 1983;118:1161-1163)

References
1.
Brockenbrough EC: Screening for the Prevention of Strokes: Use of a Doppler Flow Meter . Beaverton, Ore, Parks Electronics, 1970.
2.
Gee W, Mehigan JT, Wylie EJ:  Measurement of collateral hemispheric blood pressure by ocular pneumoplethysmography . Am J Surg 1975;130: 121-127.Article
3.
Kartchner MM, McRae LP, Morrison FD:  Noninvasive detection and evaluation of carotid occlusive disease . Arch Surg 1973;106:528-535.Article
4.
Barker RE, Baker DW, Nation AWC, et al:  Ultrasonic duplex echoDoppler scanner . IEEE Trans Biomed Eng 1974;21:109-113.
5.
Berry SM, O'Donnell JA, Hobson RW:  Capabilities and limitations of pulsed Doppler ultrasonography in carotid imaging . JCU 1980;8:405-411.
6.
Hobson RW, Berry SM, Katocs AS, et al:  Comparison of pulsed Doppler and real-time B-mode echo arteriography for noninvasive imaging of the extracranial carotid arteries . Surgery 1980;87:286-293.
7.
Spencer MP, Reid MJ, Davis DL, et al:  Cervical carotid imaging with a continuous wave Doppler flowmeter . Stroke 1974;5:145-154.Article
8.
Ghosh A, Abou-Samra S, Berry SM, et al:  Evaluation of extracranial carotid occlusive disease with directional Doppler fluid-filled oculoplethysmography, carotid phonoangiography and pulsed Doppler ultrasonic imaging . Curr Surg 1980;37:129-132.
9.
Kempczinski RD:  A combined approach to the noninvasive diagnosis of carotid artery occlusive disease . Surgery 1979;85:689-694.
10.
Malone JM, Bean B, Laguna J, et al:  Diagnosis of carotid artery stenosis: Comparison of oculoplethysmography and Doppler supraorbital examination . Ann Surg 1980;191:347-353.Article
11.
O'Donnell TF, Pauker SG, Callow AD, et al:  The relative value of carotid noninvasive testing as determined by receiver operator characteristic curves . Surgery 1980;87:9-19.
12.
Gross WS, Verta MJ, vanBellen B, et al:  Comparison of noninvasive diagnostic techniques in carotid artery occlusive disease . Surgery 1977;82: 271-278.
13.
McDonald PT, Rich NM, Collins GJ, et al:  Ocular pneumoplethysmography: Detection of carotid occlusive disease . Ann Surg 1979; 189:44-48.Article
14.
Gee W, Oiler DW, Amundsen DC, et al:  The asymptomatic carotid bruit and ocular pneumoplethysmography . Arch Surg 1977;112:1381-1388.Article
15.
Blackshear WM, Thiele BL, Harley JD, et al:  A prospective evaluation of oculoplethysmography and CPA . Surg Gynecol Obstet 1979;148: 201-205.
16.
Hobson RW, Berry SM, Jamil Z, et al:  Oculoplethysmography and pulsed Doppler ultrasonic imaging in the diagnosis of carotid arterial disease . Surg Gynecol Obstet 1981;152:433-436.
17.
Hartley CJ, Strandness DE:  The effects of atherosclerosis on the transmission of ultrasound . J Surg Res 1969;9:576-582.Article
×