Ultrasonic imaging and oculoplethysmography in diagnosis of carotid occlusive disease

Archives of Surgery
D H WassermanZ Jamil


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.


Feb 16, 2006·Optometry : Journal of the American Optometric Association·Melissa E Trego, Jean Marie Pagani
Feb 1, 1987·European Journal of Vascular Surgery·F L MollB P Schulte
Mar 1, 1985·Journal of Clinical Ultrasound : JCU·T T BashourE S Hanna
Nov 1, 1987·Stroke; a Journal of Cerebral Circulation·R D DeGrooteR W Hobson

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