TY - JOUR
AU - Horowitz, Leslie M.
AB - Abstract • To determine the relative merits of oculopneumoplethysmography (OPG) (Gee) and duplex scanning of the carotid arteries, a retrospective analysis was made of 93 patients in a 12-month period who underwent noninvasive carotid studies followed by carotid angiography. The results for the duplex scan were 91% sensitivity, 86% specificity, and 89% overall accuracy in evaluation of 184 arteries. The OPG results were 59% sensitivity, 90% specificity, and 74% accuracy when applied to individual arteries. The sensitivity of OPG increased to 77% when applied to disease in the patient rather than in individual arteries. Analysis of cases in which the duplex scan and OPG were in agreement and disagreement suggested an important role for the OPG test despite its inferior accuracy compared with the duplex scan alone. The predictive value of an abnormal duplex scan result was 98% when the OPG was also abnormal, whereas it was 81% when the OPG was normal. The predictive value of a normal duplex scan result was 93% when the OPG was also normal, whereas it was 60% in those cases where the OPG was abnormal. We believe that the duplex scan should be the basic noninvasive evaluation of cerebrovascular disease, although the OPG continues to provide important information. (Arch Surg 1985;120:809-811) References 1. Gee W, Smith CA, Hinson CE, et al: Ocular plethysmography in carotid disease . Med Instrum 1974;8:244-248. 2. McDonald KM, Gee W, Kaupp HA, et al: Screening for significant carotid stenosis by ocular pneumoplethysmography . Am J Surg 1979;136: 244-249.Crossref 3. Keagy BA, Pharr WF, Thomas D, et al: Comparison of oculoplethysmography/carotid phonoangiography with duplex scan/spectral analysis in the detection of carotid artery stenosis . Stroke 1982;13:43-45.Crossref 4. Cardullo PA, Cutler BS, Wheeler HB, et al: Noninvasive detection of carotid disease: An evaluation of oculoplethysmography, carotid phonoangiography and pulsed Doppler ultrasonic arteriography . Bruit 1981;5: 26-32. 5. Belkin M, Bucknam CA, Lowe R: Oculoplethysmography (Gee): Value and limitations . Conn Med 1984;48:151-154. 6. Blackshear WM Jr, Phillips DS, Thiele BL, et al: Detection of carotid occlusive disease by ultrasonic imaging and pulsed Doppler spectrum analysis . Surgery 1979;86:698-706. 7. Barnes RW, Nix L, Rittgers SE: Audible interpretation of carotid Doppler signals: An improved technique to define carotid artery disease . Arch Surg 1981;116:1185-1189.Crossref 8. Comerata AJ, Cranley JJ, Cook SE: Real-time B-mode carotid imaging in diagnosis of cerebrovascular disease . Surgery 1981;89:718-729. 9. Wasserman DH, Hobson RW, Lynch TG: Ultrasonic imaging and oculoplethysmography in diagnosis of carotid occlusive disease . Arch Surg 1983;118:1161-1163.Crossref 10. Busuttil RW, Baker JD, Davidson RK: Carotid artery stenosis: Hemodynamic significance and clinical course . JAMA 1981;245:1438-1441.Crossref
TI - Combined Oculopneumoplethysmography and Duplex Scan: Use in the Noninvasive Cerebrovascular Laboratory Examination
JO - Archives of Surgery
DO - 10.1001/archsurg.1985.01390310047010
DA - 1985-07-01
UR - https://www.deepdyve.com/lp/american-medical-association/combined-oculopneumoplethysmography-and-duplex-scan-use-in-the-slrl27ZKB0
SP - 809
EP - 811
VL - 120
IS - 7
DP - DeepDyve
ER -