Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Periorbital Ultrasound Findings: Hemodynamics in Patients With Cerebral Vascular Disease

Periorbital Ultrasound Findings: Hemodynamics in Patients With Cerebral Vascular Disease Abstract • The direction of supraorbital and frontal artery flow and its response to compression of the superficial temporal, facial, and angular arteries were measured in 250 carotid arteries in 114 patients. All patients had arch and/or selective carotid arteriography. The carotid arteries were placed into the following three groups: hemodynamically normal, greater than 60% occlusion of the internal carotid artery, and total occlusion of the internal carotid artery. The test's accuracy was 94.5% in the hemodynamically normal group, 68.8% in the totally occluded group, and only 51.4% in the group with hemodynamically significant stenosis. Although the carotid Doppler examination is not reliable in detecting hemodynamically significant lesions of the internal carotid artery, it is valuable in assessing the adequacy of collateral cerebral circulation. (Arch Surg 114:158-160, 1979) References 1. LoGerfo FW, Mason GR: Directional Doppler studies of supraorbital artery flow in internal carotid stenosis and occlusion . Surgery 76:723-728, 1974. 2. Machleder HI, Barker WF: Stroke on the wrong side . Arch Surg 105:943-947, 1972.Crossref 3. Wise G, Brockenbrough EC, Marty R, et al: The detection of carotid artery obstruction: A correlation with arteriography . Stroke 2:105-113, 1971.Crossref 4. Barnes RW, Russell HE, Bone GE, et al: Doppler cerebrovascular examination: Improved results with refinement in technique . Stroke 8:468-471, 1977.Crossref 5. Bone GE, Barnes RW: Clinical implications of the Doppler cerebrovascular examination: A correlation with angiography . Stroke 7:271-274, 1976.Crossref 6. Gross WS, Verta MJ Jr, Van Bellen B, et al: Comparison of noninvasive diagnostic techniques in carotid artery occlusive disease . Surgery 82:271-278, 1977. 7. Machleder HI, Barker WF: Noninvasive methods for evaluation of extracranial cerebrovascular disease . Arch Surg 112:944-946, 1977.Crossref 8. Moore WS, Bean B, Burton R, et al: The use of ophthalmosonometry in the diagnosis of carotid artery stenosis . Surgery 82:107-115, 1977. 9. Keller H, Meier W, Yonekawa Y, et al: Noninvasive angiography for the diagnosis of carotid artery disease using Doppler ultrasound (carotid artery Doppler) . Stroke 7:354-363, 1976.Crossref 10. Lye CR, Sumner DS, Strandness DE Jr: The accuracy of the supraorbital Doppler examination in the diagnosis of hemodynamically significant carotid occlusive disease . Surgery 79:42-46, 1976. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Periorbital Ultrasound Findings: Hemodynamics in Patients With Cerebral Vascular Disease

Loading next page...
 
/lp/american-medical-association/periorbital-ultrasound-findings-hemodynamics-in-patients-with-cerebral-a4un0065YK
Publisher
American Medical Association
Copyright
Copyright © 1979 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1979.01370260048007
Publisher site
See Article on Publisher Site

Abstract

Abstract • The direction of supraorbital and frontal artery flow and its response to compression of the superficial temporal, facial, and angular arteries were measured in 250 carotid arteries in 114 patients. All patients had arch and/or selective carotid arteriography. The carotid arteries were placed into the following three groups: hemodynamically normal, greater than 60% occlusion of the internal carotid artery, and total occlusion of the internal carotid artery. The test's accuracy was 94.5% in the hemodynamically normal group, 68.8% in the totally occluded group, and only 51.4% in the group with hemodynamically significant stenosis. Although the carotid Doppler examination is not reliable in detecting hemodynamically significant lesions of the internal carotid artery, it is valuable in assessing the adequacy of collateral cerebral circulation. (Arch Surg 114:158-160, 1979) References 1. LoGerfo FW, Mason GR: Directional Doppler studies of supraorbital artery flow in internal carotid stenosis and occlusion . Surgery 76:723-728, 1974. 2. Machleder HI, Barker WF: Stroke on the wrong side . Arch Surg 105:943-947, 1972.Crossref 3. Wise G, Brockenbrough EC, Marty R, et al: The detection of carotid artery obstruction: A correlation with arteriography . Stroke 2:105-113, 1971.Crossref 4. Barnes RW, Russell HE, Bone GE, et al: Doppler cerebrovascular examination: Improved results with refinement in technique . Stroke 8:468-471, 1977.Crossref 5. Bone GE, Barnes RW: Clinical implications of the Doppler cerebrovascular examination: A correlation with angiography . Stroke 7:271-274, 1976.Crossref 6. Gross WS, Verta MJ Jr, Van Bellen B, et al: Comparison of noninvasive diagnostic techniques in carotid artery occlusive disease . Surgery 82:271-278, 1977. 7. Machleder HI, Barker WF: Noninvasive methods for evaluation of extracranial cerebrovascular disease . Arch Surg 112:944-946, 1977.Crossref 8. Moore WS, Bean B, Burton R, et al: The use of ophthalmosonometry in the diagnosis of carotid artery stenosis . Surgery 82:107-115, 1977. 9. Keller H, Meier W, Yonekawa Y, et al: Noninvasive angiography for the diagnosis of carotid artery disease using Doppler ultrasound (carotid artery Doppler) . Stroke 7:354-363, 1976.Crossref 10. Lye CR, Sumner DS, Strandness DE Jr: The accuracy of the supraorbital Doppler examination in the diagnosis of hemodynamically significant carotid occlusive disease . Surgery 79:42-46, 1976.

Journal

Archives of SurgeryAmerican Medical Association

Published: Feb 1, 1979

References