Noninvasive Diagnosis of Vascular Disease (eBook)

Robert W. Barnes, Falls B. Hershey, David S. Sumner (Herausgeber)

eBook Download: PDF

2013 | 1. Auflage
394 Seiten
Elsevier Science (Verlag)
978-1-4831-9201-7 (ISBN)

Infos

Noninvasive Diagnosis of Vascular Disease explains the anatomy, hemodynamics, pathophysiology, and pathology of the arterial, venous, and cerebrovascular systems. This book begins with a basic background of the noninvasive diagnosis of the arterial occlusive disease, followed by discussions on clinical techniques, diagnostic pitfalls, special problems of interpretation, diagnostic criteria, relative accuracy, and importance of the clinical situation. A brief outline and detailed account of Doppler physics is discussed in Chapters 16 and 21, while the physical phenomena associated with the clinical application of Doppler technology, such as propagation velocity, axial resolution, and lateral resolution are described in Chapter 23. This text concludes with a practical look into the future of Doppler instrumentation and applications of microcomputer technology in the laboratory. This publication is written for surgeons, physicians, technologists, and nurses involved in running a vascular laboratory.

Inhalt

Front Cover 1
Noninvasive Diagnosis of Vascular Disease 4
Copyright Page 5
Table of Contents 6
Board of Advisory Editors 14
List of Contributors 16
Preface 20
Acknowledgments 22
Part I: Noninvasive Diagnosis of Arterial Occlusive Disease 24
CHAPTER 1. PATHOPHYSIOLOGY OF ARTERIAL OCCLUSIVE DISEASE 25
BASIC HEMODYNAMICS 25
EFFECT OF ARTERIAL STENOSIS 27
EFFECT OF EXERCISE 31
THERAPY 37
BIBLIOGRAPHY 38
CHAPTER 2. SEGMENTAL LIMB PRESSURES, DOPPLER WAVEFORMS, AND STRESS TESTING 39
THE DOPPLER WAVEFORM 40
TECHNIQUES 41
INTERPRETATION 42
REFERENCES 46
CHAPTER 3. DIGITAL PLETHYSMOGRAPHY AND PRESSURE MEASUREMENTS 47
EFFECT OF TEMPERATURE AND SYMPATHETICACTIVITY ON DIGITAL PULSE AND VOLUME 47
ISCHEMIC SYNDROMES OF THE UPPER EXTREMITY 50
ISCHEMIC SYNDROMES OF THE LOWER EXTREMITY 57
CONCLUSION 64
REFERENCES 64
CHAPTER 4. POSTOPERATIVE NONINVASIVE EVALUATION OF FEMOROTIBIAL BYPASS GRAFTS 66
METHODS AND RESULTS 67
TREATMENT 70
ARTERIOGRAPHY 70
NONINVASIVE LABORATORY FINDINGS 71
CASE REPORTS 72
DISCUSSION 75
CONCLUSIONS 77
REFERENCES 78
CHAPTER 5. NEW TECHNIQUES TO ASSESS AORTOILIAC STENOSIS 79
PROXIMAL THIGH PRESSURE MEASUREMENT1,2 80
FEMORAL ARTERIAL DOPPLER WAVEFORM 82
VOLUME PULSE RECORDINGS45 84
FEMORAL ARTERIAL PRESSURE MEASUREMENT67 86
CONCLUSIONS 87
REFERENCES 88
CHAPTER 6. SEGMENTAL VOLUME PULSE RECORDER: IMPROVED ANATOMIC DISCRIMINATION BY REFINEMENT IN TECHNIQUE 89
PATIENTS AND METHODS 90
RESULTS 92
DISCUSSION 93
CONCLUSIONS 93
REFERENCES 94
CHAPTER 7. lNTRAVENOUS DlGITAL ANGIOGRAPHY IN THE ASSESSMENT OF ARTERIAL DISEASE 95
TECHNOLOGY 96
DISCUSSION 98
CONCLUSIONS 100
REFERENCES 101
CHAPTER 8. OBSERVATIONS ON VASCULOGENIC IMPOTENCE 102
PHYSIOLOGY 102
LABORATORY DIAGNOSIS OF IMPOTENCE 103
SURGERY AND IMPOTENCE 106
CONCLUSIONS 107
REFERENCES 108
Part II: NONINVASIVE 
 
110 
CHAPTER 9. VENOUS ANATOMY AND PATHOPHYSIOLOGY 111
ANATOMY 111
PHYSIOLOGY 113
COMMENT 125
BIBLIOGRAPHY 125
CHAPTER 10. THE DIAGNOSIS AND ASSESSMENT OF VENOUS DISORDERS IN THE OFFICE AND LABORATORY 126
DIAGNOSING VENOUS INSUFFICIENCY 128
DIAGNOSING DEEP VENOUS THROMBOSIS 133
CONCLUSIONS 138
REFERENCES 138
CHAPTER 11. DOPPLER DIAGNOSIS OF DEEP VENOUS THROMBOSIS 140
TECHNIQUE 141
RESULTS 147
CONCLUSIONS 147
BIBLIOGRAPHY 148
CHAPTER 12. PHLEBORHEOGRAPHY IN THE DIAGNOSIS OF DEEP VENOUS THROMBOSIS 149
PHYSIOLOGIC PRINCIPLES 150
INDICATIONS 151
TECHNIQUE 152
RESULTS 156
DISCUSSION 157
CONCLUSIONS 159
REFERENCES 160
CHAPTER 13. VENOUS PLETHYSMOGRAPHY 161
VENOUS OUTFLOW PLETHYSMOGRAPHY 162
VENOUS VOLUME PLETHYSMOGRAPHY 164
VENOUS REFLUX PLETHYSMOGRAPHY 166
CONCLUSIONS 170
REFERENCES 170
CHAPTER 14. PHOTOPLETHYSMOGRAPHY IN THE EVALUATION OF CHRONIC VENOUS INSUFFICIENCY 172
INSTRUMENTATION 173
TECHNIQUE 174
CALCULATING THE REFILLING TIME 176
INTERPRETATION 176
CONCLUSIONS 178
REFERENCES 178
Part III: NONINVASIVE DIAGNOSIS OF CAROTID OCCLUSIVE DISEASE 180
CHAPTER 15. THE ANATOMY AND PATHOPHYSIOLOGY OF EXTRACRANIAL ATHEROSCLEROTIC CEREBROVASCULAR DISEASE 181
ANATOMY OF THE CEREBROVASCULAR CIRCULATION 182
COLLATERAL CIRCULATION 185
ARTERIAL PATHOLOGY 188
CLINICAL SYNDROMES OF CEREBROVASCULAR INSUFFICIENCY 192
CONCLUSIONS 198
BIBLIOGRAPHY 198
CHAPTER 16. COMPREHENSIVE NONINVASIVE EVALUATION OF EXTRACRANIAL CEREBROVASCULAR DISEASE 200
INDIRECT TESTS 202
DIRECT TESTS 205
DUPLEX SCANNER 214
CONCLUSIONS 233
REFERENCES 235
CHAPTER 17. K/M OCULOPLETHYSMOGRAPHY AND CAROTID PHONOANGIOGRAPHY 240
TECHNIQUE 240
INTERPRETATION 243
INDICATIONS 246
COMMON PROBLEMS, CONCERNS, AND QUESTIONS ABOUT OPG 247
COMMON PROBLEMS, CONCERNS, AND QUESTIONS ABOUT CPA 249
PNEUMATIC VERSUS FLUID OPG 251
CONCLUSIONS 252
REFERENCES 253
CHAPTER 18. PERIORBITAL DIAGNOSTIC TECHNIQUES 254
THE CEREBROVASCULAR DOPPLER EXAMINATION 254
SUPRAORBITAL PHOTOPLETHYSMOGRAPHY 257
OCULAR PNEUMOPLETHYSMOGRAPHY 259
RESULTS 261
DISCUSSION 262
CONCLUSIONS 262
REFERENCES 263
CHAPTER 19. DIRECT DOPPLER AUSCULTATION OF THE CAROTID ARTERIES 265
TECHNIQUE 265
RESULTS 267
DISCUSSION 269
BIBLIOGRAPHY 270
CHAPTER 20. EARLY DETECTION OF STROKE-RELATED LESIONS BY REAL-TIME DOPPLER SPECTRAL ANALYSIS 271
INSTRUMENTATION 271
TECHNIQUE 272
DIAGNOSTIC CRITERIA AND RESULTS 276
CONCLUSIONS 279
REFERENCES 280
CHAPTER 21. THREE-DIMENSIONAL ULTRASONIC ARTERIOGRAPHY 281
BACKGROUND 281
DOPPLER PHYSICS 284
THE EXAMINATION 287
CONCLUSIONS 289
REFERENCES 290
CHAPTER 22. PULSED-DOPPLER ULTRASONIC ARTERIOGRAPHY 291
INSTRUMENTATION 291
TECHNIQUE 292
INTERPRETATION 294
LIMITATIONS 298
ACCURACY 300
DISCUSSION 302
REFERENCES 302
CHAPTER 23. REAL-TIME B-MODE ULTRASONIC CAROTID IMAGING WITH GATED DOPPLER 304
BASIC CONCEPTS OF ULTRASONIC IMAGING AND DOPPLER 305
CLINICAL EXPERIENCE 309
SELECTING EQUIPMENT 313
THE RELATIVE ROLE OF UCI IN THE NONINVASIVE CEREBROVASCULAR LABORATORY 319
REFERENCES 320
CHAPTER 24. THE PREDICTIVE VALUE OF CEREBROVASCULAR STUDIES 322
ANALYZING EARLY DATA 323
ANALYZING LATER DATA 326
USING THE BAYES THEOREM 327
CONCLUSIONS 330
REFERENCES 331
CHAPTER 25. PREOPERATIVE SCREENING FOR ASYMPTOMATIC CAROTID OBSTRUCTION 332
PATIENTS AND METHODS 333
RESULTS 334
DISCUSSION 335
CONCLUSIONS 337
REFERENCES 338
Part IV: ASSOCIATED TECHNOLOGICAL CONSIDERATIONS 340
CHAPTER 26. PROGRESS IN DOPPLER INSTRUMENTATION 341
BASIC PRINCIPLES 341
PRESENT SYSTEMS 344
FUTURE DEVELOPMENTS 346
CONCLUSIONS 349
REFERENCES 350
CHAPTER 27. MICROCOMPUTER APPLICATIONS IN THE BLOOD FLOW LABORATORY 351
PRACTICAL APPLICATIONS AND LIMITATIONS 352
COMPONENTS 354
SOFTWARE AND BACK-UP PROCEDURES 357
CONCLUSIONS 357
APPENDIX: SELF-ASSESSMENT POSTTEST 358
INDEX 384

Produkt-Details

• Erscheint lt. Verlag: 22.10.2013
• Sprache: englisch
• Themenwelt: Sachbuch/Ratgeber ► Gesundheit / Leben / Psychologie ► Krankheiten / Heilverfahren
• Themenwelt: Medizin / Pharmazie ► Allgemeines / Lexika
• Themenwelt: Medizin / Pharmazie ► Medizinische Fachgebiete
• Themenwelt: Naturwissenschaften ► Biologie
• Themenwelt: Technik
• ISBN-10: 1-4831-9201-6 / 1483192016
• ISBN-13: 978-1-4831-9201-7 / 9781483192017