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Abstract
A simple test is described to evaluate limb blood supply. The technique utilizes the
delayed reappearance of the volume pulse after transient arterial occlusion. As monitored
from the toe by a mercury-in-rubber gauge, pulse reappearance (PRT) was instantaneous
(less than one second) and the 50 percent of control amplitude reappearance time (PRT/2)
was 3.4 ± 0.8 seconds in 22 control subjects. A significant delay of the PRT and especially
of PRT/2 was found in 60 patients with angiographically documented ischemic disease
of the lower extremities. The delay was correlated closely with the severity of the
disease: the mean PRT/2 for single level arterial disease (aortoiliac, femoropopliteal,
posterior tibial, or anterior tibial artery obstruction) was approximately 25 seconds,
and the mean PRT/2 associated with multilevel occlusion was 71 seconds. Since the
technique is very simple, it may be used as a quick screening and follow-up procedure
to detect the presence and over-all severity of peripheral arterial occlusive disease.
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Article info
Publication history
Accepted:
May 4,
1976
Identification
Copyright
© 1977 Published by Elsevier Inc.
