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Abstract
One hundred lower extremities were evaluated by measurement of common femoral intra-arterial
pressure and high-thigh Doppler-derived segmental pressures using wide and narrow
blood pressure cuffs to assess the accuracy of high-thigh pressures in the evaluation
of aortoiliac disease. Sixty-four extremities were also studied by arteriography.
The results were analyzed using the common femoral intra-arterial pressure as the
standard. The accuracy was poor for both the wide (52%) and narrow (73%) cuff techniques.
No significant differences between the two techniques were evident in regard to the
incidence of false positive (wide cuff, 75%; narrow cuff, 65%) and false negative
(wide cuff, 3%; narrow cuff, 8%) tests. Superficial femoral artery disease was found
to be responsible for all false positive tests using the narrow cuff technique (20
of 20) and all but one of the false positive tests using the wide cuff technique (34
of 35). These data indicate that segmental high-thigh pressures are useful primarily
as a screening technique (low false negative rate) to exclude hemodynamically significant
aortoiliac occlusive disease at rest.
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Article info
Publication history
Accepted:
March 19,
1982
Identification
Copyright
© 1982 Published by Elsevier Inc.
