Exploration of arterial function with noninvasive technics. Results in chronic arterial occlusive disease of the lower limbs according to Leriche and Fontaine classification. 1985

F Becker

On a continuous series of 1000 lower limbs, the Author correlates the by Leriche and Fontaine described stages in arterial occlusive disease of lower limbs, with parameters given by a set of functional vasculary tests: Doppler, tetrapolar rheography, digital plethysmography, transcutaneous measure of PO2 (Tc PO2). The ankle systolic pressure index is a good method to value the importance of arterial occlusion, but it reflects not so well the clinical severity of ischemia. The degradation of the digital plethysmography pulsated signal and of the Tc PO2, is proportional to the ischemia degree with a very good specificity in stages III and IV. The reography indexes, the quantification of leg arteries (Doppler), the digital plethysmography, show that the major opposition between stage II and stage III - IV is the quality of peripheral vascular bed. It appears that the notion of leg arteries outflow must be completed with a notion of compensation in distally and of global peripheral vascular bed (leg arteries--arteriolary system--microcirculation). The set of the used methods allows only to retain two different groups: the first one gathering asymptomatic or responsible of an effort ischemia lesions (corresponding to stage I and II), the other gathering responsible of permanent ischemia, which impends gangrene (corresponding to stages III and IV). In the presence of rest pain or trophic disorder, the joined data of digital plethysmography and of Tc PO2, are more discriminating than the single impression and allow to discover some false stages III and IV.

UI MeSH Term Description Entries
D007866 Leg The inferior part of the lower extremity between the KNEE and the ANKLE. Legs
D008297 Male Males
D010100 Oxygen An element with atomic symbol O, atomic number 8, and atomic weight [15.99903; 15.99977]. It is the most abundant element on earth and essential for respiration. Dioxygen,Oxygen-16,Oxygen 16
D010991 Plethysmography Recording of change in the size of a part as modified by the circulation in it. Plethysmographies
D010992 Plethysmography, Impedance Recording changes in electrical impedance between electrodes placed on opposite sides of a part of the body, as a measure of volume changes in the path of the current. (Stedman, 25th ed) Rheography,Impedance Plethysmography,Impedance Plethysmographies,Plethysmographies, Impedance,Rheographies
D001794 Blood Pressure PRESSURE of the BLOOD on the ARTERIES and other BLOOD VESSELS. Systolic Pressure,Diastolic Pressure,Pulse Pressure,Pressure, Blood,Pressure, Diastolic,Pressure, Pulse,Pressure, Systolic,Pressures, Systolic
D002908 Chronic Disease Diseases which have one or more of the following characteristics: they are permanent, leave residual disability, are caused by nonreversible pathological alteration, require special training of the patient for rehabilitation, or may be expected to require a long period of supervision, observation, or care (Dictionary of Health Services Management, 2d ed). For epidemiological studies chronic disease often includes HEART DISEASES; STROKE; CANCER; and diabetes (DIABETES MELLITUS, TYPE 2). Chronic Condition,Chronic Illness,Chronically Ill,Chronic Conditions,Chronic Diseases,Chronic Illnesses,Condition, Chronic,Disease, Chronic,Illness, Chronic
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D001157 Arterial Occlusive Diseases Pathological processes which result in the partial or complete obstruction of ARTERIES. They are characterized by greatly reduced or absence of blood flow through these vessels. They are also known as arterial insufficiency. Arterial Obstructive Diseases,Arterial Occlusion,Arterial Obstructive Disease,Arterial Occlusions,Arterial Occlusive Disease,Disease, Arterial Obstructive,Disease, Arterial Occlusive,Obstructive Disease, Arterial,Occlusion, Arterial,Occlusive Disease, Arterial

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