The ability of qualitative assessment of the common femoral Doppler waveform to screen for significant aortoiliac disease.
The ability of qualitative assessment of the common femoral Doppler waveform to screen for significant aortoiliac disease.
复制标题
对常见股骨多普勒波形进行定性评估以筛查重大主动脉髂疾病的能力。
DOI：
10.1016/s1078-5884(98)80041-5
复制
发表时间：
1998
影响因子：
5.7
通讯作者：
N. London
中科院分区：
文献类型：
--
作者：
Y. Sensier;P. Bell;N. London
目的：研究股动脉多普勒波形定性评估筛选显著髂动脉疾病的能力。方法：前瞻性，半盲研究。设置血管实验室，大学医院。方法：共研究73例患者的118个髂动脉节段。根据彩色双功超声对股总动脉多普勒波形的目视判读，将髂动脉各节段分为正常或异常。髂动脉的全面超声评估作为“金标准”。髂动脉段异常定义为至少存在一处直径缩小≥50%的病变，而认为“正常”的血管包括直径缩小0-49%的病变。收缩期峰值流速增加2倍或以上用于定义直径缩小≥50%的狭窄。股总动脉波形分析和多普勒扫描之间的一致性通过Kappa统计来衡量。股总动脉波形分析和多普勒扫描之间一致性的Kappa值为0.74（95%CI; 0.62-0.86）。这是实质性的一致。多普勒波形分析的敏感性为95%，特异性为80%，准确性为87%的预测一个显着的髂动脉狭窄看到由ultrason.CONCLUSIONVisual解释的共同股动脉多普勒波形是一个敏感和准确的技术，为显着的髂动脉狭窄的预测。当由于时间限制、肥胖或存在肠道气体而无法进行完整的超声髂髂动脉评估时，它具有特别的价值。
OBJECTIVETo study the ability of a qualitative assessment of the common femoral Doppler waveform to screen for significant aortoiliac disease.DESIGNProspective, semi-blind study.SETTINGVascular laboratory, University Hospital.METHODSA total of 118 aortoiliac segments were studied in 73 patients. Each aortoiliac segment was graded as normal or abnormal from visual intepretation of the common femoral Doppler waveform obtained by colour duplex ultrasound. Full ultrasound assessment of the aortoiliac vessels acted as the “gold standard”. Abnormal aortoiliac segments were defined by the presence of at least one ≥50% diameter reducing lesion, whereas vessels considered “normal” included those with disease between 0–49% diameter reduction. An increase in peak systolic velocity of two-fold or greater was used to define a ≥50% diameter reducing stenosis. Agreement between common femoral waveform analysis and the duplex scans was measured by the Kappa statistic.RESULTSThe Kappa value for the agreement between common femoral waveform analysis and duplex scans was 0.74 (95% CI; 0.62–0.86). This represents substantial agreement. Doppler waveform analysis had a sensitivity of 95%, specificity of 80% and accuracy of 87% for the prediction of a significant aortoiliac stenosis seen by ultrasound.CONCLUSIONVisual interpretation of the common femoral Doppler waveform is a sensitive and accurate technique for the prediction of significant aortoiliac stenosis. It is of particular value when full ultrasound aortoiliac assessments are not feasible due to time constraints, obesity or the presence of bowel gas.