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Photoplethysmography in the assessment of venous insufficiency

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Presentation on theme: "Photoplethysmography in the assessment of venous insufficiency"— Presentation transcript:

1 Photoplethysmography in the assessment of venous insufficiency
A.N. Nicolaides, M.S., F.R.C.S., F.R.C.S.E., C. Miles, M.B., B.S., F.R.A.C.S. *  Journal of Vascular Surgery  Volume 5, Issue 3, Pages (March 1987) DOI: / (87) Copyright © 1987 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

2 Fig. 1 Simultaneous photoplethysmographic (a) and venous pressure (b) recordings obtained in the standing position. Method of calculating 90% recovery time is shown (AVP = ambulatory venous pressure). Journal of Vascular Surgery 1987 5, DOI: ( / (87) ) Copyright © 1987 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

3 Fig. 2 Relationship between photoplethysmographic refilling time (P.P.G.-R.T.) and the venous pressure refilling time (V.P.-R.T.) obtained simultaneously in the standing position. Journal of Vascular Surgery 1987 5, DOI: ( / (87) ) Copyright © 1987 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

4 Fig. 3 Relationship between photoplethysmographic refilling time (P.P.G.-R.T.) and the venous pressure refilling time (V.P.-R.T.) obtained simultaneously in the sitting position. Journal of Vascular Surgery 1987 5, DOI: ( / (87) ) Copyright © 1987 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

5 Fig. 4 Relationship between photoplethysmographic refilling time (P.P.G.-R.T.) and mean ambulatory venous pressure obtained in the standing position with the cuff deflated (closed circles = normal limb; triangles = superficial venous incompetence only; open circles = deep venous incompetence). Journal of Vascular Surgery 1987 5, DOI: ( / (87) ) Copyright © 1987 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

6 Fig. 5 Relationship between photoplethysmographic refilling time (P.P.G.-R.T.) and mean ambulatory venous pressure obtained in the standing position with cuff inflated (triangles = superficial venous incompetence only; open circles = deep venous incompetence). Normal limbs are not shown; the inflated cuff did not alter their position as shown in Fig. 4. Journal of Vascular Surgery 1987 5, DOI: ( / (87) ) Copyright © 1987 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

7 Fig. 6 Median and 95% tolerance levels of the photoplethysmographic refilling time (P.P.G.-R.T.) in the three groups of limbs studied in the standing position. Interrupted lines represent the 95% tolerance levels of the PPG-RT when ankle cuff was inflated. S.V.I. = superficial venous insufficiency; D.V.I. = deep venous insufficiency. Journal of Vascular Surgery 1987 5, DOI: ( / (87) ) Copyright © 1987 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

8 Fig. 7 Median and 95% tolerance levels of the photoplethysmographic refilling time (P.P.G.-R.T.) in three groups studied in the sitting position. Interrupted lines represent the 95% tolerance levels of the PPG-RT when ankle cuff was inflated. Journal of Vascular Surgery 1987 5, DOI: ( / (87) ) Copyright © 1987 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

9 Fig. 8 Diagnostic flow chart indicates procedure followed for screening of patients with suspected chronic venous problems. Journal of Vascular Surgery 1987 5, DOI: ( / (87) ) Copyright © 1987 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions


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