0000000000083801
AUTHOR
Indulis Kukulis
Feasible Evaluation of PQ Bypass Results with Duplex Ultrasound
Abstract Patients with peripheral arterial disease (PAD) have substantially impaired health-related quality of life (HR-QoL). Chronic lower limb ischaemia due to the atherosclerotic occlusion of infra-inguinal arteries is one of the most important causes of invalidity among smokers over the age of fifty. Historically, these lesions were treated by open bypass surgery. Less invasive endovascular revascularisation methods are available to treat short lesions, while treatment of long lesions are lacking. Fully endovascular trans-venous femoro-popliteal bypass (PQ Bypass, Inc., Sunnyvale, CA, USA) to treat long femoral lesions has been developed recently. The objective of the study was to evalu…
<title>Photonic vascular diagnostics by four-channel photoplethysmography</title>
A four-channel photoplethysmography device was designed and built at University of Latvia to detect signals from different body parts and to analyze the signal shapes. The device consists of optical contact probes, interface, and a standard PC. Clinical tests were performed with occlusion patients having vascular problems at arm or leg arteries. Results showed significant difference in the pulse wave transit time in occluded and nonoccluded part of the body.© (2005) COPYRIGHT SPIE--The International Society for Optical Engineering. Downloading of the abstract is permitted for personal use only.
<title>Potential of advanced photoplethysmography sensing for noninvasive vascular diagnostics and early screening</title>
Advanced sensor device for shape analysis of the tissue- reflected mean single period photoplethysmography (SPPPG) signals has been designed and clinically tested. The SPPPG signal shape reveals individual features of the patient's cardio-vascular state. Clinical studies of several patient groups (e.g. diabetes mellitus, atherosclerosis obliterans, Raynaud's syndrome) made possible to specify components of the SPPPG signal that are sensitive to the corresponding organic or functional pathologies. Comparison of the right and left arm finger SPPPG signal shapes, for instance, appears to be efficient tool for early screening of unilateral atherosclerosis obliterans.© (2002) COPYRIGHT SPIE--The…
Bilateral photoplethysmography studies of the leg arterial stenosis.
A newly developed portable multi-channel photoplethysmography (PPG) device has been used for comparative studies of 20 healthy control subjects and 45 patients with diagnosed arterial stenosis in a leg. The peripheral blood pulsations were detected simultaneously at four body sites-the same fingers and toes of both arms and legs. The PPG pulses recorded at the periphery of the stenotic leg, if compared with those of the healthy leg, were much weaker, with delayed arrival as a consequence of increased pulse wave transit time (PWTT) due to higher vascular resistance. The specific PWTT delays for the occluded legs were in the range of 20-80 ms, while in the case of healthy subjects the leg PPG…
Optical multichannel sensing of skin blood pulsations
Time resolved detection and analysis of the skin back-scattered optical signals (reflection photoplethysmography or PPG) provide information on skin blood volume pulsations and can serve for cardiovascular assessment. The multi-channel PPG concept has been developed and clinically verified in this study. Portable two- and four-channel PPG monitoring devices have been designed for real-time data acquisition and processing. The multi-channel devices were successfully applied for cardiovascular fitness tests and for early detection of arterial occlusions in extremities. The optically measured heartbeat pulse wave propagation made possible to estimate relative arterial resistances for numerous …
Dual channel photoplethysmography studies of cardio-vascular response to the body position changes
The dual-channel photoplethysmography studies of physiological responses during 3-stage orthostatic test were performed. Clear differences in heartbeat rate, pulse wave transit time and blood pressure variations of healthy volunteers and diabetic patients have been observed.