Common femoral artery volume flow in peripheral vascular disease

Abstract

Common femoral artery volume flow was measured at rest and during postocclusive reactive hyperaemia in 80 normal subjects and 67 patients with radiological evidence of occlusive peripheral vascular disease. At rest, means(s.d.) common femoral artery volume flow in normal subjects (344(135) ml/min) and all patients with peripheral vascular disease (401(168) ml/min) was not significantly different. During postocclusive reactive hyperaemia, mean(s.d.) peak flow was significantly higher in normal subjects (1951(438) ml/min) than in patients with peripheral vascular disease (996(457) ml/min) (P less than 0.01). Common femoral artery volume flow in patients with critical ischaemia and intermittent claudication did not differ at rest but mean(s.d.) peak flow in patients with critical ischaemia (697(276) ml/min) was significantly lower than in claudicants (1131(447) ml/min) (P less than 0.01). Mean(s.d.) resting common femoral artery volume flow in limbs with femoropopliteal disease (457(185) ml/min) was significantly greater than that in limbs with occlusion of the aortoiliac segment (308(130) ml/min) (P less than 0.01). However, this difference did not persist during postocclusive reactive hyperaemia. A hyperaemic index, calculated from the hyperaemic responses to below knee and whole limb ischaemia, was used to quantify segmental perfusion during postocclusive reactive hyperaemia. The mean(s.d.) value in normal subjects, 46(9) per cent, and in those with aortoiliac disease, 52(12) per cent, indicated approximately equal perfusion of the above and below knee limb segments. In those with femoropopliteal disease the mean(s.d.) hyperaemic index was 17(13) per cent, revealing relative hypoperfusion of the below knee segment.

Effect of Posture on Popliteal Artery Hemodynamics

“…Our data show that popliteal artery flow in patients with stable intermittent claudication in the horizontal position is not different from that of normal subjects (P = .97). This is in accord with data by Lewis et al, 27 who reported that the supine common femoral artery vFl in limbs of patients with intermittent claudication (390 mL/ min) does not differ significantly from that of normal subjects (344 mL/min). However, as popliteal artery flow in the present study, as in most previous pertinent ones, has not been normalized for limb size, direct intergroup comparisons should be interpreted with caution.…”

Reduced blood flow in abdominal viscera measured by Doppler ultrasound during one-legged knee extension

“…In the present study, the BF was 455 Ϯ 25 ml/min in RCFA and 424 Ϯ 27 ml/min in LCFA. These values are in the same range as the values (in ml/min) of 450-886 (1), 301 Ϯ 81 (ϮSD) (17), and 390 Ϯ 20 (65), as measured by using indicator dilution, and 376 Ϯ 154 (44), 226.5 Ϯ 28.6 (15), 344 (36), and 350-367 (29), as measured by Doppler ultrasound. Furthermore, Ganz et al (19) reported a value of 383-766 ml/min by using thermodilution, and Vä nttinen (62) reported a value of 239 ml/min by using electromagnetic flowmetry.…”

Physiological aspects of the determination of comprehensive arterial inflows in the lower abdomen assessed by Doppler ultrasound

“…Blood flow in the femoral arteries was 316 ± 97 ml/min in the LFA and 313 ± 83 ml/min in the RFA. These values are in the same range as those of 450-886 ml/min [32], 301 ± 81 ml/min [33], and 390 ± 20 ml/min [34] measured using indicator dilution; and 376 ± 154 ml/min [35], 226.5 ± 28.6 ml/min [31], 344 ml/min [36], and 350-367 ml/min [37] measured by Doppler ultrasound. Furthermore, Ganz et al [38] reported a value of 383-766 ml/min by thermodilution, and Vänttinen [39] reported a value of 239 ml/min using electromagnetic flowmetry.…”