Segmental Pressure

Segmental pressures using the three- or four-cuff method can provide an initial indication of the anatomical location of arterial occlusive lesions1. This test is most useful in patients without risk for calcified vessels and with suspected femoral artery occlusions. Segmental pressures could be combined with or replaced by segmental pulse volume recordings (PVR) since this test is not affected by arterial calcification and is easier to tolerate for the patient2.

  • Can give an indication to the anatomical location of an occlusive lesion.
  • Used to be the most common test to check if a claudicant without diabetes who smokes had an occlusion in the superficial femoral artery.
  • Is usually done with cuffs on the ankles and calves, and either one or two cuffs on the upper thigh.
  • Preferably combined with PVR that is less affected by calcification and is easier for patients to tolerate.

Report example segmental pressure

See references

References

  • Noninvasive Physiologic Vascular Studies: A Guide to Diagnosing Peripheral Arterial Disease. Robert C. Sibley III, MD Stephen P. Reis, MD Jarrod J. MacFarlane, DO Mark A. Reddick, MD, MS Sanjeeva P. Kalva, MD Patrick D. Sutphin, MD, PhD. RadioGraphics 2017; 37:346–357.    
  • Lower extremity arterial evaluation: Are segmental arterial blood pressures worthwhile? Steven S. Gale MD, Robert P. Scissons, RVT, Sergio X. Salles-Cunha, PhD, Steven M. Dosick, MD, Ralph C. Whalen, MD, John P. Pigott, MD, and Hugh G. Beebe, MD, Toledo, Ohio. JOURNAL OF VASCULAR SURGERY May 1998. Volume 27, Number 5.    
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