Ultrasonic Imaging and Oculoplethysmography in Diagnosis of Carotid Occlusive Disease

Dean H. Wasserman, Robert W. Hobson, Thomas G. Lynch, Silvia M. Berry, Zafar Jamil

Research output: Contribution to journalArticlepeer-review

11 Scopus citations


Pulsed Doppler ultrasonic imaging (UI) of the cervical carotid artery provides flow-dependent anatomic detail of the carotid bifurcation, while oculoplethysmography (Kartchner) (OPG-K), ocular pneumoplethysmography (Gee) (OPG-G) reflect changes in flow and pressure resulting from hemodynamically significant lesions. We examined 66 patients prospectively with UI, OPG-K, and OPG-G to compare the relative accuracy of these techniques with contrast arteriography. Both UI and OPG-G were significantly more accurate than OPG-K. While the accuracies of UI and OPG-G were not significantly different, their combined use resulted in a significant increase in sensitivity compared with that of Doppler imaging alone. In addition, UI correctly identified 22(85%) of 26 occlusions of the internal carotid artery. The use of UI and OPG-G together provided accurate anatomic and hemodynamic information useful in the evaluation of carotid occlusive disease.

Original languageEnglish (US)
Pages (from-to)1161-1163
Number of pages3
JournalArchives of Surgery
Issue number10
StatePublished - Oct 1983

ASJC Scopus subject areas

  • Surgery


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