Supraorbital photoplethysmography. Simple, accurate screening for carotid occlusive disease.

Abstract A technique of supraorbital photoplethys-mography has been developed for rapid noninvasive assessment of significant obstruction of the extracranial internal carotid artery. Photopulse pickups over each supraorbital and frontal artery permit recording of pulsation and the effect of compression of all major branches of the external carotid artery and each common carotid artery. Studies were performed on each carotid artery of 76 consecutive patients under-going contrast arteriography for suspected cerebrovascular disease. Supraorbital PPG correctly identified all 20 occluded internal carotid arteries, all 16 arteries with significant (≥50%) stenosis and 10 of 44 vessels with

[1]  T. Sundt,et al.  Retinal Arterial Pressure Before and After Surgery for Carotid Artery Stenosis , 1971, Stroke.

[2]  M M Kartchner,et al.  Noninvasive detection and evaluation of carotid occlusive disease. , 1973, Archives of surgery.

[3]  P. Hübbe,et al.  Skin Blood Pressure in the Forehead in Patients With Internal Carotid Lesions , 1975, Stroke.

[4]  R. Gumnit,et al.  Detecting Carotid Occlusive Disease by Thermography , 1973, Stroke.

[5]  R. Griep,et al.  The Detection of Carotid Artery Obstruction: A Correlation With Arteriography , 1971, Stroke.

[6]  D. N. Cohen,et al.  Carotid Compression Tonography: Correlation With Bilateral Carotid Arteriography in the Diagnosis of Extracranial Carotid Occlusive Disease , 1975, Stroke.

[7]  A. B. Hertzman.  THE BLOOD SUPPLY OF VARIOUS SKIN AREAS AS ESTIMATED BY THE PHOTOELECTRIC PLETHYSMOGRAPH , 1938 .

[8]  J. Toole,et al.  The carotid compression test , 1963, Neurology.

[9]  A. P. Wyatt,et al.  The technique and possible application of supra‐orbital artery blood‐pressure estimation , 1973, The British journal of surgery.

[10]  Strandness De,et al.  The accuracy of the supraorbital Doppler examination in the diagnosis of hemodynamically significant carotid occlusive disease. , 1976 .

[11]  D. Oller,et al.  Noninvasive Diagnosis of Carotid Occlusion by Ocular Pneumoplethysmography , 1976, Stroke.

[12]  G. Bone,et al.  Limitations of the Doppler cerebrovascular examination in hemispheric cerebral ischemia. , 1976, Surgery.