Interpretation of venous occlusion plethysmography using a nonlinear model

Venous occlusion plethysmography (VOP) is a noninvasive technique widely employed for the detection of deep-vein thrombosis. Previous reports that VOP outflow curves are closely fit by a first-order exponential suggest that venous compliance and resistance are nearly constant. Typically, however, the venous compliance function has a sigmoid shape; in addition, the resistance in a collapsing tube must increase. This paradox was resolved by the surprising finding that for realistic nonlinear compliance and resistance these nonlinearities cancel, producing a quasilinear venous outflow that approximates a simple exponential.

[1]  J. Ludbrook Aspects of venous function in the lower limbs , 1966 .

[2]  I. Dahn,et al.  Plethysmographic diagnosis of deep venous thrombosis of the leg. , 1968, Acta chirurgica Scandinavica. Supplementum.

[3]  H. A. Luther,et al.  Applied numerical methods , 1969 .

[4]  B. Hesse Venous pressure changes during congestion. Venous pressure in the great saphenous vein during congestion with a blood pressure cuff proximal to the knee. , 2009, Acta medica Scandinavica.

[5]  F. Anderson,et al.  Occlusive impedance phlebography: a diagnostic procedure for venous thrombosis and pulmonary embolism. , 1974, Progress in cardiovascular diseases.

[6]  Åke Björck,et al.  Numerical Methods , 1995, Handbook of Marine Craft Hydrodynamics and Motion Control.

[7]  F. White Viscous Fluid Flow , 1974 .

[8]  David S. Sumner,et al.  Hemodynamics for surgeons , 1975 .

[9]  Anderson Fa,et al.  Venous occlusion plethysmography for the detection of venous thrombosis. , 1979 .

[10]  D. Sackett,et al.  Replacement of venography in suspected venous thrombosis by impedance plethysmography and 125I-fibrinogen leg scanning: a less invasive approach. , 1981, Annals of internal medicine.

[11]  John V. Tyberg,et al.  Mechanics of the circulation , 1987 .

[12]  Y. Fung,et al.  Mechanics of the Circulation , 2011, Developments in Cardiovascular Medicine.

[13]  A. Seagar,et al.  Interpretation of venous occlusion plethysmographic measurements using a simple model , 2006, Medical and Biological Engineering and Computing.