Assessment of lower extremity arterial blood flow in females with knee osteoarthritis

Background Vascular dysfunction dominates the clinical picture of peripheral autonomic neuropathy in lower extremity. Patients and Methods We have studied functional changes of leg vasculature in 30 patients with chronic ulceration due to peripheral autonomic neuropathy between clinical stages 1 and 3. They suffered from lower extremity wounds. After sympathetic skin response test, pedal arterial blood flow analysis including peak systolic velocity (PSV) and pulsatility index (PI) was made by duplex ultrasonography (DUS) in involved legs. Vascular anatomy of leg was also examined by magnetic resonance angiography. Results The mean PSV value was found 58.32 cm/s in stage 1, 35.31 cm/s in stage 2, and 15.71 cm/s in stage 3. The mean PI value was observed 1.17 in stage 1, 1.43 in stage 2, and 1.87 in stage 3. In chronic stage 3, three patients had inadequate arterial blood supply and recurrent ulcer. Conclusions We suggest that reduced sympathetic activity due to small fiber neuropathy causes temporal variations in leg blood flow. There was a nonlinear relationship between vascular functional changes and stages of disease with increased, intermediate, and decreased blood flow, respectively. DUS assessment of pedal arteries contributed to differentiation of clinical stages and permitted vascular evaluation in the course of peripheral autonomic neuropathy.

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Lower extremity volumetric arterial blood flow in normal subjects

Ultrasound in Medicine & Biology ◽

10.1016/s0301-5629(98)00103-3 ◽

1998 ◽

Vol 24 (8) ◽

pp. 1079-1086 ◽

Cited By ~ 50

Author(s):

Christy K. Holland ◽

Janis M. Brown ◽

Leslie M. Scoutt ◽

Kenneth J.W. Taylor

Keyword(s):

Blood Flow ◽

Lower Extremity ◽

Normal Subjects ◽

Arterial Blood Flow ◽

Arterial Blood

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Mechanisms of Abdominal Aortic Aneurysm Formation in Persons With Traumatic Amputation of a Lower Extremity

ASME 2011 Summer Bioengineering Conference, Parts A and B ◽

10.1115/sbc2011-53465 ◽

2011 ◽

Author(s):

Alexander V. Smolensky ◽

Stephanie Clement-Guinaudeau ◽

Michael K. Larche ◽

John N. Oshinski ◽

W. Robert Taylor

Keyword(s):

Blood Flow ◽

Shear Stress ◽

Lower Extremity ◽

Aortic Aneurysms ◽

Arterial Blood Flow ◽

Infrarenal Aorta ◽

Traumatic Amputation ◽

Arterial Blood ◽

Abdominal Aortic ◽

Retrograde Blood Flow

Abdominal aortic aneurysms (AAA) are a major cause of morbidity and mortality in the US. The incidence of AAA in older Americans approaches 30%. The most common place of AAA is infrarenal abdominal aorta where oscillatory shear stress (OSS) is present. OSS is known to initiate an inflammatory response in the endothelium. It is known that there is up to a 5-fold increase in the occurrence of AAA in individuals with traumatic amputation of a lower extremity. This increased AAA occurrence is unrelated to co-morbid conditions. We recruited 3 healthy volunteers who underwent infrarenal abdominal aortic Magnetic Resonance angiography and phase contrast imaging. These measurements were done at base line and with acute arterial blood flow occlusion to lower extremity with a blood pressure cuff to mimic amputation. The collected data was used to calculate systolic forward and diastolic retrograde blood flow and wall shear stress during cardiac cycle. Our results suggest that mimicking amputation produces a nearly doubling of retrograde blood flow with ∼50% increase of negative WSS. These changes are more pronounced on the contralateral to the “amputation” side. We conclude that lower extremity traumatic amputations may lead to augmentation of OSS in infrarenal aorta causing AAA development.

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Changes in Umbilical Arterial Blood Flow by an Intraamniotic Distilled Water Infusion

Yearbook of Obstetrics Gynecology and Women s Health ◽

10.1016/s1090-798x(08)70024-9 ◽

2007 ◽

Vol 2007 ◽

pp. 30-31

Author(s):

S.H. Ural

Keyword(s):

Blood Flow ◽

Arterial Blood Flow ◽

Distilled Water ◽

Arterial Blood ◽

Water Infusion

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Impact of Pre Transplant Transarterial Chemoembolization on Hepatic Arterial Blood Flow and Outcomes in Liver Transplantation

10.26226/morressier.58eb975dd462b80290b50084 ◽

2017 ◽

Author(s):

Siddharth Jain

Keyword(s):

Liver Transplantation ◽

Blood Flow ◽

Transarterial Chemoembolization ◽

Arterial Blood Flow ◽

Hepatic Arterial Blood Flow ◽

Arterial Blood

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Modeling Elastic Walls in Lattice Boltzmann Simulations of Arterial Blood Flow

SNE Simulation Notes Europe ◽

10.11128/sne.23.tn.10189 ◽

2013 ◽

Vol 23 (2) ◽

Author(s):

Xenia Descovich ◽

Giuseppe Pontrelli ◽

Sauro Succi ◽

Simone Melchionna ◽

Manfred Bammer

Keyword(s):

Blood Flow ◽

Lattice Boltzmann ◽

Arterial Blood Flow ◽

Arterial Blood ◽

Lattice Boltzmann Simulations ◽

Elastic Walls

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Sustained Inflation Reduces Pulmonary Blood Flow during Resuscitation with an Intact Cord

Children ◽

10.3390/children8050353 ◽

2021 ◽

Vol 8 (5) ◽

pp. 353

Author(s):

Jayasree Nair ◽

Lauren Davidson ◽

Sylvia Gugino ◽

Carmon Koenigsknecht ◽

Justin Helman ◽

...

Keyword(s):

Blood Flow ◽

Perinatal Asphyxia ◽

Arterial Blood Flow ◽

Positive Pressure ◽

Optimal Timing ◽

Delayed Cord Clamping ◽

Arterial Blood ◽

Cord Clamping ◽

Sustained Inflation ◽

Near Term

The optimal timing of cord clamping in asphyxia is not known. Our aims were to determine the effect of ventilation (sustained inflation–SI vs. positive pressure ventilation–V) with early (ECC) or delayed cord clamping (DCC) in asphyxiated near-term lambs. We hypothesized that SI with DCC improves gas exchange and hemodynamics in near-term lambs with asphyxial bradycardia. A total of 28 lambs were asphyxiated to a mean blood pressure of 22 mmHg. Lambs were randomized based on the timing of cord clamping (ECC—immediate, DCC—60 s) and mode of initial ventilation into five groups: ECC + V, ECC + SI, DCC, DCC + V and DCC + SI. The magnitude of placental transfusion was assessed using biotinylated RBC. Though an asphyxial bradycardia model, 2–3 lambs in each group were arrested. There was no difference in primary outcomes, the time to reach baseline carotid blood flow (CBF), HR ≥ 100 bpm or MBP ≥ 40 mmHg. SI reduced pulmonary (PBF) and umbilical venous (UV) blood flow without affecting CBF or umbilical arterial blood flow. A significant reduction in PBF with SI persisted for a few minutes after birth. In our model of perinatal asphyxia, an initial SI breath increased airway pressure, and reduced PBF and UV return with an intact cord. Further clinical studies evaluating the timing of cord clamping and ventilation strategy in asphyxiated infants are warranted.

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