Doppler ultrasound arterial scanning

  • Dermot E. Fitzgerald
Part of the Instrumentation and Techniques in Clinical Medicine book series (ITCM, volume 2)


The purpose of this chapter is to describe some of the information which can be obtained by using continuous-wave Doppler ultrasound to examine the peripheral arteries in man. The use of these instruments in the examination of peripheral veins and the measurement of segmental blood pressure in the limbs is described in other chapters. In this chapter some space is given to description of clinical techniques of examination to assist those to whom the methods may be unfamiliar and also to point out some of the sources of error which may produce poor results when using Doppler ultrasound. There is a growing ill-informed opinion that Doppler ultrasound instruments are simply rather sophisticated acoustical instruments with greater sensitivity than the traditional clinical stethescope. This opinion is manifestly incorrect and can only be expressed as a result of a lack of knowledge. The descriptions which follow below attempt to show the type and range of information that is available from Doppler ultrasound scanning from the clinician’s point of view. Undoubtedly the instrumentation and the techniques are in the relatively early stages of development and as interest in this area builds up much refinement will occur. The Doppler system has been the Cinderella of clinical ultrasound.


Doppler Ultrasound Pulsatility Index Superficial Femoral Artery Ultrasound Beam Forward Flow 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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References to Main Text

  1. 1.
    Wells PNT: Ultrasonic Doppler probes. In: Cardiovascular Applications of Ultrasound, Amsterdam, North Holland Publishing Company, 1974, p 125–131.Google Scholar
  2. 2.
    Light LH: Initial evaluation of transcutaneous aortovelography–a new non-invasive technique for haemodynamic measurements in the major thoracic vessels. In: Cardiovascular Applications of Ultrasound, Amsterdam, North Holland Publishing Company, 1974, p 325–360.Google Scholar
  3. 3.
    FitzGerald DE, Gosling RG, Woodcock JP: Grading dynamic capability of arterial collateral circulation. Lancet 66–67, 1971.Google Scholar
  4. 4.
    FitzGerald DE, Carr J: Peripheral arterial disease: assessment by arteriography and alternative non-invasive measurements. Amer. J. Roentgenol. 128: 385–388, 1977.Google Scholar
  5. 5.
    FitzGerald DE, Brew WKM, Fortesque-Webb CM, Donnelly C: Detection of arterial aneurysms with Doppler ultrasound. J. I. Coll. Phys. Surg. 5: 11–14, 1975.Google Scholar
  6. 6.
    Mol JMF, Rijcken: Doppler haematotachographic investigation in cerebral circulation disturbances. In: Cardiovascular Applications of Ultrasound, Amsterdam, North Holland Publishing Company, 1974, p 305–314.Google Scholar
  7. 7.
    Barnes RW, Garrett WV, Slaymaker EE, Reinertson JE: Doppler ultrasound and supra-orbital photoplethysmography for non-invasive screening of carotid occlusive disease. Amer. J. Surg. 134: 183–186, 1977.PubMedCrossRefGoogle Scholar
  8. 8.
    Bone GE, Slaymaker EE, Barnes RW: Non-invasive assessment of collateral blood flow of the cerebral hemispheres by Doppler ultrasound. Surg. Gynaecol. Obstet. 145: 873–876, 1977.Google Scholar
  9. 9.
    FitzGerald DE, Fortesque-Webb CM, Ekestrom S, Liljeqvist, Nordhus O: Monitoring coronary artery blood flow by Doppler shift ultrasound. Scand. J. thor. cardiovasc. Surg. 11: 119–123, 1977.Google Scholar
  10. 10.
    FitzGerald DE, Drumm JE: Non-invasive measurement of human fetal circulation using ultrasound: a new method. Brit. med. J. 2: 1450–1451, 1977.PubMedCrossRefGoogle Scholar
  11. 11.
    Gosling RG, King DH: Continuous wave ultrasound as an alternative and complement to X-rays in vascular examinations. In: Cardiovascular Applications of Ultrasound, Amsterdam, North Holland Publishing Company, 1974, p 266–282.Google Scholar
  12. 12.
    McCormack PD, FitzGerald DE: The visco-elastic arterial flow model and the ultrasound Doppler probe. J. Inst. Maths. Applies. 16: 361–370, 1975.CrossRefGoogle Scholar
  13. 13.
    McCormack P, Brew WK, Fortesque-Webb CM, FitzGerald DE: Visco-elastic arterial flow model using the ultrasound Doppler flowmeter. In: Clinical Blood Flow Measurement, London, Sector Publishing, 1976, p 48–52.Google Scholar
  14. 14.
    Brew WKM, FitzGerald DE: Transcutaneous assessment of arterial elasticity. Ultrasound Med. Biol. 2: 263–270, 1976.Google Scholar
  15. 15.
    Gow BS: The influence of smooth muscle on the viscoelastic properties of blood vessels. In: Cardiovascular Fluid Dynamics. New York, Academic Press, 1972.Google Scholar

Reference to Commentary

  1. 1.
    Fronek et al: Noninvasive physiologic tests in the diagnosis and characterization of peripheral arterial occlusive disease. Am. J. Surg. 1973, 126: 205–214.CrossRefGoogle Scholar

Copyright information

© Martinus Nijhoff Publishers bv, The Hague 1980

Authors and Affiliations

  • Dermot E. Fitzgerald

There are no affiliations available

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