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Article Dans Une Revue Journal of Clinical Medicine Année : 2021

Comparison of the Use of Arterial Doppler Waveform Classifications in Clinical Routine to Describe Lower Limb Flow

Antoine Guilcher
  • Fonction : Auteur
Damien Lanéelle
  • Fonction : Auteur
Clément Hoffmann
  • Fonction : Auteur
Jérôme Guillaumat
  • Fonction : Auteur
Joel Constans
  • Fonction : Auteur
Luc Bressollette
  • Fonction : Auteur
Claire Le Hello
  • Fonction : Auteur
Christian Boissier
  • Fonction : Auteur
Alessandra Bura-Rivière
  • Fonction : Auteur
Vincent Jaquinandi
  • Fonction : Auteur
Loukman Omarjee
Philippe Lacroix
  • Fonction : Auteur
Gilles Pernod
  • Fonction : Auteur
Fabrice Abbadie
  • Fonction : Auteur
Carine Boulon
  • Fonction : Auteur
Guillaume Mahé

Résumé

Background: Characterisation of arterial Doppler waveforms is a persistent problem and a source of confusion in clinical practice. Classifications have been proposed to address the problem but their efficacy in clinical practice is unknown. The aim of the present study was to compare the efficacy of the categorisation rate of Descotes and Cathignol, Spronk et al. and the simplified Saint-Bonnet classifications. Methods: This is a multicentre prospective study where 130 patients attending a vascular arterial ultrasound were enrolled and Doppler waveform acquisition was performed at the common femoral, the popliteal, and the distal arteries at both sides. Experienced vascular specialists categorized these waveforms according to the three classifications. Results: of 1033 Doppler waveforms, 793 (76.8%), 943 (91.3%) and 1014 (98.2%) waveforms could be categorized using Descotes and Cathignol, Spronk et al. and the simplified Saint-Bonnet classifications, respectively. Differences in categorisation between classifications were significant (Chi squared test, p < 0.0001). Of 19 waveforms uncategorized using the simplified Saint-Bonnet classification, 58% and 84% were not categorized using the Spronk et al. and Descotes and Cathignol classifications, respectively. Conclusions: The results of the present study suggest that the simplified Saint-Bonnet classification provides a superior categorisation rate when compared with Spronk et al. and Descotes and Cathignol classifications.

Dates et versions

hal-04533282 , version 1 (04-04-2024)

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Antoine Guilcher, Damien Lanéelle, Clément Hoffmann, Jérôme Guillaumat, Joel Constans, et al.. Comparison of the Use of Arterial Doppler Waveform Classifications in Clinical Routine to Describe Lower Limb Flow. Journal of Clinical Medicine, 2021, 10 (3), pp.464. ⟨10.3390/jcm10030464⟩. ⟨hal-04533282⟩

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