Circulation, Vol 55, 626-633, Copyright © 1977 by American Heart Association
RM Rosen, SP Parthasarathy, AF Turner, DH Blankenhorn and EJ Roschke
Phonoangiography, as a noninvasive quantitative analysis of arterial
bruits, was conducted just prior to standard invasive radiographic
angiography in 135 patients. Sound records from 162 carotid arteries were
analyzed with a new processing technique employing a high speed analog
acoustic analyzer, the autocorrelator. In 18 arteries with carotid
stenosis, a correlation coefficient of 0.87 resulted between
phonoangiographic diameter predictions and radiographic diameter estimates.
Bruit analysis identified two patients with patent lumen diameters, but
tortuous carotid vessels. One hundred thirty-three carotid arteries had no
bruits that could be analyzed, but angiograms showed no extracranial
stenosis. Four arteries from which bruits could not be analyzed were found
to be totally occluded. Carotid phonoangiography appears applicable in
approximately one of seven patients now requiring angiography of head and
neck vessels. When applicable, phonoangiography is significantly correlated
with angiographic findings.
ARTICLES
Phonoangiography by autocorrelation
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