Key result
Spectral Doppler analysis of the popliteal artery in healthy patients demonstrated a blunted parabolic flow profile with a TAV mean to TAV max ratio of 0.68 ± 0.07 at baseline.
Observational (n=10)
The popliteal artery exhibits a blunted parabolic flow profile rather than a standard parabolic profile, suggesting adjustments are needed when calculating its mean blood velocity.
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May warrant revised popliteal velocity calculations in Doppler studies; leaves open validation in diseased populations.
The mean blood velocity is required to calculate blood flow and to determine the associated shear rate. The maximal blood flow velocity is assumed to have a parabolic velocity profile; therefore, the mean velocity is half of the maximal value. Previous studies have been carried out on vessels such as the brachial and femoral artery, but none have been reported for the popliteal artery. To assess the velocity profile of the popliteal artery, a spectral Doppler analysis was performed on ten healthy patients during varied flow states (resting, distal occlusion, hyperemia). The results were then averaged over the entire cardiac cycle. The flow described in these patients’ popliteal artery had a blunted parabolic flow profile with a TAV mean :TAV max ratio of 0.68 ± 0.07 at baseline. The baseline measures were compared to a TAV mean :TAV max ratio of 0.68 ± 0.12 during distal occlusion and 0.67 ± 0.16 during reactive hyperemia. These descriptive results may suggest that adjustments may be needed for a blunted parabolic profile, especially when calculating the mean velocity of the popliteal artery.
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Olowoyeye et al. (2017) conducted an observational in Healthy (n=10). Varied flow states (distal occlusion, reactive hyperemia) vs. Resting (baseline) was evaluated on TAV mean to TAV max ratio. Spectral Doppler analysis of the popliteal artery in healthy patients demonstrated a blunted parabolic flow profile with a TAV mean to TAV max ratio of 0.68 ± 0.07 at baseline.
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