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What Does the Photoplethysmography Add to Laser Doppler Flowmetry During the Brachial Artery Occlusion Test?
Vasily Karpov1, Alexey Glazkov1, Denis Lapitan1
1Laboratory of Medical and Physics Research, Moscow Regional Research and Clinical Institute ("MONIKI") Named After M.F. Vladimirsky, Moscow, Russia.
Abstract:
In this study, the difference in behavior of the raw photoplethysmography (PPG) signal and the laser Doppler flowmetry (LDF) signal reflecting hemodynamics in the skin of upper extremities at brachial arterial occlusion is recorded and discussed. It is shown that at various locations on the hand, the raw PPG signal provides richer and previously little-known information on the redistribution of blood between the arterial, microcirculatory, and venous beds, while the conventional blood flow (BF) parameter recorded by LDF technique is less sensitive to it and largely does not capture this redistribution.
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This invasive approach involves cannulating a peripheral artery. During each cardiac contraction, pressure generates mechanical motion within the catheter, transmitted through rigid, fluid-filled tubing to a transducer. This transducer converts mechanical motion into electrical signals displayed as waveforms on a monitor. An automatic flushing system prevents blood backflow. Due to the potential risk of unexpected arterial blood loss, this method is primarily used in intensive...
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