Circulation, Vol 71, 280-288, Copyright © 1985 by American Heart Association
JH Reiber, PW Serruys, CJ Kooijman, W Wijns, CJ Slager, JJ Gerbrands, JC Schuurbiers, A den Boer and PG Hugenholtz
A computer-assisted technique has been developed to assess absolute
coronary arterial dimensions from 35 mm cineangiograms. The boundaries of
optically magnified and video-digitized coronary segments and the
intracardiac catheter are defined by automated edge-detection techniques.
Contour positions are corrected for pincushion distortion. The accuracy and
precision of the edge detection procedure as assessed from cinefilms of
contrast-filled acrylate (Perspex) models were -30 and 90 micrometers,
respectively. The variability of the analysis procedure itself in terms of
absolute arterial dimensions was less than 0.12 mm, and in terms of
percentage arterial narrowing for coronary obstructions less than 2.74%.
Short-, medium-, and long-term variability measurements were assessed from
repeated coronary angiographic examinations performed 5 min, 1 hr, and 90
days apart, respectively. For all studies the mean differences in absolute
diameters were less than 0.13 mm. The variability in obstruction diameter
ranged from 0.22 mm for the best-controlled study (medium- term) to 0.36 mm
for the least-controlled study (long-term); variability in reference
diameter ranged from 0.15 to 0.66 mm, respectively. It is concluded that
the biological variations are a source of major concern and that further
attempts toward standardization of the angiographic procedure are seriously
needed.
ARTICLES
Assessment of short-, medium-, and long-term variations in arterial dimensions from computer-assisted quantitation of coronary cineangiograms
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E. Camenzind, W. H. Bakker, A. Reijs, I. M. van Geijlswijk, E. Boersma, M. J. B. Kutryk, E. P. Krenning, J. R. T. C. Roelandt, P. W. Serruys, and P. W. Serruys Site-Specific Intracoronary Heparin Delivery in Humans After Balloon Angioplasty : A Radioisotopic Assessment of Regional Pharmacokinetics Circulation, July 1, 1997; 96(1): 154 - 165. [Abstract] [Full Text]
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 J. Hulthe, J. Wikstrand, H. Emanuelsson, O. Wiklund, P. J. de Feyter, and I. Wendelhag Atherosclerotic Changes in the Carotid Artery Bulb as Measured by B-Mode Ultrasound Are Associated With the Extent of Coronary Atherosclerosis Stroke, June 1, 1997; 28(6): 1189 - 1194. [Abstract] [Full Text]
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The Post Coronary Artery Bypass Graft Trial Invest The Effect of Aggressive Lowering of Low-Density Lipoprotein Cholesterol Levels and Low-Dose Anticoagulation on Obstructive Changes in Saphenous-Vein Coronary-Artery Bypass Grafts N. Engl. J. Med., January 16, 1997; 336(3): 153 - 163. [Abstract] [Full Text] [PDF]
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P. R. Moreno, V. H. Bernardi, J. Lopez-Cuellar, J. B. Newell, C. McMellon, H. K. Gold, I. F. Palacios, V. Fuster, and J. T. Fallon Macrophage Infiltration Predicts Restenosis After Coronary Intervention in Patients With Unstable Angina Circulation, December 15, 1996; 94(12): 3098 - 3102. [Abstract] [Full Text]
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M. Haude, G. Caspari, D. Baumgart, R. Brennecke, J. Meyer, and R. Erbel Comparison of Myocardial Perfusion Reserve Before and After Coronary Balloon Predilatation and After Stent Implantation in Patients With Postangioplasty Restenosis Circulation, August 1, 1996; 94(3): 286 - 297. [Abstract] [Full Text]
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N. H.J. Pijls, B. de Bruyne, K. Peels, P. H. van der Voort, H. J.R.M. Bonnier, J. Bartunek, and J. J. Koolen Measurement of Fractional Flow Reserve to Assess the Functional Severity of Coronary-Artery Stenoses N. Engl. J. Med., June 27, 1996; 334(26): 1703 - 1708. [Abstract] [Full Text] [PDF]
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A. A. Kroon, W. R.M. Aengevaeren, T. van der Werf, G. J.H. Uijen, J. H.C. Reiber, A. V.G. Bruschke, and A. F.H. Stalenhoef LDL-Apheresis Atherosclerosis Regression Study (LAARS) : Effect of Aggressive Versus Conventional Lipid Lowering Treatment on Coronary Atherosclerosis Circulation, May 15, 1996; 93(10): 1826 - 1835. [Abstract] [Full Text]
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K. G. Lehmann, R. Melkert, and P. W. Serruys Contributions of Frequency Distribution Analysis to the Understanding of Coronary Restenosis : A Reappraisal of the Gaussian Curve Circulation, March 15, 1996; 93(6): 1123 - 1132. [Abstract] [Full Text]
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P. A. Hardhammar, H. M.M. van Beusekom, H. U. Emanuelsson, S. H. Hofma, P. A. Albertsson, P. D. Verdouw, E. Boersma, P. W. Serruys, and W. J. van der Giessen Reduction in Thrombotic Events With Heparin-Coated Palmaz-Schatz Stents in Normal Porcine Coronary Arteries Circulation, February 1, 1996; 93(3): 423 - 430. [Abstract] [Full Text]
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N. H.J. Pijls, B. Van Gelder, P. Van der Voort, K. Peels, F. A.L.E. Bracke, H. J.R.M. Bonnier, and M. I.H. El Gamal Fractional Flow Reserve : A Useful Index to Evaluate the Influence of an Epicardial Coronary Stenosis on Myocardial Blood Flow Circulation, December 1, 1995; 92(11): 3183 - 3193. [Abstract] [Full Text]
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E. Camenzind, P.-P. Kint, C. Di Mario, J. Ligthart, W. van der Giessen, E. Boersma, and P. W. Serruys Intracoronary Heparin Delivery in Humans : Acute Feasibility and Long-term Results Circulation, November 1, 1995; 92(9): 2463 - 2472. [Abstract] [Full Text]
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G. Montalescot, A. Ankri, E. Vicaut, G. Drobinski, Y. Grosgogeat, and D. Thomas Fibrinogen After Coronary Angioplasty as a Risk Factor for Restenosis Circulation, July 1, 1995; 92(1): 31 - 38. [Abstract] [Full Text]
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 M. J. Pirwitz, J. E. Willard, C. Landau, R. A. Lange, D. B. Glamann, D. J. Kessler, E. H. Foerster, E. Todd, and L. D. Hillis Influence of Cocaine, Ethanol, or Their Combination on Epicardial Coronary Arterial Dimensions in Humans Arch Intern Med, June 12, 1995; 155(11): 1186 - 1191. [Abstract] [PDF]
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 R. Altstidl, H. Dill, M. Regenfus, H. Lehmkuhl, and K. Bachmann Prestenotic and Poststenotic Flow Measurement to Assess Severity of Coronary Artery Stenosis Vascular and Endovascular Surgery, May 1, 1995; 29(3): 189 - 197. [Abstract] [PDF]
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L. Chen, M. R. Chester, S. Redwood, J. Huang, E. Leatham, and J. C. Kaski Angiographic Stenosis Progression and Coronary Events in Patients With `Stabilized' Unstable Angina Circulation, May 1, 1995; 91(9): 2319 - 2324. [Abstract] [Full Text]
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D. Keane, J. Haase, C. J. Slager, E. M. van Swijndregt, K. G. Lehmann, Y. Ozaki, C. di Mario, R. Kirkeeide, and P. W. Serruys Comparative Validation of Quantitative Coronary Angiography Systems : Results and Implications From a Multicenter Study Using a Standardized Approach Circulation, April 15, 1995; 91(8): 2174 - 2183. [Abstract] [Full Text]
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A. Pietersma, M. Kofflard, L. E. A. d. Wit, T. Stijnen, J. F. Koster, P. W. Serruys, and W. Sluiter Late Lumen Loss After Coronary Angioplasty Is Associated With the Activation Status of Circulating Phagocytes Before Treatment Circulation, March 1, 1995; 91(5): 1320 - 1325. [Abstract] [Full Text]
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C. B. Treasure, J. L. Klein, W. S. Weintraub, J. D. Talley, M. E. Stillabower, A. S. Kosinski, J. Zhang, S. J. Boccuzzi, J. C. Cedarholm, and R. W. Alexander Beneficial Effects of Cholesterol-Lowering Therapy on the Coronary Endothelium in Patients with Coronary Artery Disease N. Engl. J. Med., February 23, 1995; 332(8): 481 - 487. [Abstract] [Full Text] [PDF]
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H. Dill, R. Altstidl, M. Regenfus, H. Lehmkuhl, and K. Bachmann Doppler Flow Velocity Measurements During Coronary Angioplasty Angiology, October 1, 1994; 45(10): 877 - 882. [Abstract] [PDF]
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N. G. Uren, T. Crake, D. C. Lefroy, R. de Silva, G. J. Davies, and A. Maseri Reduced Coronary Vasodilator Function in Infarcted and Normal Myocardium after Myocardial Infarction N. Engl. J. Med., July 28, 1994; 331(4): 222 - 227. [Abstract] [Full Text]
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N. G. Uren, J. A. Melin, B. De Bruyne, W. Wijns, T. Baudhuin, and P. G. Camici Relation between Myocardial Blood Flow and the Severity of Coronary-Artery Stenosis N. Engl. J. Med., June 23, 1994; 330(25): 1782 - 1788. [Abstract] [Full Text]
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D. J. Moliterno, J. E. Willard, R. A. Lange, B. H. Negus, J. D. Boehrer, D. B. Glamann, C. Landau, J. D. Rossen, M. D. Winniford, and L. D. Hillis Coronary-Artery Vasoconstriction Induced by Cocaine, Cigarette Smoking, or Both N. Engl. J. Med., February 17, 1994; 330(7): 454 - 459. [Abstract] [Full Text]
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K. Egashira, T. Inou, Y. Hirooka, A. Yamada, Y. Urabe, and A. Takeshita Evidence of Impaired Endothelium-Dependent Coronary Vasodilatation in Patients with Angina Pectoris and Normal Coronary Angiograms N. Engl. J. Med., June 10, 1993; 328(23): 1659 - 1664. [Abstract] [Full Text]
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F. Zijlstra, M. J. de Boer, J. Hoorntje, S. Reiffers, J. Reiber, and H. Suryapranata A Comparison of Immediate Coronary Angioplasty with Intravenous Streptokinase in Acute Myocardial Infarction N. Engl. J. Med., March 11, 1993; 328(10): 680 - 684. [Abstract] [Full Text]
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 R. A. Lange, R. G. Cigarroa, E. D. Flores, W. McBride, A. S. Kim, P. J. Wells, J. B. Bedotto, R. S. Danziger, and L. D. Hillis Potentiation of Cocaine-Induced Coronary Vasoconstriction by Beta-Adrenergic Blockade Ann Intern Med, June 15, 1990; 112(12): 897 - 903. [Abstract] [PDF]
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