Circulation, Vol 81, 660-666, Copyright © 1990 by American Heart Association
SE Nissen, CL Grines, JC Gurley, K Sublett, D Haynie, C Diaz, DC Booth and AN DeMaria
Tomographic imaging techniques such as ultrasound can provide important
information in the evaluation of vascular anatomy. Recent technical
advances have permitted fabrication of a small (1.83 mm), phased-array,
intravascular ultrasonic imaging catheter capable of continuous real- time,
cross-sectional imaging of blood vessels. We used this imaging catheter to
compare intraluminal ultrasound with cineangiography in the measurement of
vascular dimensions in animals and to assess the intraobserver and
interobserver variability of the technique. Segmental deformation of vessel
anatomy was produced by stenoses created with a tissue ligature or by
balloon dilation. The mean value for measurements of vessel diameter was
5.6 mm by cineangiography and 5.7 mm by intravascular ultrasound. The
correlation between cineangiography and ultrasound was close (r = 0.98).
Mean cross-sectional area by angiography was 28.8 mm2 and 29.6 mm2 (r =
0.96) by ultrasound. Percent diameter reduction produced by the stenoses
averaged 48.4% by cineangiography and 40.1% by ultrasound, and the two
methods correlated closely (r = 0.89). Correlation between cineangiography
and ultrasound for vessel diameter and area before balloon dilation was
closer (r = 0.92 and 0.88) than after balloon dilation (r = 0.86 and 0.81).
This difference reflected an increase in measured vessel eccentricity
following balloon dilation. These data demonstrate that intravascular
ultrasound is an accurate and reproducible method for measurement of
vascular diameter and cross-sectional area in vivo. Intravascular
ultrasound is capable of accurately identifying and quantifying segmental
deformation of vascular dimensions produced by either stenoses or balloon
dilation.
ARTICLES
Application of a new phased-array ultrasound imaging catheter in the assessment of vascular dimensions. In vivo comparison to cineangiography
Division of Cardiovascular Medicine, University of Kentucky, College of Medicine, Lexington.
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