Circulation, Vol 83, 913-926, Copyright © 1991 by American Heart Association
JM Tobis, J Mallery, D Mahon, K Lehmann, P Zalesky, J Griffith, J Gessert, M Moriuchi, M McRae and ML Dwyer
BACKGROUND. Intravascular ultrasound imaging was performed in 27 patients
after coronary balloon angioplasty to quantify the lumen and atheroma
cross-sectional areas. METHODS AND RESULTS. A 20-MHz ultrasound catheter
was inserted through a 1.6-mm plastic introducer sheath across the dilated
area to obtain real-time images at 30 times/sec. The ultrasound images
distinguished the lumen from atheroma, calcification, and the muscular
media. The presence of dissection between the media and the atheroma was
well visualized. These observations of tissue characterization were
compared with an in vitro study of 20 human atherosclerotic artery segments
that correlated the ultrasound images to histological preparations. The
results indicate that high-quality intravascular ultrasound images under
controlled in vitro conditions can provide accurate microanatomic
information about the histological characteristics of atherosclerotic
plaques. Similar quality cross-sectional ultrasound images were also
obtained in human coronary arteries in vivo. Quantitative analysis of the
ultrasound images from the clinical studies revealed that the mean
cross-sectional lumen area after balloon angioplasty was 5.0 +/- 2.0 mm2.
The mean residual atheroma area at the level of the prior dilatation was
8.7 +/- 3.4 mm2, which corresponded to 63% of the available arterial cross-
sectional area. At the segments of the coronary artery that appeared
angiographically normal, the ultrasound images demonstrated the presence of
atheroma involving 4.7 +/- 3.2 mm2, which was a mean of 35 +/- 23% of the
available area bounded by the media. CONCLUSIONS. Intravascular ultrasound
appears to be more sensitive than angiography for demonstrating the
presence and extent of atherosclerosis and arterial calcification.
Intracoronary imaging after balloon angioplasty reveals that a significant
amount of atheroma is still present, which may partly explain why the
incidence of restenosis is high after percutaneous transluminal coronary
angioplasty.
ARTICLES
Intravascular ultrasound imaging of human coronary arteries in vivo. Analysis of tissue characterizations with comparison to in vitro histological specimens
Department of Pathology, University of California, Irvine Medical Center, Orange 92613-4091.
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H. Berglund, H. Luo, T. Nishioka, M. C. Fishbein, N. L. Eigler, S. W. Tabak, and R. J. Siegel Highly Localized Arterial Remodeling in Patients With Coronary Atherosclerosis : An Intravascular Ultrasound Study Circulation, September 2, 1997; 96(5): 1470 - 1476. [Abstract] [Full Text]
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Y. Ozaki, A. G. Violaris, T. Kobayashi, D. Keane, E. Camenzind, C. Di Mario, P. de Feyter, J. R. T. C. Roelandt, and P. W. Serruys Comparison of Coronary Luminal Quantification Obtained From Intracoronary Ultrasound and Both Geometric and Videodensitometric Quantitative Angiography Before and After Balloon Angioplasty and Directional Atherectomy Circulation, July 15, 1997; 96(2): 491 - 499. [Abstract] [Full Text]
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I. Moussa, C. Di Mario, J. Moses, B. Reimers, L. Di Francesco, G. Martini, J. Tobis, and A. Colombo Coronary Stenting After Rotational Atherectomy in Calcified and Complex Lesions : Angiographic and Clinical Follow-Up Results Circulation, July 1, 1997; 96(1): 128 - 136. [Abstract] [Full Text]
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R. J.G. Peters, W. E.M. Kok, C. Di Mario, P. W. Serruys, F. W.H.M. Bar, G. Pasterkamp, C. Borst, O. Kamp, J. G.F. Bronzwaer, C. A. Visser, et al. Prediction of Restenosis After Coronary Balloon Angioplasty: Results of PICTURE (Post–IntraCoronary Treatment Ultrasound Result Evaluation), a Prospective Multicenter Intracoronary Ultrasound Imaging Study Circulation, May 6, 1997; 95(9): 2254 - 2261. [Abstract] [Full Text]
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G. S. Mintz, K. M. Kent, A. D. Pichard, L. F. Satler, J. J. Popma, and M. B. Leon Contribution of Inadequate Arterial Remodeling to the Development of Focal Coronary Artery Stenoses : An Intravascular Ultrasound Study Circulation, April 1, 1997; 95(7): 1791 - 1798. [Abstract] [Full Text]
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R. Albiero, P. Hall, A. Itoh, S. Blengino, S. Nakamura, G. Martini, M. Ferraro, and A. Colombo Results of a Consecutive Series of Patients Receiving Only Antiplatelet Therapy After Optimized Stent Implantation: Comparison of Aspirin Alone Versus Combined Ticlopidine and Aspirin Therapy Circulation, March 4, 1997; 95(5): 1145 - 1156. [Abstract] [Full Text]
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H. Berglund, H. Luo, T. Nishioka, N. L. Eigler, C.-J. Kim, S. W. Tabak, and R. J. Siegel Preserved Vasodilatory Response to Nitroglycerin in Saphenous Vein Bypass Grafts Circulation, December 1, 1996; 94(11): 2871 - 2876. [Abstract] [Full Text]
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R. Hoffmann, G. S. Mintz, G. R. Dussaillant, J. J. Popma, A. D. Pichard, L. F. Satler, K. M. Kent, J. Griffin, and M. B. Leon Patterns and Mechanisms of In-Stent Restenosis: A Serial Intravascular Ultrasound Study Circulation, September 15, 1996; 94(6): 1247 - 1254. [Abstract] [Full Text]
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J. Escaned, J. Baptista, C. Di Mario, J. Haase, Y. Ozaki, D. T. Linker, P. J. de Feyter, J. R.T.C. Roelandt, and P. W. Serruys Significance of Automated Stenosis Detection During Quantitative Angiography: Insights Gained From Intracoronary Ultrasound Imaging Circulation, September 1, 1996; 94(5): 966 - 972. [Abstract] [Full Text]
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L. Wexler, B. Brundage, J. Crouse, R. Detrano, V. Fuster, J. Maddahi, J. Rumberger, W. Stanford, R. White, and K. Taubert Coronary Artery Calcification: Pathophysiology, Epidemiology, Imaging Methods, and Clinical Implications: A Statement for Health Professionals From the American Heart Association Circulation, September 1, 1996; 94(5): 1175 - 1192. [Full Text]
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 Y. Nakamura, H. Takemori, K. Shiraishi, I. Inoki, M. Sakagami, A. Shimakura, K. Usuda, K. Kubota, S. Takata, and K.-i. Kobayashi Compensatory Enlargement of Angiographically Normal Coronary Segments in Patients with Coronary Artery Disease: In Vivo Documentation Using Intravascular Ultrasound Angiology, August 1, 1996; 47(8): 775 - 781. [Abstract] [PDF]
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G. S. Mintz, J. J. Popma, A. D. Pichard, K. M. Kent, L. F. Satler, Y. Chien Chuang, R. A. DeFalco, and M. B. Leon Limitations of Angiography in the Assessment of Plaque Distribution in Coronary Artery Disease : A Systematic Study of Target Lesion Eccentricity in 1446 Lesions Circulation, March 1, 1996; 93(5): 924 - 931. [Abstract] [Full Text]
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J. L. Evans, K.-H. Ng, S. G. Wiet, M. J. Vonesh, W. B. Burns, M. G. Radvany, B. J. Kane, C. J. Davidson, S. I. Roth, B. L. Kramer, et al. Accurate Three-Dimensional Reconstruction of Intravascular Ultrasound Data : Spatially Correct Three-Dimensional Reconstructions Circulation, February 1, 1996; 93(3): 567 - 576. [Abstract] [Full Text]
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G. S. Mintz, J. A. Kovach, S. P. Javier, A. D. Pichard, K. M. Kent, J. J. Popma, L. F. Salter, and M. B. Leon Mechanisms of Lumen Enlargement After Excimer Laser Coronary Angioplasty : An Intravascular Ultrasound Study Circulation, December 15, 1995; 92(12): 3408 - 3414. [Abstract] [Full Text]
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Y. Ozaki, D. Keane, and P. W. Serruys Progression and Regression of Coronary Stenosis in the Long-term Follow-up of Vasospastic Angina Circulation, November 1, 1995; 92(9): 2446 - 2456. [Abstract] [Full Text]
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V. Schachinger and A. M. Zeiher Quantitative Assessment of Coronary Vasoreactivity in Humans In Vivo : Importance of Baseline Vasomotor Tone in Atherosclerosis Circulation, October 15, 1995; 92(8): 2087 - 2094. [Abstract] [Full Text]
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E. J. Topol and S. E. Nissen Our Preoccupation With Coronary Luminology : The Dissociation Between Clinical and Angiographic Findings in Ischemic Heart Disease Circulation, October 15, 1995; 92(8): 2333 - 2342. [Abstract] [Full Text]
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P. J. de Feyter, Y. Ozaki, J. Baptista, J. Escaned, C. Di Mario, P. P.T. de Jaegere, P. W. Serruys, and J. R.T.C. Roelandt Ischemia-Related Lesion Characteristics in Patients With Stable or Unstable Angina : A Study With Intracoronary Angioscopy and Ultrasound Circulation, September 15, 1995; 92(6): 1408 - 1413. [Abstract] [Full Text]
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H. C. Stary, A. B. Chandler, R. E. Dinsmore, V. Fuster, S. Glagov, W. Insull Jr, M. E. Rosenfeld, C. J. Schwartz, W. D. Wagner, and R. W. Wissler A Definition of Advanced Types of Atherosclerotic Lesions and a Histological Classification of Atherosclerosis : A Report From the Committee on Vascular Lesions of the Council on Arteriosclerosis, American Heart Association Arterioscler Thromb Vasc Biol, September 1, 1995; 15(9): 1512 - 1531. [Abstract] [Full Text]
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H. C. Stary, A. B. Chandler, R. E. Dinsmore, V. Fuster, S. Glagov, W. Insull Jr, M. E. Rosenfeld, C. J. Schwartz, W. D. Wagner, and R. W. Wissler A Definition of Advanced Types of Atherosclerotic Lesions and a Histological Classification of Atherosclerosis : A Report From the Committee on Vascular Lesions of the Council on Arteriosclerosis, American Heart Association Circulation, September 1, 1995; 92(5): 1355 - 1374. [Abstract] [Full Text]
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G. S. Mintz, J. J. Popma, A. D. Pichard, K. M. Kent, L. F. Satler, Y. C. Chuang, C. J. Ditrano, and M. B. Leon Patterns of Calcification in Coronary Artery Disease : A Statistical Analysis of Intravascular Ultrasound and Coronary Angiography in 1155 Lesions Circulation, April 1, 1995; 91(7): 1959 - 1965. [Abstract] [Full Text]
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A. Colombo, P. Hall, S. Nakamura, Y. Almagor, L. Maiello, G. Martini, A. Gaglione, S. L. Goldberg, and J. M. Tobis Intracoronary Stenting Without Anticoagulation Accomplished With Intravascular Ultrasound Guidance Circulation, March 15, 1995; 91(6): 1676 - 1688. [Abstract] [Full Text]
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D. Hausmann, R. Erbel, M.-J. Alibelli-Chemarin, W. Boksch, E. Caracciolo, J. M. Cohn, S. C. Culp, W. G. Daniel, I. De Scheerder, C. DiMario, et al. The Safety of Intracoronary Ultrasound : A Multicenter Survey of 2207 Examinations Circulation, February 1, 1995; 91(3): 623 - 630. [Abstract] [Full Text]
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S. H. Duda, M. Wehrmann, B. Erdtmann, P. E. Huppert, and C. D. Claussen Intravascular Ultrasound: Value of Electronic and Mechanical Devices for Quantifying Mild to Moderate Atherosclerosis Angiology, July 1, 1994; 45(7): 597 - 603. [Abstract] [PDF]
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 R. L. Minor Jr., B. D. Scott, D. D. Brown, and M. D. Winniford Cocaine-induced Myocardial Infarction in Patients with Normal Coronary Arteries Ann Intern Med, November 15, 1991; 115(10): 797 - 806. [Abstract] [PDF]
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A. Tanaka, T. Kawarabayashi, Y. Nishibori, T. Sano, Y. Nishida, D. Fukuda, K. Shimada, and J. Yoshikawa No-Reflow Phenomenon and Lesion Morphology in Patients With Acute Myocardial Infarction Circulation, May 7, 2002; 105(18): 2148 - 2152. [Abstract] [Full Text] [PDF]
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