| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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.
This article has been cited by other articles:
 |
|
 |
|
  A. Murashige, T. Hiro, T. Fujii, K. Imoto, T. Murata, Y. Fukumoto, and M. Matsuzaki Detection of Lipid-Laden Atherosclerotic Plaque by Wavelet Analysis of Radiofrequency Intravascular Ultrasound Signals: In Vitro Validation and Preliminary In Vivo Application J. Am. Coll. Cardiol., June 21, 2005; 45(12): 1954 - 1960. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. A. Meyer History of Ultrasound in Cardiology J. Ultrasound Med., January 1, 2004; 23(1): 1 - 11. [Full Text] [PDF]
|
|
|
|
 |
|
 Y. Yoshitomi, S. Kojima, M. Yano, Y. Matsumoto, T. Sugi, M. Saotome, K.-e Tanaka, M. Endo, and M. Kuramochi Peristent Tissue Proliferation of Multilink Stents Is Dependent on Preprocedural Plaque Area: A Serial Intravascular Ultrasound Analysis Angiology, May 1, 2002; 53(3): 303 - 311. [Abstract] [PDF]
|
|
|
|
|
|
Y. Kobayashi, Y. Honda, L. G. Christie, P. S. Teirstein, S. R. Bailey, C. L. Brown III, R. V. Matthews, A. C. De Franco, R. S. Schwartz, S. Goldberg, et al. Long-term vessel response to a self-expanding coronary stent: a serial volumetric intravascular ultrasound analysis from the ASSURE trial J. Am. Coll. Cardiol., April 1, 2001; 37(5): 1329 - 1334. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 T. Hiro, T. Fujii, K. Yasumoto, T. Murata, A. Murashige, and M. Matsuzaki Detection of Fibrous Cap in Atherosclerotic Plaque by Intravascular Ultrasound by Use of Color Mapping of Angle-Dependent Echo-Intensity Variation Circulation, March 6, 2001; 103(9): 1206 - 1211. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. E. Nissen and P. Yock Intravascular Ultrasound : Novel Pathophysiological Insights and Current Clinical Applications Circulation, January 30, 2001; 103(4): 604 - 616. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Y. Miyao, K. Kugiyama, H. Kawano, T. Motoyama, H. Ogawa, M. Yoshimura, T. Sakamoto, and H. Yasue Diffuse intimal thickening of coronary arteries in patients with coronary spastic angina J. Am. Coll. Cardiol., August 1, 2000; 36(2): 432 - 437. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. Mehran, G. Dangas, G. S. Mintz, R. Waksman, A. Abizaid, L. F. Satler, A. D. Pichard, K. M. Kent, A. J. Lansky, G. W. Stone, et al. Treatment of In-Stent Restenosis With Excimer Laser Coronary Angioplasty Versus Rotational Atherectomy : Comparative Mechanisms and Results Circulation, May 30, 2000; 101(21): 2484 - 2489. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. Mehran, G. Dangas, A. S. Abizaid, G. S. Mintz, A. J. Lansky, L. F. Satler, A. D. Pichard, K. M. Kent, G. W. Stone, and M. B. Leon Angiographic Patterns of In-Stent Restenosis : Classification and Implications for Long-Term Outcome Circulation, November 2, 1999; 100(18): 1872 - 1878. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. S. Abizaid, G. S. Mintz, A. Abizaid, R. Mehran, A. J. Lansky, A. D. Pichard, L. F. Satler, H. Wu, K. M. Kent, and M. B. Leon One-year follow-up after intravascular ultrasound assessment of moderate left main coronary artery disease in patients with ambiguous angiograms J. Am. Coll. Cardiol., September 1, 1999; 34(3): 707 - 715. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. S. Abizaid, G. S. Mintz, R. Mehran, A. Abizaid, A. J. Lansky, A. D. Pichard, L. F. Satler, H. Wu, C. Pappas, K. M. Kent, et al. Long-Term Follow-Up After Percutaneous Transluminal Coronary Angioplasty Was Not Performed Based on Intravascular Ultrasound Findings : Importance of Lumen Dimensions Circulation, July 20, 1999; 100(3): 256 - 261. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. W. Radke, H. G. Klues, P. K. Haager, R. Hoffmann, F. Kastrau, T. Reffelmann, U. Janssens, J. vom Dahl, and P. Hanrath Mechanisms of acute lumen gain and recurrent restenosis after rotational atherectomy of diffuse in-stent restenosis: A quantitative angiographic and intravascular ultrasound study J. Am. Coll. Cardiol., July 1, 1999; 34(1): 33 - 39. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. J. Scanlon, D. P. Faxon, A.-M. Audet, B. Carabello, G. J. Dehmer, K. A. Eagle, R. D. Legako, D. F. Leon, J. A. Murray, S. E. Nissen, et al. ACC/AHA guidelines for coronary angiography: A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on Coronary Angiography) developed in collaboration with the Society for Cardiac Angiography and Interventions J. Am. Coll. Cardiol., May 1, 1999; 33(6): 1756 - 1824. [Full Text] [PDF]
|
|
|
|
|
|
Z. Khan, R. W. Millard, M. Gabel, R. A. Walsh, and B. D. Hoit Effect of congestive heart failure on in vivo canine aortic elastic properties J. Am. Coll. Cardiol., January 1, 1999; 33(1): 267 - 272. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. J. Lansky, G. S. Mintz, J. J. Popma, A. D. Pichard, K. M. Kent, L. F. Satler, D. S. Baim, R. E. Kuntz, C. Simonton, R. M. Bersin, et al. Remodeling after directional coronary atherectomy (with and without adjunct percutaneous transluminal coronary angioplasty): a serial angiographic and intravascular ultrasound analysis from the optimal atherectomy restenosis study J. Am. Coll. Cardiol., August 1, 1998; 32(2): 329 - 337. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. Mehran, G. S. Mintz, L. F. Satler, A. D. Pichard, K. M. Kent, T. A. Bucher, J. J. Popma, and M. B. Leon Treatment of In-Stent Restenosis With Excimer Laser Coronary Angioplasty : Mechanisms and Results Compared With PTCA Alone Circulation, October 7, 1997; 96(7): 2183 - 2189. [Abstract] [Full Text]
|
|
|
|
|
|
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]
|
|
|
|
|
|
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]
|
|
|
|
|
|
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]
|
|
|
|
|
|
G. S. Mintz, J. J. Popma, A. D. Pichard, K. M. Kent, L. F. Satler, S. Chiu Wong, M. K. Hong, J. A. Kovach, and M. B. Leon Arterial Remodeling After Coronary Angioplasty : A Serial Intravascular Ultrasound Study Circulation, July 1, 1996; 94(1): 35 - 43. [Abstract] [Full Text]
|
|
|
|
|
|
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]
|
|
|
|
|
|
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]
|
|
|
|
|
|
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]
|
|
|
|
 |
|
 A. J. Bank, R. F. Wilson, S. H. Kubo, J. E. Holte, T. J. Dresing, and H. Wang Direct Effects of Smooth Muscle Relaxation and Contraction on In Vivo Human Brachial Artery Elastic Properties Circ. Res., November 1, 1995; 77(5): 1008 - 1016. [Abstract] [Full Text]
|
|
|
|
|
|
S. Nakatani, M. Yamagishi, J. Tamai, Y. Goto, T. Umeno, A. Kawaguchi, C. Yutani, and K. Miyatake Assessment of Coronary Artery Distensibility by Intravascular Ultrasound : Application of Simultaneous Measurements of Luminal Area and Pressure Circulation, June 15, 1995; 91(12): 2904 - 2910. [Abstract] [Full Text]
|
|
|
|
|
|
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]
|
|
|
|
|
|
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]
|
|