Comparison between minimum lumen cross-sectional area and intraluminal ultrasonic intensity analysis using integrated backscatter intravascular ultrasound for prediction of functionally significant coronary artery stenosis

2018 ◽  
Vol 34 (2) ◽  
pp. 208-217 ◽  
Author(s):  
Hironori Takami ◽  
Shinjo Sonoda ◽  
Yoshitaka Muraoka ◽  
Toshiya Miura ◽  
Akiyoshi Shimizu ◽  
...  

Author(s):  
Satoru Sasaki ◽  
Kenji Nakajima ◽  
Keizo Watanabe ◽  
Yudai Nozaki ◽  
Tadashi Yuguchi ◽  
...  

AbstractThis study aims to test the hypothesis that the effect of excimer laser coronary angioplasty (ELCA) not only vaporizes thrombi and their underlying coronary plaque, it also changes their quality. We performed a series of cross-sectional analyses in 52 lesions in 51 patients before and after ELCA with integrated backscatter-intravascular ultrasound (IB-IVUS). The constituent parts of the plaque can be assessed by IB-IVUS (i.e., calcified, fibrous, lipid) according to integrated backscatter values. Minimum lumen diameter, lumen volume and vessel volume expanded after ELCA, while plaque volume did not significantly decrease. There was also a decrease of ‘lipid’ component (35.4–30.3%, P < 0.001) and an increase of IB-IVUS-derived ‘fibrous’ part (34.5–38.3%, P < 0.001). These results may help in understanding plaque change after ELCA. Excimer laser coronary angioplasty seems to contribute to the modification of coronary plaque composition in addition to debulking it.



1990 ◽  
Vol 20 (4) ◽  
pp. 748
Author(s):  
Doo Hong Choi ◽  
Hak Sun Kim ◽  
Sun Ho Chang ◽  
Joo Young Cho ◽  
Sung Gu Kim ◽  
...  


Resuscitation ◽  
2005 ◽  
Vol 64 (2) ◽  
pp. 219-226 ◽  
Author(s):  
Volker Wenzel ◽  
Karl B. Kern ◽  
Ronald W. Hilwig ◽  
Robert A. Berg ◽  
Severin Schwarzacher ◽  
...  




2002 ◽  
Vol 282 (6) ◽  
pp. H2216-H2223 ◽  
Author(s):  
Stephan Windecker ◽  
Yves Allemann ◽  
Michael Billinger ◽  
Tilmann Pohl ◽  
Damian Hutter ◽  
...  

In eight healthy male volunteers (cardiologists; age 36 ± 5 yr), bicycle spiroergometry, Doppler echocardiography, and quantitative coronary angiography with intracoronary Doppler measurements before and after completion of a physical endurance exercise program of >5 mo duration were performed. Maximum oxygen uptake increased from 46 ± 6 to 54 ± 5 ml · kg−1 · min−1( P = 0.04), maximum ergometric workload changed from 3.8 ± 0.3 to 4.4 ± 0.3 W/kg ( P = 0.001), and left ventricular mass index increased from 82 ± 18 to 108 ± 29 g/m2 ( P = 0.001). The right, left main, and left anterior descending coronary artery cross-sectional area increased significantly in repsonse to exercise. Before versus at the end of the exercise program, flow-induced left anterior descending coronary artery cross-sectional area was 10.1 ± 3.5 and 11.0 ± 3.9 mm2, respectively ( P = 0.03), nitroglycerin-induced left coronary calibers increased significantly, and coronary flow velocity reserve changed from 3.8 ± 0.8 to 4.5 ± 0.7 ( P = 0.001). Left coronary artery correlated significantly with ventricular mass and maximum oxygen uptake, and coronary flow velocity reserve was significantly associated with maximum workload.



1987 ◽  
Vol 59 (15) ◽  
pp. 1395-1397 ◽  
Author(s):  
James H. O'keefe ◽  
Robert M. Owen ◽  
Alfred A. Bove


Sign in / Sign up

Export Citation Format

Share Document