Abstract
Because conventional imaging methods are inadequate for evaluating human coronary arteries in vivo, an intravascular ultrasonic imaging catheter was developed that allows the arterial wall to be studied in cross-section from within the artery. The catheter incorporates a mechanically rotating 20-MHz transducer, which is designed so that the ringdown occurs within the catheter and imaging is permitted up to the catheter's surface. The device rotates at 1800-rpm within a plastic sleeve and provides real-time cross-sectional images at 30 frames/sec. Preliminary experimental and clinical studies indicate that the intravascular ultrasonic imaging catheter could play a valuable role in providing preoperative information concerning arterial wall thickness and tissue characteristics, in distinguishing normal from diseased arterial wall structures during therapeutic intervention, and in assessing the results of intervention. (Texas Heart Institute Journal 1990; 17:181-9)
Keywords: Angioplasty, transluminal
Keywords: balloon dilatation
Keywords: catheterization
Keywords: coronary arteriosclerosis
Keywords: coronary disease
Keywords: echocardiography
Keywords: ultrasonic diagnosis
Full text
PDF








Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Forrester J. S., Litvack F., Grundfest W., Hickey A. A perspective of coronary disease seen through the arteries of living man. Circulation. 1987 Mar;75(3):505–513. doi: 10.1161/01.cir.75.3.505. [DOI] [PubMed] [Google Scholar]
- Hiratzka L. F., McPherson D. D., Lamberth W. C., Jr, Brandt B., 3rd, Armstrong M. L., Schröder E., Hunt M., Kieso R., Megan M. D., Tompkins P. K. Intraoperative evaluation of coronary artery bypass graft anastomoses with high-frequency epicardial echocardiography: experimental validation and initial patient studies. Circulation. 1986 Jun;73(6):1199–1205. doi: 10.1161/01.cir.73.6.1199. [DOI] [PubMed] [Google Scholar]
- Mallery J. A., Tobis J. M., Griffith J., Gessert J., McRae M., Moussabeck O., Bessen M., Moriuchi M., Henry W. L. Assessment of normal and atherosclerotic arterial wall thickness with an intravascular ultrasound imaging catheter. Am Heart J. 1990 Jun;119(6):1392–1400. doi: 10.1016/s0002-8703(05)80190-5. [DOI] [PubMed] [Google Scholar]
- McPherson D. D., Hiratzka L. F., Lamberth W. C., Brandt B., Hunt M., Kieso R. A., Marcus M. L., Kerber R. E. Delineation of the extent of coronary atherosclerosis by high-frequency epicardial echocardiography. N Engl J Med. 1987 Feb 5;316(6):304–309. doi: 10.1056/NEJM198702053160604. [DOI] [PubMed] [Google Scholar]
- Pandian N. G., Kreis A., Brockway B., Isner J. M., Sacharoff A., Boleza E., Caro R., Muller D. Ultrasound angioscopy: real-time, two-dimensional, intraluminal ultrasound imaging of blood vessels. Am J Cardiol. 1988 Sep 1;62(7):493–494. doi: 10.1016/0002-9149(88)90992-7. [DOI] [PubMed] [Google Scholar]
- Sahn D. J., Barratt-Boyes B. G., Graham K., Kerr A., Roche A., Hill D., Brandt P. W., Copeland J. G., Mammana R., Temkin L. P. Ultrasonic imaging of the coronary arteries in open-chest humans: evaluation of coronary atherosclerotic lesions during cardiac surgery. Circulation. 1982 Nov;66(5):1034–1044. doi: 10.1161/01.cir.66.5.1034. [DOI] [PubMed] [Google Scholar]
- Tobis J. M., Mallery J. A., Gessert J., Griffith J., Mahon D., Bessen M., Moriuchi M., McLeay L., McRae M., Henry W. L. Intravascular ultrasound cross-sectional arterial imaging before and after balloon angioplasty in vitro. Circulation. 1989 Oct;80(4):873–882. doi: 10.1161/01.cir.80.4.873. [DOI] [PubMed] [Google Scholar]
- Vlodaver Z., Frech R., Van Tassel R. A., Edwards J. E. Correlation of the antemortem coronary arteriogram and the postmortem specimen. Circulation. 1973 Jan;47(1):162–169. doi: 10.1161/01.cir.47.1.162. [DOI] [PubMed] [Google Scholar]
- Yao J. S., Flinn W. R., Bergan J. J. Noninvasive vascular diagnostic testing: techniques and clinical applications. Prog Cardiovasc Dis. 1984 May-Jun;26(6):459–494. doi: 10.1016/0033-0620(84)90013-6. [DOI] [PubMed] [Google Scholar]










