Circulation, Vol 81, 1575-1585, Copyright © 1990 by American Heart Association
BN Potkin, AL Bartorelli, JM Gessert, RF Neville, Y Almagor, WC Roberts and MB Leon
Safe and effective clinical application of new interventional therapies may
require more precise imaging of atherosclerotic coronary arteries. To
determine the reliability of catheter-based intravascular ultrasound as an
imaging modality, a miniaturized prototype ultrasound system (1- mm
transducer; center frequency, 25 MHz) was used to acquire two- dimensional,
cross-sectional images in 21 human coronary arteries from 13 patients
studied at necropsy who had moderate-to-severe atherosclerosis. Fifty-four
atherosclerotic sites imagined by ultrasound were compared with
formalin-fixed and fresh histological sections of the coronary arteries
with a digital video planimetry system. Ultrasound and histological
measurements correlated significantly (all p less than 0.0001) for coronary
artery cross- sectional area (r = 0.94), residual lumen cross-sectional
area (r = 0.85), percent cross-sectional area (r = 0.84), and linear wall
thickness (plaque and media) measured at 0 degrees, 90 degrees, 180
degrees, and 270 degrees (r = 0.92). Moreover, ultrasound accurately
predicted histological plaque composition in 96% of cases. Anatomic
features of the coronary arteries that were easily discernible were the
lumen-plaque and media-adventitia interfaces, very bright echoes casting
acoustic shadows in calcified plaques, bright and homogeneous echoes in
fibrous plaques, and relatively echo-lucent images in lipid- filled
lesions. These data indicate that intravascular ultrasound provides
accurate image characterization of the artery lumen and wall geometry as
well as the presence, distribution, and histological type of
atherosclerotic plaque. Thus, ultrasound imaging appears to have great
potential application for enhanced diagnosis of coronary atherosclerosis
and may serve to guide new catheter-based techniques in the treatment of
coronary artery disease.
ARTICLES
Coronary artery imaging with intravascular high-frequency ultrasound
Cardiology Branch, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, Maryland 20892.
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J. M. Ahmed, G. S. Mintz, N. J. Weissman, A. J. Lansky, A. D. Pichard, L. F. Satler, and K. M. Kent Mechanism of Lumen Enlargement During Intracoronary Stent Implantation : An Intravascular Ultrasound Study Circulation, July 4, 2000; 102(1): 7 - 10. [Abstract] [Full Text] [PDF]
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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]
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J. M. Ahmed, M. K. Hong, R. Mehran, G. S. Mintz, A. J. Lansky, A. D. Pichard, L. F. Satler, K. M. Kent, H. Wu, G. W. Stone, et al. Comparison of debulking followed by stenting versus stenting alone for saphenous vein graft aortoostial lesions: immediate and one-year clinical outcomes J. Am. Coll. Cardiol., May 1, 2000; 35(6): 1560 - 1568. [Abstract] [Full Text] [PDF]
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N.D Palmer, D Northridge, A Lessells, W.N McDicken, and K.A.A Fox In vitro analysis of coronary atheromatous lesions by intravascular ultrasound. Reproducibility and histological correlation of lesion morphology: Reproducibility and histological correlation of lesion morhology Eur. Heart J., December 1, 1999; 20(23): 1701 - 1706. [Abstract] [PDF]
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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]
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P C Smits, G Pasterkamp, M A Q. van Ufford, F D Eefting, P R Stella, P P T de Jaegere, and C Borst Coronary artery disease: arterial remodelling and clinical presentation Heart, October 1, 1999; 82(4): 461 - 464. [Abstract] [Full Text] [PDF]
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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]
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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]
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M Gyongyosi, P Yang, A Hassan, F Weidinger, H Domanovits, A Laggner, and D Glogar Arterial remodelling of native human coronary arteries in patients with unstable angina pectoris: a prospective intravascular ultrasound study Heart, July 1, 1999; 82(1): 68 - 74. [Abstract] [Full Text] [PDF]
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G. Dangas, G. S. Mintz, R. Mehran, A. J. Lansky, R. Kornowski, A. D. Pichard, L. F. Satler, K. M. Kent, G. W. Stone, and M. B. Leon Preintervention Arterial Remodeling as an Independent Predictor of Target-Lesion Revascularization After Nonstent Coronary Intervention : An Analysis of 777 Lesions With Intravascular Ultrasound Imaging Circulation, June 22, 1999; 99(24): 3149 - 3154. [Abstract] [Full Text] [PDF]
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P. C Smits, G. Pasterkamp, P. P.T de Jaegere, P. J de Feyter, and C. Borst Angioscopic complex lesions are predominantly compensatory enlarged: an angioscopy and intracoronary ultrasound study Cardiovasc Res, February 1, 1999; 41(2): 458 - 464. [Abstract] [Full Text] [PDF]
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E. A. de Vrey, G. S. Mintz, C. von Birgelen, T. Kimura, M. Noboyoshi, J. J. Popma, P. W. Serruys, and M. B. Leon Serial volumetric (three-dimensional) intravascular ultrasound analysis of restenosis after directional coronary atherectomy J. Am. Coll. Cardiol., December 1, 1998; 32(7): 1874 - 1880. [Abstract] [Full Text] [PDF]
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A. Abizaid, R. Kornowski, G. S. Mintz, M. K. Hong, A. S. Abizaid, R. Mehran, A. D. Pichard, K. M. Kent, L. F. Satler, H. Wu, et al. The influence of diabetes mellitus on acute and late clinical outcomes following coronary stent implantation J. Am. Coll. Cardiol., September 1, 1998; 32(3): 584 - 589. [Abstract] [Full Text] [PDF]
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G. Pasterkamp, A. H. Schoneveld, A. C. van der Wal, C. C. Haudenschild, R. J. G. Clarijs, A. E. Becker, B. Hillen, and C. Borst Relation of arterial geometry to luminal narrowing and histologic markers for plaque vulnerability: the remodeling paradox J. Am. Coll. Cardiol., September 1, 1998; 32(3): 655 - 662. [Abstract] [Full Text] [PDF]
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R. Mehran, G. S. Mintz, M. K. Hong, F. O. Tio, O. Bramwell, A. Brahimi, K. M. Kent, A. D. Pichard, L. F. Satler, J. J. Popma, et al. Validation of the in vivo intravascular ultrasound measurement of in-stent neointimal hyperplasia volumes J. Am. Coll. Cardiol., September 1, 1998; 32(3): 794 - 799. [Abstract] [Full Text] [PDF]
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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]
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P C Smits, L Bos, M A Q. van Ufford, F D Eefting, G Pasterkamp, and C Borst Shrinkage of human coronary arteries is an important determinant of de novo atherosclerotic luminal stenosis: an in vivo intravascular ultrasound study Heart, February 1, 1998; 79(2): 143 - 147. [Abstract] [Full Text]
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M J A Williams, N J Restieaux, and C J S Low Myocardial infarction in young people with normal coronary arteries Heart, February 1, 1998; 79(2): 191 - 194. [Abstract] [Full Text]
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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]
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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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K. F. Kofoed, J. Czernin, J. Johnson, J. Kobashigawa, M. E. Phelps, H. Laks, and H. R. Schelbert Effects of Cardiac Allograft Vasculopathy on Myocardial Blood Flow, Vasodilatory Capacity, and Coronary Vasomotion Circulation, February 4, 1997; 95(3): 600 - 606. [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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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, 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]
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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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T. Nishioka, H. Luo, H. Berglund, N. L. Eigler, C.-J. Kim, S. W. Tabak, and R. J. Siegel Absence of Focal Compensatory Enlargement or Constriction in Diseased Human Coronary Saphenous Vein Bypass Grafts : An Intravascular Ultrasound Study Circulation, February 15, 1996; 93(4): 683 - 690. [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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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]
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J. A. Kovach, J. S. Gottdiener, and R. L. Verrier Vagal Modulation of Epicardial Coronary Artery Size in Dogs : A Two-Dimensional Intravascular Ultrasound Study Circulation, October 15, 1995; 92(8): 2291 - 2298. [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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D. Recchia, A. M. Sharkey, M. S. Bosner, N. T. Kouchoukos, and S. A. Wickline Sensitive Detection of Abnormal Aortic Architecture in Marfan Syndrome With High-Frequency Ultrasonic Tissue Characterization Circulation, February 15, 1995; 91(4): 1036 - 1043. [Abstract] [Full Text]
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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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