INTRACARDIAC ECHOCARDIOGRAPHY DURING SIMULATED AORTIC AND MITRAL BALLOON VALVULOPLASTY - INVIVO EXPERIMENTAL STUDIES

被引:16
作者
SCHWARTZ, SL [1 ]
PANDIAN, NG [1 ]
KUMAR, R [1 ]
KATZ, SE [1 ]
KUSAY, BS [1 ]
ARONOVITZ, M [1 ]
KONSTAM, MA [1 ]
SALEM, DN [1 ]
机构
[1] TUFTS UNIV,NEW ENGLAND MED CTR HOSP,SCH MED,DEPT RADIOL,BOSTON,MA 02111
关键词
D O I
10.1016/0002-8703(92)90504-O
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The feasibility of intracardiac echocardiography with a low-frequency transducer to assess catheter position and detect complications during experimental aortic and mitral balloon valvuloplasty was studied in 10 dogs. Intracardiac echocardiography was performed with a transesophageal echocardiographic probe placed in the right atrium. In all instances high-quality images of cardiac structures were obtained. The guide wire and balloon catheter were clearly seen as they crossed the valves. With inflation the balloon was seen as a hyperechoic structure. Doppler echocardiography documented aortic regurgitation after inflations. Acute pericardial effusion was instantly detected. It is concluded that intracardiac echocardiography is a potentially useful technique for cardiac imaging, assessing wire and balloon catheter position, evaluating valvular regurgitation, and instantly detecting acute pericardial effusion. Further research in humans with low-frequency, catheter-based transducers needs to be performed.
引用
收藏
页码:665 / 674
页数:10
相关论文
共 31 条
[11]  
Kronzon I, 1989, J Am Soc Echocardiogr, V2, P380
[12]  
LOCK JE, 1985, NEW ENGL J MED, V313, P515
[13]   IMPROVEMENT IN EXERCISE CAPACITY AND EXERCISE HEMODYNAMICS 3 MONTHS AFTER DOUBLE-BALLOON, CATHETER BALLOON VALVULOPLASTY TREATMENT OF PATIENTS WITH SYMPTOMATIC MITRAL-STENOSIS [J].
MCKAY, CR ;
KAWANISHI, DT ;
KOTLEWSKI, A ;
PARISE, K ;
ODOMMARYON, T ;
GONZALEZ, A ;
REID, CL ;
RAHIMTOOLA, SH .
CIRCULATION, 1988, 77 (05) :1013-1021
[14]   FOLLOW-UP OF PATIENTS UNDERGOING PERCUTANEOUS MITRAL BALLOON VALVOTOMY - ANALYSIS OF FACTORS DETERMINING RESTENOSIS [J].
PALACIOS, IF ;
BLOCK, PC ;
WILKINS, GT ;
WEYMAN, AE .
CIRCULATION, 1989, 79 (03) :573-579
[15]  
Pandian N G, 1989, J Am Soc Echocardiogr, V2, P390
[16]   ULTRASOUND ANGIOSCOPY - REAL-TIME, TWO-DIMENSIONAL, INTRALUMINAL ULTRASOUND IMAGING OF BLOOD-VESSELS [J].
PANDIAN, NG ;
KREIS, A ;
BROCKWAY, B ;
ISNER, JM ;
SACHAROFF, A ;
BOLEZA, E ;
CARO, R ;
MULLER, D .
AMERICAN JOURNAL OF CARDIOLOGY, 1988, 62 (07) :493-494
[17]   INTRACARDIAC, INTRAVASCULAR, 2-DIMENSIONAL, HIGH-FREQUENCY ULTRASOUND IMAGING OF PULMONARY-ARTERY AND ITS BRANCHES IN HUMANS AND ANIMALS [J].
PANDIAN, NG ;
WEINTRAUB, A ;
KREIS, A ;
SCHWARTZ, SL ;
KONSTAM, MA ;
SALEM, DN .
CIRCULATION, 1990, 81 (06) :2007-2012
[18]  
PANDIAN NG, 1987, AM J CARDIOL, V59, P390
[19]   EVALUATION OF AORTIC-INSUFFICIENCY BY DOPPLER COLOR FLOW MAPPING [J].
PERRY, GJ ;
HELMCKE, F ;
NANDA, NC ;
BYARD, C ;
SOTO, B .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1987, 9 (04) :952-959
[20]   BALLOON AORTIC VALVULOPLASTY IN 170 CONSECUTIVE PATIENTS [J].
SAFIAN, RD ;
BERMAN, AD ;
DIVER, DJ ;
MCKAY, LL ;
COME, PC ;
RILEY, MF ;
WARREN, SE ;
CUNNINGHAM, MJ ;
WYMAN, RM ;
WEINSTEIN, JS ;
GROSSMAN, W ;
MCKAY, RG .
NEW ENGLAND JOURNAL OF MEDICINE, 1988, 319 (03) :125-130