In vivo volumetric analysis of coronary stent using optical coherence tomography with a novel balloon occlusion-flushing catheter:: A comparison with intravascular ultrasound

被引:41
作者
Kawase, Y [1 ]
Hoshino, K [1 ]
Yoneyama, R [1 ]
McGregor, J [1 ]
Hajjar, RJ [1 ]
Jang, IK [1 ]
Hayase, M [1 ]
机构
[1] Harvard Univ, Cardiol Lab Integrat Physiol & Imaging, Sch Med, Massachusetts Gen Hosp, Boston, MA 02114 USA
关键词
new modality; imaging; catheterization; IVUS; OCT; stent;
D O I
10.1016/j.ultrasmedbio.2005.05.010
中图分类号
O42 [声学];
学科分类号
070206 ; 082403 ;
摘要
Optical coherence tomography (OCT) is limited as an intravascular imaging tool because of interference with blood. This study tested a new balloon occlusion-flushing catheter for OCT scanning of stented coronary arteries and compared stent measurements between OCT and intravascular ultrasound (IVUS). Motorized pullback with OCT and IVUS was examined in coronary stents deployed in swine. Quantitative measurements were obtained and compared between both groups. In addition, stent strut thickness was compared among OCT, IVUS and actual measurement. The occlusion catheter successfully provided motorized pullback OCT images in the stented coronary arteries without any complications. There were no differences in calculated lumen volume. However, stent volumes were significantly smaller with OCT than with IVUS (p < 0.05). OCT significantly underestimated the stent strut thickness compared with the actual measurement. Although OCT underestimates the stent strut thickness, motorized pullback OCT imaging with the occlusion catheter can provide appropriate in-stent images in the porcine coronary arteries.
引用
收藏
页码:1343 / 1349
页数:7
相关论文
共 19 条
[1]  
Brezinski M, 2001, CIRCULATION, V103, P1999
[2]   Catheter-based intracoronary myocardial adenoviral gene delivery: Importance of intraluminal seal and infusion flow rate [J].
Emani, SM ;
Shah, AS ;
Bowman, MK ;
Emani, S ;
Wilson, K ;
Glower, DD ;
Koch, WJ .
MOLECULAR THERAPY, 2003, 8 (02) :306-313
[3]   INTRAVASCULAR ULTRASOUND IMAGING OF CORONARY-ARTERIES - IS 3 LAYERS THE NORM [J].
FITZGERALD, PJ ;
STGOAR, FG ;
CONNOLLY, AJ ;
PINTO, FJ ;
BILLINGHAM, ME ;
POPP, RL ;
YOCK, PG .
CIRCULATION, 1992, 86 (01) :154-158
[4]   Visualization of coronary atherosclerotic plaques in patients using optical coherence tomography: Comparison with intravascular ultrasound [J].
Jang, IK ;
Bouma, BE ;
Kang, DH ;
Park, SJ ;
Park, SW ;
Seung, KB ;
Choi, KB ;
Shishkov, M ;
Schlendorf, K ;
Pomerantsev, E ;
Houser, SL ;
Aretz, HT ;
Tearney, GJ .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2002, 39 (04) :604-609
[5]   Visualization of tissue prolapse between coronary stent struts by optical coherence tomography - Comparison with intravascular ultrasound [J].
Jang, IK ;
Tearney, G ;
Bouma, B .
CIRCULATION, 2001, 104 (22) :2754-2754
[6]   In vivo quantitative tissue characterization of human coronary arterial plaques by use of integrated backscatter intravascular ultrasound and comparison with angioscopic findings [J].
Kawasaki, M ;
Takatsu, H ;
Noda, T ;
Sano, K ;
Ito, Y ;
Hayakawa, K ;
Tsuchiya, K ;
Arai, M ;
Nishigaki, K ;
Takemura, G ;
Minatoguchi, S ;
Fujiwara, T ;
Fujiwara, H .
CIRCULATION, 2002, 105 (21) :2487-2492
[7]  
Lermusiaux P, 2000, J MAL VASCUL, V25, P229
[8]   American College of Cardiology Clinical Expert Consensus Document on Standards for Acquisition, Measurement and Reporting of Intravascular Ultrasound Studies (IVUS) - A report of the American College of Cardiology Task Force on Clinical Expert Consensus - Documents developed in collaboration with the European Society of Cardiology endorsed by the Society of Cardiac Angiography and Interventions [J].
Mintz, GS ;
Nissen, SE ;
Anderson, WD ;
Bailey, SR ;
Erbel, R ;
Fitzgerald, PJ ;
Pinto, FJ ;
Rosenfield, K ;
Siegel, RJ ;
Tuzcu, EM ;
Yock, PG .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2001, 37 (05) :1478-1492
[9]  
Mintz GS, 1997, CIRCULATION, V95, P1791
[10]  
Oesterle SN, 1999, CATHETER CARDIO INTE, V47, P243, DOI 10.1002/(SICI)1522-726X(199906)47:2<243::AID-CCD25>3.0.CO