INTRAVASCULAR ULTRASOUND PREDICTORS OF OUTCOME AFTER PERIPHERAL BALLOON ANGIOPLASTY

被引：44

作者：

GUSSENHOVEN, EJ ^{[1
]}

VANDERLUGT, A ^{[1
]}

PASTERKAMP, G ^{[1
]}

VANDENBERG, FG ^{[1
]}

SIE, LH ^{[1
]}

VISCHJAGER, M ^{[1
]}

THE, SHK ^{[1
]}

LI, WG ^{[1
]}

PIETERMAN, H ^{[1
]}

VANURK, H ^{[1
]}

机构：

[1] UNIV HOSP DIJKZIGT,ROTTERDAM,NETHERLANDS

来源：

EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY | 1995年 / 10卷 / 03期

关键词：

INTRAVASCULAR ULTRASOUND; BALLOON ANGIOPLASTY; ANGIOGRAPHY; SUPERFICIAL FEMORAL ARTERY; RESTENOSIS;

D O I：

10.1016/S1078-5884(05)80043-7

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Objective: This study investigates the potential role of intravascular ultrasound (IVUS) in the outcome in patients undergoing percutaneous transluminal angioplasty (PTA) of the superficial femoral artery. Materials: Angiographically and the qualitative and quantitative IVUS data obtained at the narrowest site derived from 39 patients before and after PTA were analysed. Results: Angiographically the diameter of the remaining stenosis seen after PTA was classified as <50% in 31 patients (success); in eight patients a failure was encountered. Evaluating at 6 months the functional and anatomic results of the PTA in 31 patients, the intervention was a success in 14 patients (Group I) and a failure in 17 patients (Group II). The remaining eight patients defined as angiographic failure following PTA comprised Group III. Neither qualitative nor quantitative IVUS data obtained before PTA could pl effect outcome. Conversely after PTA, the extent of dissection was significantly move severe in Groups II and III than in Group I. Similarly, significant differences were found between Groups I and II for mean free lumen area (13.2 vs. 9.7 mm(2), respectively) and mean free lumen diameter (4.1 vs. 3.5 mm, respectively. Quantitative data obtained in Group II weve similar to those in Group III. Conclusion: This preliminary study demonstrates that following PTA the extent of dissection, free lumen area and diameter seen with IVUS ave predictive factors of patency. Future studies with more patients ave mandatory to further highlight the sensitivity of these observations.

引用

页码：279 / 288

页数：10

共 36 条

[1]

Katzen, Current status of intravascular ultrasonography, Radiol Clin N Amer, 30, pp. 895-905, (1992)

[2]

Tabbara, White, Cavaye, Kopchok, In vivo human comparison of intravascular ultrasonography and angiography, J Vasc Surg, 14, pp. 496-504, (1991)

[3]

The SHK, Gussenhoven, du Bois, Et al., Femoro-popliteal bypass grafts studied by intravascular ultrasound, European Journal of Vascular Surgery, 5, pp. 523-526, (1991)

[4]

Gerritsen, Gussenhoven, The SHK, Et al., Intravascular ultrasonography before and after intervention in vivo comparison with angiography, Journal of Vascular Surgery, 80, pp. 31-40, (1993)

[5]

Gussenhoven, Frietman, The SHK, Et al., Assessment of medial thinning in atherosclerosis by intravascular ultrasound, Am J Cardiol, 68, pp. 1625-1632, (1991)

[6]

The SHK, Gussenhoven, Zhong, Li, Et al., The effect of balloon angioplasty on the femoral artery evaluated with intravascular ultrasound imaging, Circulation, 86, pp. 483-493, (1992)

[7]

Isner, Rosenfield, Losordo, Et al., Combination balloonultrasound imaging catheter for percutaneous transluminal angioplasty. Validation of imaging, analysis of recoil, and identification of plaque fracture, Circulation, 84, pp. 739-754, (1991)

[8]

Losordo, Rosenfield, Pieczek, Baker, Harding, Isner, How does angioplasty work? Serial analysis of human iliac arteries using intravascular ultrasound, Circulation, 86, pp. 1845-1858, (1992)

[9]

Fitzgerald, Ports, Yock, Contribution of localized calcium deposits to dissection after angioplasty: An observational study using intravascular ultrasound, Circulation, 86, pp. 64-70, (1992)

[10]

Gerber, Erbel, Gorge, Ge, Rupprecht, Meyer, Classification of morphologic effects of percutaneous transluminal coronary angioplasty assessed by intravascular ultrasound, Am J Cardiol, 70, pp. 1546-1554, (1992)

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