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Title: Comparison of Angiography and Intravascular Ultrasound Before and After Balloon Angioplasty of the Femoropopliteal Artery

Abstract

Purpose: To compare angiographic and intravascular ultrasound (IVUS) data before and after balloon angioplasty (PTA) of the femoropopliteal artery. Methods: Qualitative and quantitative analyses were performed on corresponding angiographic and IVUS levels obtained from 135 patients. Results: IVUS detected more lesions, calcified lesions, and vascular damage than angiography. Sensitivity of angiography was good for the presence of a lesion (84%), moderate for eccentric lesions (53%) and for vascular damage (52%), and poor for calcified lesions (30%). The increase in angiographic diameter stenosis was associated with a decrease in lumen area and increase in percentage area stenosis on IVUS. Conclusions: Angiography is less sensitive than IVUS for detecting lesion eccentricity, calcified lesions, and vascular damage. Presence of a lesion and amount of plaque were underestimated angiographically. Only before PTA was good agreement found between angiographic diameter stenosis and lumen size on IVUS.

Authors:
;  [1];  [2];  [2]
  1. Department of Cardiology, University Hospital Rotterdam-Dijkzigt, Erasmus University Rotterdam, P.O. Box 1738, NL-3000 DR Rotterdam (Netherlands)
  2. Department of Radiology, University Hospital Rotterdam-Dijkzigt, Erasmus University Rotterdam, P.O. Box 1738, NL-3000 DR Rotterdam (Netherlands)
Publication Date:
OSTI Identifier:
21080368
Resource Type:
Journal Article
Journal Name:
Cardiovascular and Interventional Radiology
Additional Journal Information:
Journal Volume: 21; Journal Issue: 5; Other Information: DOI: 10.1007/s002709900282; Copyright (c) 1998 Springer-Verlag New York Inc; Country of input: International Atomic Energy Agency (IAEA); Journal ID: ISSN 0174-1551
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; ARTERIES; BIOMEDICAL RADIOGRAPHY; COMPARATIVE EVALUATIONS; DAMAGE; PATIENTS; SENSITIVITY; ULTRASONOGRAPHY

Citation Formats

Lankeren, Winnifred van, Gussenhoven, Elma J, Pieterman, Herman, Sambeek, Marc R.H.M. van, and Lugt, Aad van der. Comparison of Angiography and Intravascular Ultrasound Before and After Balloon Angioplasty of the Femoropopliteal Artery. United States: N. p., 1998. Web. doi:10.1007/S002709900282.
Lankeren, Winnifred van, Gussenhoven, Elma J, Pieterman, Herman, Sambeek, Marc R.H.M. van, & Lugt, Aad van der. Comparison of Angiography and Intravascular Ultrasound Before and After Balloon Angioplasty of the Femoropopliteal Artery. United States. https://doi.org/10.1007/S002709900282
Lankeren, Winnifred van, Gussenhoven, Elma J, Pieterman, Herman, Sambeek, Marc R.H.M. van, and Lugt, Aad van der. 1998. "Comparison of Angiography and Intravascular Ultrasound Before and After Balloon Angioplasty of the Femoropopliteal Artery". United States. https://doi.org/10.1007/S002709900282.
@article{osti_21080368,
title = {Comparison of Angiography and Intravascular Ultrasound Before and After Balloon Angioplasty of the Femoropopliteal Artery},
author = {Lankeren, Winnifred van and Gussenhoven, Elma J and Pieterman, Herman and Sambeek, Marc R.H.M. van and Lugt, Aad van der},
abstractNote = {Purpose: To compare angiographic and intravascular ultrasound (IVUS) data before and after balloon angioplasty (PTA) of the femoropopliteal artery. Methods: Qualitative and quantitative analyses were performed on corresponding angiographic and IVUS levels obtained from 135 patients. Results: IVUS detected more lesions, calcified lesions, and vascular damage than angiography. Sensitivity of angiography was good for the presence of a lesion (84%), moderate for eccentric lesions (53%) and for vascular damage (52%), and poor for calcified lesions (30%). The increase in angiographic diameter stenosis was associated with a decrease in lumen area and increase in percentage area stenosis on IVUS. Conclusions: Angiography is less sensitive than IVUS for detecting lesion eccentricity, calcified lesions, and vascular damage. Presence of a lesion and amount of plaque were underestimated angiographically. Only before PTA was good agreement found between angiographic diameter stenosis and lumen size on IVUS.},
doi = {10.1007/S002709900282},
url = {https://www.osti.gov/biblio/21080368}, journal = {Cardiovascular and Interventional Radiology},
issn = {0174-1551},
number = 5,
volume = 21,
place = {United States},
year = {Tue Sep 15 00:00:00 EDT 1998},
month = {Tue Sep 15 00:00:00 EDT 1998}
}