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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
13
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pubmed:dateCreated |
1991-12-13
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pubmed:abstractText |
The feasibility and applicability of intravascular ultrasound (IVUS) of the coronary arteries were evaluated in 65 patients undergoing 70 coronary interventional procedures. Morphologic and quantitative analyses were performed with a mechanically rotated IVUS catheter (4.8Fr, 20 MHz) and with orthogonal view cineangiography. A semiautomated edge-detection algorithm was used for cineangiographic quantification. Coronary interventions included 45 percutaneous transluminal coronary angioplasties, 9 excimer lasers, 11 directional coronary atherectomies, 3 rotational atherectomies and 2 stents. Most lesions consisted of a mixture of plaque composition (hard, n = 30; soft, n = 64). Other unique morphologic data by IVUS were plaque topography (eccentric, n = 34; concentric, n = 36) and vessel dissection (IVUS [n = 29] versus angiography [n = 14], p less than 0.05). Postprocedure minimal lumen diameter and cross-sectional area measured by IVUS were larger and poorly correlated with angiography (r = 0.28, standard error of the estimate = 0.52 mm; r = 0.08, standard error of the estimate = 1.0 cm2, respectively). IVUS is more sensitive than angiography when assessing postintervention lesion characteristics including vessel dissection and plaque morphology. Catheter-based ultrasound appears to be a useful adjunct to contrast angiography when evaluating and comparing the therapeutic impact of conventional percutaneous transluminal coronary angioplasty with new technologies.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:status |
MEDLINE
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pubmed:month |
Nov
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pubmed:issn |
0002-9149
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:day |
15
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pubmed:volume |
68
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pubmed:owner |
NLM
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pubmed:authorsComplete |
N
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pubmed:pagination |
1305-9
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pubmed:dateRevised |
2010-11-18
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pubmed:meshHeading |
pubmed-meshheading:1951117-Algorithms,
pubmed-meshheading:1951117-Angioplasty, Balloon, Coronary,
pubmed-meshheading:1951117-Angioplasty, Laser,
pubmed-meshheading:1951117-Cineangiography,
pubmed-meshheading:1951117-Coronary Angiography,
pubmed-meshheading:1951117-Coronary Artery Disease,
pubmed-meshheading:1951117-Coronary Vessels,
pubmed-meshheading:1951117-Feasibility Studies,
pubmed-meshheading:1951117-Female,
pubmed-meshheading:1951117-Humans,
pubmed-meshheading:1951117-Male,
pubmed-meshheading:1951117-Middle Aged,
pubmed-meshheading:1951117-Stents
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pubmed:year |
1991
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pubmed:articleTitle |
Intracoronary ultrasound evaluation of interventional technologies.
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pubmed:affiliation |
Department of Medicine, Duke University Medical Center, Durham, North Carolina 27710.
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pubmed:publicationType |
Journal Article
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