SavedAdd your journal

Journals / Fırat Tıp Dergisi / 2006 / Cilt: 11 - Sayı: 1

What degree intravascular ultrasonography in coronary atherosclerosis meet our expectations

Koroner aterosklerozun görüntülenmesinde intravasküler ultrasonografi beklentilerimizin ne kadarını karşılıyor

Nezihi BARIŞ
İlke SİPAHİ
E. Murat TUZCU
Pages
1–5
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

At the same time, the effects of potentially anti-atherosclerotic drugs on the coronary atherosclerosis can be measured with serial volumetric analysis.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Coronary artery disease and acute coronary syndromes are a leading cause of mortality.
📊
Key Findings & Data:Intravascular ultrasonography (IVUS) supplies more accurate information about plaque load and composition than coronary angiography.
💡
Conclusion & Impact:At the same time, the effects of potentially anti-atherosclerotic drugs on the coronary atherosclerosis can be measured with serial volumetric analysis.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Tanı teknikleri · kalp damar · Ultrasonografi

Abstract

Coronary artery disease and acute coronary syndromes are a leading cause of mortality. Intravascular ultrasonography (IVUS) supplies more accurate information about plaque load and composition than coronary angiography. Especially, IVUS is a promising modality in the determination of vulnerable plaque. However, plaque burden and volumetric calculation of coronary atherosclerosis are determined by IVUS. Progression and/or regression of coronary atherosclerosis can be evaluated with these quantitative data. At the same time, the effects of potentially anti-atherosclerotic drugs on the coronary atherosclerosis can be measured with serial volumetric analysis.

Özet

Koroner arter hastalığı akut koroner sendrom ve bunun yol açtığı hayatı tehdit eden komplikasyonlar nedeniyle hala önemini korumaktadır. Koroner aterosklerozun görüntülenmesinde sıklıkla kullanılan anjiyografi damar lümenini gösteren bir yöntemdir. Damar içi ultrasonografi lümenin yanı sıra damar duvarını ve aterosklerotik plağı da göstermektedir. IVUS’ un kullanıma girmesi ile lümen alanın hesaplanması, anjiyografik olarak darlık ciddiyetine karar verilemeyen plakların değerlendirilmesi, stent yerleştirilmesinde yeterli genişletmenin sağlanması konularında önemli gelişmeler sağlanmıştır. Kalp nakli hastalarında meydana gelen vaskülopatiyi anjiyografinin erken evrelerde tanıması güçtür. IVUS ile transplant vaskülopatisinin erken tanısı mümkün olmaktadır. Hassas plakların tespiti için IVUS sinyallerini daha ileri yöntemlerle değerlendirebilen radyofrekans analizi ve elastogram gelecekte önemi artacak yöntemlerdendir. Bunun yanı sıra ateroskleroz yaygınlığının tespiti ve koroner aterosklerozun hacimsel olarak hesaplanabilmesi IVUS’un bize sağladığı nicel verilerin başında gelir. Bu nicel veriler sayesinde koroner aterosklerozdaki ilerlemeler veya gerilemeler seri IVUS takipleriyle tespit edilebilir. Antiaterosklertoik ilaçların etkinliği de IVUS çalışmalarıyla bu sayede tespit edilmektedir.

🔖

Cite This Article

BARIŞ, N., SİPAHİ, İ., TUZCU, E. M. (2006). What degree intravascular ultrasonography in coronary atherosclerosis meet our expectations. Fırat Tıp Dergisi, Cilt: 11 - Sayı: 1, 1–5. https://ajindex.com/articles/223895

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (13)

  1. Tardif JC, Pandian NG. Intravascular ultrasound imaging in peripheral damarial and coronary damary disease. Curr Opin Cardiol 1994; 9: 627-33
  2. Haasdai D, Behar S, Wallentin L, et al. A prospective survey of the characteristics, treatment and outcomes of patients with acute coronary syndromes in Europe and the Mediterranean basin; Euro Heart Survey of Acute Coronary Syndromes (Euro Heart Survey ACS). Eur Heart J 2002; 23: 1190-201
  3. Hausmann D, Erbel R, Alibelli-Chemarin MJ, et al. The safety of intracoronary ultrasound: amulticnter survey of 2207 examinations. Circulation 1995; 91: 623-30
  4. Pinto FJ, St Goar F, Gao SZ, et al. Immediate and one year safety of intracoronary ultrasonic imaging: evaluation with serial quantitative angiography. Circulation 1993; 88: 1709-14
  5. Ramasubbu K, Schoenhagen P, Balghith MA, et al. Repeated intravascular ultrasound imaging in cardiac transplant recipients does not accelerate transplant coronary artery disease. J Am Coll Cardiol 2003; 41: 1739-43
  6. Mintz GS, Pichard AD, Kovach JA, Kent KM, Satler LF, Javier SP et al. Impact of preintervention intravascular ultrasound imaging on transcatheter treatment strategies in coronary artery disease. Am J Cardiol 1994; 73: 423-30
  7. Nakamura S, Colombo A, Gaglione A, Almagor Y, Goldberg SL, Maiello L et al. Intracoronary ultrasound observations during stent implantation. Circulation 1994; 89: 2026-34
  8. Tobis JM, Mahon DJ, Goldberg SL, et al. Lessons from intravascular ultrasonography: observations during interventional angioplasty procedures. J Clin Ultrasound 1993; 21: 598-607
  9. Kasaoka S, Tobis JM, Akiyama T, et al. Angiographic and intravascular ultrasound predictors of in-stent restenosis. J Am Coll Cardiol 1998; 32: 1630-5
  10. Moussa I, Di Mario C, Reimers B, et al. Subacute stent trombosis in the era of intravascular ultrasound-guided coronary stenting withouth anticoagulation: frequency, predictors and clinical outcome. J Am Coll Cardiol 1997; 29: 6-12
  11. Abizaid AS, Mintz GS, Mehran R, et al: Long-term follow-up after percutaneous transluminal coronary angioplasty was not performed based on intravascular ultrasound findings: importance of lumen dimensions. Circulation 1999; 100: 256-61
  12. Tuzcu EM, Kapadia SR, Sachar R, et al. Intravascular ultrasound evedince of angiographically silent progression in coronary atherosclerosis predicts lon-term morbidity and mortality after cardiac transplantation
  13. Glagov S, Weisenberg E, Zarins CK, et al. Compen