Abstract
Morphological and quantitative assessment of coronary artery disease in vivo represents an important, although difficult, challenge in cardiovascular research and clinical practice. Until recently, atherosclerotic coronary lesions could not be visualized directly by any available imaging modality. Accordingly, detection of coronary obstructions has relied principally upon indirect methods that either depict the vessel lumen (angiography) or expose the ischemic effect of coronary narrows (nuclear or stress echocardiography). However, both methods are insensitive to the early, minimally obstructive disease associated with the dramatic and often lethal consequences of coronary atherosclerosis — acute coronary syndromes.
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References
Topol EJ, Nissen SE. Our preoccupation with coronary luminoiogy. the Dossociation between clinical and angiographic findings in ischemic heart disease. Circulation 92:2333–2342, 1995
Zir LM, Miller SW, Dinsmore RE, Gilber JP, Harthorne JW: Interobserver variability in coronary angiography. Circulation 53:627–632, 1976.
Vlodaver Z, Frech R, van Tassel RA, Edwards JE: Correlation of the antemortem coronary angiogram and the postmortem specimen. Circulation 47:162–168, 1973.
White CW, Wright CB, Doty DB, Hirtza LF, Eastham CL, Harrison DG, Marcus ML: Does visual interpretation of the coronary arteriogram predict the physiologic importance of a coronary stenosis? N Engl J Med 310:819–24, 1984.
Waller BF: “Crackers, breakers, stretchers, drillers, scrapers, shavers, burners, welders, and melters”: The future treatment of atherosclerotic coronary artery disease? A clinical-morphologic assessment. J Am Coll Cardiol 13:969–87, 1989.
Nissen SE, Grines CL, Guriey JC, Sublett K, Haynie D, Diaz C, Booth DC, DeMaria AN: Application of a new phased-array ultrasound imaging catheter in the assessment of vascular dimensions: In vivo comparison to cineangiography. Circulation 81(2):660–666, 1990.
Nissen SE, Tuzcu EM, De Franco AC: Coronary Intravascular Ultrasound: Diagnostic and Interventional Applications. In: Topol EJ ed. Update to Textbook of Interventional Cardiology, W B Saunders, Philadelphia, PA, pages 207–222, 1994.
Nissen SE, Guriey JC, Grines CL, Booth DC, McClure R, Berk M, Fischer C, DeMaria AN: Intravascular ultrasound assessment of lumen size and wall morphology in normal subjects and coronary artery disease patients, Circulation 84(3):1087–1099, 1991.
St. Goar FG, Pinto FJ, Alderman EL, Fitzgerald PJ, Stinson EB, Billingham ME, Popp RL. Detection of coronary atherosclerosis in young adult hearts using intravascular ultrasound, Circulation 86(3):756–763, 1992.
Fitzerald PJ, St. Goar FG, Connolly AJ, Pinto JF, Billingham ME, Popp RL, Yock PG: Intravascular ultrasound imaging of coronary arteries. Is three layers the norm? Circulation 86(1):154–158, 1992.
Tobis JM, Mallery J, Mahon D, Lehmann K, Zalesky P, Griffith J, Gessert J, Moriuchi M, McRae M, Dwyer ML, et al: Intravascular ultrasound imaging of human coronary arteries in vivo. Analysis of tissue characterizations with comparison to in vitro histological specimens. Circulation 83(3):913–926, 1991.
Nissen SE, De Franco AC, Raymond RE, Franco I, Eaton G, Tuzcu EM: Angiographically Urecognized Disease at “Normal” Reference Sites: A risk Factor for Sub-Optimal Results After Coronary Interventions. Circulation 88(4)1:412A, 1993.
Glagov S, Weisenberg E, Zarins CK et al: Compensatory Enlargement of Human Coronary Arteries. N Engl J of Med 316:1371–1375, 1987.
White CJ, Ramee SR, Collin TJ, Jain A, Mesa JE: Ambiguous coronary angiography: clinical utility of intravascular ultrasound. Cathet Cardiovasc Diagn 26(3):200–203, 1992.
Tuzcu EM, Hobbs H, Rincon G, Bott-Silverman C, De Franco AC, Robinson K, McCarthy P, Stewart R, Guyer S, Nissen SE: Occult and Frequent Transmission of Atherosclerosis Coronary Disease with Cardia Transplantation. Circulation 1995; 91:1706–1713
DeFranco AC, Tuzcu E, Abdelmeguid A, Lincoff AM, Brown D, Bernardi M, Ellis SG, Whitlow PL, Sutton JM, Casale PM, Raymond RE, Topol EJ, Nissen SE: Intravascular Ultrasound Assessment of PTCA Results: Insights into the Mechanisms of Balloon Angioplasty. J Am Coll Cardiol 1993, 21(2):485A.
Popma JJ, Mintz GS et al Clinical and Angiographic outcome after Directional coronary Atherectomy. A qualitative and Quantitative Analysis Using Angiography and Intravascular Ultrasound. Am J Cardiol 72(13) 55E–64E
DeFranco AC, Tuzcu EM, Molitemo DJ, Raymond RE, Franco I, Guyer S, Ellis SG, Whitlow PL, Nissen SE: “Directional” Coronary Atherectomy Removes Atheroma More Effectively from Concentric than Eccentric Lesions: Intravascular Ultrasound Predictors of Lesional Success. Journal American College of Cardiology, Special Issue, February 1995; 137A:730–3.
Tuzcu EM, Berkalp B, De Franco AC, Ellis SG, Whitlow PW, Franco I, Raymond RE, Nissen SE The Dilemma of Diagnosing Coronary Calcification: Angiography vs. Intravascular Ultrasound. J Am Coll Card, 1995, 27:832–838
Kovach JA, Mintz GS, Pichard AD, Kent KM, Popma JJ, Satler LF, Leon MB: Sequential intravascular ultrasound characterization of the mechanism of rotational atherectomy and adjunct balloon angioplasty. J Am Coll Cardiol 22:1024–1032, 1993.
Columbo A., Hall, P. et al Results of intravascular ultrasound guided coronary stenting without subsequent anticoagulation. J Am Coll Card: 335A:1994.
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Nissen, S., Klein, L.W. (1997). Intravascular Ultrasound: Equipment, Technique and Applications in Clinical Practice and Research. In: Klein, L.W. (eds) Coronary Stenosis Morphology: Analysis and Implication. Developments in Cardiovascular Medicine, vol 190. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-6287-0_2
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DOI: https://doi.org/10.1007/978-1-4615-6287-0_2
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