Ambiguous coronary angiography: clinical utility of intravascular ultrasound

White, Christopher J., Ramee, Stephen R., Collins, Tyrone J., Jain, Ashit and Mesa, Juan E. (1992) Ambiguous coronary angiography: clinical utility of intravascular ultrasound. Catheterization and Cardiovascular Diagnosis, 26 3: 200-203. doi:10.1002/ccd.1810260307


Author White, Christopher J.
Ramee, Stephen R.
Collins, Tyrone J.
Jain, Ashit
Mesa, Juan E.
Title Ambiguous coronary angiography: clinical utility of intravascular ultrasound
Journal name Catheterization and Cardiovascular Diagnosis   Check publisher's open access policy
ISSN 0098-6569
1097-0304
Publication date 1992-07-01
Sub-type Article (original research)
DOI 10.1002/ccd.1810260307
Volume 26
Issue 3
Start page 200
End page 203
Total pages 4
Place of publication Hoboken, NJ, United States
Publisher John Wiley & Sons
Language eng
Abstract We report the use of intravascular ultrasound (IVUS) in situations where angiography was ambiguous or uncertain in assessing the significance of coronary stenoses. The indications for performing intravascular ultrasound were 1) angiographic findings did not correlate with the clinical presentation (n = 5) and 2) the lesion was not seen well by angiography because of overlapping vessels at the site of suspected stenosis (n = 3). We studied eight lesions in seven patients. Six nonobstructive stenoses on angiography were shown by IVUS to be significant. In two patients, stenoses were thought to be significant on angiography, but, due to overlapping of the vessels, there was doubt regarding the severity of the narrowing. In these two patients, IVUS clearly showed that the lesions were nonobstructive. As seen from the above results, angiography underestimated 6/8 stenoses and overestimated in 2/8 stenoses when compared to IVUS. We conclude that IVUS can be used to clarify ambiguous angiographic findings which can have a major impact on the clinical decision making.
Keyword Intravascular ultrasound
Coronary arteriography
Angiography
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ
Additional Notes Article first published online: 25 October 2005.

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
 
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