Intravascular US of the distal aorta and iliac vessels: initial feasibility studies

Intravascular ultrasound (US) imaging is a new, evolving technique in which a high-frequency transducer is placed on the tip of a catheter. With this device it is possible to obtain high-resolution images of vessel structure in real time. This may provide valuable information about the degree of stenosis, as well as the type and extent of atherosclerotic plaque, in relation to the underlying tunica media and adventitia. The intravascular US catheter was used in seven patients undergoing transfemoral angiography because of arteriosclerosis obliterans. High-resolution images were obtained in all seven patients, and no complications were noted. Various US findings were demonstrated and correlated with the angiographic findings.