通过静脉冠状动脉的超声波成像. 一种新的方法可视化冠状动脉的视觉化
K Sudhir1, P J Fitzgerald, J S MacGregor
1Cardiovascular Research Institute, University of California, San Francisco 94143-0124.
Circulation
|November 1, 1991
概括
通过静脉输血超声波成像提供了一种不那么侵入性的方法来可视化冠状动脉. 这种有前途的技术允许详细研究冠状动脉血管结构和形态.
科学领域:
- 心血管成像 - 心血管成像
- 医学超声波 医学超声波
- 干预性心脏病学 干预性心脏病学
背景情况:
- 基于导管的超声波需要直接的动脉放置用于内血管成像.
- 需要一种不那么侵入性的方法来检查冠状动脉循环的细节.
研究的目的:
- 评估通过心脏静脉系统通过静脉内超声波对冠状动脉进行成像的可行性.
- 评估传统的导管式超声波的更少侵入性的替代方案.
主要方法:
- 在心脏静脉系统 (冠状动脉鼻腔,大心脏静脉,前腔室间静脉) 中放置了一个5F (30 MHz) 的成像导管.
- 同时光镜在麻醉狗 (n=6) 和人类受试者 (n=11) 在右心脏导管治疗期间使用.
- 冠状动脉 (环和左前下降) 从相邻的心脏静脉可视化.
主要成果:
- 冠状动脉成功地从狗和人类的心脏静脉中可视化.
- 超声波确定的截面区域与狗 (r=0.91) 和人类 (r=0.82) 的血管造影密切相关.
- 超声波传感器可以安全地进入前腔室间静脉到心脏顶部.
结论:
- 穿越静脉静脉超声波是一种可行的,不那么侵入性的方法,用于对冠状动脉进行成像.
- 这种技术为研究冠状动脉血管结构和形态学提供了一个有前途的新方法.
- 潜在的限制包括超声波透问题和解剖学变异.
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