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March 1, 1991CirculationOpen Access

Intravascular ultrasound imaging of human coronary arteries in vivo. Analysis of tissue characterizations with comparison to in vitro histological specimens.

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Why the study?

Does intravascular ultrasound imaging accurately characterize tissue and quantify lumen and atheroma areas in human coronary arteries compared to histology and angiography?

Population

27 patients after coronary balloon angioplasty, and 20 human atherosclerotic artery segments in vitro

Comparison

Intravascular ultrasound imaging using a 20-MHz… vs In vitro histological preparations and angiography

Design

Cross-sectional

Authors

JTJonathan M. TobisW. L. Gore & Associates (Germany)JMJohn MalleryUnited States Department of Veterans AffairsDMDon MahonUniversity of California, Irvine

Discussion

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Implication

IVUS detects substantial residual and occult atheroma missed by angiography; leaves open whether IVUS guidance improves revascularization outcomes.

Structured PICO

Does intravascular ultrasound imaging accurately characterize tissue and quantify lumen and atheroma areas in human coronary arteries compared to histology and angiography?

P
Population
27 patients after coronary balloon angioplasty, and 20 human atherosclerotic artery segments in vitro
I
Intervention
Intravascular ultrasound imaging using a 20-MHz ultrasound catheter
C
Comparator
In vitro histological preparations and angiography
O
Outcome
Quantification of lumen and atheroma cross-sectional areas and tissue characterizationsurrogate

Intravascular ultrasound is more sensitive than angiography for detecting atherosclerosis and reveals significant residual atheroma after balloon angioplasty.

Cite This Study

Tobis et al. (1991) studied this question.

synapsesocial.com/papers/69f14b572811130d0cde2121https://doi.org/10.1161/01.cir.83.3.913

Topics

Coronary artery diseaseCoronary CT angiography
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