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Assessment of percutaneous transluminal coronary angioplasty by quantitative coronary angiography: diameter versus densitometric area measurements

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Quantitative Coronary and Left Ventricular Cineangiography

Part of the book series: Developments in Cardiovascular Medicine ((DICM,volume 51))

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Summary

Cineangiograms of 138 patients who underwent percutaneous transluminal coronary angioplasty (PTCA) were analyzed quantitatively. In a first study group (120 patients) the severity of the obstructive lesions derived from the automatically detected contours was evaluated in absolute terms as well as in percentage diameter reduction. In a second group of patients, 18 coronary lesions were selected for their extreme severity and symmetric aspect prior to angioplasty as assessed from multiple views. In the second group, the densitometric percentage area stenosis was used to assess the changes in cross-sectional area after PTCA and compared to the circular percentage area stenosis computed from the diameter measurements. Before PTCA, there existed a good agreement between the densitometric percentage area stenosis and the circular percentage area stenosis measurements. After PTCA, important discrepancies between these two types of measurements were observed. It is suggested that these discrepancies in results after PTCA can be accounted for by asymmetric morphological changes in luminal cross section, which cannot be assessed accurately from diameter measurements in a single plane view.

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Authors and Affiliations

  1. Department of Cardiology (Chief: P.G. Hugenholtz, M.D., F.A.C.C.) Thoraxcenter, Erasmus University, and University Hospital Dijkzigt, Rotterdam, The Netherlands

    J. H. C. Reiber Ph.D., P. W. Serruys M.D. & C. J. Slager M.Sc.

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  1. J. H. C. Reiber Ph.D.
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  2. P. W. Serruys M.D.
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  3. C. J. Slager M.Sc.
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© 1986 Martinus Nijhoff Publisher, Dordrecht

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Reiber, J.H.C., Serruys, P.W., Slager, C.J. (1986). Assessment of percutaneous transluminal coronary angioplasty by quantitative coronary angiography: diameter versus densitometric area measurements. In: Quantitative Coronary and Left Ventricular Cineangiography. Developments in Cardiovascular Medicine, vol 51. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-4239-4_17

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  • DOI: https://doi.org/10.1007/978-94-009-4239-4_17

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-8382-9

  • Online ISBN: 978-94-009-4239-4

  • eBook Packages: Springer Book Archive

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