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Does coronary lumen morphology influence vessel cross-sectional area estimation? An in vitro comparison of intravascular ultrasound and quantitative coronary angiography

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Quantitative Coronary Angiography in Clinical Practice

Abstract

Over the last 10 years quantitative coronary angiography has clearly emerged as the gold standard coronary imaging modality. However, despite the objectivity and reproducibility of coronary luminal measurements provided by quantitative angiographic analysis systems, a number of important limitations have been identified through their application to interventional procedures [1]. In particular, complex coronary lesions (for example, thrombus containing or ulcerated lesions) or the modifications in luminal geometry caused by percutaneous interventions, may yield inaccurate and unreliable luminal measurements [1–6]. These pitfalls of quantitative coronary angiography have been highlighted in recent years through the emergent clinical application of intracoronary ultrasound and angioscopy. Intravascular ultrasound imaging itself continues to undergo rapid evolution and has been advanced by its proponents as having a superior capacity for demonstrating luminal morphology, especially after coronary interventions [7–9].

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© 1994 Springer Science+Business Media Dordrecht

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Escaned, J. et al. (1994). Does coronary lumen morphology influence vessel cross-sectional area estimation? An in vitro comparison of intravascular ultrasound and quantitative coronary angiography. In: Serruys, P.W., Foley, D.P., De Feyter, P.J. (eds) Quantitative Coronary Angiography in Clinical Practice. Developments in Cardiovascular Medicine, vol 145. Springer, Dordrecht. https://doi.org/10.1007/978-94-015-8358-9_37

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  • DOI: https://doi.org/10.1007/978-94-015-8358-9_37

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-90-481-4295-8

  • Online ISBN: 978-94-015-8358-9

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