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Intravascular ultrasonography allows accurate assessment of abdominal aortic aneurysm: an in vitro validation study.

Abstract：

OBJECTIVE:The objective of this study was to acquire insight into the interpretation of intravascular ultrasound images of the abdominal aorta and to assess to what extent this technique can provide useful parameters for the endovascular treatment of patients with abdominal aortic aneurysm. STUDY DESIGN:This was a descriptive study. METHODS:Fifteen abdominal aortic specimens (normal, atherosclerotic, or aneurysmal) were studied. Ultrasonic images and corresponding histologic sections were compared for vessel wall characteristics, lesion morphologic characteristics, and lumen diameter. The length of the aneurysm and the length of the proximal and distal neck were measured and compared with external measurements. Tomographic images were reconstructed to a three-dimensional format. RESULTS:Normal aortic wall was seen as a two- or three-layered structure corresponding with intima, media, and adventitia. A distinction could be made among fibrous lesion, calcified lesion, and thrombus and between normal and aneurysmal aorta. Correlation between the histologic specimens and intravascular ultrasonography for lumen diameter measurements was high (r = 0.93; p < 0.001). In a similar fashion, correlation between external measurements and intravascular ultrasound measurements on the length of the aneurysm and its proximal and distal neck was high (r = 0.99; p < 0.001). Three-dimensional analysis enhanced interpretation of the tomographic images by visualizing the spatial position of anatomic structures and contributed to understanding the shape and dimensions of the aneurysm. CONCLUSIONS:Intravascular ultrasonography provides accurate information on the vessel wall, lesion morphologic characteristics, and quantitative parameters of the abdominal aorta. Spatial information supplied by three-dimensional analysis contributes to a more realistic interpretation of the tomographic images.

journal_name

J Vasc Surg

journal_title

Journal of vascular surgery

authors

van Essen JA,van der Lugt A,Gussenhoven EJ,Leertouwer TC,Zondervan P,van Sambeek MR

doi

10.1016/s0741-5214(98)70366-0

subject

Has Abstract

pub_date

1998-02-01 00:00:00

pages

347-53

issue

2

eissn

0741-5214

issn

1097-6809

pii

S0741521498000500

journal_volume

27

pub_type

杂志文章

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