Literature DB >> 19577994

Three-dimensional reconstruction allows accurate quantification and length measurements of coronary artery stenoses.

Harald Rittger1, Birgit Schertel, Martin Schmidt, Joern Justiz, Johannes Brachmann, Anil-Martin Sinha.   

Abstract

AIMS: The aim of this prospective study was to evaluate the feasibility and accuracy of a recently developed 3D system (CardiOp-B; Paieon Medical Ltd., Israel) as compared to a validated quantitative coronary angiography (QCA) system (Siemens Quantcor, Siemens Medical Solutions). METHODS AND
RESULTS: In patients scheduled for heart catheterisation, minimal lumen diameter (MLD) and diameter-derived percent stenosis (DPS) were obtained for CAS (>50%) using both QCA and the 3D-system. To estimate stenosis length, a non-inflated balloon was inserted into the stenosis and the distance between balloon markers was measured using both methods and then compared to the known distance between the markers. In 61 patients 79 lesions were analysed. MLD measurements showed a good agreement between QCA and 3D with a mean difference of 0.08+/-0.035 mm. Reference diameter was 2.61+/-0.67 for 3D and 2.42+/-0.61 mm for QCA and 54.79+/-9.20% vs. 58.75+/-8.15% for the %-stenosis range, respectively. The mean true balloon length was 12.8 mm+/-3.8 mm. Lengths determined by the 3D system were 13.0+/-4.0 mm and 11.3+/-3.8 mm by QCA, respectively.
CONCLUSIONS: Evaluation of CAS using the novel 3D system was feasible and showed equivalent results to validated QCA measurements. Length measurements seemed to be more accurate by the 3D system as compared to QCA. Therefore, this 3D-system can be used to guide decisions in interventional cardiology.

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Year:  2009        PMID: 19577994     DOI: 10.4244/eijv5i1a20

Source DB:  PubMed          Journal:  EuroIntervention        ISSN: 1774-024X            Impact factor:   6.534


  6 in total

Review 1.  QCA, IVUS and OCT in interventional cardiology in 2011.

Authors:  Johan H C Reiber; Shengxian Tu; Joan C Tuinenburg; Gerhard Koning; Johannes P Janssen; Jouke Dijkstra
Journal:  Cardiovasc Diagn Ther       Date:  2011-12

Review 2.  [Modern angiographic diagnostic techniques in the catheter laboratory].

Authors:  H Rittger; A-M Sinha; J Brachmann
Journal:  Herz       Date:  2011-08       Impact factor: 1.443

3.  In vivo comparison of arterial lumen dimensions assessed by co-registered three-dimensional (3D) quantitative coronary angiography, intravascular ultrasound and optical coherence tomography.

Authors:  Shengxian Tu; Liang Xu; Jurgen Ligthart; Bo Xu; Karen Witberg; Zhongwei Sun; Gerhard Koning; Johan H C Reiber; Evelyn Regar
Journal:  Int J Cardiovasc Imaging       Date:  2012-01-20       Impact factor: 2.357

4.  Fusion of 3D QCA and IVUS/OCT.

Authors:  Shengxian Tu; Niels R Holm; Gerhard Koning; Zheng Huang; Johan H C Reiber
Journal:  Int J Cardiovasc Imaging       Date:  2011-01-25       Impact factor: 2.357

5.  Three dimensional quantitative coronary angiography can detect reliably ischemic coronary lesions based on fractional flow reserve.

Authors:  Woo-Young Chung; Byoung-Joo Choi; Seong-Hoon Lim; Yoshiki Matsuo; Ryan J Lennon; Rajiv Gulati; Gurpreet S Sandhu; David R Holmes; Charanjit S Rihal; Amir Lerman
Journal:  J Korean Med Sci       Date:  2015-05-13       Impact factor: 2.153

6.  Assessment of obstruction length and optimal viewing angle from biplane X-ray angiograms.

Authors:  Shengxian Tu; Gerhard Koning; Wouter Jukema; Johan H C Reiber
Journal:  Int J Cardiovasc Imaging       Date:  2009-09-18       Impact factor: 2.357

  6 in total

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