Zusammenfassung
Einhergehend mit der zunehmenden Komplexität interventioneller Therapieverfahren und der Notwendigkeit, neben der reinen Lumendarstellung in der konventionellen Koronarangiographie auch Informationen über die Mikroanatomie der Gefäße, die funktionelle Bedeutung von Gefäßstenosen und die Zusammensetzung von Gefäßablagerungen als differentialtherapeutische Entscheidungshilfe zu bekommen, hat sich die invasive Koronardiagnostik in den letzten Jahren kontinuierlich weiterentwickelt: Zusätzlich zur konventionellen Koronarangiographie stehen die Koronarangioskopie, der intravaskuläre Doppler und die vielfach schon routinemäßig eingesetzte intravaskuläre Ultraschallbildgebung zur Verfügung. Im folgenden wird ein Überblick über diese Verfahren und ihre Indikationen gegeben.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Literatur
Bruchhauser J, Sechtem U, Höpp HW, Erdmann E (1997) Intrakoronarer Ultraschall ändert therapeutische Strategie bei angiographisch mehrdeutigem Befund. Z Kardiol 86: 138–147
Cartier GS, DiMario C, Kern MJ (1999)) In: Topol EJ (ed) Textbook of interventional cardiology. Saunders, Philadelphia London, PP 748–781
Chauhan A, Mullins PA, Petch MC, Schofield PM (1994) Is coronary flow reserve in response to papaverine really normal in syndrome X? Circulation 89: 1998–2004
Colombo A, Hall P, Nakamura S (1995) Intracoronary stenting without anticoagulation accomplished with intravascular ultrasound guidance. Circulation 91: 1676–1688
DeJaegere P, Mudra H, Figulla H et al. (1998) Intravascular ultrasound-guided optimized stent deployment. Immediate and 6 months clinical and angiographic results from the Multicenter Ultrasound Stenting in Coronaries Study. Eur Heart J 19: 1214–1223
Den Heijer P, Foley DP, Escaned J et al. (1994) Angioscopic vs. angiographic detection of intimal dissection and intracoronary thrombus. J Am Coll Cardiol 24: 649–654
DiMario C, Gil R, Feyter P et al. (1996) Utilization of translesional hemodynamics: Comparison of pressure and flow methods in stenosis assessment in patients with coronary artery disease. Cathet Cardiovasc Diagn 38: 189–201
Donohue TJ, Kern MJ, Aguirre FV et al. (1993) Assessing the hemodynamic significance of coronary artery stenoses: analysis of translesional pressure flow velocity relations in patients. J Am Coll Cardiol 22: 449–458
Franzen D, Sechtem U, Höpp HW (1998) Comparison of angioscopic, intravascular ultrasonic, and angiographic detection of thrombus in coronary stenosis. Am J Cardiol 82: 1273–1275
Ge J, Erbel R, Rupprecht HJ et al. (1994) Comparison of intravascular ultrasound and angiography in the assessment of myocardial bridging. Circulation 1725–1732
Gerber TC, Erbel R, Görge G, Ge J, Rupprecht HJ, Meyer J (1994) Extent of atherosclerosis and remodeling of the left main coronary artery determined by intravascular ultrasound. Am J Cardiol 73: 666–671
Kern MJ, De Bruyne B, Pijls NHJ (1997) From research to clinical practice: current role of intracoronary physiologically based decision making in the cardiac catheterization laboratory. J Am Coll Cardiol 30: 613–620
Mintz GS, Pichard AD, Kovach JA (1994) impact of preintervention intravascular ultrasound imaging on transcatheter treatment strategies in coronary artery disease. Am J Cardiol 73: 423–430
Mintz GS, Popma JJ, Pichard AD (1995) patterns of calcification in coronary artery disease. A statistical analysis of intravascular ultrasound and coronary angiography in 1155 lesions. Circulation 91: 1959–1965
Mudra H, Regar E, Klauss V, Werner F et al. (1997) Serial follow-up after optimized ultrasound guided deployment of palmazSchatz stents. Instent neointimal proliferation without significant reference segment response. Circulation 95: 363–37o
Ofili EO, Kern MJ, Labovitz AJ et al. (1992) Analysis of coronary blood flow velocity dynamics in angiographically normal and stenosed coronary arteries before and after endoluminal enlargement by angioplasty. J Am Coll Cardiol 21: 308–316
Piek JJ, Kolen JJ, Metting van Rijn AC (1993) Spectral analysis of flow velocity in the contralateral artery during coronary angioplasty: a new method for assessing collateral flow. J Am Coll Cardiol 21: 1574–1582
RameeSR, White CJ, Collins TJ, Mesa JE, Murgo JP (1991) Percutaneous angioscopy during coronary angioplasty using a steerable microangioscope. J Am Coll Cardiol 17: 100–105
Sechtem U, Arnold G, Keweloh T, Casper C, Curtius JM (1993) In-vitro-Diagnose der koronaren Plaquemorphologie mit intravaskulärem Ultraschall: Vergleich mit histopathologischen Befunden. Z Kardiol 82: 618–627
Serruys P, DiMario C, Pieck J et al. (1997) Prognostic value of intracoromary flow velocity and diameter stenosis in assessing the short-and long-term outcome of ballon angioplasty. Circulation 96: 3369-ff
Sherman CT, Litvack F, Grundfest et al. (1986) Coronary angioscopy in patients with unstable angina pectoris. N Engl J Med 315: 913–919
Strumpf RK, Metha S, Ponder R, Heuser RR (1992) Palmaz-Schatz stent implantation in stenosed saphenous vein grafts: clinical and angiographic follow-up. Am Heart J 123: 1329–1331
Tuzcu EM, Hobbs RE, Rincon G et al. (1995) Occult and frequent transmission of atherosclerotic coronary disease with cardiac transplantation: insights from intravascular ultrasound. Circulation 91: 1706–1713
White JC, Ramee SR (1999) In: Topol EJ (ed) Textbook of interventional cardiology. Saunders, Philadelphia London, pp 783–800
Zeiher AM, Drexler H, Wollschlaeger H, Just H (1991) Endothelial dysfunction of the coronary microvasculature is associated with impaired coronary flow regulation in patients with early atherosclerosis. Circulation 84: 1984–1992
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2000 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Baer, F.M. (2000). Intrakoronare Angioskopie, Doppleruntersuchung und intravaskuläre Ultraschalluntersuchung der Koronargefäße. In: Erdmann, E. (eds) Klinische Kardiologie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-12156-6_12
Download citation
DOI: https://doi.org/10.1007/978-3-662-12156-6_12
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-662-12157-3
Online ISBN: 978-3-662-12156-6
eBook Packages: Springer Book Archive