CardioVascular and Interventional Radiology

, Volume 21, Issue 5, pp 367–374 | Cite as

Comparison of angiography and intravascular ultrasound before and after balloon angioplasty of the femoropopliteal artery

  • Winnifred van Lankeren
  • Elma J. Gussenhoven
  • Herman Pieterman
  • Marc R. H. M. van Sambeek
  • Aad van der Lugt
Clinical Investigations


Purpose: To compare angiographic and intravascular ultrasound (IVUS) data before and after balloon angioplasty (PTA) of the femoropopliteal artery.

Methods: Qualitative and quantitative analyses were performed on corresponding angiographic and IVUS levels obtained from 135 patients.

Results: IVUS detected more lesions, calcified lesions, and vascular damage than angiography. Sensitivity of angiography was good for the presence of a lesion (84%), moderate for eccentric lesions (53%) and for vascular damage (52%), and poor for calcified lesions (30%). The increase in angiographic diameter stenosis was associated with a decrease in lumen area and increase in percentage area stenosis on IVUS.

Conclusions: Angiography is less sensitive than IVUS for detecting lesion eccentricity, calcified lesions, and vascular damage. Presence of a lesion and amount of plaque were underestimated angiographically. Only before PTA was good agreement found between angiographic diameter stenosis and lumen size on IVUS.

Key words

Angiography Intravascular ultrasound Femorpoliteal artery Balloon angioplasty 


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Copyright information

© Springer-Verlag 1998

Authors and Affiliations

  • Winnifred van Lankeren
    • 1
  • Elma J. Gussenhoven
    • 1
  • Herman Pieterman
    • 2
  • Marc R. H. M. van Sambeek
    • 3
  • Aad van der Lugt
    • 2
  1. 1.Department of CardiologyUniversity Hospital Rotterdam-Dijkzigt, Erasmus University RotterdamRotterdamThe Netherlands
  2. 2.Department of RadiologyUniversity Hospital Rotterdam-Dijkzigt, Erasmus University RotterdamRotterdamThe Netherlands
  3. 3.Department of Vascular SurgeryUniversity Hospital Rotterdam-Dijkzigt, Erasmus University RotterdamRotterdamThe Netherlands

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