Similarities and Differences Between Coronary and Iliofemoral Arteries Related to Intravascular Ultrasound

  • Elma J. Gussenhoven
  • Aad van der Lugt
  • Salem H. K. The
  • Pim de Feyter
  • Patrick W. Serruys
  • Robert J. van Suylen
  • Charles T. Lancée
  • Hero van Urk
  • Herman Pieterman
Part of the Developments in Cardiovascular Medicine book series (DICM, volume 143)


In recent years intense interest has been focused on the use of intravascular ultrasound, which can significantly extend our understanding of the arterial architecture affected by atherosclerosis. Similarly, in relation to interventional procedures such as balloon angioplasty, intravascular ultrasound may provide unique morphologic information; such detailed information may not be obtainable from the angiographic records. The purpose of this chapter is to outline the similarities and differences between coronary and iliofemoral arteries known from an anatomic viewpoint and from experience with in vitro and in vivo studies using intravascular ultrasound.


Coronary Artery Balloon Angioplasty Plaque Rupture Intravascular Ultrasound Luminal Diameter 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Crowley RJ, Hamm MA, Joshi SH, Lennox CD, Roberts GT. Ultrasound guided therapeutic catheters: recent developments and clinical results. Int J Cardiac Imag 1991;6:145–156.CrossRefGoogle Scholar
  2. 2.
    Isner JM, Rosenfield K, Losordo DW et al. Percutaneous intravascular US as adjunct to catheter-based interventions: preliminary experience in patients with peripheral vascular disease. Radiology 1990;175:61–70.PubMedGoogle Scholar
  3. 3.
    Losordo DW, Rosenfield K, Ramaswamy K, Harding M, Pieczek A, Isner JM. How does angioplasty work? Intravascular ultrasound assessment of 30 consecutive patients demonstrating that angiographic evidence of luminal patency is the consistent result of plaque fractures and dissections. Circulation 1990; 82 (suppl.III): III-338 (Abstract).Google Scholar
  4. 4.
    Gussenhoven EJ, Frietman PAV, The SHK et al. Assessment of medial thinning in atherosclerosis by intravascular ultrasound. Am J Cardiol 1991;68:1625–32.PubMedCrossRefGoogle Scholar
  5. 5.
    Tabbara M, White R, Cavaye D, Kopchok G. In vivo human comparison of intravascular ultrasonography and angiography. J Vasc Surg 1991;14:496–504.PubMedCrossRefGoogle Scholar
  6. 6.
    The SHK, Gussenhoven EJ, du Bois NAJJ et al. Femoro-popliteal bypass grafts studied by intravascular ultrasound. Eur J Vasc Surg 1991;5:523–6.PubMedCrossRefGoogle Scholar
  7. 7.
    Tobis JM, Mallery J, Mahon D et al. Intravascular ultrasound imaging of human coronary arteries in vivo. Analysis of tissue characterizations with comparison to in vitro histological specimens. Circulation 1991;83:913–26.PubMedCrossRefGoogle Scholar
  8. 8.
    Van Urk H, Gussenhoven WJ, Gerritsen GP et al. Assessment of arterial disease and arterial reconstructions by intravascular ultrasound. Int J Cardiac Imag 1991; 6:157–64.CrossRefGoogle Scholar
  9. 9.
    Yock PG, Fitzgerald PJ, Linker DT, Angelsen BAJ. Intravascular ultrasound guidance for catheter-based coronary interventions. J Am Coll Cardiol 1991; 17: 39B-45B.PubMedCrossRefGoogle Scholar
  10. 10.
    Gussenhoven EJ, The SHK, Gerritsen P et al. Real-time intravascular ultrasonic imaging before and after balloon angioplasty. J Clin Ultrasound 1991;19:294–7.PubMedCrossRefGoogle Scholar
  11. 11.
    Honye J, Mason DJ, Jain A et al. Morphological effects of coronary balloon angioplasty in vivo assessed by intravascular ultrasound imaging. Circulation 1992;85:1012–25.PubMedCrossRefGoogle Scholar
  12. 12.
    Pandian NG, Hsu T-L. Intravascular ultrasound and intracardiac echocardiography: concepts for the future. Am J Cardiol 1992;69: 6H-17H.PubMedCrossRefGoogle Scholar
  13. 13.
    Potkin BN, Keren G, Mintz GS et al. Arterial responses to balloon coronary angioplasty: an intravascular ultrasound study. J Am Coll Cardiol 1992;20:942–51.PubMedCrossRefGoogle Scholar
  14. 14.
    The SHK, Gussenhoven EJ, Zhong Y et al. The effect of balloon angioplasty on the femoral artery evaluated with intravascular ultrasound imaging. Circulation 1992;86:483–93.PubMedCrossRefGoogle Scholar
  15. 15.
    Baroldi G. Disease of the coronary arteries. In: Silver MD, editor. Cardiovascular Pathology; Vol 1. New York: Churchill Livingstone, 1983:317–91.Google Scholar
  16. 16.
    Ross R, Wight Th N, Strandness E, Thiele B. Human atherosclerosis. Cell constitution and characteristics of advanced lesions of the superficial femoral. Am J Pathol 1984;114:79–83.PubMedGoogle Scholar
  17. 17.
    Waller BF. Anatomy, histology, and pathology of the major epicardial coronary arteries relevant to echocardiographic imaging techniques. J Am Soc Echo 1989;2:232–52.Google Scholar
  18. 18.
    Essed CE, van den Brand M, Becker AE. Transluminal coronary angioplasty and early restenosis. Fibrocellular occlusion after wall laceration. Br Heart J 1983;49:393–6.PubMedCrossRefGoogle Scholar
  19. 19.
    Farb A, Virmani R, Atkinson JB, Kolodgie FD. Plaque morphology and pathologic changes in arteries from patients dying after coronary balloon angioplasty. J Am Coll Cardiol 1990;16:1421–9.PubMedCrossRefGoogle Scholar
  20. 20.
    Becker AE. Pathological aspects of balloon intervention in cardiology. Another tale from Wonderland. In: Visser CA, David GK, editors. Intervention Cardiology. Almere: Knoll, 1990:75–89 (ISBN 90–72059–02–6).Google Scholar
  21. 21.
    Groves PH, Lewis MJ, Newby AC, Cheadle HA, Penny WJ. Progressive intimai thickening after balloon angioplasty is related to rupture of the internal elastica lamina. Br Heart J 1992;68:86 (Abstract).Google Scholar
  22. 22.
    van Andel GJ, van Erp WFM, Krepel VM, Breslau PJ. Percutaneous transluminal dilatation of the iliac artery: long-term results. Radiology 1985;156:321–3.PubMedGoogle Scholar
  23. 23.
    Gussenhoven EJ, Essed CE, Lancée CT et al. Arterial wall characteristics determined by intravascular ultrasound imaging: an in vitro study. J Am Coll Cardiol 1989;14:947–52.PubMedCrossRefGoogle Scholar
  24. 24.
    Gussenhoven WJ, Essed CE, Frietman P et al. Intravascular echographic assessment of vessel wall characteristics: a correlation with histology. Int J Cardiac Imag 1989;4:105–16.CrossRefGoogle Scholar
  25. 25.
    Potkin BN, Bartorelli AL, Gessert JM, Neville RF, Almagor Y, Roberts WC, Leon MB. Coronary artery imaging with intravascular high-frequency ultrasound. Circulation 1990;81:1575–85.PubMedCrossRefGoogle Scholar
  26. 26.
    Lockwood GR, Ryan LK, Gotlieb AI, Lonn E, Hunt JW, Liu P, Foster FS. In vitro high resolution intravascular imaging in muscular and elastic arteries. J Am Coll Cardiol 1992;20:153–60.PubMedCrossRefGoogle Scholar
  27. 27.
    Borst C, Savalle LH, Smits PC, Post MJ, Gussenhoven WJ, Bom N. Imaging of post-mortem coronary arteries bu 30 MHz intravascular ultrasound. Int J Cardiac Imaging 1991;6:239–46.CrossRefGoogle Scholar
  28. 28.
    Fitzgerald PJ, St. Goar FG, Connoly AJ, Pinto FJ, Billingham ME, Popp RL, Yock PG. Intravascular ultrasound imaging of coronary arteries. Is three layers the norm? Circulation 1992;86:154–8.PubMedCrossRefGoogle Scholar
  29. 29.
    Velican D, Velican C. Comparative study on age-related changes and atherosclerotic involvement of the coronary arteries of male and female subjects up to 40 years of age. Atherosclerosis 1981;38:39–50.PubMedCrossRefGoogle Scholar
  30. 30.
    Tobis JM, Mallery JA, Gessert J et al. Intravascular ultrasound cross-sectional arterial imaging before and after balloon angioplasty in vitro. Circulation 1989;80:873–82.PubMedCrossRefGoogle Scholar
  31. 31.
    Gussenhoven EJ, Li W, Lugt vd A et al. Accurate displacement sensing device provides reproducible intravascular ultrasound images. J Am Coll Cardiol 1993 (abstract)(in press).Google Scholar
  32. 32.
    Gerritsen GP, Gussenhoven EJ, The SHK et al. Intravascular ultrasound before and after intervention: in vivo comparison with angiography. J Vasc Surg 1993 (in press).Google Scholar
  33. 33.
    St. Goar FG, Pinto FJ, Alderman EL, Fitzgerald PJ, Stinson EB, Billingham ME, Popp RL. Detection of coronary atherosclerosis in young adult hearts using intravascular ultrasound. Circulation 1992; 86:756–63.PubMedCrossRefGoogle Scholar
  34. 34.
    DiMario C, de Kroon M, Madretsma S et al. Angle dependence of vessel wall imaging with intravascular ultrasound. Circulation 1991:11–541.Google Scholar
  35. 35.
    Nase-Hueppmeier S, Uebis R, Doerr R, Hanrath P. Intravascular ultrasound to assess aortocoronary venous bypass grafts in vivo. Am J Cardiol 1992;70:455–8.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media Dordrecht 1993

Authors and Affiliations

  • Elma J. Gussenhoven
  • Aad van der Lugt
  • Salem H. K. The
  • Pim de Feyter
  • Patrick W. Serruys
  • Robert J. van Suylen
  • Charles T. Lancée
  • Hero van Urk
  • Herman Pieterman

There are no affiliations available

Personalised recommendations