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Erschienen in: The International Journal of Cardiovascular Imaging 6/2017

07.02.2017 | Original Paper

Improving the visual field in coronary artery by with non-obstructive angioscopy: dual infusion method

verfasst von: Sei Komatsu, Tomoki Ohara, Satoru Takahashi, Mitsuhiko Takewa, Chikao Yutani, Kazuhisa Kodama

Erschienen in: The International Journal of Cardiovascular Imaging | Ausgabe 6/2017

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Abstract

Non-obstructive angioscopy (NOA) is used to visualize the surface of the coronary artery, and a clear visual field is obtained by injecting transparent fluid into the gap between the probing catheter and the fiber. This study examines visual field expansion by a dual infusion method, which involves an infusion from the probing and guiding catheters, and the relationships between visual grade and vessel characteristics. Thirty-two patients and thirty patients performed coronary plaque analysis with NOA using the conventional method and the novel dual infusion method, respectively. Images were blindly analyzed retrospectively. Visual fields were assessed from image slices using a 5-point scale (0 = invisible, 1 = poor, 2 = adequate, 3 = good, 4 = excellent) at 5-s intervals. The relationships between visual grade and vessel characteristics were analyzed using multiple stepwise linear regression analysis. The mean visual grade, “excellent” ratio, and “adequate” ratio were significantly higher using the dual infusion method than those obtained using the conventional method (p = 0.003, p = 0.004, and p = 0.005 respectively). The “invisible” ratio was significantly lower using the dual infusion method than the conventional method (p = 0.027). The visual field was negatively associated with the conventional method (β  = −0.154, p < 0.001), large vessels (β = −0.004, p < 0.49), bifurcation (β  = −0.205, p < 0.001), vessels with a sharp angle (β  = −0.106, p < 0.001), in-stent (β = −0.180, p < 0.001), and distal border of stent (β  = −0.075, p < 0.001); and positively associated with significant stenosis (β  = 0.072, p < 0.001) and significantly covered stents (β  = 0.050, p = 0.018). The visual field with NOA can be effectively expanded by the dual infusion method.
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Metadaten
Titel
Improving the visual field in coronary artery by with non-obstructive angioscopy: dual infusion method
verfasst von
Sei Komatsu
Tomoki Ohara
Satoru Takahashi
Mitsuhiko Takewa
Chikao Yutani
Kazuhisa Kodama
Publikationsdatum
07.02.2017
Verlag
Springer Netherlands
Erschienen in
The International Journal of Cardiovascular Imaging / Ausgabe 6/2017
Print ISSN: 1569-5794
Elektronische ISSN: 1875-8312
DOI
https://doi.org/10.1007/s10554-017-1079-1

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