Exaggerated luminal loss a few minutes after successful percutaneous transluminal coronary angioplasty in patients with recent myocardial infarction compared with stable angina: An intracoronary ultrasound study
“…Diagnostic left heart catheterization and angiography were performed from a femoral approach as described previously [16]. After completion of the diagnostic catheterization, intravenous heparin was supplemented to maintain activated clotting time at 300 -350 s, and a 6F Judkins guiding catheter was advanced to the ostium of the left coronary artery.…”
Section: Catheterization Proceduresmentioning
confidence: 99%
“…For each lesion, the view showing the most severe degree of stenosis was used for analysis. Quantitative measurements of coronary artery dimensions were made using a computer-based edge enhancement technique (DCI System, Philips, Inc., Best, the Netherlands), as previously described [16,20]. All injections and projections throughout a given study were performed by the same operator (T-M.L.)…”
Section: Angiography Measurementsmentioning
confidence: 99%
“…Each segment was analysed during end-diastole to measure coronary diameters at the same levels, for each patient. We have had experience with quantitative coronary arteriography [16,20]; the intraobserver and interobserver variabilities at the proximal segments were 0·18 ± 0·15 mm (5·7 ± 6·2%) and 0·21 ± 0·23 mm (6·7 ± 6·8%), respectively.…”
Endothelin-1 is released into the coronary circulation after angioplasty, and this vasoactive substance may contribute to the occurrence of vasoconstriction. The vasoconstriction is attenuated by oestrogen by reducing the endothelin-1 levels. This finding provided a new strategy to treat coronary vasoconstriction after angioplasty.
“…Diagnostic left heart catheterization and angiography were performed from a femoral approach as described previously [16]. After completion of the diagnostic catheterization, intravenous heparin was supplemented to maintain activated clotting time at 300 -350 s, and a 6F Judkins guiding catheter was advanced to the ostium of the left coronary artery.…”
Section: Catheterization Proceduresmentioning
confidence: 99%
“…For each lesion, the view showing the most severe degree of stenosis was used for analysis. Quantitative measurements of coronary artery dimensions were made using a computer-based edge enhancement technique (DCI System, Philips, Inc., Best, the Netherlands), as previously described [16,20]. All injections and projections throughout a given study were performed by the same operator (T-M.L.)…”
Section: Angiography Measurementsmentioning
confidence: 99%
“…Each segment was analysed during end-diastole to measure coronary diameters at the same levels, for each patient. We have had experience with quantitative coronary arteriography [16,20]; the intraobserver and interobserver variabilities at the proximal segments were 0·18 ± 0·15 mm (5·7 ± 6·2%) and 0·21 ± 0·23 mm (6·7 ± 6·8%), respectively.…”
Endothelin-1 is released into the coronary circulation after angioplasty, and this vasoactive substance may contribute to the occurrence of vasoconstriction. The vasoconstriction is attenuated by oestrogen by reducing the endothelin-1 levels. This finding provided a new strategy to treat coronary vasoconstriction after angioplasty.
“…É interessante ressaltar que não houve correlação entre as características morfológicas das lesões encontradas no ultra-som e na angiografia coronariana, sendo que o ultra-som apresentou 44 . Na vigência de infarto agudo do miocárdio, também foi realizada a análise da placa aterosclerótica [45][46][47][48][49] . A detecção da presença de trombos nestes estudos foi alta, variando de 70% a 90%, e, quando o ultra-som foi comparado à histologia, a taxa de acurácia foi de 80% 37 .…”
Section: -Indicações Clínicas Do Ultra-som Intracoronarianounclassified
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