The Physiology of Angiographic Arterial Waves

Lehrer, Harold Z.

doi:10.1148/89.1.11

Cited by 28 publications

(16 citation statements)

References 11 publications

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“…116 However, in standing waves, the undulations are in a regular pattern, without significant stenosis, and this rapidly reverses with infusion of a vasodilator or withdrawal of the catheter. 117 On the other hand, medial fibroplasia produces irregular areas of stenosis and dilatation. It is important to recognize standing waves as an FMD mimic so that a patient is not incorrectly labeled with disease.…”

Section: Differential Diagnosis Standing Waves or Stationary Wavesmentioning

confidence: 99%

Fibromuscular Dysplasia: State of the Science and Critical Unanswered Questions

Olin¹,

Gornik²,

Bacharach³

et al. 2014

Circulation

395

490

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Section: Differential Diagnosis Standing Waves or Stationary Wavesmentioning

confidence: 99%

Fibromuscular Dysplasia: State of the Science and Critical Unanswered Questions

Olin¹,

Gornik²,

Bacharach³

et al. 2014

Circulation

395

490

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“…1 Although up to 14% of peripheral angiograms have been reported to display this phenomenon, 2,3 frequencies of 1-3% seem more realistic. 4,5 Other imaging methods, such as CT, magnetic resonance angiography, and sonography, have never been shown to reproduce stationary waves, perhaps because this phenomenon is associated solely with angiographic techniques. We present 2 cases of patients with arterial occlusion in which stationary waves were observed during sonographic examination.…”

mentioning

confidence: 99%

Sonographic correlate of stationary waves

Kröger

Massalha

2004

J of Clinical Ultrasound

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Stationary waves are a rare and inconsistent angiographic finding that has been attributed to various causes, including angiographic artifact. We present 2 cases of patients with arterial occlusion in whom sonographic examination revealed a correlate of stationary waves that was present on angiography. This report is, to our knowledge, the first to document the phenomenon of stationary waves using an imaging modality other than angiography. If the sonographic findings presented here are accepted as a correlate of stationary waves, the phenomenon of stationary waves can no longer be considered a specific angiographic finding, and theories attributing the phenomenon to an angiographic artifact must be rejected.

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“…The proposed mechanisms for this phenomenon are usually based on vasospasm, particularly given case reports of resolution of standing waves after administration of vasodilators. 2,3 However, there also have been reports of resolution of standing waves seen on immediate repeat angiography without administration of vasodilators. Other mechanisms for standing waves have been proposed, including a physiological response of the vasculature to rapid injection of contrast or artifact from flow-related disruption of contrast medium layering in vessels.…”

Section: E10 Circ Cardiovasc Interv February 2012mentioning

confidence: 99%

“…Other mechanisms for standing waves have been proposed, including a physiological response of the vasculature to rapid injection of contrast or artifact from flow-related disruption of contrast medium layering in vessels. [2][3][4] Although standing waves have been reported predominantly during conventional arteriography, they also have been reported in magnetic resonance angiography. 5 There is 1 report of misinterpretation of standing waves, as FMD is previously described in the French medical literature.…”

Section: E10 Circ Cardiovasc Interv February 2012mentioning

confidence: 99%