Usefulness of a prototype intravascular ultrasound imaging in evaluation of aortic dissection and comparison with angiographic study, transesophageal echocardiography, computed tomography, and magnetic resonance imaging

Yamada, Elina; Matsumura, Makoto; Kyo, Shunei; Omoto, Ryozo

doi:10.1016/s0002-9149(00)80067-3

Cited by 53 publications

(32 citation statements)

References 18 publications

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“…Figure 26 illustrates the two commonly used classifications: the DeBakey system (types I, II, and III) 124,125 and the Stanford system (types A and B). 126 Dissections involving the aortic arch without involving the ascending aorta are classified as type B in the Stanford system. The majority of dissections, whether type A or type B, propagate beyond the diaphragm to the iliac arteries.…”

Section: B Aortic Dissectionmentioning

confidence: 99%

Multimodality Imaging of Diseases of the Thoracic Aorta in Adults: From the American Society of Echocardiography and the European Association of Cardiovascular Imaging

Goldstein

Evangelista

Abbara

et al. 2015

Journal of the American Society of Echocardiography

541

434

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Section: B Aortic Dissectionmentioning

confidence: 99%

Multimodality Imaging of Diseases of the Thoracic Aorta in Adults: From the American Society of Echocardiography and the European Association of Cardiovascular Imaging

Goldstein

Evangelista

Abbara

et al. 2015

Journal of the American Society of Echocardiography

541

434

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“…Several authors have also demonstrated that IAU imaging apparently had 100% accuracy for the diagnosis of aortic dissection and IMH [10,11]. However, up to now, no study has evaluated the role of IAU imaging in the diagnosis of PAU.…”

Section: Discussionmentioning

confidence: 99%

Potential interest of intra-aorta ultrasound imaging for the diagnosis of aortic penetrating atherosclerotic ulcer

Schiele

Méneveau

et al. 2006

Int J Cardiovasc Imaging

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A 72-year-old man was admitted to our hospital for acute back pain. Transesophageal echocardiography (TEE), computed tomography (CT) and magnetic resonance imaging (MRI) all showed the presence of intramural hematoma (IMH) located in the descending aorta, with bilateral pleural effusions. The patient was initially referred for medical therapy and 'watchful waiting'. However, he continued to have back pain, so we decided to perform invasive aortography examination and intra-aortic ultrasound (IAU) imaging. No penetrating aortic ulcer (PAU) was found on multiple angiographic views, but intra-aorta ultrasound imaging clearly showed a PAU measuring 3x1 mm(2) in connection with the intramural hematoma. Even retrospective analysis of CT images failed to reveal this PAU. Therefore, we think that IAU imaging may be a useful tool in the diagnosis of PAU.

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“…Nevertheless, angioscopy and intravascular ultrasound could play a relevant role in the assessment of ulcerated plaques located at these vascular sites. Both methods are reliably capable of detecting endovascular surface alterations [37][38][39][40][41][42][43].…”

Section: Discussionmentioning

confidence: 99%

Topographic Pattern of Advanced Atherosclerotic Lesions in Carotid Arteries

Khatibzadeh

Sheikhzadeh²,

Gromoll³

et al. 1998

Cardiology

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Ulcers in extracranial carotid arteries are a known source of cerebral embolism. However, there are no data available on the prevalence of ulcerations located at the origin of these vessels in the aortic arch. Therefore, in this pathological study the topographic distribution of ulcerated lesions were determined in these arteries. One hundred and one consecutively autopsied patients composed the study group. Ulcerated plaques were sought for in both carotid arteries, from their origin in the arch up to the carotid canal, and also in the aortic arch and ascending aorta. The two anatomical sites mostly affected by atherosclerosis were the region of the carotid sinus and the orifices of cervical arteries in the aortic arch. More than one third of all ulcers were at the orifices of cervical arteries in the arch. Interestingly, ulcers at the orifice of the left common carotid artery in the arch were accompanied with other ulcers located elsewhere in the remaining segments of the left carotid system, whereas ulcerations at the orifice of brachiocephalic trunk were not accompanied with other concomitant lesions in the right carotid system. Furthermore, there was no symmetric distribution of ulcerated plaques in both carotid systems.

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Usefulness of a prototype intravascular ultrasound imaging in evaluation of aortic dissection and comparison with angiographic study, transesophageal echocardiography, computed tomography, and magnetic resonance imaging

Cited by 53 publications

References 18 publications

Multimodality Imaging of Diseases of the Thoracic Aorta in Adults: From the American Society of Echocardiography and the European Association of Cardiovascular Imaging

Multimodality Imaging of Diseases of the Thoracic Aorta in Adults: From the American Society of Echocardiography and the European Association of Cardiovascular Imaging

Potential interest of intra-aorta ultrasound imaging for the diagnosis of aortic penetrating atherosclerotic ulcer

Topographic Pattern of Advanced Atherosclerotic Lesions in Carotid Arteries

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