Yock P G, Fitzgerald P, White N, Linker D T, Angelsen B A
Cardiovascular Research Institute and Department of Medicine, University of California, San Francisco.
Echocardiography. 1990 Jul;7(4):425-31. doi: 10.1111/j.1540-8175.1990.tb00383.x.
One of the most compelling practical applications for intravascular ultrasound imaging is in enhancing the safety and efficacy of the second-generation catheter devices designed to ablate or remove plaque. Initial studies have shown that intravascular ultrasound is well suited to demonstrate the amount of atheroma present in a vessel, and the distribution within the vessel wall at any given point. Further clinical studies are required to determine whether more complete debulking of atheroma, guided by ultrasound imaging, has a favorable impact in reducing the rates of acute closure and restenosis following the procedure.
血管内超声成像最引人注目的实际应用之一，是提高旨在消融或清除斑块的第二代导管装置的安全性和有效性。初步研究表明，血管内超声非常适合于显示血管内存在的动脉粥样硬化量，以及在任何给定部位血管壁内的分布情况。还需要进一步的临床研究来确定，在超声成像引导下更彻底地清除动脉粥样硬化，是否对降低术后急性闭塞和再狭窄的发生率有积极影响。
