Validation of volumetric flow measurements by means of a Doppler-tipped coronary angioplasty guide wire.

We used an in vitro model to validate volumetric flow measurements obtained with an 0.018-inch angioplasty guidewire with a 12 MHz transducer mounted on its tip. By using a modified two-head roller pump device, flow was adjusted incrementally from a minimum of 90 ml/min to a maximum of 550 ml/min. Flow was measured with the Doppler guide wire in tubing ranging from 1.9 mm to 6.0 mm internal diameter, as the product of the spectral Doppler velocity integral and the cross-sectional area of the tubing, over a 1-minute period. It was an excellent correlation between the Doppler calculated flow rates and actual flow, regardless of tubing diameter (r = 0.99). These results suggest that the Doppler spectral output of this device might be accurately applied to estimates of volumetric flow in human coronary arteries.