Sequential intraluminal ultrasound evaluation of balloon angioplasty of an iliac artery lesion

Marwan R. Tabbara, C. Mark Mehringer, Douglas M. Cavaye, Mark Schwartz, George E. Kopchok, Michael Maselly, Rodney A. White

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

This report describes intravascular ultrasound imaging of a localized 81% stenosis in the left common iliac artery of a 52-year-old woman. The lesion was dilated using an 8 mm balloon and was imaged pre- and post-dilatation using arteriography and a 5F, 30 Mhz intravascular ultrasound catheter. The same site was imaged again intraoperatively at two months following the initial procedure using an 8F, 20 Mhz intravascular ultrasound catheter when the patient had a femoropopliteal bypass for continuing ischemia. Intravascular ultrasound imaging allowed accurate, sequential, on-line calculation of the cross-sectional area and volume of the lesion both, acutely and following healing of the site. The morphology of the fractured arterial plaque was clearly defined, demonstrating distribution of calcification, and intraluminal flaps not apparent on arteriography. The case demonstrates the unique potential of intravascular ultrasound in assessing the immediate effect of interventions and evaluating the long-term healing.

Original languageEnglish (US)
Pages (from-to)179-184
Number of pages6
JournalAnnals of Vascular Surgery
Volume6
Issue number2
DOIs
StatePublished - Mar 1992
Externally publishedYes

Keywords

  • balloon angioplasty
  • iliac artery
  • sequential intraluminal ultrasound
  • Ultrasound

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

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    Tabbara, M. R., Mehringer, C. M., Cavaye, D. M., Schwartz, M., Kopchok, G. E., Maselly, M., & White, R. A. (1992). Sequential intraluminal ultrasound evaluation of balloon angioplasty of an iliac artery lesion. Annals of Vascular Surgery, 6(2), 179-184. https://doi.org/10.1007/BF02042744