EFFECTIVENESS AND SAFETY OF ULTRASONIC ATHEROSCLEROTIC PLAQUE ABLATION - IN-VITRO INVESTIGATION

被引:4
作者
MULLERLEISSE, C
SCHMITZRODE, T
BOHM, U
BIESTERFELD, S
HOLLWEG, G
KIRKPATRICK, CJ
GUNTHER, RW
机构
[1] Institute of Diagnostic Radiology, RWTH-University of Technology, Aachen, D-52057
关键词
ULTRASONIC PLAQUE ABLATION; SAFETY; EFFECTIVENESS;
D O I
10.1007/BF02629162
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Ultrasound energy was applied to 137 segments of human cadaver atherosclerotic arteries, 90 with calcified and 47 with noncalcified atheromatous plaque, and to 100 segments of healthy swine aorta. The average depth of penetration was dependent on the forward force of the ultrasonic probe, the duration of treatment, and the degree of atherosclerosis. There was one perforation of a fibrous plaque using a forward force of 2 Newton and 45 sec of application time. Injury of healthy intima was minimal. It is concluded that catheter-delivered ultrasound is effective and safe for the disintegration of atherosclerotic plaques. Presently, the main limitations of the system are the lack of flexibility and steerability.
引用
收藏
页码:303 / 307
页数:5
相关论文
共 14 条
[1]  
Segura J.W., LeRoy A.J., Percutaneous ultrasonic lithotripsy, Urology, 23, pp. 11-19, (1984)
[2]  
Gacetta D.J., Cohen J.M., Crummy A.B., Joseph D.B., Juglitsch M., Mack E., Ultrasonic lithotripsy of gallstones after cholecystostomy, Am J Radiol, 143, pp. 1088-1089, (1984)
[3]  
Chan K.K., Warmough D.J., Hope D.T., Moir K., A new motor-driven surgical probe and its in vitro comparison with the cavitron ultrasonic surgical aspirator, Ultrasound Med Biol, 12, pp. 279-283, (1986)
[4]  
Hodgson W.J.B., DelGuercio L.R.M., Preliminary experience in liver surgery using the ultrasonic scalpel, Surgery, 95, pp. 230-234, (1984)
[5]  
Eguaras M.G., Saceda J.L., Luque I., Concha M., Mitral and aortic valve decalcification by ultrasonic energy, J Thorac Cardiovas Surg, 95, pp. 1038-1040, (1988)
[6]  
Brown A.H., Davies P.G., Ultrasonic decalcification of calcified cardiac valves and annuli, Br Med J, 3, pp. 274-277, (1972)
[7]  
Siegel R.J., Fishbein M.C., Forrester J., Moore K., DeCastro E., Daykhovsky L., DonMichael A., Ultrasonic plaque ablation. A new method for recanalization of partially or totally occluded arteries, Circulation, 78, pp. 1443-1448, (1988)
[8]  
Siegel R.J., DonMichael T.A., Fishbein M.C., Bookstein J., Adler L., Reinvsold T., DeCastro E., Forrester J.S., In vivo ultrasound arterial recanalization of atherosclerotic total occlusions, J Am Coll Cardiol, 15, pp. 345-351, (1990)
[9]  
Rosenschein U., Bernstein J.J., DiSegni E., Kaplinsky E., Bernheim J., Rozenzsajn L.A., Experimental ultrasonic angioplasty: Disruption of atherosclerotic plaques and thrombi in vitro and arterial recanalization in vivo, J Am Coll Cardiol, 15, pp. 711-717, (1990)
[10]  
Schmitz-Rode T., Gunther R.W., Muller-Leisse C., US-assisted aspiration thrombectomy: In vitro investigations, Radiology, 178, pp. 677-679, (1991)