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CZECH MEDICAL ASSOCIATION J. Ev. PURKYNĚ |
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Česky / Czech version | Vnitř. Lék., 46, 2000, No. 8, p. 470 - 475 |
Intravascular Ultrasound in Cardiology Červinka P. 1 , De Feyter P. J. 2 , Costa M. 2 , Sabaté M. 2 , Ligthart J. M. R. 2 , Šťásek Kardiocentrum, II. interní klinika FN, Hradec Králové, přednosta prof. MUDr. Z. Hrnčíř, DrSc. 2 Thoraxcentre-Heartcentre, Dijkzigt Academisch Ziekenhuis, Rotterdam, The Netherlands |
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Summary: Intravascular ultrasound (IVUS) is a clinically useful tool that provides cross - sectional images of
the coronary arterial lumen and wall. Diagnostic applications of IVUS include the evaluation of
ambiguous lesions on angiography particulary at the bifurcations. IVUS is also useful in the
assessement of coronary vasculopathy in cardiac transplant patients or it can help to diagnose
abnormalities such as syndrome X or coronary artery spasm. IVUS can optimize the performing of
percutaneous coronary interventions, especially stent implantation. It represents as well an opti-
mal tool for assessing regression of atherosclerosis. Three - dimensional reconstruction, elastog-
raphy and imaging guidwires are some of the recent advances in the field of intravascular
ultrasound.
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