Blood Flow Imaging: A New Two-Dimensional Ultrasound Modality for Enhanced Intraoperative Visualization of Blood Flow Patterns in Coronary Anastomoses

Objectives The study's objective was to evaluate a novel two-dimensional ultrasound imaging modality termed “blood flow imaging” (BFI) for intraoperative assessment of blood flow patterns in coronary anastomoses. The BFI modality extends color Doppler imaging (CDI) with information on flow dire...

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Veröffentlicht in:Journal of the American Society of Echocardiography 2008-08, Vol.21 (8), p.969-975
Hauptverfasser: Lovstakken, Lasse, MSc, PhD, Ibrahim, Khalid S., MD, Vitale, Nicola, MD, PhD, Henriksen, Siren Torsvik, MSc, Kirkeby-Garstad, Idar, MD, PhD, Torp, Hans, MSc, PhD, Haaverstad, Rune, MD, PhD
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container_end_page 975
container_issue 8
container_start_page 969
container_title Journal of the American Society of Echocardiography
container_volume 21
creator Lovstakken, Lasse, MSc, PhD
Ibrahim, Khalid S., MD
Vitale, Nicola, MD, PhD
Henriksen, Siren Torsvik, MSc
Kirkeby-Garstad, Idar, MD, PhD
Torp, Hans, MSc, PhD
Haaverstad, Rune, MD, PhD
description Objectives The study's objective was to evaluate a novel two-dimensional ultrasound imaging modality termed “blood flow imaging” (BFI) for intraoperative assessment of blood flow patterns in coronary anastomoses. The BFI modality extends color Doppler imaging (CDI) with information on flow direction and velocity that is not limited by angle dependency or aliasing artifacts. Methods Intraoperative ultrasound recordings of patent left internal mammary artery-left anterior descending anastomoses were acquired from an experimental porcine model (N = 9). Three independent observers randomly evaluated CDI and BFI cineloops with regard to different assessments of flow direction and velocity. Further, a selection of technical problems that might occur in clinical practice was induced in three pigs to investigate the resulting flow patterns. Results The BFI modality was found to provide an improved visual assessment of blood flow patterns in the left internal mammary artery-left anterior descending anastomosis compared with CDI. Conclusion The modality may therefore increase the certainty and efficiency of flow evaluation for intraoperative quality control in coronary surgery.
doi_str_mv 10.1016/j.echo.2008.01.019
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The BFI modality extends color Doppler imaging (CDI) with information on flow direction and velocity that is not limited by angle dependency or aliasing artifacts. Methods Intraoperative ultrasound recordings of patent left internal mammary artery-left anterior descending anastomoses were acquired from an experimental porcine model (N = 9). Three independent observers randomly evaluated CDI and BFI cineloops with regard to different assessments of flow direction and velocity. Further, a selection of technical problems that might occur in clinical practice was induced in three pigs to investigate the resulting flow patterns. Results The BFI modality was found to provide an improved visual assessment of blood flow patterns in the left internal mammary artery-left anterior descending anastomosis compared with CDI. Conclusion The modality may therefore increase the certainty and efficiency of flow evaluation for intraoperative quality control in coronary surgery.</description><identifier>ISSN: 0894-7317</identifier><identifier>EISSN: 1097-6795</identifier><identifier>DOI: 10.1016/j.echo.2008.01.019</identifier><identifier>PMID: 18356020</identifier><language>eng</language><publisher>United States: Mosby, Inc</publisher><subject>Anastomosis, Surgical - methods ; Animals ; Blood flow imaging ; Blood Flow Velocity - physiology ; Cardiovascular ; Colour-doppler imaging ; Coronary artery bypass grafting surgery ; Coronary Vessels - diagnostic imaging ; Coronary Vessels - physiology ; Coronary Vessels - surgery ; Echocardiography, Doppler - methods ; Intraoperative Care - methods ; Intraoperative quality control ; Rheology - methods ; Surgery, Computer-Assisted - methods ; Swine</subject><ispartof>Journal of the American Society of Echocardiography, 2008-08, Vol.21 (8), p.969-975</ispartof><rights>American Society of Echocardiography</rights><rights>2008 American Society of Echocardiography</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c409t-5bacb7da334307fd87f59b4cdd4982dea9d02c10ac0bb98dafda4ee64fb4d1083</citedby><cites>FETCH-LOGICAL-c409t-5bacb7da334307fd87f59b4cdd4982dea9d02c10ac0bb98dafda4ee64fb4d1083</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.echo.2008.01.019$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18356020$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lovstakken, Lasse, MSc, PhD</creatorcontrib><creatorcontrib>Ibrahim, Khalid S., MD</creatorcontrib><creatorcontrib>Vitale, Nicola, MD, PhD</creatorcontrib><creatorcontrib>Henriksen, Siren Torsvik, MSc</creatorcontrib><creatorcontrib>Kirkeby-Garstad, Idar, MD, PhD</creatorcontrib><creatorcontrib>Torp, Hans, MSc, PhD</creatorcontrib><creatorcontrib>Haaverstad, Rune, MD, PhD</creatorcontrib><title>Blood Flow Imaging: A New Two-Dimensional Ultrasound Modality for Enhanced Intraoperative Visualization of Blood Flow Patterns in Coronary Anastomoses</title><title>Journal of the American Society of Echocardiography</title><addtitle>J Am Soc Echocardiogr</addtitle><description>Objectives The study's objective was to evaluate a novel two-dimensional ultrasound imaging modality termed “blood flow imaging” (BFI) for intraoperative assessment of blood flow patterns in coronary anastomoses. The BFI modality extends color Doppler imaging (CDI) with information on flow direction and velocity that is not limited by angle dependency or aliasing artifacts. Methods Intraoperative ultrasound recordings of patent left internal mammary artery-left anterior descending anastomoses were acquired from an experimental porcine model (N = 9). Three independent observers randomly evaluated CDI and BFI cineloops with regard to different assessments of flow direction and velocity. Further, a selection of technical problems that might occur in clinical practice was induced in three pigs to investigate the resulting flow patterns. Results The BFI modality was found to provide an improved visual assessment of blood flow patterns in the left internal mammary artery-left anterior descending anastomosis compared with CDI. 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subjects Anastomosis, Surgical - methods
Animals
Blood flow imaging
Blood Flow Velocity - physiology
Cardiovascular
Colour-doppler imaging
Coronary artery bypass grafting surgery
Coronary Vessels - diagnostic imaging
Coronary Vessels - physiology
Coronary Vessels - surgery
Echocardiography, Doppler - methods
Intraoperative Care - methods
Intraoperative quality control
Rheology - methods
Surgery, Computer-Assisted - methods
Swine
title Blood Flow Imaging: A New Two-Dimensional Ultrasound Modality for Enhanced Intraoperative Visualization of Blood Flow Patterns in Coronary Anastomoses
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