Study of the mechanism of ultrasound angioplasty from human thrombi and bovine aorta

Ultrasound angioplasty is a newly developed technology for percutaneous arterial recanalization. Data suggest that ultrasound is particularly effective in ablating fresh thrombi. Arterial walls were found to be resistant to ultrasound ablation. Thrombi, aortic wall segments, and hydroxyproline gelat...

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Veröffentlicht in:The American journal of cardiology 1994-12, Vol.74 (12), p.1263-1266
Hauptverfasser: Rosenschein, Uri, Frimerman, Aron, Laniado, Shlomo, Miller, Hylton I.
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container_end_page 1266
container_issue 12
container_start_page 1263
container_title The American journal of cardiology
container_volume 74
creator Rosenschein, Uri
Frimerman, Aron
Laniado, Shlomo
Miller, Hylton I.
description Ultrasound angioplasty is a newly developed technology for percutaneous arterial recanalization. Data suggest that ultrasound is particularly effective in ablating fresh thrombi. Arterial walls were found to be resistant to ultrasound ablation. Thrombi, aortic wall segments, and hydroxyproline gelatin were studied in vitro to determine their respective ablation rates. The elasticity of the samples was determined in a force-mode apparatus. The cavitation threshold was determined in an arterial phantom apparatus. Thrombi displayed ablation rates that were >20 times higher than those of aortic wall samples (591 ± 82 vs 25 ± 14 mg/s, p < 0.001). The differences in ablation rates were accompanied by significantly lower elasticities in the thrombus group compared with those in the aortic wall group (0.16 ± 0.05 vs 312 ± 37 g/cm 2, p < 0.001). Experiments with hydroxyproline gelatin suggest a negative correlation (r = −0.90) between elasticity and ultrasound ablation. Ultrasound ablation of thrombi was evident only above the cavitation threshold. Thus, ultrasound angioplasty has the potential to induce the selective injury required for successful transluminal intervention in the treatment of thrombus-rich lesions.
doi_str_mv 10.1016/0002-9149(94)90560-6
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source MEDLINE; Elsevier ScienceDirect Journals
subjects Angioplasty
Angioplasty - methods
Animals
Aorta - diagnostic imaging
Biological and medical sciences
Blood pressure
Cardiovascular disease
Cattle
Diseases of the cardiovascular system
Elasticity
Humans
Medical research
Medical sciences
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Thrombosis - therapy
Ultrasonic imaging
Ultrasonic Therapy
Ultrasonography
title Study of the mechanism of ultrasound angioplasty from human thrombi and bovine aorta
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