Differentiation of Abnormal Blood Flow Patterns in Coronary Arteries Based on Doppler Catheter Recordings.

Autor: Denardo, Scott J., Yock, Paul G., Hargrave, Victor K., Srebro, James P., Ports, Thomas A., Talbot, Lawrence
Předmět:
Zdroj: Angiology; Sep1991, Vol. 42 Issue 9, p711-725, 15p
Abstrakt: Abnormal arterial blood flow patterns have been implicated as etiologic factors in thrombosis and atherosclerosis. Intravascular pulsed Doppler ultrasound techniques with fast-Fourier transform analysis offer the opportunity to measure these abnormalities. The authors hypothesized that statistical analysis of radial-directed beam spectra could be used to distinguish disturbed from non- disturbed flow and that analysis of conventional axial-directed beam spectra could then be used to distinguish laminar high-shear from laminar low-shear flow. They developed a scaled-up in-vitro model of coronary flow consisting of a glycerol/H2O test fluid flowing through an acrylic cylinder at Reynolds numbers Spanning the typical physiologic range within the coronary arteries. A scaled-up Doppler catheter with the capacity for 90° reflection of the beam was placed centrally. Disturbed flow was created by introducing a flow screen, and altered shear rates were produced by changing the Reynolds number. For the radial-directed beam studies, the coefficients of variation of the Doppler spectra for the disturbed flow states were significantly greater than for the nondisturbed flow states (p < 0.01). For the axial-directed beam studies, the coefficients of variation of the Doppler spectra for the laminar high-shear flow states were significantly greater than for the laminar low-shear flow states (p < 0.01). They conclude that abnormal blood flow patterns can be differentiated by the selective use of radial-directed and axial-directed Doppler catheter recordings. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index