Improving feasibility of posterior descending coronary artery flow recording by transthoracic Doppler echocardiography

Autor: M. Santini, Salvatore Greco, V. Guido, Cinzia Cianfrocca, Antonio Auriti, M. Galeazzi, Christian Pristipino
Rok vydání: 2003
Předmět:
Zdroj: European Journal of Echocardiography. 4:214-220
ISSN: 1525-2167
DOI: 10.1016/s1525-2167(03)00014-3
Popis: Aims: Recording coronary arteries' flow by transthoracic Doppler echocardiography (TTDE) is a new task. Despite several studies concerning the left anterior descending artery (LAD) exist, the same for posterior descending coronary artery (PD) do not. Reported feasibility is not more than 76%. The aim of the study was to try to improve feasibility by using an additional two-dimensional view as a guide. Methods and Results: PD flow recording was performed in 35 consecutive unselected patients under the guidance of the usual two-dimensional modified view [a two-chamber view (2-C)], and with a new four-chamber modified view (4-C). A semi-quantitative growing-quality score (from 0 to 3 points) to the trace was given. Contrast enhancement was used if PD was not visualized without it. The overall feasibility was 80%. A good or very good velocity signal (TTDE score ≥2) was observed in 48% of patients without contrast enhancement. Time for first visualization of PD was short and significantly lower in 2-C than in 4-C (66 ± 39 vs 90 ± 70 s, respectively, P
Databáze: OpenAIRE