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Designing a system for forward-viewing 3D intravascular ultrasound imaging of blood flow velocity: assessing the effect of the catheter on velocity estimation in stenoses

机译:设计用于对血流速度进行前视3D血管内超声成像的系统:评估导管对狭窄中速度估计的影响

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Wall shear stress (WSS) has been associated with development of high-risk plaque, which increases the likelihood for major adverse cardiac events. Recently, we have used a catheter-based, 3D intravascular forward-viewing ultrasound (FV US) transducer to directly estimate velocity fields in the femoral artery of a pig. Because inserting a catheter will affect the blood flow dynamics in the artery, in this work, the effects of a catheter on flow dynamics are experimentally quantified in both femoral and coronary stenotic vessels in phantoms to determine conditions in which velocity can be accurately estimated. An external linear array transducer was used to estimate velocity in the lumen at 5000 fps via a particle imaging velocimetry approach. The current study indicates that a hollow, catheter-based FV US could be used to quantify the flow dynamics surrounding stenoses with minimal flow disturbance, and thus could potentially assess elevated WSS and risk of plaque rupture.
机译:壁切应力(WSS)与高危斑块的发展有关,这增加了发生重大不良心脏事件的可能性。最近,我们已使用基于导管的3D血管内前视超声(FV US)换能器直接估算猪股动脉的速度场。由于插入导管会影响动脉中的血流动力学,因此在这项工作中,在幻影的股动脉和冠状动脉狭窄血管中,通过实验量化了导管对血流动力学的影响,以确定可以准确估计速度的条件。使用外部线性阵列换能器通过粒子成像测速方法估算5000 fps的腔内速度。当前的研究表明,空心的,基于导管的FV US可用于以最小的流量扰动来量化狭窄周围的血流动力学,从而有可能评估WSS升高和斑块破裂的风险。

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