Journal article
First report on intraoperative vector flow imaging of the heart among patients with healthy and diseased aortic valves
Copenhagen University Hospital Herlev and Gentofte1
Department of Electrical Engineering, Technical University of Denmark2
Biomedical Engineering, Department of Electrical Engineering, Technical University of Denmark3
Center for Fast Ultrasound Imaging, Centers, Technical University of Denmark4
The vector velocity method Transverse Oscillation (TO) implemented on a conventional ultrasound (US) scanner (ProFocus, BK Medical, Herlev, Denmark) can provide real-time, angle-independent estimates of the cardiac blood flow. During cardiac surgery, epicardial US examination using TO was performed on (A) 3 patients with healthy aortic valve and (B) 3 patients with aortic valve stenosis.
In group B, the systolic flow of the ascending aorta had higher velocities, was more aliased and chaotic. The jet narrowed to 44% of the lumen compared to 75% in group A and with a vector concentration, a measure of flow complexity, of 0.41 compared to 0.87 in group A. The two groups had similar secondary flow of the ascending aorta with an average rotation frequency of 4.8 Hz.
Simultaneous measurements were obtained with spectral Doppler (SD) and a thermodilution technique (TD). The mean difference in peak systolic velocity compared to SD in group A was 22% and 45% in B, while the mean difference in volume flow compared to TD in group A was 30% and 32% in B. TO can potentially reveal new information of cardiac blood flow, and may become a valuable diagnostic tool in the evaluation of patients with cardiovascular diseases.
Language: | English |
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Year: | 2014 |
Pages: | 243-250 |
ISSN: | 18749968 and 0041624x |
Types: | Journal article |
DOI: | 10.1016/j.ultras.2014.07.015 |
ORCIDs: | 0000-0003-2338-6033 , 0000-0003-3928-4875 , 0000-0002-9380-1688 and Jensen, Jørgen Arendt |