Clinical Physiology of Circulation

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery

Three-dimensional ultrasound in the diagnosis of vascular disease in patients undergoing carotid artery or prosthetics lower limb arteries

Authors: Koshurnikova M.V., Tripoten’ M.I., Karpov Yu.A., Balakhonova T.V.

Russian Cardiology Research-and-Production Complex, Ministry of Health of the RF, ul. Tret’ya Cherepkovskaya, 15a, Moscow, 121552, Russian Federation

E-mail: Сведения доступны для зарегистрированных пользователей.

Link: Clinical Physiology of Blood Circulaiton. 2014; (): -

Quote as: Koshurnikova M.V., Tripoten’ M.I., Karpov Yu.A., Balakhonova T.V. Three-dimensional ultrasound in the diagnosis of vascular disease in patients undergoing carotid artery or prosthetics lower limb arteries. Klinicheskaya Fiziologiya Krovoobrashcheniya. 2014; 4: 39-44.

Full text:  


It was performed the study of the ultrasound (US) in a three-dimensional scanning possibility in the vascular prosthesis diagnosis. The study involved 27 patients who had a history of prosthetics of carotid and femoral arteries, the period after surgery ranged from 3 to 11 years. Achieved the standard duplex scanning of arteries using Doppler and power Doppler and three-dimensional visualization of the subsequent zone of interest. In most cases (96.3%), both methods showed patency investigated operated vessels and prostheses, in only one case (3.7%) prosthesis was occluded. Diameter of the graft ranged from 8.4 to 12.0 mm, their values coincide with duplex scanning and 3D-ultrasound. Comparative assessment of carotid after prosthesis revealed that the 3D-ultrasound showed no cases of absence of pathological vascular changes, whereas the 2D-ultrasound were 20% of such cases. Restenosis in the area of the distal anastomosis was detected in 40% of cases with 3D-ultrasound, while in the performance of 2D-ultrasound index value was 20%. Thus, the use of 3D-ultra- sound reveals a greater incidence of restenosis in the carotid (for example, in the area of the distal anastomosis), neointi- mal hyperplasia, and no change in patients with femoropopliteal prosthetics, so the method should be used when exam- ining these patients. It is concluded that the inclusion of the method in the 3D-ultrasound algorithm integrated assessment of prosthetic femoral arteries can improve the diagnosis of pathological changes, so this method can be recommended for dynamic control in these patients in the long term to detect hemodynamic significant changes in the area of prosthetics.


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