2004, Number s1
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Arch Cardiol Mex 2004; 74 (s1)
Myocardial contrast: scopes and limits
Espinola ZN
Language: Spanish
References: 16
Page: 56-60
PDF size: 98.83 Kb.
ABSTRACT
Myocardial contrast echocardiography is an noninvasive and promising method for the assessment of myocardial perfusion. At the beginning, the contrast agents were administered intracoronary but now the second-generation contrast agents contain microbubbles that traverse the pulmonary circulation and opacity the myocardium after intravenous injection of contrast. The sensitivity, specificity and diagnostic accuracy of myocardial contrast is comparable with perfusion nuclear studies. The myocardial contrast echocardiography is currently the best and most accurate measure of reperfusion at a microvascular level, specially the assessment of non-reflow phenomenon after acute myocardial infarction.
REFERENCES
De Maria AN, Bommer WI, Riggs K, Dajee A, Keown M, Kwan OL, et al: Echocardiographic visualization of myocardial perfusion by left and intracoronary injections of echo contrast agents. (Abstr) Circulation 1980; 62(Suppl II): 143.
Feinstein SB, Ten Cate FJ, Zwehl W, Ong K, Maurer G, Tei CH, et al: Two-dimensional contrast echocardiography. 1. In vitro development and quantitative analysis of echo contrast agents. J Am Coll Cardiol 1984; 3: 14-20.
Burns PN, Powers JE, Simpson DH: Harmonic imaging: principles and preliminary results. Clin Radiol 1996; 51(Suppl 1): 50.
WiTt SA, McCulloch M, Sisk E, Gresser C, Moos S, Odabashian J, et al: Achieving a diagnostic contrast-enhanced echocardiogram: A series on contrast echocardiography, Article 4. J Am Soc Echocardiogr 2001; 14: 327-334.
Oraby MA, Hays J, Maklady FA, Zabalgoitia M: Assessment of myocardial perfusion during pharmacologic contrast stress echocardiography. Am J Cardiol 2002; 89: 640-644.
Sakuma T, Otsuka M, Okimoto T, Fijiwara H, Sumii K, Imazu M, et al: Optimal time for predicting myocardial viability after successful primary angioplasty in acute myocardial contrast echocardiography. Am J Cardiol 2001; 87: 687-692.
Agati L, Funaro S, Veneroso, Volponi C, De Maio F, Madonna MP, et al: Non-invasive assessment of myocardial perfusion by intravenous contrast echocardiography: state of art. Ital Heart J 2001; 2(6): 403-407.
Brochet E, Czitrom D, Karila-Cohen D, Seknadji P, Faraggi M, Benamer H, et al: Early changes in myocardial infarction: Relation with contractile reserve and functional recovery. J Am Coll Cardiol 1998; 32: 2011-2017.
Rocchi G, Kasprzak JD, Galema TW, De Jong N, Ten Cate FJ: Usefulness of power Doppler contrast echocardiography to identify reperfusion after acute myocardial infarction. Am J Cardiol 2001; 87: 278-282.
Leistad E, Ohmori K, Peterson TA, Christensen G, DeMaria AN: Quantitative assessment of myocardial perfusion during graded coronary artery stenoses by intravenous myocardial contrast echocardiography. J Am Coll Cardiol 2001; 37: 624-631.
Mills JD, Fischer D, Villanueva FS: Coronary collateral development during chronic ischemia: Serial assessment using harmonic myocardial contrast echocardiography. J Am Coll Cardiol 2000; 36: 618-624.
Aggeli C, Stefanadis C, Bonou M, Pitsavos C, Theocharis, Roussakis G, et al: Prediction of functional recovery of hibernating myocardium using harmonic power Doppler imaging and dobutamine stress echocardiography in patients with coronary artery disease. Am J Cardiol 2003; 91: 1415-1420.
Muro T, Hozumi T, Watanabe H, Yamagishi H, Takeuchi K: Assessment of myocardial perfusion abnormalities by intravenous myocardial contrast echocardiography with harmonic power Doppler imaging: comparison with positron emission tomography. Heart 2003; 89: 145-149.
Greaves K, Dixon SR, O´Neill WW, Redwood SR, Marber MS, Senior R: Myocardial contrast echocardiography is superior to other known modalities for assessing myocardial reperfusion after acute myocardial infarction. Heart 2003; 89: 139-144.
Cardon LA, Greenberg N, Firstenberg MS, Porter TR, Xie F: Assessment of real-time myocardial perfusion in normal subjects using MCE and power pulse inversion. Findings in normal subjects. (Abstract) J Am Soc Echocardiogr 2000; 13: 201D.
Shimoni S, Zoghbi WA, Xie F, Kricsfeld D, Iskander S, Gobar L, et al: Real-time assessment of myocardial perfusion and wall motion during bicycle and treadmill exercise echocardiography: Comparison with single photon emission computed tomography. J Am Coll Cardiol 2001; 37: 741-747.