Vector Flow Imaging Compared with Digital Subtraction Angiography for Stenosis Assessment in the Superficial Femoral Artery - A Study of Vector Concentration, Velocity Ratio and Stenosis Degree Percentage

Kristoffer Lindskov Hansen*, Peter Møller Hansen, Caroline Ewertsen, Lars Lönn, Jørgen Arendt Jensen, Michael Bachmann Nielsen

*Corresponding author for this work

Research output: Contribution to journalJournal articleResearchpeer-review

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Abstract

Stenosis of the superficial femoral artery (SFA) induces complex blood flow with increased velocities. Disease assessment is performed with Doppler ultrasound and digital subtraction angiography (DSA), but Doppler ultrasound is limited by angle dependency and DSA by ionizing radiation. An alternative is the vector flow imaging method based on transverse oscillation (TO), an angle-independent vector velocity technique using ultrasound. In this study, flow complexity and velocity measured with TO were compared with DSA for the assessment of stenosis in the SFA. The vector concentration, a measure of flow complexity, and the velocity ratio obtained from the stenosis and a disease-free adjacent vessel segment, were estimated with TO in 11 patients with a total of 16 stenoses of the SFA. TO data were compared with the corresponding stenosis degree percentage obtained with DSA. The correlation between the vector concentration and DSA was very strong (R=0.93; p
Original languageEnglish
JournalUltrasound International Open
Volume5
Issue number2
Pages (from-to)E53-E59
ISSN2199-7152
DOIs
Publication statusPublished - 2019

Keywords

  • Digital subtraction angiography
  • Peripheral arterial disease
  • Vector concentration
  • Vector flow imaging
  • Velocity ratio

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