A new intracoronary measurement catheter, MetriCath, compared to intravascular ultrasound and quantitative coronary angiography in a stented porcine coronary model.
The purpose of this study was to compare measurements by MetriCath to intravascular ultrasound (IVUS) and quantitative coronary angiography (QCA). The MetriCath system consists of a low-pressure (200 mm Hg) balloon catheter connected to a pressure transducer and infusion pump linked to a computer that records pressure-volume curves. Cross-sectional area of blood vessels is obtained directly from the unrestrained and in-stent pressure-volume measurements. We compared stent cross-sectional area measurements by MetriCath, IVUS, and QCA in a porcine stented coronary artery model. Comparison of area measurements in 14 stents showed no significant differences between the three methods (P = 0.66). On average, values differed 0.37 +/- 0.60 mm(2) between MetriCath and QCA, 0.13 +/- 0.55 mm(2) between MetriCath and IVUS, and 0.22 +/- 0.80 mm(2) between IVUS and QCA. This corresponds to 6.2% +/- 10%, 3.0% +/- 9.0%, and 3.1% +/- 12.9% relative difference from the average of two corresponding measurements. Linear regression analysis showed excellent correlation between measurements (r = 0.99 for all comparisons). The differences in in-stent area measurements between MetriCath and both QCA and IVUS were small. Considering the ease and rapidity of obtaining MetriCath results, this technique may form an alternative to the others in evaluating stent expansion. Based on these findings, clinical evaluation seems warranted.
Department of Cardiology, Thoraxcenter, Erasmus Medical Center Rotterdam, Rotterdam, The Netherlands. vandergiessen@card.azr.nl
Willem J
WJ
van der Giessen
Stephane G
SG
Carlier
Evelyn
E
Regar
Heleen M M
HM
van Beusekom
David P
DP
Foley
Pim J
PJ
de Feyter
Pieter D
PD
Verdouw
Eric
E
Boersma
Roger
R
Wolthuis
Patrick W
PW
Serruys
D000818:Animals; D001158:Arteries / Q000000981:diagnostic imaging / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation; D006328:Cardiac Catheterization; D017023:Coronary Angiography; D003331:Coronary Vessels / Q000000981:diagnostic imaging* / Q000601:surgery*; D004867:Equipment Design; D004869:Equipment Safety; D005260:Female; D006439:Hemodynamics / Q000502:physiology; D008297:Male; D008955:Models, Cardiovascular; D015588:Observer Variation; D015607:Stents; D013552:Swine; D018084:Ultrasonography, Interventional