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European Heart Journal 2003 24(19):1788-1795; doi:10.1016/S0195-668X(03)00440-8
Copyright © 2003 by the European Society of Cardiology.
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Preclinical research

The effect of reduced blood-flow on the coronary wall temperature

Are significant lesions suitable for intravascular thermography?

Leonidas Diamantopoulosa,*, Xiaoshun Liua, Ivan De Scheerder, Rob Kramsb, Shengiao Lia, Johan Van Cleemputa, Walter Desmeta and Patrick W Serruysb

a Cardiology Dept., University Gasthuisberg Leuven, Belgium
b Thoraxcenter, Erasmus University Rotterdam, Rotterdam, Netherlands

* Corresponding author. Leonidas Diamantopoulos MD, PhD, Department of Cardiology, University Hospital Gasthuisberg, Herestraat 49, 3000 Leuven, Belgium. Tel.: +32-497459597; fax: +32-16604009
E-mail address: leo{at}otenet.gr

Received 20 February 2003; revised 2 July 2003; accepted 23 July 2003 This paper was guest edited by Prof. Antonio Colombo, EMO Centro Cuore Columbus S.r.l., Italy

Abstract

Aims The purpose of this study was to investigate the relation between acute coronary flow reduction and arterial wall temperature.

Methods and results Five pigs with normal coronary arteries were catheterized. Arterial wall temperature was studied with a thermographic system that uses a 4-thermistor sensor tip. Flow velocity was studied at the same time and place with the temperature measurements, using a Doppler wire. In order to modify the coronary flow, a balloon was gradually inflated proximally to the thermographic sensors. Temperature differences and flow velocities were simultaneously recorded.

Flow velocities above an average peak velocity (APV) of 9cm/s were associated with unaffected temperature measurements. At flow velocities around 4cm/s, the wall temperature was increased ({Delta}T=0.015±0.005oC, P~0.05), following the heart-rate. When flow velocity dropped further below this value, the local wall temperature was logarithmically increased to a maximum value observed at total vessel occlusion ({Delta}T=0.188±0.023oC, P<0.001).

Conclusion The reduction of coronary flow has an effect on the arterial wall temperature. This effect however, appears only below a critical threshold of APV and in a logarithmic fashion. Above this threshold, temperature measurements should be unaffected from flow reductions and related to the regional temperature heterogeneity.

Key Words: Thermography • Flow • Temperature • Inflammation • Vulnerable


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