Doppler color flow “proximal isovelocity surface area” method for estimating volume flow rate: Effects of orifice shape and machine factors

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Doppler color flow "proximal isovelocity surface area" method for estimating volume flow rate: effects of orifice shape and machine factors.

Previously described Doppler color flow mapping methods for estimating the severity of valvular regurgitation have focused on the distal jet. In this study, a newer Doppler color flow technique, focusing on the flow proximal to an orifice, was used. This method identifies a proximal isovelocity surface area (PISA) by displaying an aliasing interface. Volume flow rate (cm3/s) can be calculated a...

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Effective mitral regurgitant orifice area: clinical use and pitfalls of the proximal isovelocity surface area method.

OBJECTIVES We attempted to determine the accuracy and pitfalls of calculating the mitral regurgitant orifice area with the proximal isovelocity surface area method in a clinical series that included patients with valvular prolapse and eccentric jets. BACKGROUND The effective regurgitant orifice area, a measure of lesion severity of mitral regurgitation, can be calculated by the proximal isove...

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Quantitative, noninvasive assessment of patent ductus arteriosus shunt flow by measuring proximal isovelocity surface area on color Doppler imaging.

BACKGROUND We evaluated the hemodynamic status of patent ductus arteriosus (PDA) by measuring vena contracta width (VCW) and effective shunt orifice area (ESOA) using proximal isovelocity surface area (PISA) on color Doppler imaging. METHODS AND RESULTS: Study subjects were 21 patients with PDA (mean age, 3.6 years). We measured VCW (mm/m(2)) and ESOA (cm(2)) by the PISA method using echocardio...

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A new method for quantification of regurgitant flow rate using color Doppler flow imaging of the flow convergence region proximal to a discrete orifice. An in vitro study.

While color Doppler flow mapping has yielded a quick and relatively sensitive method for visualizing the turbulent jets generated in valvular insufficiency, quantification of the degree of valvular insufficiency has been limited by the dependence of visualization of turbulent jets on hemodynamic as well as instrument-related factors. Color Doppler flow imaging, however, does have the capability...

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Estimation of aortic valve effective orifice area by Doppler echocardiography: effects of valve inflow shape and flow rate.

BACKGROUND The effective orifice area (EOA) is the standard parameter for the clinical assessment of aortic stenosis severity. It has been reported that EOA measured by Doppler echocardiography does not necessarily provide an accurate estimate of the cross-sectional area of the flow jet at the vena contracta, especially at low flow rates. The objective of this study was to test the validity of ...

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ژورنال

عنوان ژورنال: Journal of the American College of Cardiology

سال: 1991

ISSN: 0735-1097

DOI: 10.1016/0735-1097(91)90839-2