Contrast Ultrasound, Sonothrombolysis and Sonoperfusion In Cardiovascular Disease: Shifting to Theragnostic Clinical Trials

Overview

Journal JACC Cardiovasc Imaging

Publisher Elsevier

Specialties Cardiology & Vascular Diseases
Radiology

Date 2021 Oct 17

PMID 34656483

Citations 9

Authors

Soufiane El Kadi

Thomas R Porter

Niels J W Verouden

Albert C van Rossum

Otto Kamp

Affiliations

Soon will be listed here.

Abstract

Contrast ultrasound has a variety of applications in cardiovascular medicine, both in diagnosing cardiovascular disease as well as providing prognostic information. Visualization of intravascular contrast microbubbles is based on acoustic cavitation, the characteristic oscillation that results in changes in the reflected ultrasound waves. At high power, this acoustic response generates sufficient shear that is capable of enhancing endothelium-dependent perfusion in atherothrombotic cardiovascular disease (sonoperfusion). The oscillation and collapse of microbubbles in response to ultrasound also induces microstreaming and jetting that can fragment thrombus (sonothrombolysis). Several preclinical studies have focused on identifying optimal diagnostic ultrasound settings and treatment regimens. Clinical trials have been performed in acute myocardial infarction, stroke, and peripheral arterial disease often with improved outcome. In the coming years, results of ongoing clinical trials along with innovation and improvements in sonothrombolysis and sonoperfusion will determine whether this theragnostic technique will become a valuable addition to reperfusion therapy.

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