European Journal of Echocardiography Advance Access originally published online on March 27, 2009
European Journal of Echocardiography 2009 10(4):465-466; doi:10.1093/ejechocard/jep032
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2009. For permissions please email: journals.permissions@oxfordjournals.org
Contrast enhanced real-time three-dimensional echocardiography for quantification of myocardial perfusion: a step forward
Department of Cardiopulmonary Sciences, University Hospital S Maria della Misericordia, P.le S Maria della Misericordia 15, 33100 Udine, Italy
Corresponding author. Tel: +39 0432 552444; fax: +39 0432 482353. E-mail address: badano.luigi@aoud.sanita.fvg.it
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Many studies have shown the feasibility of contrast two-dimensional echocardiography (2DE) for myocardial perfusion imaging.1 The technique offers several important advantages over competing techniques including its wide availability, portability, low cost, no radiation concern, and the simultaneous visualization of wall motion and perfusion. However, contrast echocardiography has not become a routine procedure both for the diagnosis and assessment of ischaemic heart disease in daily practice. There are several reasons for this: no echo contrast agent has been specially approved for myocardial perfusion imaging, there are concerns about safety and reimbursement issues. In addition,