Document Detail


Assessment of coronary artery bypass graft patency by multidetector computed tomography and electron-beam tomography.
MedLine Citation:
PMID:  16047127     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This case report describes the use of retrospectively ECG-gated 16-slice multidetector computed tomography (MDCT) and electron-beam tomography (EBT) for assessing bypass graft patency in two patients with recurrent angina after coronary artery bypass graft surgery. The results of each tomographic modality were compared to the findings of traditional coronary angiography. In the first patient MDCT showed occlusion of the left internal mammary artery (LIMA) and saphenous vein graft after the second anastomosis. Coronary angiography confirmed these findings. In the second patient EBT showed patency of the LIMA and saphenous vein graft. After the first anastomosis of the saphenous vein graft, the connected vessel filled poorly. Coronary angiography confirmed both grafts to be patent, and detected an occlusion distal to the first anastomosis. These findings support the evidence that both MDCT and EBT are suitable techniques for establishing bypass graft patency by non-invasive means.
Authors:
L H Piers; J Dorgelo; R A Tio; G A J Jessurun; M Oudkerk; F Zijlstra
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The international journal of cardiovascular imaging     Volume:  21     ISSN:  1569-5794     ISO Abbreviation:  Int J Cardiovasc Imaging     Publication Date:  2005 Aug 
Date Detail:
Created Date:  2005-07-27     Completed Date:  2006-08-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100969716     Medline TA:  Int J Cardiovasc Imaging     Country:  United States    
Other Details:
Languages:  eng     Pagination:  447-51     Citation Subset:  IM    
Affiliation:
Department of Cardiology, University Hospital Groningen, Hanzeplein 1, Groningen, RB, The Netherlands 9700. l.h.piers@thorax.azg.nl
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MeSH Terms
Descriptor/Qualifier:
Angina Pectoris / physiopathology,  radiography,  surgery
Coronary Angiography*
Coronary Artery Bypass*
Graft Occlusion, Vascular / physiopathology,  radiography*
Humans
Male
Mammary Arteries / radiography,  surgery
Middle Aged
Radiographic Image Interpretation, Computer-Assisted
Saphenous Vein / radiography,  surgery
Tomography, X-Ray Computed*
Vascular Patency*
Comments/Corrections
Comment In:
Int J Cardiovasc Imaging. 2005 Aug;21(4):453-4   [PMID:  16047128 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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