| Epicardial ultrasonography: a potential method for intraoperative quality assessment of coronary bypass anastomoses? | |
| | |
MedLine Citation:
|
PMID: 17720379 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: Intraoperative quality assessment in coronary artery bypass surgery confirms graft patency and enables revision of failing grafts. The aim of this study was to evaluate graft quality intraoperatively by epicardial ultrasonography and to compare this technique with transit time flow measurements and intraoperative angiography, and to evaluate the ability of these methods to predict long-term patency as described by follow-up angiography. METHODS: Thirty-nine patients with mean age of 66 years (SD 9.5) who underwent off-pump coronary artery bypass surgery with internal mammary artery graft to the left anterior descending coronary artery were included. Epicardial ultrasonography and transit time flow measurement were performed after completion of the anastomoses, and coronary angiography after closure of the chest. Follow-up angiography was carried out after 156 days (SD 50). RESULTS: Diameter measurements obtained by epicardial ultrasonography correlated poorly with the same diameter measurements obtained by angiography. Epicardial ultrasonography revealed 5 abnormal grafts (13%), transit time flow measurements none, and intraoperative angiography 9 (23%). At follow-up angiography, 4 grafts (11%) were pathologic. Epicardial ultrasonography and transit time flow measurements indicated no need for graft revision; intraoperative angiography suggested need for revision in 3 cases. CONCLUSIONS: Epicardial ultrasonography could be a useful method for intraoperative assessment of graft anastomosis quality, but needs to demonstrate its ability to predict grafts in need of revision. Angiography must be considered the gold standard in intraoperative imaging. |
| | |
Authors:
|
Per Kristian Hol; Kai Andersen; Helge Skulstad; Per Steinar Halvorsen; Per Snorre Lingaas; Rune Andersen; Jacob Bergsland; Erik Fosse |
Related Documents
:
|
8776179 - Gastroepiploic artery graft in 400 patients. 1097999 - The restoration of the vasculature of skin autografts in the rabbit. 9066379 - Effect of different methods of internal thoracic artery harvest on pulmonary function. 2229749 - Progression of native coronary artery disease at 10 years: insights from a randomized s... 16488679 - Noninvasive assessment of off-pump coronary artery bypass surgery by 16-channel multide... 20822719 - Effect of anastomotic length on the development of intimal hyperplasia in the distal an... 18422999 - Ultrastructural analysis of collagen fibrils and proteoglycans in keratoconus. 1621649 - Excimer laser coronary angioplasty. 21126879 - Surgical aortic-valve replacement with a transcatheter implant. |
Publication Detail:
|
Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
|
Title: The Annals of thoracic surgery Volume: 84 ISSN: 1552-6259 ISO Abbreviation: Ann. Thorac. Surg. Publication Date: 2007 Sep |
Date Detail:
|
Created Date: 2007-08-27 Completed Date: 2007-09-04 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 15030100R Medline TA: Ann Thorac Surg Country: Netherlands |
Other Details:
|
Languages: eng Pagination: 801-7 Citation Subset: AIM; IM |
Affiliation:
|
The Interventional Centre, Rikshospitalet-Radiumhospitalet University Hospital, Oslo, Norway. per.kristian.hol@rikshospitalet.no |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Aged Aged, 80 and over Anastomosis, Surgical* Coronary Angiography Coronary Artery Bypass, Off-Pump / methods* Female Follow-Up Studies Humans Male Middle Aged Monitoring, Intraoperative / methods* Pericardium / ultrasonography* Vascular Patency |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Contemporary coronary graft patency: 5-year observational data from a randomized trial of conduits.
Next Document: Results and predictors of early and late outcome of coronary artery bypass grafting in patients with...