Document Detail


Improved MR flow mapping in coronary artery bypass grafts during adenosine-induced stress.
MedLine Citation:
PMID:  11161176     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To validate a recently developed fast high-temporal-resolution magnetic resonance (MR) flow sequence and use it to assess coronary artery bypass graft function during pharmacologic stress. MATERIALS AND METHODS: Aortic and internal mammary artery flow was measured in 11 healthy volunteers by using conventional cine gradient-echo imaging as a reference standard method and turbo-field echo-planar imaging (TFEPI). By using TFEPI, breath-hold flow mapping with a spatial and temporal resolution of 0.8 mm(2) and 23 msec, respectively, can be performed. This sequence was applied in 20 angiographically normal grafts, and total blood flow at rest and during adenosine infusion (140 microgram/kg/min) was measured. RESULTS: Good agreement in aortic and internal mammary artery flow values between conventional fast-field echo and TFEPI techniques was found. The mean bypass graft total flow (+/- SD), as assessed with TFEPI, increased from 30.8 mL/min +/- 13.5 to 76.7 mL/min +/- 36.5 (P <.05) to yield a flow reserve of 2.7. Furthermore, this sequence revealed a difference in total flow between single and sequential grafts at rest (25.4 mL/min vs 40.9 mL/min; P <.05) and during stress (65.2 mL/min vs 98.3 mL/min; P <.05). CONCLUSION: Breath-hold TFEPI provides fast accurate flow measurements with high temporal resolution and allows motion-compensated flow quantification in multiple coronary artery bypass grafts during one 6-minute adenosine infusion.
Authors:
S E Langerak; P Kunz; H W Vliegen; H J Lamb; J W Jukema; E E van Der Wall; A de Roos
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Radiology     Volume:  218     ISSN:  0033-8419     ISO Abbreviation:  Radiology     Publication Date:  2001 Feb 
Date Detail:
Created Date:  2001-02-22     Completed Date:  2001-05-17     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0401260     Medline TA:  Radiology     Country:  United States    
Other Details:
Languages:  eng     Pagination:  540-7     Citation Subset:  AIM; IM    
Affiliation:
Department of Cardiology, Leiden University Medical Center, Albinusdreef 2, 2300 RC Leiden, the Netherlands.
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MeSH Terms
Descriptor/Qualifier:
Adenosine / diagnostic use*
Adult
Aged
Coronary Artery Bypass*
Coronary Circulation*
Echo-Planar Imaging*
Female
Humans
Magnetic Resonance Angiography / methods*
Male
Reproducibility of Results
Time Factors
Vasodilator Agents / diagnostic use*
Chemical
Reg. No./Substance:
0/Vasodilator Agents; 58-61-7/Adenosine
Comments/Corrections
Comment In:
Radiology. 2001 Feb;218(2):326-8   [PMID:  11161143 ]

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


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