Document Detail


Internal thoracic arterial grafts evaluation by multislice CT scan: a preliminary study.
MedLine Citation:
PMID:  15548177     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND AND AIM: The internal thoracic artery (ITA) has a better long-term patency than saphenous veins, and anastomosis between ITA and the left anterior descending artery (LAD) represents the "gold-standard" of surgical myocardial revascularization. The aim of this study is to evaluate the multidetector multislice CT Scan (MCTS) as a means of postoperative evaluation of ITA coronary artery bypass grafts. METHODS: Twenty-eight patients having been operated on for coronary artery bypass with ITA during a 6-months period, benefited, 7 days after surgery, from a patency and anastomotic site control of ITA with a MCTS associated with cardiac gating (Light Speed, General Electric, USA). RESULTS: Internal thoracic artery bypasses are visualized perfectly on all their courses, with possibility of 3D reconstructions, showing the relationship between cardiac cavities and the arterial bypasses. The anastomotic site on the LAD was, in selected cases, perfectly visualized. Sequential bypasses with left ITA are well visualized as well as T or Y right-to-left ITA grafts. However, surgical clips create some image artefacts. CONCLUSIONS: The postoperative control of ITAs are possible by MCTS with a satisfactory resolution. This makes it possible to check the patency of ITAs, their course on the heart surface, and the location and quality of anastomosis with a noninvasive reproductive method.
Authors:
R G Demaria; M Picichè; H Vernhet; P Battistella; P Rouvière; J-M Frapier; B Albat
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Publication Detail:
Type:  Comparative Study; Evaluation Studies; Journal Article    
Journal Detail:
Title:  Journal of cardiac surgery     Volume:  19     ISSN:  0886-0440     ISO Abbreviation:  J Card Surg     Publication Date:    2004 Nov-Dec
Date Detail:
Created Date:  2004-11-19     Completed Date:  2006-08-01     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8908809     Medline TA:  J Card Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  475-80     Citation Subset:  IM    
Affiliation:
Department of Cardiovascular Surgery, Arnaud de Villenueve Hospital, Montpellier Teaching Hospital, Montpellier I University, France. roland.demaria@wanadoo.fr
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MeSH Terms
Descriptor/Qualifier:
Anastomosis, Surgical
Coronary Artery Bypass
Coronary Stenosis / physiopathology,  radiography,  surgery
Humans
Imaging, Three-Dimensional
Mammary Arteries / physiopathology,  radiography*,  surgery*
Prospective Studies
Saphenous Vein / physiopathology,  radiography,  transplantation
Severity of Illness Index
Tomography, X-Ray Computed*
Treatment Outcome
Vascular Patency

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


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