Document Detail


Preparation of the internal mammary artery with the IMAG Fogarty balloon catheter.
MedLine Citation:
PMID:  11426196     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Demonstrate the augmentation of flow of the internal mammary artery (IMA) after inflation of the graft with an atraumatic balloon catheter (Fogarty IMAG balloon catheter) before performing the anastomosis IMA-coronary artery, in coronary artery bypass operated patients. METHODS: In 1992 and 1993 a group of 87 coronary artery bypass patients underwent dilatation of the IMA with the Fogarty balloon catheter. The flow of the IMA was measured during 1 minute before and after balloon dilatation, prior to go on cardiopulmonary bypass. RESULTS: In all patients but one the flow increased after balloon dilatation. The mean free flow before dilatation was 52.8 ml/min (range 16-120 ml/min) and after balloon dilatation 122.6 ml/min (range 36-380 ml/min). The flow increased more than two folds which was of statistical significance (p<0.001). The hospital mortality was 6.8% (6 patients) not related with the mechanical manipulation of the arterial graft. CONCLUSIONS: Balloon dilatation of IMA is an alternative in cases in which the IMA graft presented with: 1) low free flow, 2) small size and 3) arterial spasm. The IMAG balloon catheter has to be properly adjusted and the shear force regulated at 30 grams.
Authors:
C Abad; M E Valerón; J J Cáceres; O Avalos
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Minerva cardioangiologica     Volume:  49     ISSN:  0026-4725     ISO Abbreviation:  Minerva Cardioangiol     Publication Date:  2001 Aug 
Date Detail:
Created Date:  2001-06-26     Completed Date:  2002-04-01     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0400725     Medline TA:  Minerva Cardioangiol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  263-6     Citation Subset:  IM    
Affiliation:
Departments of Cardio-Vascular Surgery, University Hospital de Gran Canaria Dr. Negrín, Las Palmas de Gran Canaria, Spain.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Balloon Dilatation*
Female
Humans
Internal Mammary-Coronary Artery Anastomosis / methods*
Male
Mammary Arteries*
Middle Aged
Preoperative Care
Retrospective Studies

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


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