| Preparation of the internal mammary artery with the IMAG Fogarty balloon catheter. | |
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MedLine Citation:
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PMID: 11426196 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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C Abad; M E Valerón; J J Cáceres; O Avalos |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Minerva cardioangiologica Volume: 49 ISSN: 0026-4725 ISO Abbreviation: Minerva Cardioangiol Publication Date: 2001 Aug |
Date Detail:
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Created Date: 2001-06-26 Completed Date: 2002-04-01 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0400725 Medline TA: Minerva Cardioangiol Country: Italy |
Other Details:
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Languages: eng Pagination: 263-6 Citation Subset: IM |
Affiliation:
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Departments of Cardio-Vascular Surgery, University Hospital de Gran Canaria Dr. Negrín, Las Palmas de Gran Canaria, Spain. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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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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