64-Slice Multidetector Computed Tomographic Evaluation of Arterial Conduit Patency after Off-Pump Coronary Artery Bypass Grafting(336 views) Mannacio VA, Imbriaco M, Iesu S, Gioardano AL, Di Tommaso L, Vosa C
Texas Heart Institute Journal (ISSN: 0730-2347), 2009 Oct; 36(5): 409-415.
Department of Cardiac Surgery, University Federico II, 80131 Naples, Italy
Department of Radiology, University Federico II, 80131 Naples, Italy
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Reston, J. T., Tregear, S. J., Turkelson, C. M., Meta-analysis of shortterm and mid-term outcomes following off-pump coronary artery bypass grafting (2003) Ann Thorac Surg, 76 (5), pp. 1510-151
Racz, M. J., Hannan, E. L., Isom, O. W., Subramanian, V. A., Jones, R. H., Gold, J. P., A comparison of short-and long-term outcomes after off-pump and on-pump coronary artery bypass graft surgery with sternotomy (2004) J Am Coll Cardiol, 43 (4), pp. 557-564
Hannan, E. L., Wu, C., Smith, C. R., Higgins, R. S., Carlson, R. E., Culliford, A. T., Off-pump versus on-pump coronary artery bypass graft surgery: Differences in short-term outcomes and in long-term mortality and need for subsequent revascularization (2007) Circulation, 116 (10), pp. 1145-1152
Angelini, G. D., Taylor, F. C., Reeves, B. C., Ascione, R., Early and midterm outcome after off-pump and on-pump surgery in Beating Heart Against Cardioplegic Arrest Studies (BHACAS 1 and 2): A pooled analysis of two randomised controlled trials (2002) Lancet, 359 (9313), pp. 1194-1199
Puskas, J. D., Williams, W. H., Duke, P. G., Staples, J. R., Glas, K. E., Marshall, J. J., Off-pump coronary artery bypass grafting provides complete revascularization with reduced myocardial injury, transfusion requirements, and length of stay: A prospective randomized comparison of two hundred unselected patients undergoing off-pump versus conventional coronary artery bypass grafting (2003) J Thorac Cardiovasc Surg, 125 (4), pp. 797-808
Khan, N. E., De Souza, A., Mister, R., Flather, M., Clague, J., Davies, S., A randomized comparison of off-pump and on-pump multivessel coronary-artery bypass surgery (2004) N Engl J Med, 350 (1), pp. 21-28
Scanlon, P. J., Faxon, D. P., Audet, A. M., Carabello, B., Dehmer, G. J., Eagle, K. A., ACC/AHA guidelines for coronary angiography. A report of the American College of Cardiology/American Heart Association Task Force on practice guidelines (Committee on Coronary Angiography). Developed in collaboration with the Society for Cardiac Angiography and Interventions (1999) J Am Coll Cardiol, 33 (6), pp. 1756-1824
Wyman, R. M., Safian, R. D., Portway, V., Skillman, J. J., McKay, R. G., Baim, D. S., Current complications of diagnostic and therapeutic cardiac catheterization (1988) J Am Coll Cardiol, 12 (6), pp. 1400-1406
Fine, J. J., Hopkins, C. B., Ruff, N., Newton, F. C., Comparison of accuracy of 64-slice cardiovascular computed tomography with coronary angiography in patients with suspected coronary artery disease (2006) Am J Cardiol, 97 (2), pp. 173-174
Budoff, M. J., Achenbach, S., Duerinckx, A., Clinical utility of computed tomography and magnetic resonance techniques for noninvasive coronary angiography (2003) J Am Coll Cardiol, 42 (11), pp. 1867-1878
Uva, M. S., Matias, F., Mesquita, A., Costa, R., Bau, J., Pedro, A., Magalhaes, M. P., Sixteen-slice multidetector computed tomography for graft patency evaluation after coronary artery bypass surgery (2008) J Card Surg, 23 (1), pp. 17-22
Bluemke, D. A., Achenbach, S., Budoff, M., Gerber, T. C., Gersh, B., Hillis, L. D., Noninvasive coronary artery imaging: Magnetic resonance angiography and multidetector computed tomography angiography: A scientif ic statement from the American Heart Association committee on cardiovascular imaging and intervention of the council on cardiovascular radiology and intervention, and the councils on clinical cardiology and cardiovascular disease in the young (2008) Circulation, 118 (5), pp. 586-606
Gibson, C. M., Cannon, C. P., Daley, W. L., Dodge Jr., J. T., Alexander Jr., B., Marble, S. J., TIMI frame count: A quantitative method of assessing coronary artery f low (1996) Circulation, 93 (5), pp. 879-888
Alpert, J. S., Thygesen, K., Antman, E., Bassand, J. P., Myocardial infarction redef ined-a consensus document of The Joint European Society of Cardiology/American College of Cardiology Committee for the redef inition of myocardial infarction [published erratum appears in J Am Coll Cardiol 2001
37 (3): 973] (2000) J Am Coll Cardiol, 36 (3), pp. 959-969
Mannacio, V. A., Iorio, D., De Amicis, V., Di Lello, F., Musumeci, F., Effect of rosuvastatin pretreatment on myocardial damage after coronary surgery: A randomized trial (2008) J Thorac Cardiovasc Surg, 136 (6), pp. 1541-1548
Meyer, T. S., Martinoff, S., Hadamitzky, M., Will, A., Kastrati, A., Schomig, A., Improved noninvasive assessment of coronary artery bypass grafts with 64-slice computed tomographic angiography in an unselected patient population (2007) J Am Coll Cardiol, 49 (9), pp. 946-950
64-Slice Multidetector Computed Tomographic Evaluation of Arterial Conduit Patency after Off-Pump Coronary Artery Bypass Grafting
We set out to evaluate the accuracy of 64-slice multidetector row computed tomography (MDCT) in the evaluation of graft patency in 25 unselected patients who underwent off-pump revascularization with arterial conduits. A total of 73 coronary artery bypass grafts were examined by means of 64-slice MDCT Postoperative clinical outcomes were also evaluated as indicators of early coronary bypass malfunction. Serial data from cardiac-specific biomarkers and from hemodynamic results were obtained in all patients. Two radiologists analyzed the MDCT images and reached consensus. No patients had evidence of postoperative acute myocardial infarction. Transient postoperative reduction of 5% to 8% in left ventricular ejection fraction was detected in 4 patients, independently of elevated biomarker serum levels. A total of 73 conduits were available for the analysis. Two grafts were judged not evaluable because of poor visualization due to irregular heartbeat. The image quality was excellent in all other scanned grafts and anastomoses. We conclude that 64-slice MDCT technology enables accurate and reliable visualization of coronary bypass grafts with arterial conduits. We believe that it can be performed in large populations of postoperative bypass patients as a realistic alternative to coronary angiography (Tex Heart Inst J 2009;36(5):409-15)
64-Slice Multidetector Computed Tomographic Evaluation of Arterial Conduit Patency after Off-Pump Coronary Artery Bypass Grafting
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