ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Runar Lundblad
Erik Fosse
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Hol, P. K.
Right arrow Articles by Fosse, E.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Hol, P. K.
Right arrow Articles by Fosse, E.
Related Collections
Right arrow Coronary disease

Ann Thorac Surg 2004;78:502-505
© 2004 The Society of Thoracic Surgeons

Original article: cardiovascular

Intraoperative angiography leads to graft revision in coronary artery bypass surgery

Per Kristian Hol, MDa*, Per Snorre Lingaas, MDb, Runar Lundblad, MD, PhDb, Kjell Arne Rein, MD, PhDb, Karleif Vatne, MDc, Hans-Jørgen Smith, MD, PhDd, Sigurd Nitter-Hauge, MD, PhDc, Erik Fosse, MD, PhDa

a The Interventional Centre, Oslo, Norway
b Department of Thoracic and Cardiovascular Surgery, Rikshospitalet University Hospital, Oslo, Norway
c Department of Cardiology, Rikshospitalet University Hospital, Oslo, Norway
d Department of Radiology, Rikshospitalet University Hospital, Oslo, Norway

Accepted for publication December 29, 2003.

* Address reprint requests to Dr Hol, The Interventional Centre, Rikshospitalet University Hospital, N-0027 Oslo, Norway
e-mail: per.kristian.hol{at}rikshospitalet.no

BACKGROUND: Graft anastomosis quality in coronary artery bypass surgery can be assessed by intraoperative angiography. The aim of the present study was to quantify the on-table revision rate initiated by intraoperative angiography.

METHODS: Intraoperative angiography was carried out in 186 patients undergoing coronary artery bypass surgery, with a total of 427 grafts. The operation was performed on-pump in 34%, off-pump through a sternotomy in 49%, and as a minimally invasive direct coronary bypass grafting (MIDCAB) procedure in 17%. The angiography was performed intraoperatively while the patients were still in general anesthesia, with the possibility for on-table revision. Follow-up angiography was carried out after a mean of 346 days.

RESULTS: Eighteen of 427 grafts (4.2%) were revised due to the findings at intraoperative angiography. Revision rate after on-pump surgery was 1.1%, after off-pump through a sternotomy 6.4%, and after MIDCAB 6.5%. In 6 patients the lesions were located at the distal anastomoses and in 12 patients in the conduit. All but one was successfully revised, and at 1-year follow-up all these 17 grafts were patent.

CONCLUSIONS: Intraoperative angiography saves a potential number of grafts that otherwise could have been occluded. An increased implementation of intraoperative quality assessment in coronary artery bypass surgery can lead to improved outcome.




This article has been cited by other articles:


Home page
 ICVTSHome page
L. A. Bockeria, E. A. Trofimova, Aziz. H. Melikulov, and A. M. Grigoryan
eComment: Intraoperative coronary and graft angiography in the treatment patients with coronary artery disease
Interactive CardioVascular and Thoracic Surgery, August 1, 2008; 7(4): 735 - 735.
[Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
P. K. Hol, K. Andersen, H. Skulstad, P. S. Halvorsen, P. S. Lingaas, R. Andersen, J. Bergsland, and E. Fosse
Epicardial Ultrasonography: A Potential Method for Intraoperative Quality Assessment of Coronary Bypass Anastomoses?
Ann. Thorac. Surg., September 1, 2007; 84(3): 801 - 807.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
L. Balacumaraswami and D. P. Taggart
Intraoperative Imaging Techniques to Assess Coronary Artery Bypass Graft Patency
Ann. Thorac. Surg., June 1, 2007; 83(6): 2251 - 2257.
[Abstract] [Full Text] [PDF]

Home page
 CirculationHome page
R. Flaumenhaft, E. Tanaka, G. J. Graham, A. M. De Grand, R. G. Laurence, K. Hoshino, R. J. Hajjar, and J. V. Frangioni
Localization and Quantification of Platelet-Rich Thrombi in Large Blood Vessels With Near-Infrared Fluorescence Imaging
Circulation, January 2, 2007; 115(1): 84 - 93.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
P. S. Lingaas, P. K. Hol, R. Lundblad, K. A. Rein, L. Mathisen, H.-J. Smith, R. Andersen, E. Thaulow, T. I. Tonnesen, J. L. Svennevig, et al.
Clinical and Radiologic Outcome of Off-Pump Coronary Surgery at 12 Months Follow-Up: A Prospective Randomized Trial
Ann. Thorac. Surg., June 1, 2006; 81(6): 2089 - 2095.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
L. Balacumaraswami, Y. Abu-Omar, B. Choudhary, D. Pigott, and D. P. Taggart
A comparison of transit-time flowmetry and intraoperative fluorescence imaging for assessing coronary artery bypass graft patency
J. Thorac. Cardiovasc. Surg., August 1, 2005; 130(2): 315 - 320.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2004 by The Society of Thoracic Surgeons.