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Identification of coronary artery by-pass grafts: reliability of MRI in clinical practice

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Abstract

In order to test MRI ability to detect the number and the sites of coronary artery by-pass grafts (CABGs), 22 patients with CABGs were studied. The detection of a neo-vessel in even one of the examination slices was considered as positive for the study, disregarding the difference between its origin and course. With such a criterion, MRI total percentage of vascular bridges identification resulted in 76.1% (51/67) with very low values for CABGs implanted on diagonal, obtuse marginal and posterior descending vessels (11/24=45.8%). These results lead to the conclusion that, although MRI has some advantages in the identification of CABGs implanted on the main coronary vessels in the early post-operative period, its extensive use cannot be proposed at the present state of the art.

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References

  1. Bourassa MG, Fischer LD, Campau L. Long term fate of by-pass grafts: The Coronary Artery Surgery Study (CASS) and Montereal Heart Institute experience. Circulation 1985; 72 Suppl V: 710.

    Google Scholar 

  2. Loop FD. CASS continued. Circulation 1985; 72 Suppl II: 1–6.

    Google Scholar 

  3. Lanzer P, Botvinick EH, Sciller NB. Cardiac imaging using gated magnetic resonance. Radiology 1984; 150: 121–40.

    Google Scholar 

  4. Higgins CB. Overview of MR of the heart — 1986. AJR 1986; 146: 907–9.

    Google Scholar 

  5. Bradley WG, Waluch V. Blood flow: Magnetic resonance imaging. Radiology 1985; 154: 443–50.

    Google Scholar 

  6. Nayler GL, Firmin DN, Longmore DB. Blood flow imaging by Cine Magnetic Resonance. JCAT 1986; 10: 715–20.

    Google Scholar 

  7. Fisher MR, Higgins CB, Yee E. MR in the evaluation of the post-operative coronary artery by-pass graft patient. Presented at the 71st Scientific Assembly and Annual Meeting of the Radiological Society of North; 1985 Nov 17–22; Chicago.

  8. Jenkins JPR, Isherwod I, Love HG, Foster CJ, Rowlands D. Coronary artery by-pass graft patency as assessed by magnetic resonance imaging. In: Book of abstracts: Society of Magnetic Resonance in Medicine. Berkeley (CA) 1986: 390–10.

  9. White RD, Caputo GR, Mark AS, Madin GN, Higgins CB. Coronary artery by-pass graft patency: Non-invasive evaluation with MRI. Radiology 1987; 164: 681–92.

    Google Scholar 

  10. Gomes AS, Leis JF, Drinkwater DC Jr, Corday SR. Coronary artery by-pass grafts: Visualization with MRI. Radiology 1987; 162: 175–9.

    Google Scholar 

  11. Underwood SR, Firmin DN, Klipstein RH, Rees RSO. Toward MR flow measurements in the coronary arteries and coronary by-pass grafts [abstract]. Radiology 1986; 161: 224.

    Google Scholar 

  12. Frija G, Schouman Clayes E. Study of coronary grafts by MR imaging. Radiology 1986; 161 (P): 225.

    Google Scholar 

  13. Jenkins JPR, Love HG, Foster CJ. Detection of coronary artery by-pass graft patency as assessed by magnetic resonance imaging. Br J Radiol 1988; 61: 2–4.

    Google Scholar 

  14. Buccino RA, McIntsh HD. Aortocoronary by-pass grafting in the management of the patients with artery disease. Am J Med 1979; 66: 651–60.

    Google Scholar 

  15. Maiolino P, Zanchetta M. Le basi anatomo fisiologiche della scelta del by-pass coronarico. G It Cardiol 1987; 17: 172–5.

    Google Scholar 

  16. Singh RN, Sosa JA, Green GE. Long term fate of the tinternal mammary artery and saphenous vein grafts. J Thorac Cardiovasc Surg 1983; 86: 359–63.

    Google Scholar 

  17. Seides SF, Borer JS, Kent KM. Long-term anatomic fate of coronary-artery by-pass grafts and functional status of patients five years after operation. New Engl J Med 1978; 298: 1213–8.

    Google Scholar 

  18. Kay HR, Korns ME, Flemma RJ, Tector AJ, Lepley D. Atherosclerosis of the internal mammary artery. Ann Thorac Surg 1976; 21: 504–7.

    Google Scholar 

  19. Kalan JM, Roberts WC. Comparison of morphological changes and luminal sizes of saphenous vein and internal mammary artery after simultaneous implantation for coronary arterial by-pass grafting. Am J Cardiol 1987; 60: 193–6.

    Google Scholar 

  20. Loop FD, Lytle B, Cosgrove DM, Stewart RW, Goormastic M. Influence of internal mammary artery graft on 10-years survival and other cardiac events. N Engl Med 1986; 314: 1–6.

    Google Scholar 

  21. Cameron A, Davis KB, Green GE, Myers WO, Pettinger M. Clinical implications of internal mammary artery by-pass grafts: the coronary artery surgery study experience. Circulation 1988; 77: 815–9.

    Google Scholar 

  22. Dodek A, Kassbaum DG. Stress electrocardiography in the evaluation of aortocoronary by-pass surgery. Am Heart J 1973; 86: 292–300.

    Google Scholar 

  23. Penco M, Fedele F, Dagianti A. Utilitä dell'ecocardiografia 2D da sforzo nella diagnosi di cardiopatia ischemica: confronto con altre metodiche. Il Cuore 1987; 4: 241–58.

    Google Scholar 

  24. Dagianti A, Penco M, Agati L, Fedele F. Reability of two dimensional exercise echocardiography in detecting coronary artery disease: correlation with T.L. scintigraphy. J Cardiovasc Ultrasounds 1986; 5: 321–6.

    Google Scholar 

  25. Le Helloco A, Bourguet P, Nicol L, Image C, Leguerrier A, Laurent M, et al. Valuation des pontage aorto-coronaries par scintigraphie myocardique au Thallium 201 al effort. Arch Mal Coeur 1986; 9: 1301–31.

    Google Scholar 

  26. Iskandrian AS, Heo J, Hostel E. The role of radionuclide imaging in coronary artery by-pass surgery. Am Heart J 1987; 113 (1): 163–70.

    Google Scholar 

  27. Guthaner DF, Wexler L, Bradley B. Digital subtraction angiography of coronary grafts: optimization of technique. AJR 1985; 145: 1185–90.

    Google Scholar 

  28. Guthaner DF, Brody WR, Ricci M, Oyer PE, Wexler L. Use of computed tomography in the diagnosis of coronary artery by-pass graft patency. Cardiovasc Intervent Radiol 1980; 3: 3–8.

    Google Scholar 

  29. Daniel WG, Dohring W, Lichtlen PR, Stender HS. Noninvasive assessment of aortocoronary by-pass graft patency by computed tomography. Lancet 1980; 1: 1023–4.

    Google Scholar 

  30. Daniel WG, Dohring W, Stender HS, Lichtlen PR. Value and limitations of computed tomography in assessing aortocoronary by-pass graft patency. Circulation 1983; 67: 983–7.

    Google Scholar 

  31. Moncade R, Salinas M, Churchill R. Patency of saphenous aortocoronary by-pass grafts demonstrated by computed tomography. N Engl J Med 1980; 303: 503–5.

    Google Scholar 

  32. Stanford W, Brundage BH, MacMillan R. Sensitivity and specificity of assessing coronary bypass graft patency with ultra-fast computed tomography: results of a multicentric study. JACC 1988; 12: 1–7.

    Google Scholar 

  33. Stanford W, Marcus ML. Determination of by-pass graft patency with ultrafast computed tomography. From: ‘Cardiac Imaging’, Philadelphia: WB Saunders Company, 1991: 682–7.

    Google Scholar 

  34. Lighty GW Jr. Duplex Doppler evaluation of coronary artery and bypass graft flow: a practical clinical tool? JACC 1990; 15: 140–2.

    Google Scholar 

  35. White RD, Pflugfelder PW, Lipton MJ, Higgins CB. Coronary artery by-pass grafts: evaluation of patency with Cine-MR imaging. AJR 1988; 150: 1271–4.

    Google Scholar 

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Renzi, P., Fedele, F., Di Cesare, E. et al. Identification of coronary artery by-pass grafts: reliability of MRI in clinical practice. Int J Cardiac Imag 8, 85–94 (1992). https://doi.org/10.1007/BF01137529

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