Abstract
Efforts have been made in recent years to establish a postoperative control method to determine the patency of aortocoronary bypass grafts by the development of noninvasive procedures. According to the literature, graft occlusion is expected to occur in 8%–20% of grafts [3, 4, 10] during the first days or weeks after operation. In about another 10% low to middle grade stenoses are visualized at the proximal and distal anastomoses without any clinical symptoms. None of these noninvasive procedures such as directional Doppler sonography [15], myocardial scintigraphy [11], and angio-sequence CT [2, 7, 9, 14, 17] are able to visualize the graft through its whole course. The quality of the distal anastomoses, which is decisive for the prognosis of the bypass, cannot be judged. Even with transvenous digital coronary angiography, demonstration of the distal anastomoses is not satisfactorily possible [6].
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References
Birnbaum D, Banzer D (1984) Imaging of coronary grafts without catheterisation of coronary ostia. In: F Unger (ed) Coronary artery surgery. Springer, Berlin Heidelberg New York Tokyo, pp 240–245
Daniel GW, Döhring W, Stender HS, Lichtlen PR (1983) Value and limitations of computed tomography in assessing aortocoronary bypass graft patency. Circulation 67 (5): 983–987
Grondin CM, Lesperance J, Bourassa MG, Pasternac A, Campeau L, Grondin P (1974) Serial angiographic evaluation in 60 consecutive patients with aortocoronary artery vein grafts 2 weeks, 1 year and 3 years after operation. J Thoracic Cardiovasc Surg 67: 1
Guthaner DF, Robert FW, Aldermann EL, Wexler L (1979) Long-term serial angiographic studies after coronary bypass surgery. Circulation 60 (2): 250–258
Hauenstein KH, Schlosser V, Roeren T, Kauffmann GW, Urbanyi B (1985) Intraarterielle DSA zur Kontrolle aortocoronarer Gefäßbrücken — eine Alternative zur Coronarangiographie. Radiologe 25: 247–250
Heuser I, Krestin GP, Hannekum H, Wimmer G (1985) Darstellung aortokoronarer Venenbrücken mit der digitalen Subtraktionsangiographie. Dtsch Med Wochenschr 110: 243–247
Heuser L, Lackner K, Hauser H (1982) Validität der Computertomographie bei der Darstellung offener und verschlossener aortokoronarer Venenbrücken ( ACVB ). Fortschr Roentgenstr 137: 619
Kolibash AJ, Call TD, Bush CA, Tetalman MR, Lewis RP (1980) Myocardial perfusion as an indicator of graft patency after coronary artery bypass surgery. Circulation 61: 882
Kruger RA, Mistretta CA, Houk TL, Kubal W, Riedeer SJ, Ergun DL, Shaw CG, Lancaster JC, Rowe GG (1979) Computerized fluoroscopy techniques for intravenous study of cardiac chamber dynamic CS. Invest Radiol 14: 279
Lichtlen PH, Engel HJ (1979) Risiken und Komplikationen der Koronarangiographie. Straube, Erlangen
Lösse B, von Lierde C, Rafflenbeul D, Krönert H, Bircks W, Feinendegen LE, Loogen F (1981) Wert der Thallium-201-Myocardszintigraphie für die Beurteilung des Funktionszustandes aortokoronarer Bypass-Gefäße. Z Kardiol 70: 231–237
Luska G, Hendrickx P, Kuhl A, Lichtlen P, Stender HS (1984) Kontrolle von aortokoronaren Venenbypassgrafts ( ACVB) mit Hilfe der peripher venösen digitalen Subtraktionsangiographie. Röntgenstrahlen 52: 20–23
Luska G, Hendrickx P, Kuhl A, Lichtlen P (1985) Periphervenöse digitale Subtraktionsangiographie (DSA) zur Kontrolle von aortokoronaren Venenbypassgrafts ( ACVB ). Fortschr Röntgenstr 142: 35–40
Mühlberger V, zur Nedden D, Knapp E, Unger F, Scharfetter H, Braunsteiner H (1981) Computertomographische Darstellung aortokoronarer Venengrafts — Vergleich mit der selektiven Koronarangiographie. Z Kardiol 70: 377–379
Pisko-Dubienski A, Braid RJ, Wilson DR (1975) Noninvasive assessment of aortocoronary saphenous vein bypass graft patency using directional Doppler. Circulation 52: 188–197
Schlosser V, Hauenstein KH, Bonzel T, Santana A, Spillner G, Urbanyi B (1985) Die Bedeutung der digitalen Subtraktionsangiographie ( DSA) zur Überprüfung koronarchirurgischer Ergebnisse. Herz-Kreislauf 652–655
Urbanyi B, Wimmer B, Wink K, Santana A, Spillner G, Schlosser V (1984) Evaluation of aortocoronary graft patency with computed tomography. In: F Unger (ed) Coronary artery surgery. Springer, Berlin Heidelberg New York Tokyo pp 197–200
Witte G, Jacobs G, Grabbe E, Rödiger W, Kalmar P, Bücheler E (1984) Arterielle DSA zur Darstellung des aortokoronaren Venenbypass. Fortschr Röntgenstr. 140 (3): 251–253
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Dedicated to Professor Wenz on his 60th birthday.
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© 1987 Springer-Verlag Berlin Heidelberg
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Hauenstein, K.H., Nöldge, G., Urbanyi, B., Spillner, G., Schlosser, V. (1987). Intraarterial Digital Subtraction Angiography for Postoperative Determination of Aortocoronary Bypass Graft Patency. In: Unger, F. (eds) Coronary Artery Surgery in the Nineties. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-45622-0_12
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DOI: https://doi.org/10.1007/978-3-642-45622-0_12
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