Contrast-enhanced magnetic resonance angiography of mammary artery grafts after minimally invasive coronary bypass surgery
Background. The aim of the study was to investigate the application of the contrast-enhanced magnetic resonance angiography (CE-MRA) for the visualization of left internal mammary artery (LIMA) bypass. Methods. A total of 30 patients with LIMA bypass (22 men, 8 women, 35 to 77 years) received a CE-M...
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Veröffentlicht in: | The Annals of thoracic surgery 2001-04, Vol.71 (4), p.1229-1232 |
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creator | Vetter, Herbert O Driever, Rudolf Mertens, Heinrich Kempkes, Udo Cramer, Bernhard M |
description | Background. The aim of the study was to investigate the application of the contrast-enhanced magnetic resonance angiography (CE-MRA) for the visualization of left internal mammary artery (LIMA) bypass.
Methods. A total of 30 patients with LIMA bypass (22 men, 8 women, 35 to 77 years) received a CE-MRA 4 to 20 days after surgery. The non–ECG-triggered CE-MRA was performed during expiration using a body array coil at a 1.5 Tesla scanner (Magnetom-Vision). A three-dimensional gradient-echo sequence with slice interpolation technique was applied. For the three-dimensional visualization, single coronal slices were postprocessed with maximal intensity projection. Of 30 patients 22 agreed to a comparative coronary angiography.
Results. Five bypasses were identified up to the end-to-side anastomosis. A total of 80% of the bypass course was detectable in 13 patients and 60% in 11 patients. In two LIMA bypasses only 30% of the proximal part could be viewed; one was found by conventional coronary angiography to be occluded. The other conventional coronary angiography showed the LIMA bypass to be patent.
Conclusions. The complete course of the LIMA bypass to the left anterior descending coronary artery can be visualized by the MRA technique. The most reliable imaging of the distal anastomosis can be realized by reducing the negative influence of the beating heart. |
doi_str_mv | 10.1016/S0003-4975(01)02435-3 |
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Methods. A total of 30 patients with LIMA bypass (22 men, 8 women, 35 to 77 years) received a CE-MRA 4 to 20 days after surgery. The non–ECG-triggered CE-MRA was performed during expiration using a body array coil at a 1.5 Tesla scanner (Magnetom-Vision). A three-dimensional gradient-echo sequence with slice interpolation technique was applied. For the three-dimensional visualization, single coronal slices were postprocessed with maximal intensity projection. Of 30 patients 22 agreed to a comparative coronary angiography.
Results. Five bypasses were identified up to the end-to-side anastomosis. A total of 80% of the bypass course was detectable in 13 patients and 60% in 11 patients. In two LIMA bypasses only 30% of the proximal part could be viewed; one was found by conventional coronary angiography to be occluded. The other conventional coronary angiography showed the LIMA bypass to be patent.
Conclusions. The complete course of the LIMA bypass to the left anterior descending coronary artery can be visualized by the MRA technique. The most reliable imaging of the distal anastomosis can be realized by reducing the negative influence of the beating heart.</description><identifier>ISSN: 0003-4975</identifier><identifier>EISSN: 1552-6259</identifier><identifier>DOI: 10.1016/S0003-4975(01)02435-3</identifier><identifier>PMID: 11308165</identifier><identifier>CODEN: ATHSAK</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult ; Aged ; Biological and medical sciences ; Contrast Media ; Coronary Artery Bypass - methods ; Coronary Disease - diagnosis ; Coronary Disease - surgery ; Female ; Graft Survival ; Humans ; Magnetic Resonance Angiography - methods ; Male ; Mammary Arteries - diagnostic imaging ; Mammary Arteries - transplantation ; Medical sciences ; Middle Aged ; Minimally Invasive Surgical Procedures - methods ; Radiographic Image Enhancement - methods ; Sensitivity and Specificity ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the heart ; Vascular Patency</subject><ispartof>The Annals of thoracic surgery, 2001-04, Vol.71 (4), p.1229-1232</ispartof><rights>2001 The Society of Thoracic Surgeons</rights><rights>2001 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c472t-8494a3a8fc75f6f130e1e51b5b84f393184a9b2262e3fde37a9041924da11c0b3</citedby><cites>FETCH-LOGICAL-c472t-8494a3a8fc75f6f130e1e51b5b84f393184a9b2262e3fde37a9041924da11c0b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0003497501024353$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,65309</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=937293$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11308165$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Vetter, Herbert O</creatorcontrib><creatorcontrib>Driever, Rudolf</creatorcontrib><creatorcontrib>Mertens, Heinrich</creatorcontrib><creatorcontrib>Kempkes, Udo</creatorcontrib><creatorcontrib>Cramer, Bernhard M</creatorcontrib><title>Contrast-enhanced magnetic resonance angiography of mammary artery grafts after minimally invasive coronary bypass surgery</title><title>The Annals of thoracic surgery</title><addtitle>Ann Thorac Surg</addtitle><description>Background. The aim of the study was to investigate the application of the contrast-enhanced magnetic resonance angiography (CE-MRA) for the visualization of left internal mammary artery (LIMA) bypass.
Methods. A total of 30 patients with LIMA bypass (22 men, 8 women, 35 to 77 years) received a CE-MRA 4 to 20 days after surgery. The non–ECG-triggered CE-MRA was performed during expiration using a body array coil at a 1.5 Tesla scanner (Magnetom-Vision). A three-dimensional gradient-echo sequence with slice interpolation technique was applied. For the three-dimensional visualization, single coronal slices were postprocessed with maximal intensity projection. Of 30 patients 22 agreed to a comparative coronary angiography.
Results. Five bypasses were identified up to the end-to-side anastomosis. A total of 80% of the bypass course was detectable in 13 patients and 60% in 11 patients. In two LIMA bypasses only 30% of the proximal part could be viewed; one was found by conventional coronary angiography to be occluded. The other conventional coronary angiography showed the LIMA bypass to be patent.
Conclusions. The complete course of the LIMA bypass to the left anterior descending coronary artery can be visualized by the MRA technique. The most reliable imaging of the distal anastomosis can be realized by reducing the negative influence of the beating heart.</description><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Contrast Media</subject><subject>Coronary Artery Bypass - methods</subject><subject>Coronary Disease - diagnosis</subject><subject>Coronary Disease - surgery</subject><subject>Female</subject><subject>Graft Survival</subject><subject>Humans</subject><subject>Magnetic Resonance Angiography - methods</subject><subject>Male</subject><subject>Mammary Arteries - diagnostic imaging</subject><subject>Mammary Arteries - transplantation</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Minimally Invasive Surgical Procedures - methods</subject><subject>Radiographic Image Enhancement - methods</subject><subject>Sensitivity and Specificity</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the heart</subject><subject>Vascular Patency</subject><issn>0003-4975</issn><issn>1552-6259</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkUuLFDEQgIMo7rj6E5SAIHpozbO7cxIZfMGCB_UcqtOV2Uh3MiY9A-OvN70zrEcvKZL6qlL5Qshzzt5yxtt33xljslGm068Zf8OEkrqRD8iGay2aVmjzkGzukSvypJRfdStq-jG54lyynrd6Q_5sU1wylKXBeAvR4Uhn2EVcgqMZS4rrGYW4C2mXYX97oslXYp4hnyjkBWuoCb8UWhfMdA4xzDBNJxriEUo4InUp1z4VHE57KIWWQ97VuqfkkYep4LNLvCY_P338sf3S3Hz7_HX74aZxqhNL0yujQELvXad96-vkyFHzQQ-98tJI3iswgxCtQOlHlB0YprgRagTOHRvkNXl17rvP6fcBy2LnUBxOE0RMh2K7jrUt120F9Rl0OZWS0dt9DutDLWd2lW7vpNvVqGXc3km3sta9uFxwGGYc_1VdLFfg5QWA4mDyuUoN5Z4zshNmbfP-TGGVcQyYbXEB1y8JGd1ixxT-M8hfY2Sgbw</recordid><startdate>20010401</startdate><enddate>20010401</enddate><creator>Vetter, Herbert O</creator><creator>Driever, Rudolf</creator><creator>Mertens, Heinrich</creator><creator>Kempkes, Udo</creator><creator>Cramer, Bernhard M</creator><general>Elsevier Inc</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20010401</creationdate><title>Contrast-enhanced magnetic resonance angiography of mammary artery grafts after minimally invasive coronary bypass surgery</title><author>Vetter, Herbert O ; Driever, Rudolf ; Mertens, Heinrich ; Kempkes, Udo ; Cramer, Bernhard M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c472t-8494a3a8fc75f6f130e1e51b5b84f393184a9b2262e3fde37a9041924da11c0b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Contrast Media</topic><topic>Coronary Artery Bypass - methods</topic><topic>Coronary Disease - diagnosis</topic><topic>Coronary Disease - surgery</topic><topic>Female</topic><topic>Graft Survival</topic><topic>Humans</topic><topic>Magnetic Resonance Angiography - methods</topic><topic>Male</topic><topic>Mammary Arteries - diagnostic imaging</topic><topic>Mammary Arteries - transplantation</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Minimally Invasive Surgical Procedures - methods</topic><topic>Radiographic Image Enhancement - methods</topic><topic>Sensitivity and Specificity</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the heart</topic><topic>Vascular Patency</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Vetter, Herbert O</creatorcontrib><creatorcontrib>Driever, Rudolf</creatorcontrib><creatorcontrib>Mertens, Heinrich</creatorcontrib><creatorcontrib>Kempkes, Udo</creatorcontrib><creatorcontrib>Cramer, Bernhard M</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Annals of thoracic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Vetter, Herbert O</au><au>Driever, Rudolf</au><au>Mertens, Heinrich</au><au>Kempkes, Udo</au><au>Cramer, Bernhard M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Contrast-enhanced magnetic resonance angiography of mammary artery grafts after minimally invasive coronary bypass surgery</atitle><jtitle>The Annals of thoracic surgery</jtitle><addtitle>Ann Thorac Surg</addtitle><date>2001-04-01</date><risdate>2001</risdate><volume>71</volume><issue>4</issue><spage>1229</spage><epage>1232</epage><pages>1229-1232</pages><issn>0003-4975</issn><eissn>1552-6259</eissn><coden>ATHSAK</coden><abstract>Background. The aim of the study was to investigate the application of the contrast-enhanced magnetic resonance angiography (CE-MRA) for the visualization of left internal mammary artery (LIMA) bypass.
Methods. A total of 30 patients with LIMA bypass (22 men, 8 women, 35 to 77 years) received a CE-MRA 4 to 20 days after surgery. The non–ECG-triggered CE-MRA was performed during expiration using a body array coil at a 1.5 Tesla scanner (Magnetom-Vision). A three-dimensional gradient-echo sequence with slice interpolation technique was applied. For the three-dimensional visualization, single coronal slices were postprocessed with maximal intensity projection. Of 30 patients 22 agreed to a comparative coronary angiography.
Results. Five bypasses were identified up to the end-to-side anastomosis. A total of 80% of the bypass course was detectable in 13 patients and 60% in 11 patients. In two LIMA bypasses only 30% of the proximal part could be viewed; one was found by conventional coronary angiography to be occluded. The other conventional coronary angiography showed the LIMA bypass to be patent.
Conclusions. The complete course of the LIMA bypass to the left anterior descending coronary artery can be visualized by the MRA technique. The most reliable imaging of the distal anastomosis can be realized by reducing the negative influence of the beating heart.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>11308165</pmid><doi>10.1016/S0003-4975(01)02435-3</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adult Aged Biological and medical sciences Contrast Media Coronary Artery Bypass - methods Coronary Disease - diagnosis Coronary Disease - surgery Female Graft Survival Humans Magnetic Resonance Angiography - methods Male Mammary Arteries - diagnostic imaging Mammary Arteries - transplantation Medical sciences Middle Aged Minimally Invasive Surgical Procedures - methods Radiographic Image Enhancement - methods Sensitivity and Specificity Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the heart Vascular Patency |
title | Contrast-enhanced magnetic resonance angiography of mammary artery grafts after minimally invasive coronary bypass surgery |
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