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
Hauptverfasser: Vetter, Herbert O, Driever, Rudolf, Mertens, Heinrich, Kempkes, Udo, Cramer, Bernhard M
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container_end_page 1232
container_issue 4
container_start_page 1229
container_title The Annals of thoracic surgery
container_volume 71
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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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><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. 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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). 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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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source MEDLINE; Elsevier ScienceDirect Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection
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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