Intraoperative angiography for quality control in MIDCAB and OPCAW

被引:11
作者
Bonatti, J [1 ]
Danzmayr, M
Schachner, T
Friedrich, G
机构
[1] Univ Innsbruck Hosp, Dept Cardiac Surg, A-6020 Innsbruck, Austria
[2] Univ Innsbruck Hosp, Dept Cardiol, A-6020 Innsbruck, Austria
关键词
coronary artery bypass grafting; beating heart surgery; OPCAB; MIDCAB; angiography;
D O I
10.1016/S1010-7940(03)00441-X
中图分类号
R5 [内科学];
学科分类号
1002 [临床医学]; 100201 [内科学];
摘要
We present our initial experience with intraoperative angiographic evaluation of coronary artery bypass grafts placed on the beating heart. Thirty-three grafts were investigated in 23 patients. Transfemoral angiography was performed using an OEC 9800 mobile C-arm. Spasm of the graft and/or target vessel was present in 11 grafts, two grafts were severely stenosed requiring surgical revision. In a third case an additional bypass graft was placed due to angiography findings. There was no hospital mortality and no significant perioperative myocardial ischemic event. All patients were free of angina 6 months postoperatively. Intraoperative angiography seems to reveal valuable information in beating heart coronary surgery. (C) 2003 Elsevier B.V. All rights reserved.
引用
收藏
页码:647 / 649
页数:3
相关论文
共 5 条
[1]
Comparison of stenting with minimally invasive bypass surgery for stenosis of the left anterior descending coronary artery [J].
Diegeler, A ;
Thiele, H ;
Falk, V ;
Hambrecht, R ;
Spyrantis, N ;
Sick, P ;
Diederich, KW ;
Mohr, FW ;
Schuler, G .
NEW ENGLAND JOURNAL OF MEDICINE, 2002, 347 (08) :561-566
[2]
Goldstein JA, 1998, ANN THORAC SURG, V66, P1978, DOI 10.1016/S0003-4975(98)01235-1
[3]
Routine intraoperative angiography improves the early patency of coronary grafts performed on the beating heart [J].
Izzat, MB ;
Khaw, KS ;
Atassi, W ;
Yim, APC ;
Wan, S ;
El-Zufari, MH .
CHEST, 1999, 115 (04) :987-990
[4]
Results of graft patency by immediate angiography in minimally invasive coronary artery surgery [J].
Mack, MJ ;
Magovern, JA ;
Acuff, TA ;
Landreneau, RJ ;
Tennison, DM ;
Tinnerman, EJ ;
Osborne, JA .
ANNALS OF THORACIC SURGERY, 1999, 68 (02) :383-390
[5]
Zehr KJ, 2000, HEART SURG FORUM, V3, P293