PMID: 6110482Jan 1, 1980

Internal mammary arteriography: a new catheter technique by right brachial approach

Catheterization and Cardiovascular Diagnosis
R N Singh

Abstract

A technique for catheterization of both internal mammary arteries (IMAs) by right brachial approach is described. A special preformed catheter was used in 75 patients with coronary artery disease, including ten patients with direct IMA grafts. No complications occurred. The IMAs were studied to examine the question of their usefulness in direct myocardial revascularization. There were individual variations in the size of IMAS with poor correlation to age (r = -0.432)) and body surface area (r = 0.517). Seventy percent of the women had adequate IMAs. The IMA diameter was equal to or larger than the left anterior descending coronary artery (LAD) in 72% and the right coronary artery (RCA) in 34% of comparisons. Of the ten patients with direct IMA grafts, three instances of large side branches were seen. These branches appeared to carry large flows at the expense of the grafted coronary artery. Preoperative internal mammary arteriography should be done if the use of this vessel is contemplated in direct myocardial revascularization to assure the use of an IMA of adequate caliber compared to the recipient coronary artery. The side branches should be meticulously ligated during the operation.

References

Mar 1, 1977·AJR. American Journal of Roentgenology·R D Kittredge, H G Kemp
Jan 1, 1977·Catheterization and Cardiovascular Diagnosis·H F Londero, L M de la Fuente
Dec 11, 1975·The Annals of Thoracic Surgery·R J FlemmaB L Frazier
Sep 1, 1974·The Annals of Thoracic Surgery·E B KayH A Zimmerman

Citations

Jul 12, 2002·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Kwang Soo Cha, Moo Hyun Kim
Sep 13, 2001·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·M H KimJ S Kim
May 1, 1990·Catheterization and Cardiovascular Diagnosis·R E Kuntz, D S Baim
Jan 1, 1983·Cardiovascular and Interventional Radiology·R N Singh
Apr 17, 2016·Acta Radiologica·Jung Suk OhHae Giu Lee
Mar 21, 2006·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Marcelo SanmartinAndres Iñiguez
Jan 1, 1981·Catheterization and Cardiovascular Diagnosis·R N Singh
Mar 1, 1987·Catheterization and Cardiovascular Diagnosis·G Dorros, R F Lewin

Related Concepts

Arteriography
Catheterization
Coronary Heart Disease
Structure of Internal Thoracic Artery
Internal Mammary Artery Implantation
Thoracic Arteries
Transplantation, Autologous

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