Intraoperative grafts assessment

Seminars in Thoracic and Cardiovascular Surgery
Marzia LeaccheJohn G Byrne

Abstract

Graft patency strongly influences early and late outcomes after coronary artery bypass grafting (CABG) surgery. The current standard of care in CABG surgery does not require intraoperative imaging. Because coronary angiography is rarely available in the operating room (OR), other techniques have been developed to assess graft integrity intraoperatively. The 2 most commonly used are the transit time flow measurement (TTFM) and the intraoperative fluorescence imaging (IFI). The TTFM is a quantitative volume flow technique, whereas the IFI is based on the fluorescent properties of indocyanine green. TTFM cannot define the degree of graft stenosis nor discriminate between the influence of the graft conduit and the coronary arteriolar bed on the mean graft flow. IFI provides a "semiquantitative" assessment of the graft patency with images that provide some details about the quality of coronary anastomoses. Both methods are valuable in identifying only at the extremes, that is, either patent or occluded grafts, and can confirm very good grafts; however, neither method is sensitive or specific enough in identifying more subtle abnormalities. These abnormal grafts most likely have poor long-term patency and are predestined to fail. The...Continue Reading

References

Aug 15, 1988·Annals of Internal Medicine·R SpeichJ Reichen
Jul 10, 1999·Scandinavian Cardiovascular Journal : SCJ·H L Jakobsen, H K Kjaergard
Apr 12, 2000·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·G D'AnconaT A Salerno
Jun 19, 2001·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·T HirotaniY Nakao
Jul 28, 2004·The Annals of Thoracic Surgery·Per Kristian HolErik Fosse
Jul 30, 2004·The Journal of Thoracic and Cardiovascular Surgery·Lognathen BalacumaraswamiDavid P Taggart
Nov 25, 2004·The Annals of Thoracic Surgery·Henrik K KjaergardThomas A Schmidt
Mar 5, 2005·The Journal of Thoracic and Cardiovascular Surgery·Kwok L YunSiavosh Khonsari
Aug 4, 2005·The Journal of Thoracic and Cardiovascular Surgery·Lognathen BalacumaraswamiDavid P Taggart
Nov 25, 2005·The Annals of Thoracic Surgery·Wael HassaneinJuergen Ennker
Jul 22, 2006·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Thomas SchachnerGuy Friedrich
Aug 29, 2006·The Journal of Thoracic and Cardiovascular Surgery·Gabriele Di GiammarcoMichele Di Mauro
May 29, 2007·The Annals of Thoracic Surgery·Lognathen Balacumaraswami, David P Taggart
Aug 3, 2007·Interactive Cardiovascular and Thoracic Surgery·Masao TakahashiHiroki Katoh
Nov 27, 2007·The Annals of Thoracic Surgery·Yoshiyuki TokudaToshiaki Akita
May 10, 2008·Interactive Cardiovascular and Thoracic Surgery·Christine HermanJean-Francois Legare

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Citations

Nov 26, 2010·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Janne J JokinenLeo Ihlberg
Dec 17, 2014·Current Problems in Cardiology·Robert C NeelyJohn G Byrne
Feb 16, 2016·The Annals of Thoracic Surgery·Sanaz AminDavid P Taggart
Sep 27, 2015·The International Journal of Cardiovascular Imaging·Sabine WipperChristian Detter
Jun 16, 2010·The Journal of Thoracic and Cardiovascular Surgery·T Bruce Ferguson
Sep 1, 2015·Progress in Cardiovascular Diseases·Julius I EjioforJohn G Byrne
Nov 30, 2012·Journal of Cardiac Surgery·Dai UneStephen E Fremes
Apr 15, 2015·The Journal of Thoracic and Cardiovascular Surgery·Saswata Deb, Stephen E Fremes
Jan 6, 2015·General Thoracic and Cardiovascular Surgery·Toshihiro Fukui
Jun 15, 2016·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Lars Niclauss
Jan 28, 2017·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·T Bruce FergusonJeffery C Basham
Feb 28, 2018·Journal of Cardiothoracic Surgery·Fausto BiancariDebora Brascia
May 11, 2010·Expert Review of Cardiovascular Therapy·Shahzad G Raja, Mohamed Amrani
Oct 1, 2019·Asian Cardiovascular & Thoracic Annals·Yury Y VecherskyVladimir M Shipulin
Jul 7, 2017·The Journal of Physiological Sciences : JPS·Kenji ShigemiMasaru Sugimachi
Jul 26, 2016·Experimental and Therapeutic Medicine·Grigore TinicaDoina Butcovan
Mar 7, 2021·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Ethan S RosenfeldDavid P Taggart
Feb 27, 2021·BMC Medical Imaging·Sara MashalchiMarjaneh Hejazi
Jul 11, 2021·Journal of Cardiothoracic Surgery·Dror B LevinerJohn D Puskas

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