Intraoperative echocardiographic imaging of coronary arteries and graft anastomoses during coronary artery bypass grafting without cardiopulmonary bypass

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Presentation transcript:

Intraoperative echocardiographic imaging of coronary arteries and graft anastomoses during coronary artery bypass grafting without cardiopulmonary bypass Yoshihiro Suematsu, MD, Shinichi Takamoto, MD, Toshiya Ohtsuka, MD The Journal of Thoracic and Cardiovascular Surgery Volume 122, Issue 6, Pages 1147-1154 (December 2001) DOI: 10.1067/mtc.2001.117625 Copyright © 2001 American Association for Thoracic Surgery Terms and Conditions

Fig. l. A, The 13-MHz echocardiographic probe Fig. l. A, The 13-MHz echocardiographic probe. This probe is 39 mm in length and has a 36 × 10-mm contact surface. B, The stabilizer makes fixation of the echocardiographic probe possible. The Journal of Thoracic and Cardiovascular Surgery 2001 122, 1147-1154DOI: (10.1067/mtc.2001.117625) Copyright © 2001 American Association for Thoracic Surgery Terms and Conditions

Fig. 2 Comparison between the maximum luminal diameter of the left anterior descending (LAD) artery measured by high-frequency epicardial echocardiography (HEE) and that measured histologically in the animal study. The Journal of Thoracic and Cardiovascular Surgery 2001 122, 1147-1154DOI: (10.1067/mtc.2001.117625) Copyright © 2001 American Association for Thoracic Surgery Terms and Conditions

Fig. 3 Comparison between the maximum luminal diameter of the left internal thoracic artery—left anterior descending artery anastomosis measured by power Doppler imaging (PDI) and histologically in the animal study. The Journal of Thoracic and Cardiovascular Surgery 2001 122, 1147-1154DOI: (10.1067/mtc.2001.117625) Copyright © 2001 American Association for Thoracic Surgery Terms and Conditions

Fig. 4 Power Doppler image showing a longitudinal section of the left internal thoracic artery—left anterior descending artery anastomosis in the stenosis group. The Journal of Thoracic and Cardiovascular Surgery 2001 122, 1147-1154DOI: (10.1067/mtc.2001.117625) Copyright © 2001 American Association for Thoracic Surgery Terms and Conditions

Fig. 5 Comparison between the maximum luminal diameter of the left internal thoracic artery—left anterior descending artery anastomosis measured by power Doppler imaging (PDI) and histologically in the stenosis group in the animal study. The Journal of Thoracic and Cardiovascular Surgery 2001 122, 1147-1154DOI: (10.1067/mtc.2001.117625) Copyright © 2001 American Association for Thoracic Surgery Terms and Conditions

Fig. 6 A, High-frequency epicardial echocardiographic image obtained in the patient study showing a longitudinal section of left anterior descending artery (LAD). Arrows are pointing to atherosclerotic plaque. B, High-frequency epicardial echocardiographic image obtained in the patient study showing a longitudinal section of right coronary artery (RCA). Arrows are pointing to atherosclerotic plaque. The Journal of Thoracic and Cardiovascular Surgery 2001 122, 1147-1154DOI: (10.1067/mtc.2001.117625) Copyright © 2001 American Association for Thoracic Surgery Terms and Conditions

Fig. 7 A, Power Doppler image of the left internal thoracic artery (LITA) anastomosis to the left anterior descending artery (LAD). B, Power Doppler image of a saphenous vein graft (SVG) anastomosed to the right coronary artery (RCA). The Journal of Thoracic and Cardiovascular Surgery 2001 122, 1147-1154DOI: (10.1067/mtc.2001.117625) Copyright © 2001 American Association for Thoracic Surgery Terms and Conditions

Fig. 8 Comparison between the maximum luminal diameter of the graft anastomosis measured by intraoperative power Doppler imaging(PDI) and by postoperative angiography in the patient study. The Journal of Thoracic and Cardiovascular Surgery 2001 122, 1147-1154DOI: (10.1067/mtc.2001.117625) Copyright © 2001 American Association for Thoracic Surgery Terms and Conditions