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Published byMarthe Håland Modified over 5 years ago
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Evaluation of graft patency during minimally invasive coronary artery bypass grafting with Doppler flow analysis Jeffrey C Lin, MD, Don L Fisher, MD, Michael F Szwerc, MD, James A Magovern, MD The Annals of Thoracic Surgery Volume 70, Issue 4, Pages (October 2000) DOI: /S (00)
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Fig 1 The 1-mm, 20-MHz Doppler probe is quite flexible and can be passed through a small metal suction tip to provide stability. The Annals of Thoracic Surgery , DOI: ( /S (00) )
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Fig 2 Normal flow velocity pattern in a left internal mammary to left anterior descending artery graft. There is pan-diastolic flow with a velocity of more than 30 cm/second, indicating a patent graft. The Annals of Thoracic Surgery , DOI: ( /S (00) )
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Fig 3 The tracing shows a spike with high initial systolic flow velocity but no significant diastolic flow. This indicates obstruction of the anastomosis resulting in poor diastolic flow. The Annals of Thoracic Surgery , DOI: ( /S (00) )
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Fig 4 The tracing shows disorganized, low velocity flow indicating inadequate inflow to the mammary artery. This indicates that there is a problem with the mammary pedicle, such as a twisted pedicle, a proximal hematoma, or a dissected mammary artery. The Annals of Thoracic Surgery , DOI: ( /S (00) )
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