Presentation is loading. Please wait.

Presentation is loading. Please wait.

Evaluation of graft patency during minimally invasive coronary artery bypass grafting with Doppler flow analysis  Jeffrey C Lin, MD, Don L Fisher, MD,

Similar presentations


Presentation on theme: "Evaluation of graft patency during minimally invasive coronary artery bypass grafting with Doppler flow analysis  Jeffrey C Lin, MD, Don L Fisher, MD,"— Presentation transcript:

1 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)

2 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) )

3 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) )

4 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) )

5 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) )


Download ppt "Evaluation of graft patency during minimally invasive coronary artery bypass grafting with Doppler flow analysis  Jeffrey C Lin, MD, Don L Fisher, MD,"

Similar presentations


Ads by Google