Abstract:
PURPOSE:We evaluated the usefulness of measuring intima-media thickness (IMT) of the carotid artery by ultrasonography before coronary artery bypass grafting (CABG). METHODS:Seventy-three patients who underwent carotid ultrasonography before CABG were selected for this study. The maximum IMT (max IMT) in the bilateral common carotid artery was used as the index of carotid ultrasonography. As a quantitative measure of coronary atherosclerosis, we calculated Gensini's coronary score (GCS) from the preoperative coronary angiography. RESULTS:There was a positive correlation between the max IMT and the GCS. Furthermore, the max IMT of the patients with myocardial infarction was significantly greater than that of the patients with angina pectoris. CONCLUSIONS:Carotid ultrasonography before CABG is useful, not only for the morphological evaluation of the stenotic lesions of the neck vessels, but also for the quantitative prediction of atherosclerosis in the native coronary artery. The max IMT may predict the progression of atherosclerotic change of the native coronary artery from angina pectoris to myocardial infarction.
journal_name
Surg Todayjournal_title
Surgery todayauthors
Nishimura Y,Okamura Y,Fujiwara K,Sekii H,Yamamoto S,Hatada A,Hisaoka Tdoi
10.1007/s00595-004-2880-8subject
Has Abstractpub_date
2005-01-01 00:00:00pages
28-30issue
1eissn
0941-1291issn
1436-2813journal_volume
35pub_type
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