[Role of electron-beam tomography in diagnosing patency of aortocoronary and mammary-coronary shunts (from data from a 3-year study)].

Abstract:

AIM:To assess informative value of electron-beam tomography (EBT) and to compare dynamics of occlusive defects of autovenous and autoarterial shunts. MATERIAL AND METHODS:36 patients with coronary heart disease entered the study. All the patients have undergone coronary artery bypass operation and/or mammarocoronary bypass operation (CABO and MCBO, respectively). For three years after the surgery the patients were annually examined with EBT-shuntography. The contrast agent was injected intravenously in a dose 135-140 ml with the injection rate 3.5-4.0 ml/s. In addition to EBT-shuntography, selective x-ray contrast shuntography was conducted one year after CABO. RESULTS:By a comparative analysis, EBT sensitivity and specificity in examination of autovenous shunts patency is 100%, in assessment of patency of mammary shunts is 93 and 100%, respectively. The 3-year retrospective analysis has revealed occlusions in 17.1% venous shunts and 2.7% arterial ones in the first year after CABO and MCBO, 5.2 and 2.8% in the second year, respectively, and in 1.8% venous shunts in the third year. CONCLUSION:EBT-shuntography is a highly informative non-invasive method of diagnosis of aortocoronary shunts patency.

journal_name

Ter Arkh

journal_title

Terapevticheskii arkhiv

authors

Veselova TN,Sinitsyn VE,Fedotenkov IS,Vasil'ev VP,Shiriaev AA,Ternovoĭ SK

subject

Has Abstract

pub_date

2003-01-01 00:00:00

pages

15-9

issue

4

eissn

0040-3660

issn

2309-5342

journal_volume

75

pub_type

杂志文章
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  • [Regulatory R proteins and lipid peroxidation in rheumatoid arthritis].

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  • [Unwanted reactions to modifying antirheumatic drugs].

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  • [Humoral regulators of erythropoiesis during the body's adaptation to chronic respiratory insufficiency].

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