HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by van Son, J. A. Articles by van Asten, W. N. Search for Related Content PubMed PubMed Citation Articles by van Son, J. A. Articles by van Asten, W. N.

The Annals of Thoracic Surgery, Vol 55, 404-409, Copyright © 1993 by The Society of Thoracic Surgeons

ARTICLES

Noninvasive hemodynamic assessment of the internal mammary artery in myocardial revascularization

JA van Son, SH Skotnicki, MB Peters, NH Pijls, L Noyez and WN van Asten
Department of Thoracic and Cardiac Surgery, University Hospital Nijmegen, St. Radboud, The Netherlands.

Using transthoracic B-mode imaging and Doppler spectrum analysis it was found that the luminal diameter of the internal mammary artery and its hemodynamics were not significantly different among 15 preoperative patients (64 +/- 10 years) who underwent myocardial revascularization using the left internal mammary artery and young and older control groups (25 +/- 3 years and 61 +/- 9 years, respectively). These data indicate that older age does not significantly adversely influence the degree of intimal thickening and compliance in the internal mammary artery. Doppler spectrum analysis of the internal mammary artery in the patients who were operated on revealed conversion from a triphasic systolic waveform preoperatively to a unidirectional combined systolic/diastolic waveform at 1 week and 2 and 6 months postoperatively, characterized by a significant increase in the diastolic blood flow velocity and a significant decrease in the systolic blood flow velocity and the pulsatility and resistance indices. This study indicates that transthoracic B-mode imaging and Doppler spectrum analysis are promising noninvasive techniques in the preoperative assessment of internal mammary artery morphology and physiology. In addition, Doppler spectrum analysis can also be used in the long-term serial assessment of the internal mammary artery conduit after myocardial revascularization.

This article has been cited by other articles:

				G. Gatti, C. Bentini, G. Maffei, F. Ferrari, M. Dondi, P. Pacilli, and P. Pugliese Noninvasive Dynamic Assessment With Transthoracic Echocardiography of a Composite Arterial Y-Graft Achieving Complete Myocardial Revascularization Ann. Thorac. Surg., April 1, 2005; 79(4): 1217 - 1224. [Abstract] [Full Text] [PDF]

				M. Yoshitatsu, Y. Miyamoto, M. Mitsuno, K. Toda, M. Yoshikawa, S. Fukui, F. Nomura, N. Hirata, and K. Onishi Changes in left anterior descending coronary artery flow profiles after coronary artery bypass grafting examined by means of transthoracic Doppler echocardiography J. Thorac. Cardiovasc. Surg., November 1, 2003; 126(5): 1531 - 1536. [Abstract] [Full Text] [PDF]

				T. Morota, F. G. Duhaylongsod, W. R. Burfeind, and C.-T. Huang Intraoperative evaluation of coronary anastomosis by transit-time ultrasonic flow measurement Ann. Thorac. Surg., May 1, 2002; 73(5): 1446 - 1450. [Abstract] [Full Text] [PDF]

				J.M. Hartman, J.C. Kelder, R.G.A. Ackerstaff, F.E.E. Vermeulen, and A.J.J.C. Bogers Differences in LIMA Doppler characteristics for different LAD perfusion areas Eur. J. Cardiothorac. Surg., December 1, 2001; 20(6): 1135 - 1141. [Abstract] [Full Text] [PDF]

				F Chirillo, A Bruni, G Balestra, C Cavallini, Z Olivari, J D Thomas, and P Stritoni Assessment of internal mammary artery and saphenous vein graft patency and flow reserve using transthoracic Doppler echocardiography Heart, October 1, 2001; 86(4): 424 - 431. [Abstract] [Full Text] [PDF]

				K. Shibata, S. Takamoto, Y. Kotsuka, T. Miyairi, T. Morota, K. Ueno, and H. Sato Doppler ultrasonographic identification of the critical segmental artery for spinal cord protection Eur. J. Cardiothorac. Surg., September 1, 2001; 20(3): 527 - 532. [Abstract] [Full Text] [PDF]

				W. R. Chitwood Jr, C. L. Wixon, J. R. Elbeery, N. A. Francalancia, and R. M. Lust Minimally invasive cardiac operation: adapting cardioprotective strategies Ann. Thorac. Surg., November 1, 1999; 68(5): 1974 - 1977. [Abstract] [Full Text] [PDF]

				W. F. Turner Jr ""Off-pump"" coronary artery bypass grafting: the first one hundred cases of the Rose City experience Ann. Thorac. Surg., October 1, 1999; 68(4): 1482 - 1485. [Abstract] [Full Text] [PDF]

				M. Gaudino, M. Serricchio, P. Tondi, F. Glieca, A. Giordano, C. Trani, P. Pola, and G. Possati Non-invasive evaluation of mammary artery flow reserve and adequacy to increased myocardial oxygen demand Eur. J. Cardiothorac. Surg., April 1, 1999; 13(4): 404 - 409. [Abstract] [Full Text] [PDF]

				M. Gaudino, M. Serricchio, F. Glieca, P. Bruno, P. Tondi, A. Giordano, C. Trani, M. L. Calcagni, P. Pola, and G. Possati Steal phenomenon from mammary side branches: when does it occur? Ann. Thorac. Surg., December 1, 1998; 66(6): 2056 - 2062. [Abstract] [Full Text] [PDF]

				S. Gupta, F. Murgatroyd, K Widenka, T.J Spyt, and D.P De Bono Role of transcutaneous ultrasound in evaluation of graft patency following minimally invasive coronary surgery Eur. J. Cardiothorac. Surg., October 1, 1998; 14(suppl_1): S88 - S92. [Abstract] [Full Text] [PDF]

				K. Oda, K. Hirose, H. Nishimori, K. Sato, T. Yamashiro, and S. Ogoshi Assessment of internal thoracic artery graft with intraoperative color doppler ultrasonography Ann. Thorac. Surg., July 1, 1998; 66(1): 79 - 81. [Abstract] [Full Text] [PDF]

				F. Bilgen, C. Alhan, S. Alhan, M. Idiz, E. Demiray, and A. Ozler Use of Color Doppler Imaging in Assessment of Preoperative and Postoperative Flow Characteristics of Internal Thoracic Artery in Myocardial Revascularization Angiology, June 1, 1996; 47(6): 589 - 594. [Abstract] [PDF]

				H. Takemura, M. Kawasuji, N. Sakakibara, T. Tedoriya, T. Ushijima, and Y. Watanabe Internal Thoracic Artery Graft Function During Exercise Assessed by Transthoracic Doppler Echography Ann. Thorac. Surg., March 1, 1996; 61(3): 914 - 919. [Abstract] [Full Text]

				C. C. Canver, V. M. Armstrong, R. D. Nichols, and R. M. Mentzer Jr Color-Flow Duplex Ultrasound Assessment of Internal Thoracic Artery Graft After Coronary Bypass Ann. Thorac. Surg., February 1, 1995; 59(2): 389 - 392. [Abstract] [Full Text]

				H. J. Sons, R. Marx, E. Godehardt, B. Losse, J. Kunert, and W. Bircks Duplex sonography of the internal thoracic artery: Preoperative assessment J. Thorac. Cardiovasc. Surg., September 1, 1994; 108(3): 549 - 555. [Abstract] [Full Text]