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pubmed-article:17670653pubmed:dateCreated2007-8-2lld:pubmed
pubmed-article:17670653pubmed:abstractTextMinimally invasive surgery for coronary revascularization using the left internal thoracic artery (ITA) has gained increasing interest. For control of graft function the established transcutaneous color-Doppler echocardiography in combination with a stress-test was performed to test the ability of this novel technique. Twenty-one patients having received a single ITA-graft were evaluated early postoperatively at rest and during isometric stress test with a handgrip exercise. Compared to the right internal thoracic artery, the mainly systolic flow is changed to a wide diastolic component when the left ITA is anastomosed to the coronary artery. The peak systolic/peak diastolic velocity ratio changed from 4.5+/-1.9 to 1.4+/-0.47 (P<0.0001). During stress reaction with the isometric handgrip maneuver the grafted ITA showed a significant increase of the mean diastolic flow (29.1+/-13.3 to 44.3+/-14.7 cm/s, P<0.0001) and total blood flow (124.8+/-55.4 ml/min to 176.6+/-71.7 ml/min), which may demonstrate an efficient bypass function. We conclude, that the noninvasive measurement of ITA-graft function with Doppler-ultrasound may be a clinically useful method to assess the functional status after minimally invasive coronary artery bypass grafting. In combination with the hand-grip test it represents a valid new technique with the potential to estimate graft patency.lld:pubmed
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pubmed-article:17670653pubmed:languageenglld:pubmed
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pubmed-article:17670653pubmed:statusPubMed-not-MEDLINElld:pubmed
pubmed-article:17670653pubmed:monthOctlld:pubmed
pubmed-article:17670653pubmed:issn1569-9285lld:pubmed
pubmed-article:17670653pubmed:authorpubmed-author:SzaboSebastia...lld:pubmed
pubmed-article:17670653pubmed:authorpubmed-author:MarxRogerRlld:pubmed
pubmed-article:17670653pubmed:authorpubmed-author:GülkerHartmut...lld:pubmed
pubmed-article:17670653pubmed:authorpubmed-author:SunderdiekUlr...lld:pubmed
pubmed-article:17670653pubmed:authorpubmed-author:HoffmeisterHa...lld:pubmed
pubmed-article:17670653pubmed:authorpubmed-author:KalweitGerhar...lld:pubmed
pubmed-article:17670653pubmed:authorpubmed-author:JaxThomas WTWlld:pubmed
pubmed-article:17670653pubmed:authorpubmed-author:KleinRolf MRMlld:pubmed
pubmed-article:17670653pubmed:issnTypeElectroniclld:pubmed
pubmed-article:17670653pubmed:volume5lld:pubmed
pubmed-article:17670653pubmed:ownerNLMlld:pubmed
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pubmed-article:17670653pubmed:pagination584-8lld:pubmed
pubmed-article:17670653pubmed:year2006lld:pubmed
pubmed-article:17670653pubmed:articleTitleStress Doppler echocardiography of the internal thoracic artery--a new non-invasive approach for functional assessment after minimally invasive coronary bypass grafting.lld:pubmed
pubmed-article:17670653pubmed:affiliationFaculty of Medicine, University of Witten-Herdecke, Department of Cardiology and Internal Medicine, General Hospital Solingen, Germany. RogerMarx@t-online.delld:pubmed
pubmed-article:17670653pubmed:publicationTypeJournal Articlelld:pubmed
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