Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
11
pubmed:dateCreated
1998-2-12
pubmed:abstractText
We evaluated the usefulness of noninvasive hemodynamic assessment of internal thoracic artery grafts (ITAGs) using duplex Doppler echocardiography from the supraclavicular fossa (transcutaneous pulsed Doppler method: PD method). Eighteen ITAGs were examined by PD method in comparison with Doppler catheter method using Doppler flowire (DC method). The hemodynamic indices used were the diastolic/systolic peak velocity ratio (DSVR) and the diastolic fraction of time-velocity integral (DF) in the ITAGs. A significant linear correlation was seen both in DSVR and DF between these two methods (p < 0.01). The subjects were assigned to two groups according to angiographic findings Group A (Gr-A: 5 grafts) with string sign including significant graft stenosis and group B (Gr-B 13 grafts) with good patency. In both PD and DC methods, DSVR and DF were significantly lower in Gr-A than in Gr-B (p < 0.01). The blood flow pattern was thus systolic dominant in the grafts with string sign, while it was diastolic dominant in the grafts with good patency. In some grafts in Gr-B, however, both DSVR ad DF were as low as that in Gr-A. Responding to pacing, Gr-B further increased both DSVR and DF, but Gr-A did not. As a result, the difference between both groups was further distinguished. In summary, ITAG function can be assessed by the noninvasive PD method. Interventions such as exercise, dobutamine infusion may make it more accurate, particularly in evaluating borderline data.
pubmed:language
jpn
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Nov
pubmed:issn
0369-4739
pubmed:author
pubmed:issnType
Print
pubmed:volume
45
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1803-9
pubmed:dateRevised
2011-7-27
pubmed:meshHeading
pubmed:year
1997
pubmed:articleTitle
[Noninvasive hemodynamic assessment of internal thoracic artery grafts using duplex echocardiography from supraclavicular fossa--a comparison with Doppler catheter method].
pubmed:affiliation
First Department of Surgery, Osaka University Medical School, Suita, Japan.
pubmed:publicationType
Journal Article, Comparative Study, English Abstract