Skip to main content

Abstract

Surgical revascularization of the coronary arteries is one of the most frequent surgical procedures performed worldwide. The reduction or disappearance of angina, the improved tolerability of physical exercise and the overall improvement in quality of life and life expectancy have been the motivations underlying its use since the first procedures were performed in the 1950s. However, although the procedure is one of the major successes of modern medicine, it does not treat the disease underlying the symptoms (atherosclerosis) but only the clinical presentation of coronary artery disease (CAD).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Bourassa MG, Fisher LD, Campeau L et al (1985) Long-term fate of bypass grafts: the Coronary Artery Surgery Study (CASS) and Montreal Heart Institute experiences. Circulation 72:V71–V78

    PubMed  CAS  Google Scholar 

  2. Campeau L, Enjalbert M, Lesperance J et al (1983) Atherosclerosis and late closure of aortocoronary saphenous vein grafts: sequential angiographic studies at 2 weeks, 1 year, 5 to 7 years, and 10 to 12 years after surgery. Circulation 68:II 1–7

    Google Scholar 

  3. Motwani JG, Topol EJ (1998) Aortocoronary saphenous vein graft disease: pathogenesis, predisposition, and prevention. Circulation 97:916–931

    PubMed  CAS  Google Scholar 

  4. Cameron A, Davis KB, Green G, Schaff HV (1996) Coronary bypass surgery with internal thoracic artery grafts: effects on survival over a 15-year period. N Eng J Med 334:216–219

    Article  CAS  Google Scholar 

  5. Eagle KA, Guyton RA, Davidoff R et al (2004) ACC/AHA 2004 guideline update for coronary artery bypass graft surgery: su mmary article. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Update the 1999 Guidelines for Coronary Artery Bypass Graft Surgery) Circulation 110:e340–437

    Article  PubMed  Google Scholar 

  6. Kennedy JW, Basley WA, Bunnel IL et al (1982) Mortality related to cardiac catheterization and angiography. Cath Cardiovasc Diagn 8:233–340

    Article  Google Scholar 

  7. Davidson CJ (1997) Cardiac catheterization. In: Braunwald (ed) Heart disease: a textbook of cardiovascular medicine. WB Saunders, Philadelphia, pp 177–203

    Google Scholar 

  8. Topol EJ, Nissen SE (1995) Our preoccupation with coronary luminology. The dissociation between clinical and angiographic findings in ischemic heart disease. Circulation 92:2333–2342

    PubMed  CAS  Google Scholar 

  9. Meurin P, Weber H, Renaud N et al (2004) Evolution of the postoperative pericardial effusion after day 15: the problem of the late tamponade. Chest 125:2182–2187

    Article  PubMed  Google Scholar 

  10. Katara AN, Samra SS, Bhandarkar DS (2003) Thoracoscopic window for a post-coronary artery bypass grafting pericardial effusion. Indian Heart J 55:180–181

    PubMed  Google Scholar 

  11. Vargas F, Cukier A, Hueb W et al (1994) Relationship between pleural effusion and pericardial involvement after myocardial revascularization. Chest 105:1748–1752

    Article  PubMed  CAS  Google Scholar 

  12. Roy MC (1998) Surgical-site infections after coronary artery bypass graft surgery: discriminating site-specific risk factors to improve prevention efforts. Infect Control Hosp Epidemiol 19:229–233

    Article  PubMed  CAS  Google Scholar 

  13. Shammas NW (2000) Pulmonary embolus after coronary artery bypass surgery: a review of the literature. Clin Cardiol 23:637–644

    Article  PubMed  CAS  Google Scholar 

  14. Marano R, Storto ML, Merlino B et al (2005) A pictorial review of coronary artery bypass grafts at multidetector row CT. Chest 127:1371–1377

    Article  PubMed  Google Scholar 

  15. Calafiore AM, Di Giammarco G, Teodori G et al (1996) Left anterior descending coronary artery grafting via left anterior small thoracotomy without cardiopulmonary bypass. Ann Thorac Surg 61:1658–1663

    Article  PubMed  CAS  Google Scholar 

  16. Loop FD, Lytle BW, Cosgrove DM et al (1986) Influence of internal mammary artery graft on 10-year survival and other cardiac events. N Engl J Med 314:1–6

    Article  PubMed  CAS  Google Scholar 

  17. Carpentier A, Guermonprez JL, Deloche A et al (1973) The aorta-to-coronary radial artery bypass graft. A technique avoiding pathological changes in grafts. Ann Thorac Surg 16:111–121

    Article  PubMed  CAS  Google Scholar 

  18. Iaco AL, Teodori G, Di Giammarco G et al (2001) Radial artery for myocardial revascularization: long-term clinical and angiographic results. Ann Thorac Surg 72:464–468

    Article  PubMed  CAS  Google Scholar 

  19. Calafiore AM, Teodori G, Di Giammarco G et al (1995) Coronary revascularization with the radial artery: new interest for an old conduit. J Card Surg 10:140–146

    Article  PubMed  CAS  Google Scholar 

  20. Pym J, Brown PM, Charrette EJ et al (1987) Gastroepiploic-coronary anastomosis. A viable alternative bypass graft. J Thorac Cardiovasc Surg 94:256–259

    PubMed  CAS  Google Scholar 

  21. Vincent JG, van Son JA, Skotnicki SH (1990) Inferior epigastric artery as a conduit in myocardial revascularization: the alternative free arterial graft. Ann Thorac Surg 49:323–325

    Article  PubMed  CAS  Google Scholar 

  22. Weininger M, Ritter C, Beer M et al (2006) Evaluation of the optimal image reconstruction interval for coronary artery imaging using 64-slice CT. Eur Radiology 16:6–L22 (abstract)

    Google Scholar 

  23. Ropers D, Ulzheimer S, Wenkel E et al (2001) Investigation of aortocoronary artery bypass grafts by multislice spiral computed tomography with electrocardiographic-gated image reconstruction. Am J Cardiol 88:792–795

    Article  PubMed  CAS  Google Scholar 

  24. Marano R, Storto ML, Maddestra N, Bonomo L (2004) Non-invasive assessment of coronary artery bypass graft with retrospectively ECG-gated four-row multi-detector spiral computed tomography. Eur Radiol 14:1353–1362

    Article  PubMed  Google Scholar 

  25. Martuscelli E, Romagnoli A, D’Eliseo A et al (2004) Evaluation of venous and arterial conduit patency by 16-slice spiral computed tomography. Circulation 110:3234–3238

    Article  PubMed  CAS  Google Scholar 

  26. Schlosser T, Konorza T, Hunold P et al (2004) Noninvasive visualization of coronary artery bypass grafts using 16-detector row computed tomography. J Am Coll Cardiol 44:1224–1229

    Article  PubMed  Google Scholar 

  27. Chiurlia E, Menozzi M, Ratti C et al (2005) Follow-up of coronary artery bypass graft patency by multislice computed tomography. Am J Cardiol 95:1094–1097

    Article  PubMed  Google Scholar 

  28. Stauder NI, Kuttner A, Schroder S et al (2006) Coronary artery bypass grafts: assessment of graft patency and native coronary artery lesions using 16-slice MDCT. Eur Radiol 16:2512–2520

    Article  PubMed  Google Scholar 

  29. Anders K, Baum U, Schmid M et al (2006) Coronary artery bypass graft (CABG) patency: assessment with high-resolution submillimeter 16-slice multidetector-row computed tomography (MDCT) versus coronary angiography. Eur J Radiol 57:336–344

    Article  PubMed  Google Scholar 

  30. Kovacsik HV, Battistella P, Demaria R et al (2006) Early postoperative assessment of coronary artery bypass graft patency and anatomy: value of contrast-enhanced 16-MDCT with retrospectively ECG-gated reconstructions. Am J Radiol 186:S395–S400

    Google Scholar 

  31. Pache G, Saueressig U, Frydrychowicz A et al (2006) Initial experience with 64-slice cardiac CT: noninvasive visualization of coronary artery bypass grafts. Eur Heart J 27:976–980

    Article  PubMed  Google Scholar 

  32. Malagutti P, Nieman K, Meijboom WB et al (2007) Use of 64-slice CT in symptomatic patients after coronary bypass surgery: evaluation of grafts and coronary arteries. Eur Heart J 28:1879–1885

    Article  PubMed  Google Scholar 

  33. Ropers D, Pohle FK, Kuettner A et al (2006) Diagnostic accuracy of noninvasive coronary angiography in patients after bypass surgery using 64-slice spiral computed tomography with 330-ms gantry rotation. Circulation 114:2334–2341; quiz 2334

    Article  PubMed  Google Scholar 

  34. Dikkers R, Willems TP, Tio RA et al (2006) The benefit of 64-MDCT prior to invasive coronary angiography in symptomatic post-CABG patients. Int J Cardiovasc Imaging 26:369–377

    Google Scholar 

  35. Romagnoli A, Patrei A, Mancini A et al (2010) Diagnostic accuracy of 64-slice CT in evaluating coronary artery bypass grafts and of the native coronary arteries. Radiol Med 115:1167–1178

    Article  PubMed  CAS  Google Scholar 

  36. Bongartz G, Golding SJ, Jurik AG et al (2000) European Guidelines on Quality Criteria for Computed Tomography. EUR 16262. The European Commission’s Study Group on Development of Quality Criteria for Computed Tomography. Luxembourg, Luxembourg: European Commission

    Google Scholar 

  37. Bongartz G, Golding SJ, Jurik AG et al (2004) CT quality criteria. Luxembourg, Luxembourg: European Commission, 2004

    Google Scholar 

  38. Goetti R, Leschka S, Baumüller S et al (2010) Low dose high-pitch spiral acquisition 128-slice dual-source computed tomography for the evaluation of coronary artery bypass graft patency. Invest Radiol 45:324–330

    PubMed  Google Scholar 

  39. Gupta R, Cheung AC, Bartling SH et al (2008) Flat-panel volume CT: fundamental principles, technology, and applications. Radiographics 28:2009–2022

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2012 Springer-Verlag Italia

About this chapter

Cite this chapter

Marano, R., Savino, G., Liguori, C., Bonomo, L. (2012). Evaluation of Bypass Grafts. In: Cademartiri, F., Casolo, G., Midiri, M. (eds) Clinical Applications of Cardiac CT. Springer, Milano. https://doi.org/10.1007/978-88-470-2522-6_14

Download citation

  • DOI: https://doi.org/10.1007/978-88-470-2522-6_14

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-2521-9

  • Online ISBN: 978-88-470-2522-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics