Noninvasive measurement of left internal mammary artery bypass graft flow by duplex Doppler echocardiography from the supraclavicular fossa. 1993

T Takagi, and J Yoshikawa, and K Yoshida, and T Akasaka, and K Maeda
Dept. of Cardiology, Kobe General Hospital, Japan.

To test the ability of duplex Doppler echocardiography from the supraclavicular fossa in detecting the left internal mammary artery (LIMA) graft flow and to verify the flow velocity measurement with this method, we studied 12 consecutive patients who underwent coronary artery bypass graft surgery with the LIMA graft. Duplex Doppler echocardiography detected the LIMA graft flow in 11 (92%) of the 12 patients. In these patients, simultaneous supraclavicular duplex Doppler and Doppler catheter measurements of the LIMA graft flow were performed. There were significant correlations in systolic peak velocity (r = 0.84, p < 0.01) and diastolic peak velocity (r = 0.79, p < 0.01) between the supraclavicular and Doppler catheter methods. There were also significant correlations in the diastolic to systolic peak flow velocity ratio (r = 0.86, p < 0.01) and diastolic fraction (r = 0.90, p < 0.01) between the supraclavicular and Doppler catheter methods. Thus, duplex Doppler echocardiography from the supraclavicular fossa is useful in the detection of the LIMA graft flow and permits accurate noninvasive measurement of the LIMA graft flow.

UI MeSH Term Description Entries
D008297 Male Males
D008323 Mammary Arteries Arteries originating from the subclavian or axillary arteries and distributing to the anterior thoracic wall, mediastinal structures, diaphragm, pectoral muscles and mammary gland. Internal Mammary Artery,Internal Thoracic Artery,Arteries, Internal Mammary,Arteries, Internal Thoracic,Arteries, Mammary,Artery, Internal Mammary,Artery, Internal Thoracic,Artery, Mammary,Internal Mammary Arteries,Internal Thoracic Arteries,Mammary Arteries, Internal,Mammary Artery,Mammary Artery, Internal,Thoracic Arteries, Internal,Thoracic Artery, Internal
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D009204 Myocardial Revascularization The restoration of blood supply to the myocardium. (From Dorland, 28th ed) Internal Mammary Artery Implantation,Myocardial Revascularizations,Revascularization, Myocardial,Revascularizations, Myocardial
D001783 Blood Flow Velocity A value equal to the total volume flow divided by the cross-sectional area of the vascular bed. Blood Flow Velocities,Flow Velocities, Blood,Flow Velocity, Blood,Velocities, Blood Flow,Velocity, Blood Flow
D001794 Blood Pressure PRESSURE of the BLOOD on the ARTERIES and other BLOOD VESSELS. Systolic Pressure,Diastolic Pressure,Pulse Pressure,Pressure, Blood,Pressure, Diastolic,Pressure, Pulse,Pressure, Systolic,Pressures, Systolic
D003326 Coronary Circulation The circulation of blood through the CORONARY VESSELS of the HEART. Circulation, Coronary
D006328 Cardiac Catheterization Procedures in which placement of CARDIAC CATHETERS is performed for therapeutic or diagnostic procedures. Catheterization, Cardiac,Catheterization, Heart,Heart Catheterization,Cardiac Catheterizations,Catheterizations, Cardiac,Catheterizations, Heart,Heart Catheterizations
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D001026 Coronary Artery Bypass Surgical therapy of ischemic coronary artery disease achieved by grafting a section of saphenous vein, internal mammary artery, or other substitute between the aorta and the obstructed coronary artery distal to the obstructive lesion. Aortocoronary Bypass,Bypass, Coronary Artery,Bypass Surgery, Coronary Artery,Coronary Artery Bypass Grafting,Coronary Artery Bypass Surgery,Aortocoronary Bypasses,Artery Bypass, Coronary,Artery Bypasses, Coronary,Bypass, Aortocoronary,Bypasses, Aortocoronary,Bypasses, Coronary Artery,Coronary Artery Bypasses

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