Why the study?
Can Doppler shift ultrasound be used for non-invasive monitoring of flow signals in patients after coronary by-pass surgery?
Observational (n=26)
Can Doppler shift ultrasound be used for non-invasive monitoring of flow signals in patients after coronary by-pass surgery?
Doppler shift ultrasound may be a feasible non-invasive method to monitor coronary bypass graft flow, correlating with intraoperative flow dynamics.
Answers are grounded in this paper and cite their sources.
Supports non-invasive Doppler feasibility post-CABG; hypothesis-generating and should not yet change practice.
Percutaneous recording of flow signals from coronary by-passes was carried out by use of a Doppler flow meter. The signals were recorded on a tape recorder and audiofrequency analysis was performed by use of a sonograph instrument. Twenty-six patients were examined one week to two years after coronary by-pass surgery, signals from 22 patients could be classified as either being "normal" or "abnormal". Abnormal signals were recorded from 8 patients. Comparison of patients with abnormal signals to those with normal Doppler findings showed that the patient group with abnormal signals had also had a less pronounced increase in blood flow subsequent to peroperative injection of papaverin into the bypass, than the normal patient group. The reported findings merit an extended, longitudinal investigation of patients undergoing coronary by-pass surgery.
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Fitzgerald et al. (1983) conducted an observational in Coronary by-pass surgery (n=26). Doppler flow meter monitoring vs. Normal Doppler findings was evaluated on Flow signal classification (normal vs abnormal) and correlation with peroperative blood flow increase.
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