Key result
Intraoperative coronary angiography successfully identified a distal LAD obstruction not detected by transit time flowmetry, allowing for immediate surgical revision and optimal graft patency.
Why the study?
Graft patency after coronary artery bypass graft surgery is a major factor in morbidity and mortality, but available intraoperative assessment modalities each have specific advantages and disadvantages.
Population
One patient undergoing coronary artery bypass graft surgery
Design
Case report
Authors
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May guide revision in select CABG cases with inconclusive flowmetry; hypothesis-generating and should not yet change practice.
Case Report (n=1)
No
Intraoperative coronary angiography using a portable fluoroscopic system can effectively diagnose and guide surgical revision of compromised grafts during CABG when other modalities like transit time flowmetry are insufficient.
Mueller et al. (2022) conducted a case report in Coronary artery disease (n=1). Intraoperative coronary angiography was evaluated on Identification of graft obstruction. Intraoperative coronary angiography successfully identified a distal LAD obstruction not detected by transit time flowmetry, allowing for immediate surgical revision and optimal graft patency.
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