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December 1, 2018The Medical Journal of Cairo University/˜The œMedical Journal of Cairo UniversityOpen Access

Diagnostic Value of 64-Slice Multi Detector Computed Tomographic Angiography in Assessment of Complicated Coronary Artery Bypass Graft

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Key result

64-slice MDCT angiography effectively identifies post-CABG complications, detecting occlusion or stenosis in ~26% of evaluated grafts.

  • n=50

Why the study?

Long-term complications after CABG including graft occlusion and stenosis cause recurrent ischemic symptoms and mortality, necessitating effective diagnostic tools.

Does 64-slice MDCT angiography effectively detect complications in patients with suspected post-CABG complications?

Population

50 patients with suspected post-CABG complications, mean age 59±3.9 years, 40 males and 10 females

Comparison

64-slice MDCT coronary angiography for detection of post-CABG complications

Design

Prospective observational study at a single center

Follow-up

6 months to 13 years post CABG surgery

Authors

MMMostafa MohamedMSM.D. KHALED A. EL-GHAMRAWY LOBNA Kh. SAKR

Discussion

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Implication

May support MDCT for post-CABG complication detection; leaves open need for prospective accuracy validation.

Study Design

Type

Observational (n=50)

Multicenter

No

Structured PICO

Does 64-slice MDCT angiography effectively detect complications in patients with suspected post-CABG complications?

P
Population
50 patients (mean age 59 years, 20% female) with suspected post-CABG complications evaluated 6 months to 13 years post-surgery.
E
Exposure
64-slice Multi-Detector Computed Tomography (MDCT) coronary angiography
O
Outcome
Detection of post-CABG complications (including graft occlusion, stenosis, and non-graft complications)surrogate

64-slice MDCT is an effective, non-invasive imaging modality for detecting both graft-related and non-graft-related complications in post-CABG patients.

Cite This Study

Mohamed et al. (2018) conducted an observational in Suspected post-CABG complications (n=50). 64-Slice Multi-Detector Computed Tomographic Angiography (MDCT) was evaluated on Detection of post-CABG complications. 64-slice MDCT angiography effectively identified post-CABG complications, detecting 25 occluded grafts and 8 with significant stenosis among 129 evaluated grafts.

synapsesocial.com/papers/6ab0d58ba0b3229756ca5542https://doi.org/10.21608/mjcu.2018.62814
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Coronary Artery Bypass Grafts: Assessment with Multidetector CT in the Early and Late Postoperative Settings2005 · 95 citations
  2. 2Right paracardiac mass due to organized pericardial hematoma around retained epicardial pacing wires following aortic valve replacement2011 · 18 citations
  3. 3A Pictorial Review on the Role of 64-Slice HD MDCT in Detecting Post CABG Cardiothoracic Complications2014 · 3 citations
  4. 4Sixty four multi-detectors CT coronary angiography: An easy and accurate method to detect graft patency post CABG2012 · 4 citations
  5. 5A systematic approach for analysis, interpretation, and reporting of coronary CTA studies2012 · 28 citations