Coronary revascularization directed by results of coronary Doppler flow measurements.
We present a case where Doppler coronary flow velocity and Doppler reserve measurement directed the decision to proceed with coronary artery revascularization. Measurement of coronary Doppler flow velocity and flow reserve can be useful to help evaluate angiographic "intermediate lesions." The following case involves an indeterminate lesion. A patient was felt likely to have a high-grade stenosis which could not be adequately visualized angiographically because of overlapping vessels. Largely based on the flow velocity and reserve data, the patient was referred for coronary artery bypass grafting.
Nicholas
J
J
Galichia Medical Group, Wesley Medical Center, Wichita, Kansas 67214.
Kipperman
R
R
D000368:Aged; D000369:Aged, 80 and over; D001783:Blood Flow Velocity / Q000502:physiology; D001026:Coronary Artery Bypass; D015150:Echocardiography, Doppler; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000000981:diagnostic imaging* / Q000601:surgery