[Proximal anastomoses of aortocoronary bypasses. Evaluation with ECG-triggered single-slice computerized tomography].
OBJECTIVE
Assessment of coronary artery bypass graft (CABG) patency with computed tomography methods has been demonstrated as an alternative to coronary angiography. The evaluation of the bypass anastomoses is still of limited success. Prospective ECG triggering of conventional CT scanners allows heart phase-triggered single-slice acquisition in the sub-second range. The goal of this study was to evaluate whether the use of ECG triggering can optimize the evaluation of proximal CABG anastomoses.


METHODS
In ten patients after CABG surgery, ECG-triggered CT with thin (2 mm), contiguous slices was performed in the region of the proximal bypass anastomoses in the ascending aorta. The data evaluation was done on axial images and on reconstructed 2D and 3D data sets.


RESULTS
The applied technique demonstrated good imaging quality, which allowed evaluation of the CABG anastomoses in all cases. Overall 18 CABG anastomoses could be visualized; 17 anastomoses could be assessed as normal, non-stenotic and patent.


CONCLUSIONS
ECG-triggered thin-slice CT permits reliable assessment of proximal CABG anastomoses and expands the usage of CT in the evaluation of CABG.
von Smekal
A
A
Institut für Diagnostische Radiologie, Universitätsspital Zürich. Smekal@dmr.usz.ch
Lachat
M
M
Wildermuth
S
S
Khan
G
G
Turina
M
M
Marincek
B
B
D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical; D001026:Coronary Artery Bypass; D003971:Diastole / Q000502:physiology; D004562:Electrocardiography / Q000295:instrumentation*; D005260:Female; D006083:Graft Occlusion, Vascular / Q000000981:diagnostic imaging* / Q000503:physiopathology; D006339:Heart Rate / Q000502:physiology; D006801:Humans; D007091:Image Processing, Computer-Assisted / Q000295:instrumentation*; D008297:Male; D008875:Middle Aged; D012680:Sensitivity and Specificity; D013599:Systole / Q000502:physiology; D014057:Tomography, X-Ray Computed / Q000295:instrumentation*