[Pitfall of postoperative right gastroepiploic artery angiogram].
Postoperative angiogram of the right gastroepiploic artery (RGEA) often revealed a complication as a 'string sign' or 'competition phenomenon'. Inadequate evaluation of the string sign or competition phenomenon was encountered in this study. In a 62-year-old male, an angiogram using a low-dose contrast medium showed a string sign of the RGEA, but a high-dose contrast medium demonstrated an adequate diameter of the RGEA with good flow. In a 68-year-old male, celiac artery angiograms showed the occlusion of the RGEA, although super selective angiograms indicated the RGEA to be patent. Adequate evaluation of the RGEA should include a super-selectiveangiograms.
Hayashi
S
S
Division of Cardiovascular Surgery, Chugoku Rosai Hospital, Kure, Japan.
Kouhata
S
S
Hashimoto
Y
Y
D000792:Angiography / Q000379:methods; D001026:Coronary Artery Bypass; D019074:Epigastric Arteries / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000601:surgery*; D011184:Postoperative Period