Transthoracic Doppler validation in mammary artery grafts after minimal invasive direct coronary artery bypass operation.
OBJECTIVE
This study was performed to validate noninvasive transthoracic Doppler ultrasound (TTD) with simultaneous invasive Doppler guidewire measurements in patients after minimal invasive direct coronary artery bypass operation.


METHODS
A total of 14 patients were examined 3 to 8 days after minimal invasive direct coronary artery bypass operation. TTD was performed to measure systolic and diastolic peak velocities of the left internal mammary artery (LIMA) at rest and during adenosine-induced hyperemia. Simultaneous Doppler guidewire measurements were performed.


RESULTS
LIMA flow was detected in 12 of 14 patients (86%). There was high agreement between TTD and Doppler guidewire measurements of LIMA flow velocities (systolic peak velocity: r = 0.86, y = 11.3 + 0.82x +/- 7.9; diastolic peak velocity: r = 0.95, y = 5.7 + 1.02x +/- 7.5; average peak velocity: r = 0.95, y = 5.2 + 0.94x +/- 5.4; and flow velocity reserve: r = 0.97, y = 5.2 + 0.99x +/- 4.5).


CONCLUSIONS
TTD represents an accurate method to evaluate flow velocities and flow velocity reserve of LIMA bypass grafts even in the early phase after minimal invasive direct coronary artery bypass operation.
Meyer
Gerd Peter
GP
Department of Cardiology/Angiology, Hannover Medical School, Germany. meyer.gerdp@mh-hannover.de
Laudenberg
Bernd
B
Hausmann
Dirk
D
Mügge
Andreas
A
Cremer
Joachim
J
Hornig
Burkhard
B
Weiss
Thomas
T
Hecker
Hartmut
H
Haverich
Axel
A
Drexler
Helmut
H
Schaefer
Arnd
A
D000328:Adult; D000368:Aged; D001783:Blood Flow Velocity; D001026:Coronary Artery Bypass; D015150:Echocardiography, Doppler; D005260:Female; D006801:Humans; D007387:Internal Mammary-Coronary Artery Anastomosis; D008297:Male; D008323:Mammary Arteries / Q000000981:diagnostic imaging* / Q000601:surgery; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures