Graft flow assessment with transthoracic Doppler after coronary arterial bypass grafting with bilateral internal thoracic arteries using Y-graft technique

Purpose — The aim of our study is to assess the transthoracic Doppler parameters of left internal thoracic artery`s stem (LITA) flow after coronary artery bypass surgery with free right internal thoracic artery using Y graft technique and compare them with such parameters of LITA-LAD (left anterior...

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Main Author: Tigran Akobyan
Format: Article
Language:English
Published: Limited liability company «Science and Innovations» (Saratov) 2013-09-01
Series:Russian Open Medical Journal
Subjects:
Online Access:http://www.romj.org/node/71
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author Tigran Akobyan
author_facet Tigran Akobyan
author_sort Tigran Akobyan
collection DOAJ
description Purpose — The aim of our study is to assess the transthoracic Doppler parameters of left internal thoracic artery`s stem (LITA) flow after coronary artery bypass surgery with free right internal thoracic artery using Y graft technique and compare them with such parameters of LITA-LAD (left anterior descending) graft flow after regular coronary artery bypass surgery (CABG). Material and Methods — 51 consecutive patients with coronary artery disease underwent CABG. Comparison between groups was performed using the following parameters: age, body mass index, angina class, presence of hypertension and diabetes, left ventricular ejection fraction and hemoglobin level, hemodynamic parameters during the Doppler investigation. Results — Higher systolic acceleration time value in Y graft group is due to bigger runoff of Y graft compared with the classic group. The diastolic acceleration time is shorter in Y graft group as the distal coronary runoff is bigger and LITA`s peak flow accelerate faster. The systolic and diastolic acceleration times are very sensitive parameters which depend on the distal coronary runoff changes. Conclusions — We conclude that blood flow volume in tha LITA graft depend of coronary artery distal run-off and rising when we using to revascularize more than one coronary artery.
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spelling doaj.art-8aecc9ac6b694d08ab38a510c33bab3d2022-12-21T17:17:00ZengLimited liability company «Science and Innovations» (Saratov)Russian Open Medical Journal2304-34152013-09-01230308Graft flow assessment with transthoracic Doppler after coronary arterial bypass grafting with bilateral internal thoracic arteries using Y-graft techniqueTigran AkobyanPurpose — The aim of our study is to assess the transthoracic Doppler parameters of left internal thoracic artery`s stem (LITA) flow after coronary artery bypass surgery with free right internal thoracic artery using Y graft technique and compare them with such parameters of LITA-LAD (left anterior descending) graft flow after regular coronary artery bypass surgery (CABG). Material and Methods — 51 consecutive patients with coronary artery disease underwent CABG. Comparison between groups was performed using the following parameters: age, body mass index, angina class, presence of hypertension and diabetes, left ventricular ejection fraction and hemoglobin level, hemodynamic parameters during the Doppler investigation. Results — Higher systolic acceleration time value in Y graft group is due to bigger runoff of Y graft compared with the classic group. The diastolic acceleration time is shorter in Y graft group as the distal coronary runoff is bigger and LITA`s peak flow accelerate faster. The systolic and diastolic acceleration times are very sensitive parameters which depend on the distal coronary runoff changes. Conclusions — We conclude that blood flow volume in tha LITA graft depend of coronary artery distal run-off and rising when we using to revascularize more than one coronary artery.http://www.romj.org/node/71transthoracic ultrasoundinternal thoracic arteriesY-graft bypass grafting
spellingShingle Tigran Akobyan
Graft flow assessment with transthoracic Doppler after coronary arterial bypass grafting with bilateral internal thoracic arteries using Y-graft technique
Russian Open Medical Journal
transthoracic ultrasound
internal thoracic arteries
Y-graft bypass grafting
title Graft flow assessment with transthoracic Doppler after coronary arterial bypass grafting with bilateral internal thoracic arteries using Y-graft technique
title_full Graft flow assessment with transthoracic Doppler after coronary arterial bypass grafting with bilateral internal thoracic arteries using Y-graft technique
title_fullStr Graft flow assessment with transthoracic Doppler after coronary arterial bypass grafting with bilateral internal thoracic arteries using Y-graft technique
title_full_unstemmed Graft flow assessment with transthoracic Doppler after coronary arterial bypass grafting with bilateral internal thoracic arteries using Y-graft technique
title_short Graft flow assessment with transthoracic Doppler after coronary arterial bypass grafting with bilateral internal thoracic arteries using Y-graft technique
title_sort graft flow assessment with transthoracic doppler after coronary arterial bypass grafting with bilateral internal thoracic arteries using y graft technique
topic transthoracic ultrasound
internal thoracic arteries
Y-graft bypass grafting
url http://www.romj.org/node/71
work_keys_str_mv AT tigranakobyan graftflowassessmentwithtransthoracicdoppleraftercoronaryarterialbypassgraftingwithbilateralinternalthoracicarteriesusingygrafttechnique