Assessment of the Graft Quality and Patency during and after Coronary Artery Bypass Grafting
Coronary artery bypass grafting (CABG) is the gold standard procedure for multi vessels and left main coronary artery disease. The prognosis and survival outcomes of CABG surgery are highly dependent on the patency of the bypass graft. Early graft failure which can occur during or soon after CABG re...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2023-05-01
|
| Series: | Diagnostics |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2075-4418/13/11/1891 |
| _version_ | 1797597735208091648 |
|---|---|
| author | Matiullah Masroor Ashfaq Ahmad Yixuan Wang Nianguo Dong |
| author_facet | Matiullah Masroor Ashfaq Ahmad Yixuan Wang Nianguo Dong |
| author_sort | Matiullah Masroor |
| collection | DOAJ |
| description | Coronary artery bypass grafting (CABG) is the gold standard procedure for multi vessels and left main coronary artery disease. The prognosis and survival outcomes of CABG surgery are highly dependent on the patency of the bypass graft. Early graft failure which can occur during or soon after CABG remains a significant issue, with reported incidences of 3–10%. Graft failure can lead to refractory angina, myocardial ischemia, arrhythmias, low cardiac output, and fatal cardiac failure, emphasizing the importance of ensuring graft patency during and after surgery to prevent such complications. Technical errors during anastomosis are among the leading causes of early graft failure. To address this issue, various modalities and techniques have been developed to evaluate graft patency during and after CABG surgery. These modalities aim to assess the quality and integrity of the graft, thus enabling surgeons to identify and address any issues before they lead to significant complications. In this review article, we aim to discuss the strengths and limitations of all available techniques and modalities, with the goal to identify the best modality for evaluating graft patency during and after CABG surgery. |
| first_indexed | 2024-03-11T03:09:41Z |
| format | Article |
| id | doaj.art-8c87fc956add4967b558e36155358fde |
| institution | Directory Open Access Journal |
| issn | 2075-4418 |
| language | English |
| last_indexed | 2024-03-11T03:09:41Z |
| publishDate | 2023-05-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj.art-8c87fc956add4967b558e36155358fde2023-11-18T07:42:30ZengMDPI AGDiagnostics2075-44182023-05-011311189110.3390/diagnostics13111891Assessment of the Graft Quality and Patency during and after Coronary Artery Bypass GraftingMatiullah Masroor0Ashfaq Ahmad1Yixuan Wang2Nianguo Dong3Department of Cardiovascular Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, ChinaDepartment of Ultrasound Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, ChinaDepartment of Cardiovascular Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, ChinaDepartment of Cardiovascular Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, ChinaCoronary artery bypass grafting (CABG) is the gold standard procedure for multi vessels and left main coronary artery disease. The prognosis and survival outcomes of CABG surgery are highly dependent on the patency of the bypass graft. Early graft failure which can occur during or soon after CABG remains a significant issue, with reported incidences of 3–10%. Graft failure can lead to refractory angina, myocardial ischemia, arrhythmias, low cardiac output, and fatal cardiac failure, emphasizing the importance of ensuring graft patency during and after surgery to prevent such complications. Technical errors during anastomosis are among the leading causes of early graft failure. To address this issue, various modalities and techniques have been developed to evaluate graft patency during and after CABG surgery. These modalities aim to assess the quality and integrity of the graft, thus enabling surgeons to identify and address any issues before they lead to significant complications. In this review article, we aim to discuss the strengths and limitations of all available techniques and modalities, with the goal to identify the best modality for evaluating graft patency during and after CABG surgery.https://www.mdpi.com/2075-4418/13/11/1891coronary artery bypass surgeryrevascularizationgraft quality assessmentangiographyCTA |
| spellingShingle | Matiullah Masroor Ashfaq Ahmad Yixuan Wang Nianguo Dong Assessment of the Graft Quality and Patency during and after Coronary Artery Bypass Grafting Diagnostics coronary artery bypass surgery revascularization graft quality assessment angiography CTA |
| title | Assessment of the Graft Quality and Patency during and after Coronary Artery Bypass Grafting |
| title_full | Assessment of the Graft Quality and Patency during and after Coronary Artery Bypass Grafting |
| title_fullStr | Assessment of the Graft Quality and Patency during and after Coronary Artery Bypass Grafting |
| title_full_unstemmed | Assessment of the Graft Quality and Patency during and after Coronary Artery Bypass Grafting |
| title_short | Assessment of the Graft Quality and Patency during and after Coronary Artery Bypass Grafting |
| title_sort | assessment of the graft quality and patency during and after coronary artery bypass grafting |
| topic | coronary artery bypass surgery revascularization graft quality assessment angiography CTA |
| url | https://www.mdpi.com/2075-4418/13/11/1891 |
| work_keys_str_mv | AT matiullahmasroor assessmentofthegraftqualityandpatencyduringandaftercoronaryarterybypassgrafting AT ashfaqahmad assessmentofthegraftqualityandpatencyduringandaftercoronaryarterybypassgrafting AT yixuanwang assessmentofthegraftqualityandpatencyduringandaftercoronaryarterybypassgrafting AT nianguodong assessmentofthegraftqualityandpatencyduringandaftercoronaryarterybypassgrafting |