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Titolo:
Echocardiography in minimally invasive direct coronary artery bypass
Autore:
Kasliwal, R; Mittal, S; Shrivastava, S; Mishra, Y; Malhotra, R; Kanojia, A; Trehan, N; Kronzon, I;
Indirizzi:
Escorts Heart Inst & Res Ctr, Dept Med, New Delhi, India Escorts Heart Inst & Res Ctr New Delhi India Dept Med, New Delhi, India
Titolo Testata:
ECHOCARDIOGRAPHY-A JOURNAL OF CARDIOVASCULAR ULTRASOUND AND ALLIED TECHNIQUES
fascicolo: 6, volume: 16, anno: 1999,
pagine: 603 - 610
SICI:
0742-2822(199908)16:6<603:EIMIDC>2.0.ZU;2-3
Fonte:
ISI
Lingua:
ENG
Soggetto:
INTERNAL MAMMARY ARTERY; INTRAOPERATIVE TRANSESOPHAGEAL ECHOCARDIOGRAPHY; PROTRUDING AORTIC ATHEROMAS; DOPPLER-ECHOCARDIOGRAPHY; CARDIOPULMONARY BYPASS; NONINVASIVE ASSESSMENT; SUPRACLAVICULAR FOSSA; THORACIC ARTERY; STROKE; GRAFTS;
Keywords:
minimally invasive coronary artery bypass; internal mammary artery; transesophageal echocardiography; duplex study;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
17
Recensione:
Indirizzi per estratti:
Indirizzo: Kronzon, I 560 1st Ave, New York, NY 10016 USA 560 1st Ave New York NY USA 10016 Ave, New York, NY 10016 USA
Citazione:
R. Kasliwal et al., "Echocardiography in minimally invasive direct coronary artery bypass", ECHOCARDIOG, 16(6), 1999, pp. 603-610

Abstract

Minimally invasive direct coronary artery bypass (MIDCAB) is a recently developed, less-invasive alternative to standard bypass surgery. MIDCAB is performed through a small incision (2-3 inches) on. the beating heart withoutthe use of cardiopulmonary bypass or cardioplegia. It is associated with less trauma and a shorter hospital stay than conventional surgery. Transesophageal echocardiography helps in patient selection by detecting protruding aortic atheromas (PATHs), which are associated with a high risk of stroke during typical cardiopulmonary bypass. MIDCAB may be the technique of choicein patients with PATHs. Intraoperative echocardiography can detect wall motion. abnormalities and helps in determining intraoperative myocardial ischemia and the postoperative prognosis. Duplex study of the internal mammary arteries is helpful in evaluating coronary anastomosis patency. Characteristically, a patent coronary anastomosis demonstrates a high diastolic flow fraction, with a ratio between peak diastolic and peak systolic flow velocity of > 1.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 06/04/20 alle ore 00:16:43